Health insurance in Wichita County, Texas
1 insurer sell 19 marketplace plans here, and 17.7% 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.
A single-insurer county
One insurer sells marketplace plans in Wichita County. Not one plan — 19 of them — but all from a single company. The benchmark plan that sets every subsidy here is whatever that one company filed. Each insurer averages about 19 plans, so most of the choice here is between products from the same company rather than between companies. The number has not changed since the previous plan year.
One in six has no coverage
17.7% of Wichita County's 98,606 under-65 residents have no health coverage — 17,409 people. That is close to the Texas rate of 19.1%, and puts Wichita County in the top quarter of the 1,817 counties on this site (211th).
Some of those 17,409 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
16,108 Wichita County residents selected a marketplace plan for 2026: 163 per thousand under-65 residents, 280th of 1,817. That is 2.1× the 78 per thousand typical here. 1,999 of them — 12% — were new rather than renewing.
Wichita County against Texas
Wichita County is the 38th largest of the 43 Texas counties we publish. Its uninsured rate runs 1.4 points lower than Texas overall and with 1 it has the fewest insurers of any Texas county. Marketplace use is close to the Texas rate.
| Wichita County | Texas | Published median | |
|---|---|---|---|
| Uninsured, under 65 | 17.7% | 19.1% | 9.9% |
| Insurers selling | 1 | 1–10 | 4 |
| Plans offered | 19 | — | 57 |
| Selections per 1,000 | 163 | 159 | 78 |
| New rather than renewing | 12% | 18% | 15% |
Counties of a similar size nearby
| County | Under 65 | Uninsured | Insurers | Plans |
|---|---|---|---|---|
| Hunt County | 97,787 | 19.4% | 5 | 74 |
| Liberty County | 96,077 | 24.1% | 5 | 60 |
| Tom Green County | 95,790 | 18.4% | 3 | 45 |
| Gregg County | 102,314 | 18.9% | 4 | 61 |
Hunt County has 5 insurers against this county's 1 — a reminder that the county line, not the state line, is what decides your options.
With one insurer here, the premium tax credit does most of the work on price. Compare other Texas counties.