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Health insurance in Chester County, Pennsylvania

11,665 people here have no coverage and earn in the range a premium tax credit is built for — 45% of everyone uninsured in the county.

Reviewed September 4, 2026 · 2024 Census data

11,665Uninsured, subsidy range 138–400% of poverty
5.8%Uninsured, under 65 25,679 people
4.2%Uninsured, 50 to 64 4,535 people
445,499Under-65 residents 128th of 3,143

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

How many here a premium tax credit would reach

Of the 25,679 people without coverage in Chester County, 11,665 — 45% — earn inside the premium tax credit range. That is near the 51% national median. Within that band itself, 10.3% have no coverage.

How many people here have no coverage

5.8% of Chester County's 445,499 under-65 residents have no health coverage — 25,679 people. That is below the Pennsylvania rate of 7.2%, and puts Chester County in the bottom quarter of the 3,143 counties measured nationally (2,876th).

Who falls under the Medicaid line

6,255 of Chester County's uninsured — 24%, 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

4,535 people aged 50 to 64 in Chester County have no coverage, a rate of 4.2% — close to the 5.8% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Chester County against Pennsylvania

Chester County is the 6th largest of the 28 Pennsylvania counties we publish. Its uninsured rate runs 1.4 points lower than Pennsylvania overall and 4 points fewer of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds is better here than across Pennsylvania.

Chester CountyPennsylvania National median
Uninsured, under 655.8% 7.2%9.8%
Uninsured in the subsidy band11,665 360,928—
Subsidy band as a share of uninsured45% 49% 51%
At or below 138% of poverty24% 30% 31%
Uninsured, 50 to 644.2% 5.5% 8.1%

Counties of a similar size

CountyUninsured In the subsidy bandShare
Lancaster County11.6%28,52256%
Delaware County5.6%12,11147%
Bucks County5.5%13,17647%
York County6.7%13,28353%

What a plan actually costs in Chester 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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