Health insurance in Multnomah County, Oregon
6 insurers sell 59 marketplace plans here, and 6.1% 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.
Who sells here, and how much choice that gives
6 insurers compete in Multnomah County with 59 plans between them, about 10 plans each. It gained 3 since the previous plan year, up from 3.
How many people here have no coverage
6.1% of Multnomah County's 672,363 under-65 residents have no health coverage — 40,808 people. That is close to the Oregon rate of 6.4%, and puts Multnomah County in the bottom 10% of the 1,817 counties on this site (1692nd).
How much the marketplace is used
28,221 Multnomah County residents selected a marketplace plan for 2026: 42 per thousand under-65 residents, 1745th of 1,817. That is under the 78 per thousand typical of published counties. 4,343 of them — 15% — were new rather than renewing.
Multnomah County against Oregon
Multnomah County is the largest of the 6 Oregon counties we publish, by under-65 population. Its uninsured rate tracks the state almost exactly and with 6 insurers it is as well served as anywhere in Oregon. Marketplace use is close to the Oregon rate.
| Multnomah County | Oregon | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 6.1% | 6.4% | 9.9% |
| Insurers selling | 6 | 5–6 | 4 |
| Plans offered | 59 | — | 57 |
| Selections per 1,000 | 42 | 36 | 78 |
| New rather than renewing | 15% | 15% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Washington County | 518,692 | 5.5% | 6 | 59 |
| Clackamas County | 342,026 | 5.1% | 6 | 59 |
| Lane County | 295,184 | 6.9% | 6 | 50 |
| Marion County | 282,821 | 9.1% | 6 | 56 |
Every one of them has the same number of insurers, so this is a consistent regional market.
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