Health insurance in McLennan County, Texas
3 insurers sell 44 marketplace plans here, and 18.3% 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
3 insurers sell marketplace plans in McLennan County, offering 44 plans between them, roughly 15 each. The number has not changed since the previous plan year.
One in six has no coverage
18.3% of McLennan County's 219,047 under-65 residents have no health coverage — 40,047 people. That is close to the Texas rate of 19.1%, and puts McLennan County in the top quarter of the 1,817 counties on this site (188th).
Some of those 40,047 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
20,502 McLennan County residents selected a marketplace plan for 2026: 94 per thousand under-65 residents, 857th of 1,817. That is above the 78 per thousand typical of published counties. 3,242 of them — 16% — were new rather than renewing.
McLennan County against Texas
McLennan County is the 21st largest of the 43 Texas counties we publish. Its uninsured rate runs 0.8 points lower than Texas overall and its 3 insurers sit between the state's 1 and 10. Marketplace use is well under the Texas rate.
| McLennan County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.3% | 19.1% | 9.9% |
| Insurers selling | 3 | 1–10 | 4 |
| Plans offered | 44 | — | 57 |
| Selections per 1,000 | 94 | 159 | 78 |
| New rather than renewing | 16% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Webb County | 236,623 | 26.2% | 3 | 45 |
| Brazos County | 200,739 | 17.3% | 4 | 55 |
| Ellis County | 199,216 | 16.1% | 8 | 119 |
| Smith County | 198,975 | 21.0% | 4 | 61 |
Ellis County has 8 insurers against this county's 3 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates