Health insurance in Bastrop County, Texas
4 insurers sell 47 marketplace plans here, and 23.2% 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
4 insurers sell marketplace plans in Bastrop County, offering 47 plans between them, roughly 12 each. The number has not changed since the previous plan year.
Coverage is worse here than across the state
23.2% of Bastrop County's 94,713 under-65 residents have no health coverage — 21,941 people. That is far higher than Texas as a whole, which sits at 19.1% — 4.1 points above its own state, and puts Bastrop County in the top 5% of the 1,817 counties on this site (53rd).
Some of those 21,941 are in the Texas 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
7,401 Bastrop County residents selected a marketplace plan for 2026: 78 per thousand under-65 residents, 1112th of 1,817. That is close to the 78 per thousand typical of published counties. 1,263 of them — 17% — were new rather than renewing.
Bastrop County against Texas
Bastrop County is the 42nd largest of the 43 Texas counties we publish. Its uninsured rate runs 4.1 points higher than Texas overall and its 4 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Bastrop County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 23.2% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 47 | — | 57 |
| Selections per 1,000 | 78 | 159 | 78 |
| New rather than renewing | 17% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Tom Green County | 95,790 | 18.4% | 3 | 45 |
| Liberty County | 96,077 | 24.1% | 5 | 60 |
| Hunt County | 97,787 | 19.4% | 5 | 74 |
| Potter County | 91,283 | 23.0% | 4 | 54 |
Liberty County has 5 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates