Health insurance in Cuyahoga County, Ohio
8 insurers sell 119 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 Cuyahoga County — 119 plans in total, around 15 each. Few people compare 119 plans properly without help. It gained 2 since the previous plan year, up from 6.
How many people here have no coverage
7.9% of Cuyahoga County's 962,545 under-65 residents have no health coverage — 76,509 people. That is close to the Ohio rate of 8.1%, and puts Cuyahoga County in the bottom quarter of the 1,817 counties on this site (1426th).
How much the marketplace is used
53,885 Cuyahoga County residents selected a marketplace plan for 2026: 56 per thousand under-65 residents, 1479th of 1,817. That is under the 78 per thousand typical of published counties. 7,952 of them — 15% — were new rather than renewing.
Cuyahoga County against Ohio
Cuyahoga County is the 2nd 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.
| Cuyahoga County | Ohio | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 7.9% | 8.1% | 9.9% |
| Insurers selling | 8 | 3–9 | 4 |
| Plans offered | 119 | — | 57 |
| Selections per 1,000 | 56 | 50 | 78 |
| New rather than renewing | 15% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Franklin County | 1,141,930 | 10.1% | 8 | 130 |
| Hamilton County | 672,238 | 8.0% | 8 | 130 |
| Summit County | 424,484 | 7.4% | 8 | 125 |
Every one of them has the same number of insurers, so this is a consistent regional market.
119 plans is a lot to work through. Start with network type, then the metal tiers. Other Ohio counties.