Health insurance in Grayson County, Texas
4 insurers sell 57 marketplace plans here, and 19.0% 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.
Who sells here, and how much choice that gives
4 insurers sell marketplace plans in Grayson County, offering 57 plans between them, roughly 14 each. The number has not changed since the previous plan year.
One in six has no coverage
19.0% of Grayson County's 122,037 under-65 residents have no health coverage — 23,228 people. That is close to the Texas rate of 19.1%, and puts Grayson County in the top 10% of the 1,817 counties on this site (156th).
Some of those 23,228 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
13,197 Grayson County residents selected a marketplace plan for 2026: 108 per thousand under-65 residents, 691st of 1,817. That is above the 78 per thousand typical of published counties. 1,957 of them — 15% — were new rather than renewing.
Grayson County against Texas
Grayson County is the 34th largest of the 43 Texas counties we publish. Its uninsured rate tracks the state almost exactly and its 4 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Grayson County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 19.0% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 57 | — | 57 |
| Selections per 1,000 | 108 | 159 | 78 |
| New rather than renewing | 15% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Taylor County | 121,713 | 16.2% | 2 | 28 |
| Randall County | 124,338 | 14.8% | 4 | 54 |
| Rockwall County | 119,286 | 11.6% | 9 | 120 |
| Gregg County | 102,314 | 18.9% | 4 | 61 |
| Merrimack County (New Hampshire) | 119,447 | 6.6% | 4 | 46 |
Rockwall County has 9 insurers against this county's 4 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates