There is significant evidence from large-scale, industrial and post-industrial societies that greater inequality in income and wealth are negatively associated with both population health across multiple domains and increasing health inequalities. However, in high-income Western societies, it is difficult to disentangle the effects of wealth disparities from the complex web of macro-level factors which may drive health and their inequalities. Here, we explore the relationship between wealth and wealth inequality and health and health inequalities in a small-scale foraging population from the Philippines, the Agta. Across 11 camps we find small to moderate degrees of wealth inequality (Gini coefficient = 0.1 to 0.4) which is highest in the most permanent camps. However, in both adults (n = 161) and children (n = 215) we find no evidence that either wealth or wealth inequality associates with multiple health outcomes, either positively or negatively. We interpret these results in the light of high levels of cooperation among the Agta which may buffer against the detrimental effects of wealth inequality documented in industrial and post-industrial societies. We also observe little intergenerational wealth transmission, highlighting the fluid nature of wealth, and thus wealth inequality, in the Agta. In addition to providing an insight into health and wealth inequalities in a forager population, these results also have implications for research in larger-scale nation states, highlighting the potential for societal behaviours and public policies to disrupt the causal pathways linking wealth inequality and health disparities.