4,172,233
2026 Marketplace plan selections represented in CoveragePath's CMS county dataset. Plan selections are not the same as effectuated enrollment.
2027 Texas Marketplace guide
Texas ACA coverage: 254 counties, one evidence-first guide.
Open Enrollment for 2027 coverage starts November 1. Texas residents use HealthCare.gov. CoveragePath combines current enrollment guidance with verified 2026 CMS county evidence so you can understand your local market without mistaking historical benchmarks for a personal quote.
Source: Centers for Medicare & Medicaid Services · 2026 OEP Public Use Files · Verified October 3, 2026
Texas · 254 counties
What the evidence says before 2027 enrollment opens
254 counties
Every Texas county has a local CoveragePath route backed by the 2026 CMS County-Level Public Use File.
~16.7% uninsured
The 2024 ACS reports 30,799,313 Texans in the civilian noninstitutionalized population and 25,646,886 insured—about 5.15 million uninsured. This is population context, not Marketplace eligibility.
Sources: CMS 2026 Marketplace OEP Public Use Files · U.S. Census Bureau, 2024 ACS S2701
State evidence snapshot
What stands out in Texas's 2026 Marketplace data?
Across the 254 counties in this CoveragePath CMS dataset, CMS reports 4,172,233 Marketplace plan selections. The largest county total is Harris County with 731,300 selections.
92.9% of selections in counties with unsuppressed APTC counts received advance premium tax credits. The selection-weighted county premium benchmarks are $709 before APTC and $89 after APTC. These are historical county aggregates, not household quotes.
Texas county leaders in the 2026 CMS file
Texas is not one insurance market. The largest counties account for substantial Marketplace activity, while premium and assistance benchmarks vary locally. These figures describe 2026 selections and should be used as context for 2027 shopping—not as a prediction of your price.
Harris County
731,300 selectionsAverage gross premium: $647 · Average APTC: $610
Dallas County
452,075 selectionsAverage gross premium: $664 · Average APTC: $632
Bexar County
299,950 selectionsAverage gross premium: $660 · Average APTC: $622
Tarrant County
236,647 selectionsAverage gross premium: $738 · Average APTC: $692
Hidalgo County
210,638 selectionsAverage gross premium: $715 · Average APTC: $687
Travis County
184,355 selectionsAverage gross premium: $625 · Average APTC: $562
Collin County
168,207 selectionsAverage gross premium: $691 · Average APTC: $647
Fort Bend County
147,504 selectionsAverage gross premium: $723 · Average APTC: $677
What Texans should do differently from simply reading 2026 data
Use current 2027 prices
HealthCare.gov says 2027 Open Enrollment starts November 1. Preview tools use ZIP code, household and estimated income; exact prices come from the completed Marketplace application.
Official plan preview guidanceRe-check savings
Do not carry a prior-year subsidy assumption into 2027. HealthCare.gov says updated 2027 income levels and savings become available November 1.
Official savings guidanceUse a Special Enrollment Period when eligible
Outside Open Enrollment, qualifying life events can create a Special Enrollment Period. Medicaid and CHIP may also remain available year-round for eligible households.
Official SEP guidanceCurrent enrollment guidance: HealthCare.gov · verified October 3, 2026.
2026 CMS Marketplace evidence for all 254 Texas counties
Choose a county for its local enrollment, premium and financial-assistance benchmarks. CMS county figures are historical evidence; final 2027 eligibility, plan availability and pricing must be verified through the Marketplace.
Continue your Texas coverage path
Use CoveragePath to organize the decision, then verify enrollment and final plan details with the official Marketplace.