Health insurance in Franklin County, Ohio
8 insurers sell 130 marketplace plans here, and 10.1% 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 Franklin 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
10.1% of Franklin County's 1,141,930 under-65 residents have no health coverage — 114,864 people. That is above the Ohio rate of 8.1%, and puts Franklin County in the middle half of the 1,817 counties on this site (1038th).
How much the marketplace is used
69,951 Franklin County residents selected a marketplace plan for 2026: 61 per thousand under-65 residents, 1393rd of 1,817. That is under the 78 per thousand typical of published counties. 11,424 of them — 16% — were new rather than renewing.
Franklin County against Ohio
Franklin County is the largest of the 22 Ohio counties we publish, by under-65 population. Its uninsured rate runs 2.0 points higher than Ohio overall and its 8 insurers sit between the state's 3 and 9. Marketplace use is close to the Ohio rate.
| Franklin County | Ohio | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 10.1% | 8.1% | 9.9% |
| Insurers selling | 8 | 3–9 | 4 |
| Plans offered | 130 | — | 57 |
| Selections per 1,000 | 61 | 50 | 78 |
| New rather than renewing | 16% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Cuyahoga County | 962,545 | 7.9% | 8 | 119 |
| 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.
130 plans is a lot to work through. Start with network type, then the metal tiers. Other Ohio counties.