Health insurance in Galveston County, Texas
5 insurers sell 61 marketplace plans here, and 15.4% 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
5 insurers compete in Galveston County with 61 plans between them, about 12 plans each. The number has not changed since the previous plan year.
One in six has no coverage
15.4% of Galveston County's 301,483 under-65 residents have no health coverage — 46,449 people. That is below the Texas rate of 19.1%, and puts Galveston County in the top quarter of the 1,817 counties on this site (322nd).
Some of those 46,449 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
38,700 Galveston County residents selected a marketplace plan for 2026: 128 per thousand under-65 residents, 474th of 1,817. That is above the 78 per thousand typical of published counties. 6,173 of them — 16% — were new rather than renewing.
Galveston County against Texas
Galveston County is the 16th largest of the 43 Texas counties we publish. Its uninsured rate runs 3.7 points lower than Texas overall and its 5 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Galveston County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 15.4% | 19.1% | 9.9% |
| Insurers selling | 5 | 1–10 | 4 |
| Plans offered | 61 | — | 57 |
| Selections per 1,000 | 128 | 159 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Nueces County | 287,314 | 19.1% | 4 | 64 |
| Lubbock County | 272,118 | 16.6% | 5 | 74 |
| Bell County | 340,970 | 15.0% | 4 | 55 |
| Brazoria County | 346,973 | 15.2% | 6 | 82 |
Brazoria County has 6 insurers against this county's 5 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates