Health insurance in Midland County, Texas
4 insurers sell 54 marketplace plans here, and 17.0% 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 Midland County, offering 54 plans between them, roughly 14 each. The number has not changed since the previous plan year.
One in six has no coverage
17.0% of Midland County's 162,576 under-65 residents have no health coverage — 27,693 people. That is below the Texas rate of 19.1%, and puts Midland County in the top quarter of the 1,817 counties on this site (240th).
Some of those 27,693 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
26,713 Midland County residents selected a marketplace plan for 2026: 164 per thousand under-65 residents, 275th of 1,817. That is 2.1× the 78 per thousand typical here. 4,925 of them — 18% — were new rather than renewing.
Midland County against Texas
Midland County is the 30th largest of the 43 Texas counties we publish. Its uninsured rate runs 2.1 points lower than Texas overall and its 4 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Midland County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 17.0% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 54 | — | 57 |
| Selections per 1,000 | 164 | 159 | 78 |
| New rather than renewing | 18% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Comal County | 164,094 | 12.5% | 7 | 115 |
| Guadalupe County | 164,584 | 14.6% | 7 | 96 |
| Parker County | 151,054 | 16.3% | 5 | 66 |
| Kaufman County | 174,481 | 18.7% | 3 | 48 |
Comal County has 7 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