Health insurance in Gregg County, Texas
4 insurers sell 61 marketplace plans here, and 18.9% 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 Gregg County, offering 61 plans between them, roughly 15 each. The number has not changed since the previous plan year.
One in six has no coverage
18.9% of Gregg County's 102,314 under-65 residents have no health coverage — 19,320 people. That is close to the Texas rate of 19.1%, and puts Gregg County in the top 10% of the 1,817 counties on this site (160th).
Some of those 19,320 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
17,191 Gregg County residents selected a marketplace plan for 2026: 168 per thousand under-65 residents, 254th of 1,817. That is 2.2× the 78 per thousand typical here. 2,545 of them — 15% — were new rather than renewing.
Gregg County against Texas
Gregg County is the 37th 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 close to the Texas rate.
| Gregg County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.9% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 61 | — | 57 |
| Selections per 1,000 | 168 | 159 | 78 |
| New rather than renewing | 15% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Wichita County | 98,606 | 17.7% | 1 | 19 |
| Hunt County | 97,787 | 19.4% | 5 | 74 |
| Liberty County | 96,077 | 24.1% | 5 | 60 |
| Tom Green County | 95,790 | 18.4% | 3 | 45 |
Hunt County has 5 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