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

Davis County had the highest uninsured rate, 65 and over (US, ACS) of 99 counties in 2023, at 4.4%. Shelby County had the lowest, at 0%. The median was 0.1% and the figure for Iowa was 0.3%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest4.4Davis County
Median0.199 counties
Iowa0.3History

Map of counties, 2023

Adair County: 0.2 %Adams County: 0 %Allamakee County: 0.8 %Appanoose County: 0.4 %Audubon County: 0 %Benton County: 0 %Black Hawk County: 0 %Boone County: 0.1 %Bremer County: 0 %Buchanan County: 0.3 %Buena Vista County: 0 %Butler County: 0.1 %Calhoun County: 0.5 %Carroll County: 0.3 %Cass County: 0 %Cedar County: 0.4 %Cerro Gordo County: 0.1 %Cherokee County: 0.3 %Chickasaw County: 0 %Clarke County: 0 %Clay County: 0 %Clayton County: 0.5 %Clinton County: 0.3 %Crawford County: 0.6 %Dallas County: 0.3 %Davis County: 4.4 %Decatur County: 0.2 %Delaware County: 1.5 %Des Moines County: 0.7 %Dickinson County: 0 %Dubuque County: 0.2 %Emmet County: 0 %Fayette County: 0 %Floyd County: 0 %Franklin County: 0.7 %Fremont County: 0.1 %Greene County: 0 %Grundy County: 0.2 %Guthrie County: 0.4 %Hamilton County: 0.1 %Hancock County: 0 %Hardin County: 0 %Harrison County: 0 %Henry County: 0.1 %Howard County: 0.1 %Humboldt County: 0 %Ida County: 1.4 %Iowa County: 0 %Jackson County: 0 %Jasper County: 0.1 %Jefferson County: 0.6 %Johnson County: 0.7 %Jones County: 0 %Keokuk County: 1.1 %Kossuth County: 0.2 %Lee County: 0.2 %Linn County: 0.3 %Louisa County: 0.7 %Lucas County: 0 %Lyon County: 0 %Madison County: 1.6 %Mahaska County: 0 %Marion County: 0.2 %Marshall County: 0.5 %Mills County: 0 %Mitchell County: 0.1 %Monona County: 0 %Monroe County: 0 %Montgomery County: 0 %Muscatine County: 0.1 %O'Brien County: 0 %Osceola County: 0.1 %Page County: 0 %Palo Alto County: 0.1 %Plymouth County: 0 %Pocahontas County: 0.9 %Polk County: 0.3 %Pottawattamie County: 0.4 %Poweshiek County: 0 %Ringgold County: 0.3 %Sac County: 0.1 %Scott County: 0.3 %Shelby County: 0 %Sioux County: 0.1 %Story County: 0.5 %Tama County: 1 %Taylor County: 0.1 %Union County: 0 %Van Buren County: 0.3 %Wapello County: 0.3 %Warren County: 0.5 %Washington County: 0.6 %Wayne County: 1.1 %Webster County: 1.4 %Winnebago County: 0.2 %Winneshiek County: 0.3 %Woodbury County: 0.9 %Worth County: 0.2 %Wright County: 0.2 %
  • Under 0.1
  • 0.1 to 0.3
  • 0.3 to 0.6
  • 0.6 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

Davis County: 4.4 %Davis County4.4Madison County: 1.6 %Madison County1.6Delaware County: 1.5 %Delaware County1.5Ida County: 1.4 %Ida County1.4Webster County: 1.4 %Webster County1.4Wayne County: 1.1 %Wayne County1.1Keokuk County: 1.1 %Keokuk County1.1Tama County: 1 %Tama County1Woodbury County: 0.9 %Woodbury County0.9Pocahontas County: 0.9 %Pocahontas County0.9Allamakee County: 0.8 %Allamakee County0.8Johnson County: 0.7 %Johnson County0.7Louisa County: 0.7 %Louisa County0.7Des Moines County: 0.7 %Des Moines County0.7Franklin County: 0.7 %Franklin County0.7Washington County: 0.6 %Washington County0.6Crawford County: 0.6 %Crawford County0.6Jefferson County: 0.6 %Jefferson County0.6Marshall County: 0.5 %Marshall County0.5Story County: 0.5 %Story County0.5Warren County: 0.5 %Warren County0.5Calhoun County: 0.5 %Calhoun County0.5Clayton County: 0.5 %Clayton County0.5Guthrie County: 0.4 %Guthrie County0.4Appanoose County: 0.4 %Appanoose County0.4Cedar County: 0.4 %Cedar County0.4Pottawattamie County: 0.4 %Pottawattamie County0.4Buchanan County: 0.3 %Buchanan County0.3Ringgold County: 0.3 %Ringgold County0.3Scott County: 0.3 %Scott County0.3Carroll County: 0.3 %Carroll County0.3Van Buren County: 0.3 %Van Buren County0.3Wapello County: 0.3 %Wapello County0.3Polk County: 0.3 %Polk County0.3Winneshiek County: 0.3 %Winneshiek County0.3Cherokee County: 0.3 %Cherokee County0.3Clinton County: 0.3 %Clinton County0.3Linn County: 0.3 %Linn County0.3Dallas County: 0.3 %Dallas County0.3Marion County: 0.2 %Marion County0.2Davis County: 4.4 %Davis County4.4Madison County: 1.6 %Madison County1.6Delaware County: 1.5 %Delaware County1.5Ida County: 1.4 %Ida County1.4Webster County: 1.4 %Webster County1.4Wayne County: 1.1 %Wayne County1.1Keokuk County: 1.1 %Keokuk County1.1Tama County: 1 %Tama County1Woodbury County: 0.9 %Woodbury County0.9Pocahontas County: 0.9 %Pocahontas County0.9Allamakee County: 0.8 %Allamakee County0.8Johnson County: 0.7 %Johnson County0.7Louisa County: 0.7 %Louisa County0.7Des Moines County: 0.7 %Des Moines County0.7Franklin County: 0.7 %Franklin County0.7Washington County: 0.6 %Washington County0.6Crawford County: 0.6 %Crawford County0.6Jefferson County: 0.6 %Jefferson County0.6Marshall County: 0.5 %Marshall County0.5Story County: 0.5 %Story County0.5Warren County: 0.5 %Warren County0.5Calhoun County: 0.5 %Calhoun County0.5Clayton County: 0.5 %Clayton County0.5Guthrie County: 0.4 %Guthrie County0.4Appanoose County: 0.4 %Appanoose County0.4Cedar County: 0.4 %Cedar County0.4Pottawattamie County: 0.4 %Pottawattamie County0.4Buchanan County: 0.3 %Buchanan County0.3Ringgold County: 0.3 %Ringgold County0.3Scott County: 0.3 %Scott County0.3Carroll County: 0.3 %Carroll County0.3Van Buren County: 0.3 %Van Buren County0.3Wapello County: 0.3 %Wapello County0.3Polk County: 0.3 %Polk County0.3Winneshiek County: 0.3 %Winneshiek County0.3Cherokee County: 0.3 %Cherokee County0.3Clinton County: 0.3 %Clinton County0.3Linn County: 0.3 %Linn County0.3Dallas County: 0.3 %Dallas County0.3Marion County: 0.2 %Marion County0.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Davis County4.4-1.5 pts
2Madison County1.6+1.6 pts
3Delaware County1.5+1.4 pts
4Ida County1.4+0.9 pts
4Webster County1.4-0.2 pts
6Wayne County1.1+0.7 pts
7Keokuk County1.1+0.3 pts
8Tama County1+0.4 pts
9Woodbury County0.9-0.1 pts
10Pocahontas County0.9+0.5 pts
11Allamakee County0.8+0.1 pts
12Johnson County0.7-0.3 pts
13Louisa County0.7+0.1 pts
14Des Moines County0.70 pts
15Franklin County0.70 pts
16Washington County0.6+0.5 pts
17Crawford County0.6+0.1 pts
17Jefferson County0.6-1.6 pts
19Marshall County0.5+0.5 pts
20Story County0.50 pts
20Warren County0.5+0.1 pts
22Calhoun County0.5+0.1 pts
23Clayton County0.50 pts
24Guthrie County0.4+0.1 pts
25Appanoose County0.40 pts
26Cedar County0.4-0 pts
27Pottawattamie County0.4-0.1 pts
28Buchanan County0.3-1.2 pts
28Ringgold County0.3+0.3 pts
28Scott County0.3+0.2 pts
31Carroll County0.3+0.1 pts
32Van Buren County0.30 pts
32Wapello County0.3+0.1 pts
34Polk County0.30 pts
34Winneshiek County0.3-0.1 pts
36Cherokee County0.30 pts
36Clinton County0.3+0.3 pts
36Linn County0.3-0 pts
39Dallas County0.30 pts
40Marion County0.2-0.1 pts
41Wright County0.20 pts
42Adair County0.2-0.1 pts
42Decatur County0.2+0.1 pts
42Grundy County0.2+0.2 pts
45Worth County0.2+0.1 pts
46Kossuth County0.2+0.1 pts
46Winnebago County0.2-0.1 pts
48Dubuque County0.20 pts
49Lee County0.20 pts
50Henry County0.10 pts
51Jasper County0.1+0.1 pts
52Sioux County0.10 pts
53Butler County0.1-0.1 pts
53Mitchell County0.1+0.1 pts
53Muscatine County0.10 pts
56Cerro Gordo County0.1+0.1 pts
57Boone County0.10 pts
57Osceola County0.10 pts
57Taylor County0.1-1.3 pts
60Fremont County0.10 pts
60Hamilton County0.1-0.1 pts
62Howard County0.1-1.2 pts
62Palo Alto County0.1-0.1 pts
64Sac County0.10 pts
65Union County0-0 pts
66Mahaska County00 pts
67Bremer County00 pts
67Fayette County0-0 pts
67Jones County00 pts
70Adams County00 pts
70Audubon County00 pts
70Benton County00 pts
70Black Hawk County00 pts
70Buena Vista County0-0.2 pts
70Cass County00 pts
70Chickasaw County00 pts
70Clarke County00 pts
70Clay County00 pts
70Dickinson County00 pts
70Emmet County00 pts
70Floyd County00 pts
70Greene County00 pts
70Hancock County00 pts
70Hardin County00 pts
70Harrison County00 pts
70Humboldt County00 pts
70Iowa County0-0 pts
70Jackson County00 pts
70Lucas County00 pts
70Lyon County00 pts
70Mills County00 pts
70Monona County00 pts
70Monroe County00 pts
70Montgomery County00 pts
70O'Brien County00 pts
70Page County00 pts
70Plymouth County00 pts
70Poweshiek County00 pts
70Shelby 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 Iowa 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 Iowa 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/iowa-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 Iowa 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/iowa-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 Iowa 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/iowa-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_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 Iowa 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/iowa-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 Iowa 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/iowa-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/iowa-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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Rank Counties in Iowa by uninsured rate, 65 and over (US, ACS) using official data, and cite the source.
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Questions

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

Davis County, with 4.4% in 2023, according to the U.S. Census Bureau.

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

Shelby 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 Iowa: more rankings