Health insurance in Brazoria County, Texas
6 insurers sell 82 marketplace plans here, and 15.2% 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
6 insurers compete in Brazoria County with 82 plans between them, about 14 plans each. The number has not changed since the previous plan year.
One in six has no coverage
15.2% of Brazoria County's 346,973 under-65 residents have no health coverage — 52,828 people. That is below the Texas rate of 19.1%, and puts Brazoria County in the top quarter of the 1,817 counties on this site (341st).
Some of those 52,828 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
39,377 Brazoria County residents selected a marketplace plan for 2026: 113 per thousand under-65 residents, 631st of 1,817. That is above the 78 per thousand typical of published counties. 6,287 of them — 16% — were new rather than renewing.
Brazoria County against Texas
Brazoria County is the 14th largest of the 43 Texas counties we publish. Its uninsured rate runs 3.9 points lower than Texas overall and its 6 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Brazoria County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 15.2% | 19.1% | 9.9% |
| Insurers selling | 6 | 1–10 | 4 |
| Plans offered | 82 | — | 57 |
| Selections per 1,000 | 113 | 159 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Bell County | 340,970 | 15.0% | 4 | 55 |
| Cameron County | 359,179 | 26.6% | 5 | 78 |
| Galveston County | 301,483 | 15.4% | 5 | 61 |
| Nueces County | 287,314 | 19.1% | 4 | 64 |
All of them have fewer insurers than this county's 6, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates