Health insurance in Johnson County, Texas
6 insurers sell 86 marketplace plans here, and 19.6% 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.
Who sells here, and how much choice that gives
6 insurers compete in Johnson County with 86 plans between them, about 14 plans each. The number has not changed since the previous plan year.
One in six has no coverage
19.6% of Johnson County's 178,018 under-65 residents have no health coverage — 34,929 people. That is close to the Texas rate of 19.1%, and puts Johnson County in the top 10% of the 1,817 counties on this site (135th).
Some of those 34,929 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
18,398 Johnson County residents selected a marketplace plan for 2026: 103 per thousand under-65 residents, 745th of 1,817. That is above the 78 per thousand typical of published counties. 2,752 of them — 15% — were new rather than renewing.
Johnson County against Texas
Johnson County is the 26th largest of the 43 Texas counties we publish. Its uninsured rate tracks the state almost exactly and its 6 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| Johnson County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 19.6% | 19.1% | 9.9% |
| Insurers selling | 6 | 1–10 | 4 |
| Plans offered | 86 | — | 57 |
| Selections per 1,000 | 103 | 159 | 78 |
| New rather than renewing | 15% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Kaufman County | 174,481 | 18.7% | 3 | 48 |
| Guadalupe County | 164,584 | 14.6% | 7 | 96 |
| Comal County | 164,094 | 12.5% | 7 | 115 |
| Midland County | 162,576 | 17.0% | 4 | 54 |
Guadalupe County has 7 insurers against this county's 6 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates