Health insurance in Fort Bend County, Texas
7 insurers sell 107 marketplace plans here, and 13.0% 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 Fort Bend County — 107 plans in total, around 15 each. Few people compare 107 plans properly without help. The number has not changed since the previous plan year.
Coverage is better here than across the state
13.0% of Fort Bend County's 816,264 under-65 residents have no health coverage — 105,917 people. That is far below Texas as a whole, which sits at 19.1% — 6.1 points better than its own state, and puts Fort Bend County in the middle half of the 1,817 counties on this site (546th).
Some of those 105,917 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
147,504 Fort Bend County residents selected a marketplace plan for 2026: 181 per thousand under-65 residents, 194th of 1,817. That is 2.3× the 78 per thousand typical here. 24,018 of them — 16% — were new rather than renewing.
Fort Bend County against Texas
Fort Bend County is the 8th largest of the 43 Texas counties we publish. Its uninsured rate runs 6.1 points lower than Texas overall and its 7 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Fort Bend County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 13.0% | 19.1% | 9.9% |
| Insurers selling | 7 | 1–10 | 4 |
| Plans offered | 107 | — | 57 |
| Selections per 1,000 | 181 | 159 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Hidalgo County | 785,748 | 26.7% | 5 | 78 |
| El Paso County | 735,209 | 23.7% | 7 | 110 |
| Denton County | 910,036 | 11.7% | 8 | 117 |
| Montgomery County | 640,879 | 17.4% | 8 | 112 |
Denton County has 8 insurers against this county's 7 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates