Health insurance in Butler County, Ohio
8 insurers sell 130 marketplace plans here, and 7.9% 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.
8 insurers competing here
8 insurers sell in Butler County — 130 plans in total, around 16 each. Few people compare 130 plans properly without help. It gained 1 since the previous plan year, up from 7.
How many people here have no coverage
7.9% of Butler County's 324,516 under-65 residents have no health coverage — 25,798 people. That is close to the Ohio rate of 8.1%, and puts Butler County in the bottom quarter of the 1,817 counties on this site (1425th).
How much the marketplace is used
15,843 Butler County residents selected a marketplace plan for 2026: 49 per thousand under-65 residents, 1609th of 1,817. That is under the 78 per thousand typical of published counties. 2,854 of them — 18% — were new rather than renewing.
Butler County against Ohio
Butler County is the 6th largest of the 22 Ohio counties we publish. Its uninsured rate tracks the state almost exactly and its 8 insurers sit between the state's 3 and 9. Marketplace use is close to the Ohio rate.
| Butler County | Ohio | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 7.9% | 8.1% | 9.9% |
| Insurers selling | 8 | 3–9 | 4 |
| Plans offered | 130 | — | 57 |
| Selections per 1,000 | 49 | 50 | 78 |
| New rather than renewing | 18% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Lucas County | 340,088 | 7.2% | 8 | 121 |
| Lorain County | 250,183 | 7.7% | 9 | 138 |
Lorain County has 9 insurers against this county's 8 — a reminder that the county line, not the state line, is what decides your options.
130 plans is a lot to work through. Start with network type, then the metal tiers. Other Ohio counties.