# Uninsured rate, under 65 (US model-based estimate)

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

## Key facts

- Texas had the highest uninsured rate, under 65 (US model-based estimate) of 51 states in 2024, at 19.1%, and Massachusetts the lowest, at 3.3%. Source: the U.S. Census Bureau.
- Published for 3,194 places, with figures from 2008 to 2024.
- Figures last updated on 2026-10-12.

- Indicator id: `uninsured_rate_under_65`
- Unit: %
- Note: A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. People 65 and over are left out because nearly all of them have Medicare.
- Web page: https://invokely.ai/en/uninsured-rate-under-65
- API: https://invokely.ai/api/v1/indicators/uninsured_rate_under_65

## Rankings

- [US states](https://invokely.ai/rankings/uninsured-rate-under-65/us-states.md) (51 places)
- [US counties](https://invokely.ai/rankings/uninsured-rate-under-65/us-counties.md) (3143 places)
- [Counties in Texas](https://invokely.ai/rankings/uninsured-rate-under-65/texas-counties.md) (254 places)
- [Counties in Georgia](https://invokely.ai/rankings/uninsured-rate-under-65/georgia-counties.md) (159 places)
- [Counties in Virginia](https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties.md) (133 places)
- [Counties in Kentucky](https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties.md) (120 places)
- [Counties in Missouri](https://invokely.ai/rankings/uninsured-rate-under-65/missouri-counties.md) (115 places)
- [Counties in Kansas](https://invokely.ai/rankings/uninsured-rate-under-65/kansas-counties.md) (105 places)
- [Counties in Illinois](https://invokely.ai/rankings/uninsured-rate-under-65/illinois-counties.md) (102 places)
- [Counties in North Carolina](https://invokely.ai/rankings/uninsured-rate-under-65/north-carolina-counties.md) (100 places)
- [Counties in Iowa](https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties.md) (99 places)
- [Counties in Tennessee](https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties.md) (95 places)
- [Counties in Nebraska](https://invokely.ai/rankings/uninsured-rate-under-65/nebraska-counties.md) (93 places)
- [Counties in Indiana](https://invokely.ai/rankings/uninsured-rate-under-65/indiana-counties.md) (92 places)
- [Counties in Ohio](https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties.md) (88 places)
- [Counties in Minnesota](https://invokely.ai/rankings/uninsured-rate-under-65/minnesota-counties.md) (87 places)
- [Counties in Michigan](https://invokely.ai/rankings/uninsured-rate-under-65/michigan-counties.md) (83 places)
- [Counties in Mississippi](https://invokely.ai/rankings/uninsured-rate-under-65/mississippi-counties.md) (82 places)
- [Counties in Oklahoma](https://invokely.ai/rankings/uninsured-rate-under-65/oklahoma-counties.md) (77 places)
- [Counties in Arkansas](https://invokely.ai/rankings/uninsured-rate-under-65/arkansas-counties.md) (75 places)
- [Counties in Wisconsin](https://invokely.ai/rankings/uninsured-rate-under-65/wisconsin-counties.md) (72 places)
- [Counties in Alabama](https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties.md) (67 places)
- [Counties in Florida](https://invokely.ai/rankings/uninsured-rate-under-65/florida-counties.md) (67 places)
- [Counties in Pennsylvania](https://invokely.ai/rankings/uninsured-rate-under-65/pennsylvania-counties.md) (67 places)
- [Counties in South Dakota](https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties.md) (66 places)
- [Counties in Colorado](https://invokely.ai/rankings/uninsured-rate-under-65/colorado-counties.md) (64 places)
- [Counties in Louisiana](https://invokely.ai/rankings/uninsured-rate-under-65/louisiana-counties.md) (64 places)
- [Counties in New York](https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties.md) (62 places)
- [Counties in California](https://invokely.ai/rankings/uninsured-rate-under-65/california-counties.md) (58 places)
- [Counties in Montana](https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties.md) (56 places)
- [Counties in West Virginia](https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties.md) (55 places)
- [Counties in North Dakota](https://invokely.ai/rankings/uninsured-rate-under-65/north-dakota-counties.md) (53 places)
- [Counties in South Carolina](https://invokely.ai/rankings/uninsured-rate-under-65/south-carolina-counties.md) (46 places)
- [Counties in Idaho](https://invokely.ai/rankings/uninsured-rate-under-65/idaho-counties.md) (44 places)
- [Counties in Washington](https://invokely.ai/rankings/uninsured-rate-under-65/washington-counties.md) (39 places)
- [Counties in Oregon](https://invokely.ai/rankings/uninsured-rate-under-65/oregon-counties.md) (36 places)
- [Counties in New Mexico](https://invokely.ai/rankings/uninsured-rate-under-65/new-mexico-counties.md) (33 places)
- [Counties in Alaska](https://invokely.ai/rankings/uninsured-rate-under-65/alaska-counties.md) (30 places)
- [Counties in Utah](https://invokely.ai/rankings/uninsured-rate-under-65/utah-counties.md) (29 places)
- [Counties in Maryland](https://invokely.ai/rankings/uninsured-rate-under-65/maryland-counties.md) (24 places)
- [Counties in Wyoming](https://invokely.ai/rankings/uninsured-rate-under-65/wyoming-counties.md) (23 places)
- [Counties in New Jersey](https://invokely.ai/rankings/uninsured-rate-under-65/new-jersey-counties.md) (21 places)
- [Counties in Nevada](https://invokely.ai/rankings/uninsured-rate-under-65/nevada-counties.md) (17 places)
- [Counties in Maine](https://invokely.ai/rankings/uninsured-rate-under-65/maine-counties.md) (16 places)
- [Counties in Arizona](https://invokely.ai/rankings/uninsured-rate-under-65/arizona-counties.md) (15 places)
- [Counties in Massachusetts](https://invokely.ai/rankings/uninsured-rate-under-65/massachusetts-counties.md) (14 places)
- [Counties in Vermont](https://invokely.ai/rankings/uninsured-rate-under-65/vermont-counties.md) (14 places)
- [Counties in New Hampshire](https://invokely.ai/rankings/uninsured-rate-under-65/new-hampshire-counties.md) (10 places)
- [Counties in Connecticut](https://invokely.ai/rankings/uninsured-rate-under-65/connecticut-counties.md) (9 places)
- [Counties in Rhode Island](https://invokely.ai/rankings/uninsured-rate-under-65/rhode-island-counties.md) (5 places)
