Health insurance in Randolph County, North Carolina
5 insurers sell 75 marketplace plans here, and 12.8% of under-65 residents have no coverage at all.
Source: CMS Marketplace Open Enrollment Public Use Files and US Census Small Area Health Insurance Estimates, 2026 release.
Who sells here, and how much choice that gives
5 insurers compete in Randolph County with 75 plans between them, about 15 plans each. The number has not changed since the previous plan year.
How many people here have no coverage
12.8% of Randolph County's 118,898 under-65 residents have no health coverage — 15,246 people. That is above the North Carolina rate of 10.2%, and puts Randolph County in the middle half of the 1,817 counties on this site (569th).
How much the marketplace is used
8,517 Randolph County residents selected a marketplace plan for 2026: 72 per thousand under-65 residents, 1227th of 1,817. That is close to the 78 per thousand typical of published counties. 1,257 of them — 15% — were new rather than renewing.
Randolph County against North Carolina
Randolph County is the 20th largest of the 24 North Carolina counties we publish. Its uninsured rate runs 2.6 points higher than North Carolina overall and its 5 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Randolph County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.8% | 10.2% | 9.9% |
| Insurers selling | 5 | 2–6 | 4 |
| Plans offered | 75 | — | 57 |
| Selections per 1,000 | 72 | 87 | 78 |
| New rather than renewing | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Rowan County | 121,307 | 11.2% | 3 | 54 |
| Harnett County | 122,387 | 9.9% | 4 | 56 |
| Brunswick County | 108,465 | 9.0% | 4 | 65 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
75 plans is a lot to work through. Start with network type, then the metal tiers. Other North Carolina counties.