Health insurance in Spotsylvania County, Virginia

Reviewed September 4, 2026 · 2024 Census data

Source: US Census Small Area Health Insurance Estimates, 2024 release. Income bands are measured against the federal poverty level.

Half the uninsured here sit in the subsidy range

5,422 uninsured people in Spotsylvania County earn inside the premium tax credit range — 51% of the county's uninsured. That is near the 51% national median. Within that band itself, 11.1% have no coverage.

How many people here have no coverage

8.2% of Spotsylvania County's 128,024 under-65 residents have no health coverage — 10,533 people. That is close to the Virginia rate of 8.1%, and puts Spotsylvania County in the lower half of the 3,143 counties measured nationally (2,104th).

Relatively few are under the Medicaid line

2,124 of Spotsylvania County's uninsured — 20%, below the 31% typical of counties nationally — earn under $22,025 a year, which in Virginia is Medicaid territory rather than marketplace territory.

The years before Medicare

2,031 people aged 50 to 64 in Spotsylvania County have no coverage, a rate of 7.0% — close to the 8.2% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Spotsylvania County against Virginia

Spotsylvania County is the 14th largest of the 20 Virginia counties we publish. Its uninsured rate tracks the state almost exactly and 2 points more of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds matches the Virginia picture.

Counties of a similar size

All Virginia counties · How the credit works · Enrollment dates