Health insurance in Pierce 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

Pierce County has 28,848 uninsured residents earning inside the premium tax credit range, 52% of its uninsured total. That is near the 51% national median. Within that band itself, 9.9% have no coverage.

How many people here have no coverage

7.0% of Pierce County's 792,833 under-65 residents have no health coverage — 55,787 people. That is close to the Washington rate of 7.8%, and puts Pierce County in the bottom quarter of the 3,143 counties measured nationally (2,510th).

Relatively few are under the Medicaid line

11,144 of Pierce County's uninsured — 20%, 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

9,205 people aged 50 to 64 in Pierce County have no coverage, a rate of 5.7% — close to the 7.0% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Pierce County against Washington

Pierce County is the 2nd largest of the 14 Washington counties we publish. Its uninsured rate runs 0.8 points lower than Washington overall 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.

The next largest counties

All Washington counties · How the credit works · Enrollment dates