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

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

Russellville, AL had the highest uninsured rate, 65 and over (US, ACS) of 66 cities in 2023, at 4.5%. 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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Highest4.5Russellville, AL
Lowest0Sylacauga, AL
Median0.366 cities
Alabama0.5History

Top 40 cities, 2023

Russellville, AL: 4.5 %Russellville, AL4.5Gadsden, AL: 3.7 %Gadsden, AL3.7Bessemer, AL: 2.4 %Bessemer, AL2.4Albertville, AL: 2.1 %Albertville, AL2.1Fort Payne, AL: 1.6 %Fort Payne, AL1.6Enterprise, AL: 1.4 %Enterprise, AL1.4Fairhope, AL: 1.4 %Fairhope, AL1.4Center Point, AL: 1.4 %Center Point, AL1.4Valley, AL: 1.4 %Valley, AL1.4Daphne, AL: 1.2 %Daphne, AL1.2Oxford, AL: 1.1 %Oxford, AL1.1Montgomery, AL: 1.1 %Montgomery, AL1.1Dothan, AL: 1 %Dothan, AL1Phenix City, AL: 1 %Phenix City, AL1Mobile, AL: 0.9 %Mobile, AL0.9Birmingham, AL: 0.9 %Birmingham, AL0.9Troy, AL: 0.9 %Troy, AL0.9Decatur, AL: 0.8 %Decatur, AL0.8Irondale, AL: 0.7 %Irondale, AL0.7Madison, AL: 0.7 %Madison, AL0.7Alabaster, AL: 0.6 %Alabaster, AL0.6Prattville, AL: 0.5 %Prattville, AL0.5Mountain Brook, AL: 0.5 %Mountain Brook, AL0.5Athens, AL: 0.5 %Athens, AL0.5Huntsville, AL: 0.5 %Huntsville, AL0.5Selma, AL: 0.5 %Selma, AL0.5Hueytown, AL: 0.5 %Hueytown, AL0.5Hoover, AL: 0.4 %Hoover, AL0.4Saraland, AL: 0.4 %Saraland, AL0.4Muscle Shoals, AL: 0.4 %Muscle Shoals, AL0.4Auburn, AL: 0.4 %Auburn, AL0.4Homewood, AL: 0.4 %Homewood, AL0.4Anniston, AL: 0.3 %Anniston, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Vestavia Hills, AL: 0.3 %Vestavia Hills, AL0.3Jasper, AL: 0.3 %Jasper, AL0.3Trussville, AL: 0.2 %Trussville, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Talladega, AL: 0.2 %Talladega, AL0.2Foley, AL: 0 %Foley, AL0Russellville, AL: 4.5 %Russellville, AL4.5Gadsden, AL: 3.7 %Gadsden, AL3.7Bessemer, AL: 2.4 %Bessemer, AL2.4Albertville, AL: 2.1 %Albertville, AL2.1Fort Payne, AL: 1.6 %Fort Payne, AL1.6Enterprise, AL: 1.4 %Enterprise, AL1.4Fairhope, AL: 1.4 %Fairhope, AL1.4Center Point, AL: 1.4 %Center Point, AL1.4Valley, AL: 1.4 %Valley, AL1.4Daphne, AL: 1.2 %Daphne, AL1.2Oxford, AL: 1.1 %Oxford, AL1.1Montgomery, AL: 1.1 %Montgomery, AL1.1Dothan, AL: 1 %Dothan, AL1Phenix City, AL: 1 %Phenix City, AL1Mobile, AL: 0.9 %Mobile, AL0.9Birmingham, AL: 0.9 %Birmingham, AL0.9Troy, AL: 0.9 %Troy, AL0.9Decatur, AL: 0.8 %Decatur, AL0.8Irondale, AL: 0.7 %Irondale, AL0.7Madison, AL: 0.7 %Madison, AL0.7Alabaster, AL: 0.6 %Alabaster, AL0.6Prattville, AL: 0.5 %Prattville, AL0.5Mountain Brook, AL: 0.5 %Mountain Brook, AL0.5Athens, AL: 0.5 %Athens, AL0.5Huntsville, AL: 0.5 %Huntsville, AL0.5Selma, AL: 0.5 %Selma, AL0.5Hueytown, AL: 0.5 %Hueytown, AL0.5Hoover, AL: 0.4 %Hoover, AL0.4Saraland, AL: 0.4 %Saraland, AL0.4Muscle Shoals, AL: 0.4 %Muscle Shoals, AL0.4Auburn, AL: 0.4 %Auburn, AL0.4Homewood, AL: 0.4 %Homewood, AL0.4Anniston, AL: 0.3 %Anniston, AL0.3Tuscaloosa, AL: 0.3 %Tuscaloosa, AL0.3Vestavia Hills, AL: 0.3 %Vestavia Hills, AL0.3Jasper, AL: 0.3 %Jasper, AL0.3Trussville, AL: 0.2 %Trussville, AL0.2Prichard, AL: 0.2 %Prichard, AL0.2Talladega, AL: 0.2 %Talladega, AL0.2Foley, AL: 0 %Foley, AL0
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Russellville, AL4.5+2.9 pts
2Gadsden, AL3.7+0.6 pts
3Bessemer, AL2.4+0.4 pts
4Albertville, AL2.1+0.4 pts
5Fort Payne, AL1.6+0.1 pts
6Enterprise, AL1.4+0.1 pts
7Fairhope, AL1.4+0.5 pts
8Center Point, AL1.40 pts
9Valley, AL1.4-0.4 pts
10Daphne, AL1.2-0 pts
11Oxford, AL1.1+0.3 pts
12Montgomery, AL1.1+0.6 pts
13Dothan, AL1-0.1 pts
14Phenix City, AL1+0.4 pts
15Mobile, AL0.9+0.4 pts
16Birmingham, AL0.90 pts
16Troy, AL0.9-0.3 pts
18Decatur, AL0.8-0 pts
19Irondale, AL0.7+0.7 pts
20Madison, AL0.7+0.4 pts
21Alabaster, AL0.6+0.6 pts
22Prattville, AL0.5+0.2 pts
23Mountain Brook, AL0.5+0.5 pts
24Athens, AL0.5-0.6 pts
25Huntsville, AL0.5+0.1 pts
26Selma, AL0.5+0.1 pts
27Hueytown, AL0.5+0.2 pts
28Hoover, AL0.4-0.1 pts
28Saraland, AL0.40 pts
30Muscle Shoals, AL0.4+0.4 pts
31Auburn, AL0.4-0.1 pts
32Homewood, AL0.4-0.1 pts
33Anniston, AL0.3+0.3 pts
33Tuscaloosa, AL0.30 pts
35Vestavia Hills, AL0.3-0.1 pts
36Jasper, AL0.3+0.3 pts
37Trussville, AL0.2+0.2 pts
38Prichard, AL0.20 pts
39Talladega, AL0.2+0.2 pts
40Foley, AL0-0 pts
41Alexander City, AL00 pts
41Boaz, AL00 pts
41Calera, AL00 pts
41Chelsea, AL00 pts
41Clay, AL00 pts
41Cullman, AL00 pts
41Eufaula, AL0-0.3 pts
41Florence, AL00 pts
41Gardendale, AL00 pts
41Gulf Shores, AL00 pts
41Hartselle, AL00 pts
41Helena, AL00 pts
41Jacksonville, AL00 pts
41Leeds, AL00 pts
41Millbrook, AL00 pts
41Moody, AL00 pts
41Northport, AL00 pts
41Opelika, AL0-1.5 pts
41Ozark, AL00 pts
41Pelham, AL0-0.4 pts
41Pell City, AL00 pts
41Pike Road, AL00 pts
41Rainbow City, AL00 pts
41Scottsboro, AL00 pts
41Spanish Fort, AL00 pts
41Sylacauga, 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023. 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/2023/table-based-SF/data/5YRData/acsdt5y2023-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), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-cities?period=2023.
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/2023/table-based-SF/data/5YRData/acsdt5y2023-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)?

Russellville, AL, with 4.5% in 2023, according to the U.S. Census Bureau.

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

Sylacauga, AL, with 0% in 2023.

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