Health insurance in Dallas County, Texas
10 insurers sell 138 marketplace plans here, and 24.2% 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.
10 insurers competing here
10 insurers sell in Dallas County — 138 plans in total, around 14 each. Few people compare 138 plans properly without help. The number has not changed since the previous plan year.
Coverage is worse here than across the state
24.2% of Dallas County's 2,269,296 under-65 residents have no health coverage — 549,018 people. That is far higher than Texas as a whole, which sits at 19.1% — 5.1 points above its own state, and puts Dallas County in the top 5% of the 1,817 counties on this site (34th).
Some of those 549,018 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
452,075 Dallas County residents selected a marketplace plan for 2026: 199 per thousand under-65 residents, 121st of 1,817. That is 2.6× the 78 per thousand typical here. 89,825 — 20% — were new rather than renewing, an unusually high share.
Dallas County against Texas
Dallas County is the 2nd largest of the 43 Texas counties we publish. Its uninsured rate runs 5.1 points higher than Texas overall and with 10 insurers it is as well served as anywhere in Texas. Marketplace use is close to the Texas rate.
| Dallas County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 24.2% | 19.1% | 9.9% |
| Insurers selling | 10 | 1–10 | 4 |
| Plans offered | 138 | — | 57 |
| Selections per 1,000 | 199 | 159 | 78 |
| New rather than renewing | 20% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Tarrant County | 1,909,922 | 18.9% | 9 | 128 |
| Bexar County | 1,807,008 | 18.1% | 9 | 123 |
| Travis County | 1,187,487 | 14.6% | 10 | 110 |
| Collin County | 1,094,272 | 11.0% | 10 | 127 |
| Harris County | 4,296,879 | 22.8% | 9 | 121 |
All of them have fewer insurers than this county's 10, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates