Health insurance in Brazos County, Texas
4 insurers sell 55 marketplace plans here, and 17.3% 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 Brazos County, offering 55 plans between them, roughly 14 each. The number has not changed since the previous plan year.
One in six has no coverage
17.3% of Brazos County's 200,739 under-65 residents have no health coverage — 34,644 people. That is below the Texas rate of 19.1%, and puts Brazos County in the top quarter of the 1,817 counties on this site (228th).
Some of those 34,644 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
18,404 Brazos County residents selected a marketplace plan for 2026: 92 per thousand under-65 residents, 892nd of 1,817. That is above the 78 per thousand typical of published counties. 2,700 of them — 15% — were new rather than renewing.
Brazos County against Texas
Brazos County is the 22nd largest of the 43 Texas counties we publish. Its uninsured rate runs 1.8 points lower than Texas overall and its 4 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Brazos County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 17.3% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 55 | — | 57 |
| Selections per 1,000 | 92 | 159 | 78 |
| New rather than renewing | 15% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Ellis County | 199,216 | 16.1% | 8 | 119 |
| Smith County | 198,975 | 21.0% | 4 | 61 |
| Jefferson County | 194,962 | 20.3% | 6 | 91 |
| McLennan County | 219,047 | 18.3% | 3 | 44 |
Ellis County has 8 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