Health insurance in Denton County, Texas
8 insurers sell 117 marketplace plans here, and 11.7% 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.
8 insurers competing here
8 insurers sell in Denton County — 117 plans in total, around 15 each. Few people compare 117 plans properly without help. The number has not changed since the previous plan year.
Coverage is better here than across the state
11.7% of Denton County's 910,036 under-65 residents have no health coverage — 106,096 people. That is far below Texas as a whole, which sits at 19.1% — 7.4 points better than its own state, and puts Denton County in the middle half of the 1,817 counties on this site (749th).
Some of those 106,096 are in the Texas coverage gap: under $15,960 a year, too little for a subsidy and no expanded Medicaid to fall back on.
A market taking in new buyers
120,019 Denton County residents selected a marketplace plan for 2026: 132 per thousand under-65 residents, 444th of 1,817. That is above the 78 per thousand typical of published counties. 32,718 — 27% — were new rather than renewing, an unusually high share.
Denton County against Texas
Denton County is the 7th largest of the 43 Texas counties we publish. Its uninsured rate runs 7.4 points lower than Texas overall and its 8 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Denton County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 11.7% | 19.1% | 9.9% |
| Insurers selling | 8 | 1–10 | 4 |
| Plans offered | 117 | — | 57 |
| Selections per 1,000 | 132 | 159 | 78 |
| New rather than renewing | 27% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Fort Bend County | 816,264 | 13.0% | 7 | 107 |
| Hidalgo County | 785,748 | 26.7% | 5 | 78 |
| El Paso County | 735,209 | 23.7% | 7 | 110 |
| Collin County | 1,094,272 | 11.0% | 10 | 127 |
Collin County has 10 insurers against this county's 8 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates