Health insurance in Tarrant County, Texas
9 insurers sell 128 marketplace plans here, and 18.9% 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.
9 insurers competing here
9 insurers sell in Tarrant County — 128 plans in total, around 14 each. Few people compare 128 plans properly without help. The number has not changed since the previous plan year.
One in six has no coverage
18.9% of Tarrant County's 1,909,922 under-65 residents have no health coverage — 361,795 people. That is close to the Texas rate of 19.1%, and puts Tarrant County in the top 10% of the 1,817 counties on this site (161st).
Some of those 361,795 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
236,647 Tarrant County residents selected a marketplace plan for 2026: 124 per thousand under-65 residents, 516th of 1,817. That is above the 78 per thousand typical of published counties. 44,776 of them — 19% — were new rather than renewing.
Tarrant County against Texas
Tarrant County is the 3rd largest of the 43 Texas counties we publish. Its uninsured rate tracks the state almost exactly and its 9 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Tarrant County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.9% | 19.1% | 9.9% |
| Insurers selling | 9 | 1–10 | 4 |
| Plans offered | 128 | — | 57 |
| Selections per 1,000 | 124 | 159 | 78 |
| New rather than renewing | 19% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Bexar County | 1,807,008 | 18.1% | 9 | 123 |
| Dallas County | 2,269,296 | 24.2% | 10 | 138 |
| Travis County | 1,187,487 | 14.6% | 10 | 110 |
| Collin County | 1,094,272 | 11.0% | 10 | 127 |
| Harris County | 4,296,879 | 22.8% | 9 | 121 |
Dallas County has 10 insurers against this county's 9 — a reminder that the county line, not the state line, is what decides your options.
Other Texas counties · Where the subsidy stops · Enrollment dates