Health insurance in Miami County, Ohio
8 insurers sell 130 marketplace plans here, and 7.1% 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 Miami 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
7.1% of Miami County's 89,701 under-65 residents have no health coverage — 6,383 people. That is close to the Ohio rate of 8.1%, and puts Miami County in the bottom quarter of the 1,817 counties on this site (1543rd).
How much the marketplace is used
4,170 Miami County residents selected a marketplace plan for 2026: 46 per thousand under-65 residents, 1657th of 1,817. That is under the 78 per thousand typical of published counties. 600 of them — 14% — were new rather than renewing.
Miami County against Ohio
Miami County is the smallest of the 22 Ohio counties we publish a page for. Its uninsured rate runs 1.0 points lower than Ohio overall and its 8 insurers sit between the state's 3 and 9. Marketplace use is close to the Ohio rate.
| Miami County | Ohio | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 7.1% | 8.1% | 9.9% |
| Insurers selling | 8 | 3–9 | 4 |
| Plans offered | 130 | — | 57 |
| Selections per 1,000 | 46 | 50 | 78 |
| New rather than renewing | 14% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Wayne County | 90,989 | 13.4% | 7 | 113 |
| Richland County | 92,782 | 9.7% | 4 | 66 |
| Wood County | 105,567 | 6.2% | 7 | 106 |
| Clark County | 106,240 | 8.5% | 8 | 130 |
All of them have fewer insurers than this county's 8, which makes it the stronger market locally.
130 plans is a lot to work through. Start with network type, then the metal tiers. Other Ohio counties.