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

Lowndes County had the highest uninsured rate, 65 and over (US, ACS) of 67 counties in 2023, at 3.5%. Washington County had the lowest, at 0%. The median was 0.2% and the figure for Alabama was 0.5%. Source: the U.S. Census Bureau.

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Highest3.5Lowndes County
Median0.267 counties
Alabama0.5History

Map of counties, 2023

Autauga County: 0.3 %Baldwin County: 1 %Barbour County: 0 %Bibb County: 0 %Blount County: 0 %Bullock County: 0 %Butler County: 0.6 %Calhoun County: 0.4 %Chambers County: 0.9 %Cherokee County: 0.6 %Chilton County: 0.2 %Choctaw County: 0.2 %Clarke County: 0.5 %Clay County: 0 %Cleburne County: 2.5 %Coffee County: 0.8 %Colbert County: 0.1 %Conecuh County: 0 %Coosa County: 0 %Covington County: 0.4 %Crenshaw County: 1.1 %Cullman County: 0.5 %Dale County: 0 %Dallas County: 0.3 %DeKalb County: 1.3 %Elmore County: 0 %Escambia County: 0.1 %Etowah County: 1.3 %Fayette County: 0 %Franklin County: 1.4 %Geneva County: 0.6 %Greene County: 0 %Hale County: 2.7 %Henry County: 0.5 %Houston County: 0.8 %Jackson County: 0 %Jefferson County: 0.7 %Lamar County: 0.1 %Lauderdale County: 0.1 %Lawrence County: 0 %Lee County: 0.3 %Limestone County: 0.2 %Lowndes County: 3.5 %Macon County: 0.6 %Madison County: 0.4 %Marengo County: 0 %Marion County: 0 %Marshall County: 0.6 %Mobile County: 0.6 %Monroe County: 0 %Montgomery County: 0.9 %Morgan County: 0.4 %Perry County: 0 %Pickens County: 0 %Pike County: 0.3 %Randolph County: 0.4 %Russell County: 1.6 %St. Clair County: 0.2 %Shelby County: 0.2 %Sumter County: 0 %Talladega County: 0.2 %Tallapoosa County: 0.1 %Tuscaloosa County: 0.2 %Walker County: 0.2 %Washington County: 0 %Wilcox County: 0.1 %Winston County: 0.2 %
  • Under 0.1
  • 0.1 to 0.2
  • 0.2 to 0.5
  • 0.5 to 0.8
  • 0.8 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Lowndes County: 3.5 %Lowndes County3.5Hale County: 2.7 %Hale County2.7Cleburne County: 2.5 %Cleburne County2.5Russell County: 1.6 %Russell County1.6Franklin County: 1.4 %Franklin County1.4DeKalb County: 1.3 %DeKalb County1.3Etowah County: 1.3 %Etowah County1.3Crenshaw County: 1.1 %Crenshaw County1.1Baldwin County: 1 %Baldwin County1Montgomery County: 0.9 %Montgomery County0.9Chambers County: 0.9 %Chambers County0.9Coffee County: 0.8 %Coffee County0.8Houston County: 0.8 %Houston County0.8Jefferson County: 0.7 %Jefferson County0.7Butler County: 0.6 %Butler County0.6Macon County: 0.6 %Macon County0.6Geneva County: 0.6 %Geneva County0.6Marshall County: 0.6 %Marshall County0.6Cherokee County: 0.6 %Cherokee County0.6Mobile County: 0.6 %Mobile County0.6Cullman County: 0.5 %Cullman County0.5Clarke County: 0.5 %Clarke County0.5Henry County: 0.5 %Henry County0.5Covington County: 0.4 %Covington County0.4Morgan County: 0.4 %Morgan County0.4Calhoun County: 0.4 %Calhoun County0.4Madison County: 0.4 %Madison County0.4Randolph County: 0.4 %Randolph County0.4Lee County: 0.3 %Lee County0.3Pike County: 0.3 %Pike County0.3Autauga County: 0.3 %Autauga County0.3Dallas County: 0.3 %Dallas County0.3Limestone County: 0.2 %Limestone County0.2Shelby County: 0.2 %Shelby County0.2Choctaw County: 0.2 %Choctaw County0.2Tuscaloosa County: 0.2 %Tuscaloosa County0.2Chilton County: 0.2 %Chilton County0.2Talladega County: 0.2 %Talladega County0.2Walker County: 0.2 %Walker County0.2St. Clair County: 0.2 %St. Clair County0.2Lowndes County: 3.5 %Lowndes County3.5Hale County: 2.7 %Hale County2.7Cleburne County: 2.5 %Cleburne County2.5Russell County: 1.6 %Russell County1.6Franklin County: 1.4 %Franklin County1.4DeKalb County: 1.3 %DeKalb County1.3Etowah County: 1.3 %Etowah County1.3Crenshaw County: 1.1 %Crenshaw County1.1Baldwin County: 1 %Baldwin County1Montgomery County: 0.9 %Montgomery County0.9Chambers County: 0.9 %Chambers County0.9Coffee County: 0.8 %Coffee County0.8Houston County: 0.8 %Houston County0.8Jefferson County: 0.7 %Jefferson County0.7Butler County: 0.6 %Butler County0.6Macon County: 0.6 %Macon County0.6Geneva County: 0.6 %Geneva County0.6Marshall County: 0.6 %Marshall County0.6Cherokee County: 0.6 %Cherokee County0.6Mobile County: 0.6 %Mobile County0.6Cullman County: 0.5 %Cullman County0.5Clarke County: 0.5 %Clarke County0.5Henry County: 0.5 %Henry County0.5Covington County: 0.4 %Covington County0.4Morgan County: 0.4 %Morgan County0.4Calhoun County: 0.4 %Calhoun County0.4Madison County: 0.4 %Madison County0.4Randolph County: 0.4 %Randolph County0.4Lee County: 0.3 %Lee County0.3Pike County: 0.3 %Pike County0.3Autauga County: 0.3 %Autauga County0.3Dallas County: 0.3 %Dallas County0.3Limestone County: 0.2 %Limestone County0.2Shelby County: 0.2 %Shelby County0.2Choctaw County: 0.2 %Choctaw County0.2Tuscaloosa County: 0.2 %Tuscaloosa County0.2Chilton County: 0.2 %Chilton County0.2Talladega County: 0.2 %Talladega County0.2Walker County: 0.2 %Walker County0.2St. Clair County: 0.2 %St. Clair County0.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Lowndes County3.5+0.5 pts
2Hale County2.7+0.2 pts
3Cleburne County2.5-0.7 pts
4Russell County1.6-0.1 pts
5Franklin County1.4+0.9 pts
6DeKalb County1.3+0.5 pts
7Etowah County1.3+0.1 pts
8Crenshaw County1.10 pts
9Baldwin County1+0.3 pts
10Montgomery County0.9+0.5 pts
11Chambers County0.9+0.4 pts
12Coffee County0.80 pts
13Houston County0.8-0.1 pts
14Jefferson County0.7+0.1 pts
15Butler County0.6+0.6 pts
16Macon County0.6+0.2 pts
17Geneva County0.60 pts
17Marshall County0.6+0.1 pts
19Cherokee County0.6+0.4 pts
20Mobile County0.6+0.2 pts
21Cullman County0.5+0.2 pts
22Clarke County0.5+0.1 pts
23Henry County0.5+0.5 pts
24Covington County0.4+0.1 pts
25Morgan County0.4-0 pts
26Calhoun County0.40 pts
27Madison County0.4+0.1 pts
27Randolph County0.4-0.1 pts
29Lee County0.3-0.4 pts
30Pike County0.3-0.1 pts
31Autauga County0.3+0.1 pts
32Dallas County0.3+0.1 pts
33Limestone County0.2-0.4 pts
34Shelby County0.2+0.1 pts
35Choctaw County0.20 pts
35Tuscaloosa County0.20 pts
37Chilton County0.2-0 pts
37Talladega County0.2+0.1 pts
37Walker County0.2+0.1 pts
40St. Clair County0.20 pts
41Winston County0.2-0 pts
42Wilcox County0.10 pts
43Lamar County0.10 pts
44Lauderdale County0.1+0.1 pts
45Colbert County0.1-0 pts
45Tallapoosa County0.10 pts
47Escambia County0.10 pts
48Barbour County0-0.2 pts
48Bibb County00 pts
48Blount County00 pts
48Bullock County00 pts
48Clay County00 pts
48Conecuh County00 pts
48Coosa County00 pts
48Dale County0-0.1 pts
48Elmore County00 pts
48Fayette County00 pts
48Greene County00 pts
48Jackson County00 pts
48Lawrence County0-0.1 pts
48Marengo County0-1.3 pts
48Marion County00 pts
48Monroe County00 pts
48Perry County00 pts
48Pickens County00 pts
48Sumter County0-0.3 pts
48Washington County00 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 counties 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. 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 (Counties 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, Counties 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-counties?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. Counties 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-counties?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, Counties 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-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_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: Counties 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-counties?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. 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: Counties 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-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/alabama-counties?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. 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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Questions

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

Lowndes County, with 3.5% in 2023, according to the U.S. Census Bureau.

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

Washington County, 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. Retrieved 2026-10-12.

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

Counties in Alabama: more rankings