Health insurance in Comal County, Texas
7 insurers sell 115 marketplace plans here, and 12.5% 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.
7 insurers competing here
7 insurers sell in Comal County — 115 plans in total, around 16 each. Few people compare 115 plans properly without help. The number has not changed since the previous plan year.
Coverage is better here than across the state
12.5% of Comal County's 164,094 under-65 residents have no health coverage — 20,591 people. That is far below Texas as a whole, which sits at 19.1% — 6.6 points better than its own state, and puts Comal County in the middle half of the 1,817 counties on this site (615th).
Some of those 20,591 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
15,538 Comal County residents selected a marketplace plan for 2026: 95 per thousand under-65 residents, 847th of 1,817. That is above the 78 per thousand typical of published counties. 2,643 of them — 17% — were new rather than renewing.
Comal County against Texas
Comal County is the 29th largest of the 43 Texas counties we publish. Its uninsured rate runs 6.6 points lower than Texas overall and its 7 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Comal County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 12.5% | 19.1% | 9.9% |
| Insurers selling | 7 | 1–10 | 4 |
| Plans offered | 115 | — | 57 |
| Selections per 1,000 | 95 | 159 | 78 |
| New rather than renewing | 17% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Guadalupe County | 164,584 | 14.6% | 7 | 96 |
| Midland County | 162,576 | 17.0% | 4 | 54 |
| Kaufman County | 174,481 | 18.7% | 3 | 48 |
| Parker County | 151,054 | 16.3% | 5 | 66 |
All of them have fewer insurers than this county's 7, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates