Health insurance in Wayne County, North Carolina
2 insurers sell 28 marketplace plans here, and 12.5% 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.
Two insurers, and what that means
Two insurers sell here, offering 28 plans between them. If either leaves, Wayne County becomes a single-insurer county. The number has not changed since the previous plan year.
How many people here have no coverage
12.5% of Wayne County's 93,705 under-65 residents have no health coverage — 11,754 people. That is above the North Carolina rate of 10.2%, and puts Wayne County in the middle half of the 1,817 counties on this site (611th).
How much the marketplace is used
5,811 Wayne County residents selected a marketplace plan for 2026: 62 per thousand under-65 residents, 1379th of 1,817. That is under the 78 per thousand typical of published counties. 878 of them — 15% — were new rather than renewing.
Wayne County against North Carolina
Wayne County is the 23rd largest of the 24 North Carolina counties we publish. Its uninsured rate runs 2.3 points higher than North Carolina overall and with 2 it has the fewest insurers of any North Carolina county. Marketplace use is well under the North Carolina rate.
| Wayne County | North Carolina | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.5% | 10.2% | 9.9% |
| Insurers selling | 2 | 2–6 | 4 |
| Plans offered | 28 | — | 57 |
| Selections per 1,000 | 62 | 87 | 78 |
| New rather than renewing | 15% | 17% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Henderson County | 87,580 | 12.3% | 5 | 57 |
| Brunswick County | 108,465 | 9.0% | 4 | 65 |
| Orange County | 117,265 | 8.1% | 4 | 44 |
| Randolph County | 118,898 | 12.8% | 5 | 75 |
Henderson County has 5 insurers against this county's 2 — a reminder that the county line, not the state line, is what decides your options.
All North Carolina counties · How the credit works · Enrollment dates