With the passage of the Affordable Care Act (ACA) in 2014, San Antonio saw a marked increase in health insurance coverage. In 2019, that percentage declined to 79% and in 2021 it remained relatively stagnant at 79.3%.
This measure shows how many people are enrolled in health insurance. It does not show how many people use their health insurance for preventative care.
Studies confirm that coverage improves access to care, supports positive health outcomes, and reduces financial strain on individuals, families and communities.
In San Antonio, the working age population is most likely to not have health insurance. According to the American Community Survey 5-year estimates, approximately 21% of people employed, between the ages of 19 and 64, are without health insurance coverage.
SA2020's City Council Profiles show health insurance coverage by Council district.
Increase percentage of population under age 65 with health insurance coverage by 10% (87% by 2030)
| Year | Value | Margin of Error |
|---|---|---|
| 2010 | 75% | ±0.8% |
| 2011 | 76% | ±0.8% |
| 2012 | 77% | ±0.7% |
| 2013 | 77% | ±0.7% |
| 2014 | 80% | ±0.7% |
| 2015 | 82% | ±0.7% |
| 2016 | 82% | ±0.7% |
| 2017 | 82% | ±0.7% |
| 2018 | 81% | ±0.8% |
| 2019 | 79% | ±0.8% |
| 2021 | 79% | ±1% |
Populations Under Age 65 with Health Insurance Coverage
US Census Bureau American Community Survey 1-Yr Estimate, Table B27001
