Health insurance in Rowan County, North Carolina
3 insurers sell 54 marketplace plans here, and 11.2% 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
3 insurers sell marketplace plans in Rowan County, offering 54 plans between them, roughly 18 each. Each insurer averages about 18 plans, so most of the choice here is between products from the same company rather than between companies. The number has not changed since the previous plan year.
How many people here have no coverage
11.2% of Rowan County's 121,307 under-65 residents have no health coverage — 13,570 people. That is close to the North Carolina rate of 10.2%, and puts Rowan County in the middle half of the 1,817 counties on this site (840th).
How much the marketplace is used
10,020 Rowan County residents selected a marketplace plan for 2026: 83 per thousand under-65 residents, 1035th of 1,817. That is close to the 78 per thousand typical of published counties. 1,386 of them — 14% — were new rather than renewing.
Rowan County against North Carolina
Rowan County is the 19th largest of the 24 North Carolina counties we publish. Its uninsured rate runs 1.0 points higher than North Carolina overall and its 3 insurers sit between the state's 2 and 6. Marketplace use is close to the North Carolina rate.
| Rowan County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.2% | 10.2% | 9.9% |
| Insurers selling | 3 | 2–6 | 4 |
| Plans offered | 54 | — | 57 |
| Selections per 1,000 | 83 | 87 | 78 |
| New rather than renewing | 14% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Harnett County | 122,387 | 9.9% | 4 | 56 |
| Randolph County | 118,898 | 12.8% | 5 | 75 |
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Catawba County | 132,726 | 11.8% | 4 | 63 |
Randolph County has 5 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
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