Health insurance in Guadalupe County, Texas
7 insurers sell 96 marketplace plans here, and 14.6% 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 Guadalupe County — 96 plans in total, around 14 each. Few people compare 96 plans properly without help. The number has not changed since the previous plan year.
Coverage is better here than across the state
14.6% of Guadalupe County's 164,584 under-65 residents have no health coverage — 23,948 people. That is far below Texas as a whole, which sits at 19.1% — 4.5 points better than its own state, and puts Guadalupe County in the top quarter of the 1,817 counties on this site (384th).
Some of those 23,948 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
14,123 Guadalupe County residents selected a marketplace plan for 2026: 86 per thousand under-65 residents, 979th of 1,817. That is close to the 78 per thousand typical of published counties. 2,205 of them — 16% — were new rather than renewing.
Guadalupe County against Texas
Guadalupe County is the 28th largest of the 43 Texas counties we publish. Its uninsured rate runs 4.5 points lower than Texas overall and its 7 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Guadalupe County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 14.6% | 19.1% | 9.9% |
| Insurers selling | 7 | 1–10 | 4 |
| Plans offered | 96 | — | 57 |
| Selections per 1,000 | 86 | 159 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Comal County | 164,094 | 12.5% | 7 | 115 |
| Midland County | 162,576 | 17.0% | 4 | 54 |
| Kaufman County | 174,481 | 18.7% | 3 | 48 |
| Johnson County | 178,018 | 19.6% | 6 | 86 |
All of them have fewer insurers than this county's 7, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates