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

Gadsden, AL had the highest uninsured rate, 65 and over (US, ACS) of 66 cities in 2022, at 3.1%. Trussville, AL had the lowest, at 0%. The median was 0.2% and the figure for Alabama was 0.4%. Source: the U.S. Census Bureau.

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Highest3.1Gadsden, AL
Median0.266 cities
Alabama0.4History

Top 40 cities, 2022

Gadsden, AL: 3.1 %Gadsden, AL3.1Bessemer, AL: 2 %Bessemer, AL2Albertville, AL: 1.8 %Albertville, AL1.8Valley, AL: 1.8 %Valley, AL1.8Fort Payne, AL: 1.6 %Fort Payne, AL1.6Russellville, AL: 1.6 %Russellville, AL1.6Opelika, AL: 1.5 %Opelika, AL1.5Center Point, AL: 1.4 %Center Point, AL1.4Enterprise, AL: 1.4 %Enterprise, AL1.4Daphne, AL: 1.3 %Daphne, AL1.3Troy, AL: 1.2 %Troy, AL1.2Athens, AL: 1.1 %Athens, AL1.1Dothan, AL: 1 %Dothan, AL1Birmingham, AL: 0.9 %Birmingham, AL0.9Decatur, AL: 0.9 %Decatur, AL0.9Fairhope, AL: 0.9 %Fairhope, AL0.9Oxford, AL: 0.8 %Oxford, AL0.8Phenix City, AL: 0.6 %Phenix City, AL0.6Hoover, AL: 0.5 %Hoover, AL0.5Mobile, AL: 0.5 %Mobile, AL0.5Montgomery, AL: 0.5 %Montgomery, AL0.5Auburn, AL: 0.5 %Auburn, AL0.5Homewood, AL: 0.5 %Homewood, AL0.5Vestavia Hills, AL: 0.4 %Vestavia Hills, AL0.4Selma, AL: 0.4 %Selma, AL0.4Saraland, AL: 0.4 %Saraland, AL0.4Pelham, AL: 0.4 %Pelham, AL0.4Prattville, AL: 0.4 %Prattville, AL0.4Huntsville, AL: 0.3 %Huntsville, AL0.3Eufaula, AL: 0.3 %Eufaula, AL0.3Hueytown, AL: 0.3 %Hueytown, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Madison, AL: 0.2 %Madison, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Foley, AL: 0.1 %Foley, AL0.1Alabaster, AL: 0 %Alabaster, AL0Alexander City, AL: 0 %Alexander City, AL0Anniston, AL: 0 %Anniston, AL0Boaz, AL: 0 %Boaz, AL0Calera, AL: 0 %Calera, AL0Gadsden, AL: 3.1 %Gadsden, AL3.1Bessemer, AL: 2 %Bessemer, AL2Albertville, AL: 1.8 %Albertville, AL1.8Valley, AL: 1.8 %Valley, AL1.8Fort Payne, AL: 1.6 %Fort Payne, AL1.6Russellville, AL: 1.6 %Russellville, AL1.6Opelika, AL: 1.5 %Opelika, AL1.5Center Point, AL: 1.4 %Center Point, AL1.4Enterprise, AL: 1.4 %Enterprise, AL1.4Daphne, AL: 1.3 %Daphne, AL1.3Troy, AL: 1.2 %Troy, AL1.2Athens, AL: 1.1 %Athens, AL1.1Dothan, AL: 1 %Dothan, AL1Birmingham, AL: 0.9 %Birmingham, AL0.9Decatur, AL: 0.9 %Decatur, AL0.9Fairhope, AL: 0.9 %Fairhope, AL0.9Oxford, AL: 0.8 %Oxford, AL0.8Phenix City, AL: 0.6 %Phenix City, AL0.6Hoover, AL: 0.5 %Hoover, AL0.5Mobile, AL: 0.5 %Mobile, AL0.5Montgomery, AL: 0.5 %Montgomery, AL0.5Auburn, AL: 0.5 %Auburn, AL0.5Homewood, AL: 0.5 %Homewood, AL0.5Vestavia Hills, AL: 0.4 %Vestavia Hills, AL0.4Selma, AL: 0.4 %Selma, AL0.4Saraland, AL: 0.4 %Saraland, AL0.4Pelham, AL: 0.4 %Pelham, AL0.4Prattville, AL: 0.4 %Prattville, AL0.4Huntsville, AL: 0.3 %Huntsville, AL0.3Eufaula, AL: 0.3 %Eufaula, AL0.3Hueytown, AL: 0.3 %Hueytown, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Madison, AL: 0.2 %Madison, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Foley, AL: 0.1 %Foley, AL0.1Alabaster, AL: 0 %Alabaster, AL0Alexander City, AL: 0 %Alexander City, AL0Anniston, AL: 0 %Anniston, AL0Boaz, AL: 0 %Boaz, AL0Calera, AL: 0 %Calera, AL0
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2022 (%)Change on 2021
1Gadsden, AL3.1+0.8 pts
2Bessemer, AL2+1.3 pts
3Albertville, AL1.8-1.6 pts
4Valley, AL1.8-0.8 pts
5Fort Payne, AL1.6-0 pts
6Russellville, AL1.6+0.4 pts
7Opelika, AL1.5+0.5 pts
8Center Point, AL1.4+1.4 pts
9Enterprise, AL1.4+0.2 pts
10Daphne, AL1.3+0.4 pts
11Troy, AL1.20 pts
12Athens, AL1.1+0.1 pts
13Dothan, AL10 pts
14Birmingham, AL0.90 pts
15Decatur, AL0.9+0.8 pts
15Fairhope, AL0.9+0.9 pts
17Oxford, AL0.8+0.2 pts
18Phenix City, AL0.6+0.1 pts
19Hoover, AL0.5-0 pts
19Mobile, AL0.5-0.3 pts
19Montgomery, AL0.5-0.4 pts
22Auburn, AL0.5+0.2 pts
22Homewood, AL0.5-0.2 pts
24Vestavia Hills, AL0.4+0.3 pts
25Selma, AL0.4+0.2 pts
26Saraland, AL0.4-0.1 pts
27Pelham, AL0.4-0.2 pts
28Prattville, AL0.40 pts
29Huntsville, AL0.3-0.1 pts
30Eufaula, AL0.3+0.1 pts
31Hueytown, AL0.3-0.3 pts
31Tuscaloosa, AL0.3+0.2 pts
33Madison, AL0.2-0 pts
34Prichard, AL0.2-0 pts
35Foley, AL0.10 pts
36Alabaster, AL00 pts
36Alexander City, AL00 pts
36Anniston, AL00 pts
36Boaz, AL00 pts
36Calera, AL00 pts
36Chelsea, AL00 pts
36Clay, AL00 pts
36Cullman, AL00 pts
36Florence, AL00 pts
36Gardendale, AL00 pts
36Gulf Shores, AL00 pts
36Hartselle, AL00 pts
36Helena, AL00 pts
36Irondale, AL00 pts
36Jacksonville, AL0-0.6 pts
36Jasper, AL00 pts
36Leeds, AL00 pts
36Millbrook, AL00 pts
36Moody, AL00 pts
36Mountain Brook, AL00 pts
36Muscle Shoals, AL00 pts
36Northport, AL00 pts
36Ozark, AL00 pts
36Pell City, AL00 pts
36Pike Road, AL00 pts
36Rainbow City, AL00 pts
36Scottsboro, AL00 pts
36Spanish Fort, AL00 pts
36Sylacauga, AL00 pts
36Talladega, AL00 pts
36Trussville, 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-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 3.1% in 2022, according to the U.S. Census Bureau.

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

Trussville, AL, with 0% in 2022.

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