Health insurance in Wilson County, Tennessee
5 insurers sell 65 marketplace plans here, and 8.8% 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
5 insurers compete in Wilson County with 65 plans between them, about 13 plans each. It gained 2 since the previous plan year, up from 3.
How many people here have no coverage
8.8% of Wilson County's 142,559 under-65 residents have no health coverage — 12,498 people. That is below the Tennessee rate of 11.3%, and puts Wilson County in the middle half of the 1,817 counties on this site (1287th).
Some of those 12,498 are in the Tennessee coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
A market taking in new buyers
10,757 Wilson County residents selected a marketplace plan for 2026: 75 per thousand under-65 residents, 1171st of 1,817. That is close to the 78 per thousand typical of published counties. 2,084 — 19% — were new rather than renewing, an unusually high share.
Wilson County against Tennessee
Wilson County is the 8th largest of the 11 Tennessee counties we publish. Its uninsured rate runs 2.5 points lower than Tennessee overall and with 5 insurers it is as well served as anywhere in Tennessee. Marketplace use is close to the Tennessee rate.
| Wilson County | Tennessee | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 8.8% | 11.3% | 9.9% |
| Insurers selling | 5 | 3–5 | 4 |
| Plans offered | 65 | — | 57 |
| Selections per 1,000 | 75 | 98 | 78 |
| New rather than renewing | 19% | 16% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Sullivan County | 124,812 | 10.6% | 4 | 50 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
Other Tennessee counties · Where the subsidy stops · Enrollment dates