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Health insurance in Spartanburg County, South Carolina

4 insurers sell 44 marketplace plans here, and 12.4% of under-65 residents have no coverage at all.

Reviewed September 4, 2026 · 2026 federal data

4Insurers selling 44 plans between them
12.4%Uninsured, under 65 37,097 people
115Plans per 1,000 34,501 selections
300,077Under-65 residents 88th of 1,817

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 Spartanburg County, offering 44 plans between them, roughly 11 each. It gained 2 since the previous plan year, up from 2.

How many people here have no coverage

12.4% of Spartanburg County's 300,077 under-65 residents have no health coverage — 37,097 people. That is close to the South Carolina rate of 11.2%, and puts Spartanburg County in the middle half of the 1,817 counties on this site (631st).

Some of those 37,097 are in the South Carolina coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.

How much the marketplace is used

34,501 Spartanburg County residents selected a marketplace plan for 2026: 115 per thousand under-65 residents, 602nd of 1,817. That is above the 78 per thousand typical of published counties. 5,627 of them — 16% — were new rather than renewing.

Spartanburg County against South Carolina

Spartanburg County is the 3rd largest of the 12 South Carolina counties we publish. Its uninsured rate runs 1.2 points higher than South Carolina overall and its 4 insurers sit between the state's 2 and 5. Marketplace use is close to the South Carolina rate.

Spartanburg CountySouth Carolina Published median
Uninsured, under 6512.4% 11.2%9.9%
Insurers selling4 2–5 4
Plans offered44 —57
Selections per 1,000115 13878
New rather than renewing16% 14% 15%

Counties of a similar size nearby

CountyUnder 65Uninsured InsurersPlans
Horry County291,19414.1%348
Lexington County256,62410.8%352
Charleston County344,0549.5%460

All of them have fewer insurers than this county's 4, which makes it the stronger market locally.

What a plan actually costs in Spartanburg County

These are the published figures for Spartanburg County. What you would pay depends on your age, household and income — a licensed agent can price the 44 plans sold here against your situation.

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