Health insurance in Nueces County, Texas
4 insurers sell 64 marketplace plans here, and 19.1% 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
4 insurers sell marketplace plans in Nueces County, offering 64 plans between them, roughly 16 each. The number has not changed since the previous plan year.
One in six has no coverage
19.1% of Nueces County's 287,314 under-65 residents have no health coverage — 54,798 people. That is close to the Texas rate of 19.1%, and puts Nueces County in the top 10% of the 1,817 counties on this site (155th).
Some of those 54,798 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
37,566 Nueces County residents selected a marketplace plan for 2026: 131 per thousand under-65 residents, 454th of 1,817. That is above the 78 per thousand typical of published counties. 4,685 of them — 12% — were new rather than renewing.
Nueces County against Texas
Nueces County is the 17th largest of the 43 Texas counties we publish. Its uninsured rate tracks the state almost exactly and its 4 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Nueces County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 19.1% | 19.1% | 9.9% |
| Insurers selling | 4 | 1–10 | 4 |
| Plans offered | 64 | — | 57 |
| Selections per 1,000 | 131 | 159 | 78 |
| New rather than renewing | 12% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Galveston County | 301,483 | 15.4% | 5 | 61 |
| Lubbock County | 272,118 | 16.6% | 5 | 74 |
| Hays County | 249,025 | 14.9% | 9 | 102 |
| Webb County | 236,623 | 26.2% | 3 | 45 |
Hays County has 9 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