Health insurance in Tom Green County, Texas
3 insurers sell 45 marketplace plans here, and 18.4% 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 Tom Green County, offering 45 plans between them, roughly 15 each. The number has not changed since the previous plan year.
One in six has no coverage
18.4% of Tom Green County's 95,790 under-65 residents have no health coverage — 17,583 people. That is close to the Texas rate of 19.1%, and puts Tom Green County in the top quarter of the 1,817 counties on this site (184th).
Some of those 17,583 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
15,979 Tom Green County residents selected a marketplace plan for 2026: 167 per thousand under-65 residents, 261st of 1,817. That is 2.1× the 78 per thousand typical here. 3,402 — 21% — were new rather than renewing, an unusually high share.
Tom Green County against Texas
Tom Green County is the 41st largest of the 43 Texas counties we publish. Its uninsured rate runs 0.7 points lower than Texas overall and its 3 insurers sit between the state's 1 and 10. Marketplace use is close to the Texas rate.
| Tom Green County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 18.4% | 19.1% | 9.9% |
| Insurers selling | 3 | 1–10 | 4 |
| Plans offered | 45 | — | 57 |
| Selections per 1,000 | 167 | 159 | 78 |
| New rather than renewing | 21% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Liberty County | 96,077 | 24.1% | 5 | 60 |
| Bastrop County | 94,713 | 23.2% | 4 | 47 |
| Hunt County | 97,787 | 19.4% | 5 | 74 |
| Wichita County | 98,606 | 17.7% | 1 | 19 |
Liberty County has 5 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