Health insurance in Clark County, Washington
17,484 people here have no coverage and earn in the range a premium tax credit is built for — 52% of everyone uninsured in the county.
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
Of the 33,505 people without coverage in Clark County, 17,484 — 52% — earn inside the premium tax credit range. That is near the 51% national median. Within that band itself, 10.4% have no coverage.
How many people here have no coverage
7.6% of Clark County's 438,349 under-65 residents have no health coverage — 33,505 people. That is close to the Washington rate of 7.8%, and puts Clark County in the lower half of the 3,143 counties measured nationally (2,303rd).
Who falls under the Medicaid line
7,435 of Clark County's uninsured — 22%, below the 31% typical of counties nationally — earn under $22,025 a year, which in Washington is Medicaid territory rather than marketplace territory.
The years before Medicare
6,454 people aged 50 to 64 in Clark County have no coverage, a rate of 6.6% — close to the 7.6% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.
Clark County against Washington
Clark County is the 5th largest of the 14 Washington 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 Washington picture.
| Clark County | Washington | National median | |
|---|---|---|---|
| Uninsured, under 65 | 7.6% | 7.8% | 9.8% |
| Uninsured in the subsidy band | 17,484 | 256,620 | — |
| Subsidy band as a share of uninsured | 52% | 50% | 51% |
| At or below 138% of poverty | 22% | 25% | 31% |
| Uninsured, 50 to 64 | 6.6% | 6.5% | 8.1% |
The nearest by population
| County | Uninsured | In the subsidy band | Share |
|---|---|---|---|
| Spokane County | 7.4% | 17,310 | 52% |
| Thurston County | 7.1% | 8,588 | 50% |
| Kitsap County | 6.1% | 6,863 | 51% |
| Yakima County | 15.3% | 17,871 | 55% |
All Washington counties · How the credit works · Enrollment dates