Data / Rankings / Uninsured rate, 65 and over (US, ACS) / Cities in Alabama

Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024

Gadsden, AL had the highest uninsured rate, 65 and over (US, ACS) of 66 cities in 2024, at 3.8%. Sylacauga, AL had the lowest, at 0%. The median was 0.3% and the figure for Alabama was 0.5%. Source: the U.S. Census Bureau.

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Highest3.8Gadsden, AL
Lowest0Sylacauga, AL
Median0.366 cities
Alabama0.5History

Top 40 cities, 2024

Gadsden, AL: 3.8 %Gadsden, AL3.8Talladega, AL: 2.5 %Talladega, AL2.5Bessemer, AL: 2.1 %Bessemer, AL2.1Fairhope, AL: 1.8 %Fairhope, AL1.8Fort Payne, AL: 1.6 %Fort Payne, AL1.6Enterprise, AL: 1.6 %Enterprise, AL1.6Birmingham, AL: 1.4 %Birmingham, AL1.4Valley, AL: 1 %Valley, AL1Oxford, AL: 1 %Oxford, AL1Albertville, AL: 1 %Albertville, AL1Center Point, AL: 1 %Center Point, AL1Dothan, AL: 0.9 %Dothan, AL0.9Montgomery, AL: 0.9 %Montgomery, AL0.9Phenix City, AL: 0.9 %Phenix City, AL0.9Muscle Shoals, AL: 0.8 %Muscle Shoals, AL0.8Decatur, AL: 0.8 %Decatur, AL0.8Mobile, AL: 0.8 %Mobile, AL0.8Troy, AL: 0.7 %Troy, AL0.7Irondale, AL: 0.7 %Irondale, AL0.7Anniston, AL: 0.6 %Anniston, AL0.6Huntsville, AL: 0.6 %Huntsville, AL0.6Daphne, AL: 0.6 %Daphne, AL0.6Madison, AL: 0.6 %Madison, AL0.6Gulf Shores, AL: 0.5 %Gulf Shores, AL0.5Hoover, AL: 0.5 %Hoover, AL0.5Hueytown, AL: 0.5 %Hueytown, AL0.5Auburn, AL: 0.5 %Auburn, AL0.5Prattville, AL: 0.4 %Prattville, AL0.4Homewood, AL: 0.4 %Homewood, AL0.4Mountain Brook, AL: 0.4 %Mountain Brook, AL0.4Vestavia Hills, AL: 0.4 %Vestavia Hills, AL0.4Alabaster, AL: 0.4 %Alabaster, AL0.4Hartselle, AL: 0.3 %Hartselle, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Trussville, AL: 0.2 %Trussville, AL0.2Jasper, AL: 0.2 %Jasper, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Foley, AL: 0 %Foley, AL0Alexander City, AL: 0 %Alexander City, AL0Athens, AL: 0 %Athens, AL0Gadsden, AL: 3.8 %Gadsden, AL3.8Talladega, AL: 2.5 %Talladega, AL2.5Bessemer, AL: 2.1 %Bessemer, AL2.1Fairhope, AL: 1.8 %Fairhope, AL1.8Fort Payne, AL: 1.6 %Fort Payne, AL1.6Enterprise, AL: 1.6 %Enterprise, AL1.6Birmingham, AL: 1.4 %Birmingham, AL1.4Valley, AL: 1 %Valley, AL1Oxford, AL: 1 %Oxford, AL1Albertville, AL: 1 %Albertville, AL1Center Point, AL: 1 %Center Point, AL1Dothan, AL: 0.9 %Dothan, AL0.9Montgomery, AL: 0.9 %Montgomery, AL0.9Phenix City, AL: 0.9 %Phenix City, AL0.9Muscle Shoals, AL: 0.8 %Muscle Shoals, AL0.8Decatur, AL: 0.8 %Decatur, AL0.8Mobile, AL: 0.8 %Mobile, AL0.8Troy, AL: 0.7 %Troy, AL0.7Irondale, AL: 0.7 %Irondale, AL0.7Anniston, AL: 0.6 %Anniston, AL0.6Huntsville, AL: 0.6 %Huntsville, AL0.6Daphne, AL: 0.6 %Daphne, AL0.6Madison, AL: 0.6 %Madison, AL0.6Gulf Shores, AL: 0.5 %Gulf Shores, AL0.5Hoover, AL: 0.5 %Hoover, AL0.5Hueytown, AL: 0.5 %Hueytown, AL0.5Auburn, AL: 0.5 %Auburn, AL0.5Prattville, AL: 0.4 %Prattville, AL0.4Homewood, AL: 0.4 %Homewood, AL0.4Mountain Brook, AL: 0.4 %Mountain Brook, AL0.4Vestavia Hills, AL: 0.4 %Vestavia Hills, AL0.4Alabaster, AL: 0.4 %Alabaster, AL0.4Hartselle, AL: 0.3 %Hartselle, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Trussville, AL: 0.2 %Trussville, AL0.2Jasper, AL: 0.2 %Jasper, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Foley, AL: 0 %Foley, AL0Alexander City, AL: 0 %Alexander City, AL0Athens, AL: 0 %Athens, AL0
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Gadsden, AL3.8+0.1 pts
2Talladega, AL2.5+2.3 pts
3Bessemer, AL2.1-0.3 pts
4Fairhope, AL1.8+0.3 pts
5Fort Payne, AL1.6-0 pts
6Enterprise, AL1.6+0.1 pts
7Birmingham, AL1.4+0.5 pts
8Valley, AL1-0.3 pts
9Oxford, AL1-0.1 pts
10Albertville, AL1-1.2 pts
10Center Point, AL1-0.4 pts
12Dothan, AL0.9-0.1 pts
13Montgomery, AL0.9-0.2 pts
14Phenix City, AL0.9-0.1 pts
15Muscle Shoals, AL0.8+0.4 pts
16Decatur, AL0.8-0 pts
16Mobile, AL0.8-0.1 pts
18Troy, AL0.7-0.2 pts
19Irondale, AL0.7-0 pts
20Anniston, AL0.6+0.3 pts
21Huntsville, AL0.6+0.1 pts
22Daphne, AL0.6-0.6 pts
23Madison, AL0.6-0.1 pts
24Gulf Shores, AL0.5+0.5 pts
25Hoover, AL0.5+0.1 pts
26Hueytown, AL0.5+0.1 pts
27Auburn, AL0.5+0.1 pts
28Prattville, AL0.4-0.1 pts
29Homewood, AL0.4+0.1 pts
30Mountain Brook, AL0.4-0.1 pts
30Vestavia Hills, AL0.4+0.1 pts
32Alabaster, AL0.4-0.2 pts
33Hartselle, AL0.3+0.3 pts
34Tuscaloosa, AL0.3-0 pts
35Trussville, AL0.20 pts
36Jasper, AL0.2-0 pts
37Prichard, AL0.20 pts
38Foley, AL00 pts
39Alexander City, AL00 pts
39Athens, AL0-0.5 pts
39Boaz, AL00 pts
39Calera, AL00 pts
39Chelsea, AL00 pts
39Clay, AL00 pts
39Cullman, AL00 pts
39Eufaula, AL00 pts
39Florence, AL00 pts
39Gardendale, AL00 pts
39Helena, AL00 pts
39Jacksonville, AL00 pts
39Leeds, AL00 pts
39Millbrook, AL00 pts
39Moody, AL00 pts
39Northport, AL00 pts
39Opelika, AL00 pts
39Ozark, AL00 pts
39Pelham, AL00 pts
39Pell City, AL00 pts
39Pike Road, AL00 pts
39Rainbow City, AL00 pts
39Russellville, AL0-4.5 pts
39Saraland, AL0-0.4 pts
39Scottsboro, AL00 pts
39Selma, AL0-0.5 pts
39Spanish Fort, AL00 pts
39Sylacauga, AL00 pts

Other periods

About this ranking

People aged 65 and over without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 65 and over. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the cities are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Census Bureau. (2026). American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, 65 and over (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Cities in Alabama by uninsured rate, 65 and over (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_65_plus","level":"municipality","within":"Alabama","limit":10}
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Questions

Which city has the highest uninsured rate, 65 and over (US, ACS)?

Gadsden, AL, with 3.8% in 2024, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, 65 and over (US, ACS)?

Sylacauga, AL, with 0% in 2024.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people aged 65 and over with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 65 and over, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, 65 and over (US, ACS): other rankings

Cities in Alabama: more rankings