At 13.5%, the uninsured rate among under-65 residents in Orange County is effectively the Florida average of 13.7% — about 173,567 people out of 1,281,296. It is the 32nd lowest of the 67 counties in Florida. A county sitting on its state's average is the most ordinary case there is, which makes the state's own rules the thing worth reading rather than anything local.
Orange County against Florida, and against the counties we cover
| Orange County | Florida | Covered counties | |
|---|---|---|---|
| Uninsured, under 65 | 13.5% | 13.7% | 13.0% |
| Marketplace enrollees per 1,000 | 312 | — | 127 |
| Insurers selling here | 12 | 7 (median) | 5 |
| Individual plans offered | 208 | — | 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
12 insurers sell into Orange County — among the most competitive individual markets in the country. That much competition holds premiums down, and it produces a plan list long enough that choosing at random is a genuine risk. Narrowing by hospital system first is the only reliable way through it. Between them they offer 208 plans, about 17 for each insurer. A list that long is not more choice in any useful sense — it is the same handful of networks sliced into metal levels and deductible variants. The count is unchanged from last year, so the networks you compared previously still stand.
399,974 people in Orange County bought their own coverage for 2026 — 312 for every thousand under-65 residents. That is heavy reliance on the individual market by any standard, and it usually reflects an economy built on small employers, seasonal work or self-employment rather than large firms with benefits departments. 64,476 of them were new consumers and 335,498 were renewals — a 16% new share, close to the national pattern. Roughly one in six enrollees here arrived within the year.
Nearest counties on coverage
The counties we cover in Florida whose uninsured rate sits closest to Orange County. Worth a look if you are comparing across a county line or moving.
| County | Uninsured | Insurers | Enrollees |
|---|---|---|---|
| Hernando County | 13.3% | 4 | 26,556 |
| Polk County | 13.7% | 7 | 126,521 |
| Broward County | 13.8% | 13 | 544,502 |
| Hillsborough County | 13.1% | 9 | 260,235 |
| Sarasota County | 13.1% | 5 | 67,180 |
| Okaloosa County | 13.0% | 4 | 22,859 |
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 Orange County?
About 173,567 people under 65, out of 1,281,296 in that age group — 13.5%, the 32nd 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 Orange County?
12 insurers offer individual marketplace plans in Orange County for 2026, unchanged from the year before, and between them they sell 208 individual medical plans. The median across the counties covered on this site is 5 insurers and 84 plans.
How many people in Orange County buy marketplace coverage?
399,974 plan selections for 2026 — 64,476 new consumers and 335,498 renewals. That works out at 312 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