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Health insurance in Philadelphia County, Pennsylvania

50,659 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

50,659Uninsured, subsidy range 138–400% of poverty
8.8%Uninsured, under 65 111,449 people
7.4%Uninsured, 50 to 64 18,380 people
1,259,377Under-65 residents 26th 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

Philadelphia County has 50,659 uninsured residents earning inside the premium tax credit range, 45% of its uninsured total. That is near the 51% national median. Within that band itself, 10.3% have no coverage.

How many people here have no coverage

8.8% of Philadelphia County's 1,259,377 under-65 residents have no health coverage — 111,449 people. That is above the Pennsylvania rate of 7.2%, and puts Philadelphia County in the lower half of the 3,143 counties measured nationally (1,904th).

A large share are under the Medicaid line

42,685 of Philadelphia County's uninsured — 38%, an unusually large share — the top quarter of all counties measured — earn under $22,025 a year, which in Pennsylvania is Medicaid territory rather than marketplace territory.

The years before Medicare

18,380 people aged 50 to 64 in Philadelphia County have no coverage, a rate of 7.4% — close to the 8.8% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Philadelphia County against Pennsylvania

Philadelphia County is the largest of the 28 Pennsylvania counties we publish, by under-65 population. Its uninsured rate runs 1.6 points higher 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 worse here than across Pennsylvania.

Philadelphia CountyPennsylvania National median
Uninsured, under 658.8% 7.2%9.8%
Uninsured in the subsidy band50,659 360,928
Subsidy band as a share of uninsured45% 49% 51%
At or below 138% of poverty38% 30% 31%
Uninsured, 50 to 647.4% 5.5% 8.1%

The next largest counties

CountyUninsured In the subsidy bandShare
Allegheny County5.1%23,01548%
Montgomery County4.5%14,74347%
Bucks County5.5%13,17647%
Delaware County5.6%12,11147%

What a plan actually costs in Philadelphia 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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