Galveston County is better covered than Texas as a whole: 15.4% of under-65 residents uninsured against a state average of 19.1%, or roughly 46,449 people. It is the 35th lowest of the 254 counties in Texas. 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.
Galveston County against Texas, and against the counties we cover
| Galveston County | Texas | Covered counties | |
|---|---|---|---|
| Uninsured, under 65 | 15.4% | 19.1% | 13.0% |
| Marketplace enrollees per 1,000 | 128 | — | 127 |
| Insurers selling here | 5 | 6 (median) | 5 |
| Individual plans offered | 61 | — | 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 Galveston 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 61 plans, about 12 for each insurer, which is a normal-sized list to work through once you know which network you need. The count is unchanged from last year, so the networks you compared previously still stand.
38,700 people here bought marketplace coverage for 2026, about 128 per thousand under-65 residents. That sits near the middle of the counties covered on this site: a working individual market, but most local coverage still arrives through an employer. 6,173 of them were new consumers and 32,527 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 Texas whose uninsured rate sits closest to Galveston County. Worth a look if you are comparing across a county line or moving.
| County | Uninsured | Insurers | Enrollees |
|---|---|---|---|
| Brazoria County | 15.2% | 6 | 39,377 |
| Bell County | 15.0% | 4 | 39,425 |
| Hays County | 14.9% | 9 | 20,420 |
| Ellis County | 16.1% | 8 | 25,545 |
| Guadalupe County | 14.6% | 7 | 14,123 |
| Travis County | 14.6% | 10 | 184,355 |
Everything that applies in Texas · How COBRA works · Work out your COBRA premium · After a job ends
Common questions
How many people are uninsured in Galveston County?
About 46,449 people under 65, out of 301,483 in that age group — 15.4%, the 35th lowest of the 254 counties in Texas. The Texas average is 19.1%. Census Bureau estimates for 2024, the most recent published.
How many health insurers sell in Galveston County?
5 insurers offer individual marketplace plans in Galveston County for 2026, unchanged from the year before, and between them they sell 61 individual medical plans. The median across the counties covered on this site is 5 insurers and 84 plans.
How many people in Galveston County buy marketplace coverage?
38,700 plan selections for 2026 — 6,173 new consumers and 32,527 renewals. That works out at 128 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