Health insurance in Cowlitz County, Washington

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

4,020 uninsured people in Cowlitz County earn inside the premium tax credit range — 53% of the county's uninsured. That is near the 51% national median. Within that band itself, 10.2% have no coverage.

How many people here have no coverage

8.4% of Cowlitz County's 90,562 under-65 residents have no health coverage — 7,629 people. That is close to the Washington rate of 7.8%, and puts Cowlitz County in the lower half of the 3,143 counties measured nationally (2,036th).

Who falls under the Medicaid line

1,939 of Cowlitz County's uninsured — 25%, 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

1,668 people aged 50 to 64 in Cowlitz County have no coverage, a rate of 7.8% — close to the 8.4% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Cowlitz County against Washington

Cowlitz County is the 12th largest of the 14 Washington counties we publish. Its uninsured rate runs 0.6 points higher than Washington overall and 3 points more of its uninsured sit in the subsidy band than statewide. Coverage among 50 to 64 year olds is worse here than across Washington.

The nearest by population

All Washington counties · How the credit works · Enrollment dates