Health insurance in Bexar County, Texas
9 insurers sell 123 marketplace plans here, and 18.1% 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.
9 insurers competing here
9 insurers sell in Bexar County — 123 plans in total, around 14 each. Few people compare 123 plans properly without help. The number has not changed since the previous plan year.
One in six has no coverage
18.1% of Bexar County's 1,807,008 under-65 residents have no health coverage — 326,396 people. That is close to the Texas rate of 19.1%, and puts Bexar County in the top quarter of the 1,817 counties on this site (195th).
Some of those 326,396 are in the Texas coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
The marketplace is used heavily here
299,950 Bexar County residents selected a marketplace plan for 2026: 166 per thousand under-65 residents, 267th of 1,817. That is 2.1× the 78 per thousand typical here. 65,636 — 22% — were new rather than renewing, an unusually high share.
Bexar County against Texas
Bexar County is the 4th largest of the 43 Texas counties we publish. Its uninsured rate runs 1.0 points lower than Texas overall and its 9 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Bexar County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.1% | 19.1% | 9.9% |
| Insurers selling | 9 | 1–10 | 4 |
| Plans offered | 123 | — | 57 |
| Selections per 1,000 | 166 | 159 | 78 |
| New rather than renewing | 22% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Tarrant County | 1,909,922 | 18.9% | 9 | 128 |
| Dallas County | 2,269,296 | 24.2% | 10 | 138 |
| Travis County | 1,187,487 | 14.6% | 10 | 110 |
| Collin County | 1,094,272 | 11.0% | 10 | 127 |
Dallas County has 10 insurers against this county's 9 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates