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

Scotland County had the highest uninsured rate, 65 and over (US, ACS) of 115 counties in 2023, at 4.7%. Worth County had the lowest, at 0%. The median was 0.3% and the figure for Missouri was 0.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest4.7Scotland County
Median0.3115 counties
Missouri0.5History

Map of counties, 2023

Adair County: 0.5 %Andrew County: 0 %Atchison County: 0 %Audrain County: 1.4 %Barry County: 1 %Barton County: 0.9 %Bates County: 0.5 %Benton County: 0.5 %Bollinger County: 0 %Boone County: 0.4 %Buchanan County: 0 %Butler County: 0 %Caldwell County: 0.3 %Callaway County: 0 %Camden County: 0.2 %Cape Girardeau County: 0.2 %Carroll County: 0.6 %Carter County: 0.6 %Cass County: 0.1 %Cedar County: 1.4 %Chariton County: 0 %Christian County: 0.2 %Clark County: 0.5 %Clay County: 0.2 %Clinton County: 0 %Cole County: 0.1 %Cooper County: 0.2 %Crawford County: 0 %Dade County: 2 %Dallas County: 0.7 %Daviess County: 0.3 %DeKalb County: 0.5 %Dent County: 0.2 %Douglas County: 1.6 %Dunklin County: 0.3 %Franklin County: 0.3 %Gasconade County: 0 %Gentry County: 0 %Greene County: 0.7 %Grundy County: 1.5 %Harrison County: 0 %Henry County: 0.3 %Hickory County: 0 %Holt County: 0.1 %Howard County: 1.5 %Howell County: 0.3 %Iron County: 0 %Jackson County: 0.8 %Jasper County: 0.8 %Jefferson County: 0.5 %Johnson County: 0 %Knox County: 0.7 %Laclede County: 0.6 %Lafayette County: 0.6 %Lawrence County: 0.1 %Lewis County: 0.3 %Lincoln County: 0.3 %Linn County: 0 %Livingston County: 0 %McDonald County: 2.9 %Macon County: 2 %Madison County: 0.4 %Maries County: 0 %Marion County: 0 %Mercer County: 1.3 %Miller County: 0 %Mississippi County: 0 %Moniteau County: 0.9 %Monroe County: 1.2 %Montgomery County: 1.7 %Morgan County: 2.3 %New Madrid County: 0.5 %Newton County: 0.5 %Nodaway County: 0.3 %Oregon County: 0 %Osage County: 0 %Ozark County: 0.8 %Pemiscot County: 1.2 %Perry County: 0 %Pettis County: 1.2 %Phelps County: 0.5 %Pike County: 0.4 %Platte County: 0.2 %Polk County: 0.3 %Pulaski County: 0 %Putnam County: 0 %Ralls County: 0 %Randolph County: 0 %Ray County: 1 %Reynolds County: 0.9 %Ripley County: 0.2 %St. Charles County: 0.2 %St. Clair County: 0 %Ste. Genevieve County: 0.9 %St. Francois County: 0 %St. Louis County: 0.4 %Saline County: 0.3 %Schuyler County: 0.1 %Scotland County: 4.7 %Scott County: 0.6 %Shannon County: 0 %Shelby County: 0 %Stoddard County: 0.9 %Stone County: 0.5 %Sullivan County: 0.2 %Taney County: 0.2 %Texas County: 1.7 %Vernon County: 0.3 %Warren County: 0.3 %Washington County: 0.4 %Wayne County: 0 %Webster County: 0.1 %Worth County: 0 %Wright County: 0.3 %St. Louis city: 0.7 %
  • Under 0.1
  • 0.1 to 0.3
  • 0.3 to 0.5
  • 0.5 to 0.9
  • 0.9 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

Scotland County: 4.7 %Scotland County4.7McDonald County: 2.9 %McDonald County2.9Morgan County: 2.3 %Morgan County2.3Dade County: 2 %Dade County2Macon County: 2 %Macon County2Texas County: 1.7 %Texas County1.7Montgomery County: 1.7 %Montgomery County1.7Douglas County: 1.6 %Douglas County1.6Howard County: 1.5 %Howard County1.5Grundy County: 1.5 %Grundy County1.5Cedar County: 1.4 %Cedar County1.4Audrain County: 1.4 %Audrain County1.4Mercer County: 1.3 %Mercer County1.3Monroe County: 1.2 %Monroe County1.2Pettis County: 1.2 %Pettis County1.2Pemiscot County: 1.2 %Pemiscot County1.2Barry County: 1 %Barry County1Ray County: 1 %Ray County1Barton County: 0.9 %Barton County0.9Ste. Genevieve County: 0.9 %Ste. Genevieve County0.9Moniteau County: 0.9 %Moniteau County0.9Reynolds County: 0.9 %Reynolds County0.9Stoddard County: 0.9 %Stoddard County0.9Jasper County: 0.8 %Jasper County0.8Ozark County: 0.8 %Ozark County0.8Jackson County: 0.8 %Jackson County0.8Dallas County: 0.7 %Dallas County0.7St. Louis city: 0.7 %St. Louis city0.7Knox County: 0.7 %Knox County0.7Greene County: 0.7 %Greene County0.7Scott County: 0.6 %Scott County0.6Carroll County: 0.6 %Carroll County0.6Carter County: 0.6 %Carter County0.6Lafayette County: 0.6 %Lafayette County0.6Laclede County: 0.6 %Laclede County0.6Adair County: 0.5 %Adair County0.5Bates County: 0.5 %Bates County0.5DeKalb County: 0.5 %DeKalb County0.5Newton County: 0.5 %Newton County0.5Jefferson County: 0.5 %Jefferson County0.5Scotland County: 4.7 %Scotland County4.7McDonald County: 2.9 %McDonald County2.9Morgan County: 2.3 %Morgan County2.3Dade County: 2 %Dade County2Macon County: 2 %Macon County2Texas County: 1.7 %Texas County1.7Montgomery County: 1.7 %Montgomery County1.7Douglas County: 1.6 %Douglas County1.6Howard County: 1.5 %Howard County1.5Grundy County: 1.5 %Grundy County1.5Cedar County: 1.4 %Cedar County1.4Audrain County: 1.4 %Audrain County1.4Mercer County: 1.3 %Mercer County1.3Monroe County: 1.2 %Monroe County1.2Pettis County: 1.2 %Pettis County1.2Pemiscot County: 1.2 %Pemiscot County1.2Barry County: 1 %Barry County1Ray County: 1 %Ray County1Barton County: 0.9 %Barton County0.9Ste. Genevieve County: 0.9 %Ste. Genevieve County0.9Moniteau County: 0.9 %Moniteau County0.9Reynolds County: 0.9 %Reynolds County0.9Stoddard County: 0.9 %Stoddard County0.9Jasper County: 0.8 %Jasper County0.8Ozark County: 0.8 %Ozark County0.8Jackson County: 0.8 %Jackson County0.8Dallas County: 0.7 %Dallas County0.7St. Louis city: 0.7 %St. Louis city0.7Knox County: 0.7 %Knox County0.7Greene County: 0.7 %Greene County0.7Scott County: 0.6 %Scott County0.6Carroll County: 0.6 %Carroll County0.6Carter County: 0.6 %Carter County0.6Lafayette County: 0.6 %Lafayette County0.6Laclede County: 0.6 %Laclede County0.6Adair County: 0.5 %Adair County0.5Bates County: 0.5 %Bates County0.5DeKalb County: 0.5 %DeKalb County0.5Newton County: 0.5 %Newton County0.5Jefferson County: 0.5 %Jefferson County0.5
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Scotland County4.7+3 pts
2McDonald County2.9-0.6 pts
3Morgan County2.3+0.2 pts
4Dade County2-0.1 pts
4Macon County2+0.2 pts
6Texas County1.7-0.3 pts
7Montgomery County1.7-0.2 pts
8Douglas County1.6-0.5 pts
9Howard County1.5-0.3 pts
10Grundy County1.5+1.2 pts
11Cedar County1.4+0.2 pts
12Audrain County1.4+0.6 pts
13Mercer County1.3-1.2 pts
14Monroe County1.2+0.1 pts
15Pettis County1.2+0.1 pts
16Pemiscot County1.2+0.6 pts
17Barry County1+0.4 pts
17Ray County10 pts
19Barton County0.9-0.7 pts
20Ste. Genevieve County0.9-0.4 pts
21Moniteau County0.9-0 pts
22Reynolds County0.9+0.9 pts
23Stoddard County0.9+0.2 pts
24Jasper County0.8+0.1 pts
24Ozark County0.8-0.1 pts
26Jackson County0.8+0.1 pts
27Dallas County0.7+0.3 pts
28St. Louis city0.7-0.2 pts
29Knox County0.7+0.3 pts
30Greene County0.7+0.1 pts
31Scott County0.6+0.2 pts
32Carroll County0.6-0.1 pts
33Carter County0.6+0.6 pts
34Lafayette County0.6-0.6 pts
35Laclede County0.6+0.6 pts
36Adair County0.5-0.1 pts
36Bates County0.5+0.2 pts
38DeKalb County0.5+0.2 pts
39Newton County0.5-0.3 pts
40Jefferson County0.5+0.1 pts
40New Madrid County0.5-0.2 pts
42Clark County0.5+0.5 pts
42Phelps County0.5+0.2 pts
42Stone County0.5+0.1 pts
45Benton County0.50 pts
46Madison County0.40 pts
47St. Louis County0.4-0 pts
48Boone County0.4+0.1 pts
48Washington County0.4-0.1 pts
50Pike County0.4+0.4 pts
51Howell County0.3+0.1 pts
52Dunklin County0.3-0.2 pts
53Nodaway County0.3-0.3 pts
54Lincoln County0.30 pts
55Caldwell County0.30 pts
56Daviess County0.3-0.1 pts
56Franklin County0.3+0.1 pts
56Lewis County0.3+0.1 pts
56Saline County0.30 pts
56Vernon County0.3-1.4 pts
61Warren County0.3-0 pts
62Henry County0.3-0.1 pts
63Polk County0.3-0.3 pts
63Wright County0.30 pts
65Clay County0.20 pts
66Camden County0.2+0.1 pts
66Cape Girardeau County0.2-0 pts
66Ripley County0.2-0.1 pts
69St. Charles County0.20 pts
70Taney County0.2+0.2 pts
71Dent County0.2+0.2 pts
72Christian County0.2+0.1 pts
72Sullivan County0.2+0.2 pts
74Cooper County0.2-0 pts
74Platte County0.2+0.1 pts
76Cole County0.10 pts
76Schuyler County0.10 pts
78Holt County0.10 pts
79Cass County0.1-0.1 pts
80Lawrence County0.1+0.1 pts
80Webster County0.10 pts
82Buchanan County0-0 pts
82Crawford County0-0.1 pts
82Linn County00 pts
82Livingston County00 pts
82Miller County0-0 pts
82Osage County00 pts
82Pulaski County00 pts
89Callaway County00 pts
90Andrew County00 pts
90Atchison County00 pts
90Bollinger County00 pts
90Butler County00 pts
90Chariton County00 pts
90Clinton County00 pts
90Gasconade County00 pts
90Gentry County0-0.9 pts
90Harrison County00 pts
90Hickory County0-0.6 pts
90Iron County00 pts
90Johnson County0-0.5 pts
90Maries County00 pts
90Marion County0-0.2 pts
90Mississippi County0-0.1 pts
90Oregon County0-0.7 pts
90Perry County00 pts
90Putnam County00 pts
90Ralls County00 pts
90Randolph County0-0.1 pts
90Shannon County00 pts
90Shelby County00 pts
90St. Clair County0-0.3 pts
90St. Francois County00 pts
90Wayne County0-1.1 pts
90Worth 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/missouri-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)?

Scotland County, with 4.7% in 2023, according to the U.S. Census Bureau.

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

Worth 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 Missouri: more rankings