Health insurance in Spokane 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

Of the 33,188 people without coverage in Spokane County, 17,310 — 52% — earn inside the premium tax credit range. That is near the 51% national median. Within that band itself, 9.4% have no coverage.

How many people here have no coverage

7.4% of Spokane County's 448,496 under-65 residents have no health coverage — 33,188 people. That is close to the Washington rate of 7.8%, and puts Spokane County in the bottom quarter of the 3,143 counties measured nationally (2,368th).

Who falls under the Medicaid line

8,696 of Spokane County's uninsured — 26%, close to the 31% typical nationally — earn under $22,025 a year, which in Washington is Medicaid territory rather than marketplace territory.

The years before Medicare

5,893 people aged 50 to 64 in Spokane County have no coverage, a rate of 6.1% — close to the 7.4% across all under-65 residents here. Age-rated premiums make this the most expensive group to cover before Medicare.

Spokane County against Washington

Spokane County is the 4th 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.

The next largest counties

All Washington counties · How the credit works · Enrollment dates