Alachua County is better covered than Florida as a whole: 10.3% of under-65 residents uninsured against a state average of 13.7%, or roughly 23,247 people. It is the 6th lowest of the 67 counties in Florida. Where employer coverage is this widespread, losing it tends to arrive as more of a shock — most people here have never bought their own plan.
Alachua County against Florida, and against the counties we cover
| Alachua County | Florida | Covered counties | |
|---|---|---|---|
| Uninsured, under 65 | 10.3% | 13.7% | 13.0% |
| Marketplace enrollees per 1,000 | 174 | — | 127 |
| Insurers selling here | 5 | 7 (median) | 5 |
| Individual plans offered | 101 | — | 84 |
State uninsured rate from the Census SAHIE series; the final column is the median across the 104 counties covered on this site. Enrollment density is CMS plan selections per 1,000 under-65 residents.
What you can actually buy here
5 insurers sell into Alachua County. At that number the market is competitive without being bewildering. Networks still differ sharply between carriers — more sharply than the monthly prices do — which is the opposite of how most people shop. Between them they offer 101 plans, about 20 for each insurer, which is a normal-sized list to work through once you know which network you need. The count is up from 4 last year. Insurers entering a county usually means they like what they see in the risk pool, and it tends to show up as more aggressive pricing the following year rather than immediately.
39,471 marketplace plan selections were recorded in Alachua County for 2026, or 174 per thousand under-65 residents — above the 127 typical of the counties covered here. Enough people locally have done this that the process is not unfamiliar territory. Of those, 9,428 were new to the marketplace and 30,043 were renewing. A 24% new share is high, and new enrollees are disproportionately people who lost job-based coverage during the year rather than people shopping by choice.
Nearest counties on coverage
The counties we cover in Florida whose uninsured rate sits closest to Alachua County. Worth a look if you are comparing across a county line or moving.
| County | Uninsured | Insurers | Enrollees |
|---|---|---|---|
| Clay County | 10.0% | 7 | 24,542 |
| Santa Rosa County | 9.8% | 5 | 15,524 |
| Seminole County | 11.3% | 12 | 76,675 |
| Leon County | 11.4% | 6 | 32,045 |
| Pasco County | 11.6% | 9 | 78,068 |
| Duval County | 11.9% | 7 | 186,404 |
Everything that applies in Florida · How COBRA works · Work out your COBRA premium · After a job ends
Common questions
How many people are uninsured in Alachua County?
About 23,247 people under 65, out of 226,419 in that age group — 10.3%, the 6th lowest of the 67 counties in Florida. The Florida average is 13.7%. Census Bureau estimates for 2024, the most recent published.
How many health insurers sell in Alachua County?
5 insurers offer individual marketplace plans in Alachua County for 2026, up from 4 the year before, and between them they sell 101 individual medical plans. The median across the counties covered on this site is 5 insurers and 84 plans.
How many people in Alachua County buy marketplace coverage?
39,471 plan selections for 2026 — 9,428 new consumers and 30,043 renewals. That works out at 174 per thousand under-65 residents, against a median of 127 across the counties covered here. New consumers are the group most likely to have lost a job during the year.
Talk it through with a licensed agent
Which option is right depends on your state, your income and which doctors you need to keep. A licensed agent can walk through it with you in about eight minutes.
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Sources
- U.S. Census Bureau, Small Area Health Insurance Estimates, 2024 (released August 2026)
- Centers for Medicare & Medicaid Services, 2026 Marketplace Open Enrollment County-Level Public Use File
- Centers for Medicare & Medicaid Services, 2026 Service Area Public Use File
- Centers for Medicare & Medicaid Services, 2026 Plan Attributes Public Use File
- U.S. Department of Labor, FAQs on COBRA Continuation Health Coverage for Workers