Health insurance in Richland County, Ohio
4 insurers sell 66 marketplace plans here, and 9.7% 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.
Who sells here, and how much choice that gives
4 insurers sell marketplace plans in Richland County, offering 66 plans between them, roughly 16 each. It gained 1 since the previous plan year, up from 3.
How many people here have no coverage
9.7% of Richland County's 92,782 under-65 residents have no health coverage — 9,015 people. That is above the Ohio rate of 8.1%, and puts Richland County in the middle half of the 1,817 counties on this site (1114th).
How much the marketplace is used
3,919 Richland County residents selected a marketplace plan for 2026: 42 per thousand under-65 residents, 1740th of 1,817. That is under the 78 per thousand typical of published counties. 561 of them — 14% — were new rather than renewing.
Richland County against Ohio
Richland County is the 20th largest of the 22 Ohio counties we publish. Its uninsured rate runs 1.6 points higher than Ohio overall and its 4 insurers sit between the state's 3 and 9. Marketplace use is close to the Ohio rate.
| Richland County | Ohio | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 9.7% | 8.1% | 9.9% |
| Insurers selling | 4 | 3–9 | 4 |
| Plans offered | 66 | — | 57 |
| Selections per 1,000 | 42 | 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 |
| Miami County | 89,701 | 7.1% | 8 | 130 |
| Wood County | 105,567 | 6.2% | 7 | 106 |
| Clark County | 106,240 | 8.5% | 8 | 130 |
Miami County has 8 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
66 plans is a lot to work through. Start with network type, then the metal tiers. Other Ohio counties.