2027 ACA Marketplace in Multnomah County

Local evidence

What stands out in Multnomah County's 2026 ACA Marketplace data?

CMS reports 28,221 plan selections in Multnomah County. That ranks #1 of 36 Oregon counties in this CoveragePath CMS dataset by Marketplace selections. This is enrollment context, not an estimate of how many county residents are eligible.

54.8% of reported selections received APTC. The average premium was $655 and the average after APTC was $420 — a $235 difference in these county-level CMS averages. These averages are not a personal quote or subsidy estimate.

For separate population context, the 2024 ACS uninsured estimate is 5.6%. ACS population insurance statistics and ACA Marketplace eligibility are different measures.

Local marketplace facts

What is available in Multnomah County?

Plan selections by age

Under 35: 28.9% · 35-54: 44.5% · 55-64: 25.6% · 65+: 0.9% Source: CMS 2026 Open Enrollment Period County-Level PUF (sha256 2857e5932d4d)

Consumers eligible for cost-sharing reductions

4,073 of 28,221 (14.4%) Source: CMS 2026 Open Enrollment Period County-Level PUF (sha256 2857e5932d4d)

New, returning and auto-renewed consumers

15.4% new to the Marketplace, 84.6% returning; 7,439 (26.4% of all) were automatically re-enrolled Source: CMS 2026 Open Enrollment Period County-Level PUF (sha256 2857e5932d4d)

Plan selections by metal level

Bronze 51.7% · Silver 31.2% · Gold 17.2% · Platinum, catastrophic and other 0.0% (of 28,221 selections) Source: CMS 2026 Open Enrollment Period County-Level PUF (sha256 2857e5932d4d)