Health insurance in Liberty County, Texas
5 insurers sell 60 marketplace plans here, and 24.1% 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 Liberty County with 60 plans between them, about 12 plans each. The number has not changed since the previous plan year.
Coverage is worse here than across the state
24.1% of Liberty County's 96,077 under-65 residents have no health coverage — 23,191 people. That is far higher than Texas as a whole, which sits at 19.1% — 5.0 points above its own state, and puts Liberty County in the top 5% of the 1,817 counties on this site (40th).
Some of those 23,191 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
16,520 Liberty County residents selected a marketplace plan for 2026: 172 per thousand under-65 residents, 230th of 1,817. That is 2.2× the 78 per thousand typical here. 2,952 of them — 18% — were new rather than renewing.
Liberty County against Texas
Liberty County is the 40th largest of the 43 Texas counties we publish. Its uninsured rate runs 5.0 points higher than Texas overall and its 5 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Liberty County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 24.1% | 19.1% | 9.9% |
| Insurers selling | 5 | 1–10 | 4 |
| Plans offered | 60 | — | 57 |
| Selections per 1,000 | 172 | 159 | 78 |
| New rather than renewing | 18% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Tom Green County | 95,790 | 18.4% | 3 | 45 |
| Bastrop County | 94,713 | 23.2% | 4 | 47 |
| Hunt County | 97,787 | 19.4% | 5 | 74 |
| Wichita County | 98,606 | 17.7% | 1 | 19 |
All of them have fewer insurers than this county's 5, which makes it the stronger market locally.
Other Texas counties · Where the subsidy stops · Enrollment dates