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Health insurance in Texas
15 insurers offer individual marketplace plans in Texas for 2026, across 254 counties. How many you can actually choose from depends on where you live — the county table below shows the range.
| Insurers in the state | 15 |
| Counties with marketplace plans | 254 |
| Average insurers per county | 3.6 |
| Registered marketplace agents | 14,998 |
Insurers offering plans in Texas
- Ambetter from Superior HealthPlan
- Baylor Scott and White Health Plan
- Blue Cross and Blue Shield of Texas
- CHRISTUS Health Plan
- Cigna Healthcare
- Community First
- Community Health Choice
- Harbor Health
- Imperial Insurance Companies, Inc.
- Moda Health Plan, Inc.
- Molina Healthcare
- Oscar Insurance Company
- Sendero Health Plans, Local Nonprofit
- UnitedHealthcare
- WellPoint
Coverage by county
Counties are listed by how many insurers serve them. In most states the choice is much wider in metropolitan counties than rural ones.
| County | Insurers |
|---|---|
| Collin County | 10 |
| Dallas County | 10 |
| Travis County | 10 |
| Williamson County | 10 |
| Bexar County | 9 |
| Harris County | 9 |
| Hays County | 9 |
| Rockwall County | 9 |
| Tarrant County | 9 |
| Denton County | 8 |
| Ellis County | 8 |
| Montgomery County | 8 |
| Caldwell County | 7 |
| Comal County | 7 |
| El Paso County | 7 |
| Fort Bend County | 7 |
| Guadalupe County | 7 |
| Brazoria County | 6 |
| Burnet County | 6 |
| Jefferson County | 6 |
| Johnson County | 6 |
| Orange County | 6 |
| Walker County | 6 |
| Austin County | 5 |
| Cameron County | 5 |
| Cooke County | 5 |
| Crosby County | 5 |
| Galveston County | 5 |
| Hardin County | 5 |
| Hidalgo County | 5 |
| Hunt County | 5 |
| Lee County | 5 |
| Liberty County | 5 |
| Llano County | 5 |
| Lubbock County | 5 |
| Matagorda County | 5 |
| Medina County | 5 |
| Milam County | 5 |
| Parker County | 5 |
| San Jacinto County | 5 |
| Tyler County | 5 |
| Waller County | 5 |
| Wise County | 5 |
| Andrews County | 4 |
| Aransas County | 4 |
| Armstrong County | 4 |
| Atascosa County | 4 |
| Bandera County | 4 |
| Bastrop County | 4 |
| Bell County | 4 |
| Blanco County | 4 |
| Brazos County | 4 |
| Brewster County | 4 |
| Brooks County | 4 |
| Carson County | 4 |
| Castro County | 4 |
| Chambers County | 4 |
| Cherokee County | 4 |
| Coke County | 4 |
| Collingsworth County | 4 |
| Dallam County | 4 |
| Deaf Smith County | 4 |
| Donley County | 4 |
| Ector County | 4 |
| Fannin County | 4 |
| Fayette County | 4 |
| Gonzales County | 4 |
| Gray County | 4 |
| Grayson County | 4 |
| Gregg County | 4 |
| Hamilton County | 4 |
| Hartley County | 4 |
| Hood County | 4 |
| Jack County | 4 |
| Jasper County | 4 |
| Kendall County | 4 |
| Kenedy County | 4 |
| Lampasas County | 4 |
| Lynn County | 4 |
| McCulloch County | 4 |
| Midland County | 4 |
| Mills County | 4 |
| Navarro County | 4 |
| Newton County | 4 |
| Nueces County | 4 |
| Oldham County | 4 |
| Parmer County | 4 |
| Potter County | 4 |
| Rains County | 4 |
| Randall County | 4 |
| Refugio County | 4 |
| San Saba County | 4 |
| Sherman County | 4 |
| Smith County | 4 |
| Somervell County | 4 |
| Terry County | 4 |
| Van Zandt County | 4 |
| Wharton County | 4 |
| Wheeler County | 4 |
| Willacy County | 4 |
| Wilson County | 4 |
| Wood County | 4 |
| Anderson County | 3 |
| Bee County | 3 |
| Borden County | 3 |
| Bosque County | 3 |
| Bowie County | 3 |
| Briscoe County | 3 |
| Burleson County | 3 |
| Calhoun County | 3 |
| Camp County | 3 |
| Cass County | 3 |
| Childress County | 3 |
| Coleman County | 3 |
| Colorado County | 3 |
| Comanche County | 3 |
| Concho County | 3 |
| Coryell County | 3 |
| Crane County | 3 |
| Dawson County | 3 |
| Delta County | 3 |
| DeWitt County | 3 |
| Dickens County | 3 |
| Edwards County | 3 |
| Falls County | 3 |
| Fisher County | 3 |
| Floyd County | 3 |
| Franklin County | 3 |
| Freestone County | 3 |
| Frio County | 3 |
| Gaines County | 3 |
| Garza County | 3 |
| Gillespie County | 3 |
| Glasscock County | 3 |
| Goliad County | 3 |
| Grimes County | 3 |
| Hale County | 3 |
| Hall County | 3 |
| Hansford County | 3 |
| Harrison County | 3 |
| Hemphill County | 3 |
| Henderson County | 3 |
| Hill County | 3 |
| Hockley County | 3 |
| Hopkins County | 3 |
| Houston County | 3 |
| Howard County | 3 |
| Hudspeth County | 3 |
| Hutchinson County | 3 |
| Irion County | 3 |
| Jackson County | 3 |
| Jim Wells County | 3 |
| Karnes County | 3 |
| Kaufman County | 3 |
| Kerr County | 3 |
| Kimble County | 3 |
| King County | 3 |
| Kinney County | 3 |
| Kleberg County | 3 |
| La Salle County | 3 |
| Lamb County | 3 |
| Lavaca County | 3 |
| Leon County | 3 |
| Limestone County | 3 |
| Lipscomb County | 3 |
| Live Oak County | 3 |
| Loving County | 3 |
| Madison County | 3 |
| Marion County | 3 |
| Martin County | 3 |
| Mason County | 3 |
| Maverick County | 3 |
| McLennan County | 3 |
| McMullen County | 3 |
| Menard County | 3 |
| Mitchell County | 3 |
| Montague County | 3 |
| Moore County | 3 |
| Morris County | 3 |
| Motley County | 3 |
| Nacogdoches County | 3 |
| Ochiltree County | 3 |
| Palo Pinto County | 3 |
| Panola County | 3 |
| Pecos County | 3 |
| Polk County | 3 |
| Reagan County | 3 |
| Real County | 3 |
| Red River County | 3 |
| Reeves County | 3 |
| Roberts County | 3 |
| Robertson County | 3 |
| Runnels County | 3 |
| Rusk County | 3 |
| San Patricio County | 3 |
| Schleicher County | 3 |
| Scurry County | 3 |
| Starr County | 3 |
| Sterling County | 3 |
| Stonewall County | 3 |
| Sutton County | 3 |
| Swisher County | 3 |
| Titus County | 3 |
| Tom Green County | 3 |
| Trinity County | 3 |
| Upshur County | 3 |
| Upton County | 3 |
| Val Verde County | 3 |
| Victoria County | 3 |
| Ward County | 3 |
| Webb County | 3 |
| Winkler County | 3 |
| Yoakum County | 3 |
| Zapata County | 3 |
| Angelina County | 2 |
| Bailey County | 2 |
| Brown County | 2 |
| Callahan County | 2 |
| Cochran County | 2 |
| Cottle County | 2 |
| Crockett County | 2 |
| Culberson County | 2 |
| Dimmit County | 2 |
| Duval County | 2 |
| Eastland County | 2 |
| Erath County | 2 |
| Haskell County | 2 |
| Jeff Davis County | 2 |
| Jim Hogg County | 2 |
| Jones County | 2 |
| Kent County | 2 |
| Knox County | 2 |
| Lamar County | 2 |
| Nolan County | 2 |
| Presidio County | 2 |
| Sabine County | 2 |
| San Augustine County | 2 |
| Shackelford County | 2 |
| Shelby County | 2 |
| Stephens County | 2 |
| Taylor County | 2 |
| Terrell County | 2 |
| Throckmorton County | 2 |
| Uvalde County | 2 |
| Washington County | 2 |
| Young County | 2 |
| Zavala County | 2 |
| Archer County | 1 |
| Baylor County | 1 |
| Clay County | 1 |
| Foard County | 1 |
| Hardeman County | 1 |
| Wichita County | 1 |
| Wilbarger County | 1 |
Free enrollment help in Texas
Navigators and certified assisters are funded to help people enrol at no charge. They cannot sell you a policy or steer you to one insurer.
Source: CMS Health Insurance Exchange public use files, plan year 2026, and the federal Find Local Help directory. Covers the federal marketplace only. States running their own exchanges publish separately and are not included.