Hello;
welcome to HealthcareMagic
A BP of 149/101 is surely high and you should get monitored and take regular medicines for it.If you are not on any medicines please consult a doctor and get it prescribed.
High BP can cause severe complications and since you do not have insurance you should keep it controlled with medicines which is easily possible.So for a healthy life please take regular medicines to controll BP and you should be fine.
Thanks