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Health insurance in Adams County, Pennsylvania

3,298 people here have no coverage and earn in the range a premium tax credit is built for — 53% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

3,298Uninsured, subsidy range 138–400% of poverty
7.9%Uninsured, under 65 6,266 people
5.7%Uninsured, 50 to 64 1,274 people
79,244Under-65 residents 613th of 3,143

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

Half the uninsured here sit in the subsidy range

3,298 uninsured people in Adams County earn inside the premium tax credit range — 53% of the county's uninsured. That is near the 51% national median. Within that band itself, 10.0% have no coverage.

How many people here have no coverage

7.9% of Adams County's 79,244 under-65 residents have no health coverage — 6,266 people. That is close to the Pennsylvania rate of 7.2%, and puts Adams County in the lower half of the 3,143 counties measured nationally (2,197th).

Who falls under the Medicaid line

1,607 of Adams County's uninsured — 26%, below the 31% typical of counties nationally — earn under $22,025 a year, which in Pennsylvania is Medicaid territory rather than marketplace territory.

The years before Medicare

1,274 people aged 50 to 64 in Adams County have no coverage, a rate of 5.7% — close to the 7.9% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Adams County against Pennsylvania

Adams County is the 27th largest of the 28 Pennsylvania counties we publish. Its uninsured rate runs 0.7 points higher than Pennsylvania overall and 3 points more of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds matches the Pennsylvania picture.

Adams CountyPennsylvania National median
Uninsured, under 657.9% 7.2%9.8%
Uninsured in the subsidy band3,298 360,928
Subsidy band as a share of uninsured53% 49% 51%
At or below 138% of poverty26% 30% 31%
Uninsured, 50 to 645.7% 5.5% 8.1%

Counties of a similar size

CountyUninsured In the subsidy bandShare
Mercer County8.3%3,23150%
Lycoming County7.4%3,30153%
Fayette County6.8%3,18151%

What a plan actually costs in Adams County

These figures say how many people here a credit would reach. What it would be worth to you depends on your age, household and income — a licensed agent can work that out on the call.

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