Objective: This study aimed to evaluate the extent and types of health insurance coverage in a representative sample of adults with diabetes. Methods: This descriptive cross-sectional study was performed from May 6, 2015 till July 1, 2015 in the Diabetes Centre of Abidjan, with a sample of 500 diabetic patients followed for more than one year. Data was analyzed using SPSS version 18. Results: A total of 76.8% of all adults with diabetes had no form of health insurance. The main reason was the lack of financial resources (65.2%). Of the insured diabetic patients (23.2%), 51.7% were covered only by Civil Servants and State Workers of C__ampersandsignocirc;te d__ampersandsignrsquo;Ivoire Fund, 20.7% had only a private for profit health insurance and 5.2% were covered through community based health insurance. Besides, 22.4% of responding patients had a private for-profit health insurance to supplement their Civil Servants and State Workers of C__ampersandsignocirc;te d__ampersandsignrsquo;Ivoire Fund coverage. The fact to have a health insurance was influenced by age, gender, the level of education, employment sector and monthly income (p__ampersandsignlt;0.0001). Conclusion: Our findings show of the necessity to develop health policy to improve__ampersandsignnbsp;access to coverage for patients suffering from chronic disease such as diabetes, notably through Universal Health Coverage.