Data / Rankings / Uninsured rate, 65 and over (US, ACS) / Counties in North Carolina

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

Pitt County had the highest uninsured rate, 65 and over (US, ACS) of 100 counties in 2021, at 1.8%. Watauga County had the lowest, at 0%. The median was 0.3% and the figure for North Carolina was 0.6%. Source: the U.S. Census Bureau.

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Highest1.8Pitt County
Lowest0Watauga County
Median0.3100 counties
North Carolina0.6History

Map of counties, 2021

Alamance County: 0.9 %Alexander County: 0 %Alleghany County: 0.3 %Anson County: 0 %Ashe County: 0.2 %Avery County: 0 %Beaufort County: 0 %Bertie County: 0.4 %Bladen County: 0.6 %Brunswick County: 0.1 %Buncombe County: 0.2 %Burke County: 0.1 %Cabarrus County: 0.2 %Caldwell County: 0.4 %Camden County: 0 %Carteret County: 0.1 %Caswell County: 0.1 %Catawba County: 0.3 %Chatham County: 0.8 %Cherokee County: 0.2 %Chowan County: 0 %Clay County: 0 %Cleveland County: 0.6 %Columbus County: 0.8 %Craven County: 1.3 %Cumberland County: 0.3 %Currituck County: 0 %Dare County: 0 %Davidson County: 0.2 %Davie County: 0 %Duplin County: 1.3 %Durham County: 1.6 %Edgecombe County: 0.2 %Forsyth County: 0.4 %Franklin County: 0.3 %Gaston County: 0.2 %Gates County: 0 %Graham County: 0.7 %Granville County: 0 %Greene County: 1.5 %Guilford County: 0.7 %Halifax County: 0.1 %Harnett County: 0.7 %Haywood County: 0.4 %Henderson County: 0.3 %Hertford County: 0.7 %Hoke County: 0.1 %Hyde County: 0 %Iredell County: 0.2 %Jackson County: 0.8 %Johnston County: 0.6 %Jones County: 1 %Lee County: 0.4 %Lenoir County: 0 %Lincoln County: 0.3 %McDowell County: 0.7 %Macon County: 0.7 %Madison County: 0.1 %Martin County: 0 %Mecklenburg County: 1.1 %Mitchell County: 0 %Montgomery County: 0.3 %Moore County: 0.1 %Nash County: 0.1 %New Hanover County: 0.6 %Northampton County: 0.6 %Onslow County: 0 %Orange County: 0.7 %Pamlico County: 0 %Pasquotank County: 0.2 %Pender County: 0.3 %Perquimans County: 0 %Person County: 0.4 %Pitt County: 1.8 %Polk County: 0.1 %Randolph County: 0.3 %Richmond County: 0.4 %Robeson County: 1 %Rockingham County: 0.3 %Rowan County: 0.2 %Rutherford County: 0.8 %Sampson County: 0.7 %Scotland County: 0 %Stanly County: 1.4 %Stokes County: 0.5 %Surry County: 1.3 %Swain County: 0 %Transylvania County: 0.2 %Tyrrell County: 0 %Union County: 0.5 %Vance County: 0.2 %Wake County: 1.1 %Warren County: 0 %Washington County: 0 %Watauga County: 0 %Wayne County: 0.3 %Wilkes County: 1 %Wilson County: 0.5 %Yadkin County: 0.4 %Yancey County: 0.5 %
  • Under 0.1
  • 0.1 to 0.3
  • 0.3 to 0.5
  • 0.5 to 0.8
  • 0.8 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Pitt County: 1.8 %Pitt County1.8Durham County: 1.6 %Durham County1.6Greene County: 1.5 %Greene County1.5Stanly County: 1.4 %Stanly County1.4Craven County: 1.3 %Craven County1.3Surry County: 1.3 %Surry County1.3Duplin County: 1.3 %Duplin County1.3Mecklenburg County: 1.1 %Mecklenburg County1.1Wake County: 1.1 %Wake County1.1Jones County: 1 %Jones County1Wilkes County: 1 %Wilkes County1Robeson County: 1 %Robeson County1Alamance County: 0.9 %Alamance County0.9Jackson County: 0.8 %Jackson County0.8Columbus County: 0.8 %Columbus County0.8Rutherford County: 0.8 %Rutherford County0.8Chatham County: 0.8 %Chatham County0.8McDowell County: 0.7 %McDowell County0.7Harnett County: 0.7 %Harnett County0.7Macon County: 0.7 %Macon County0.7Orange County: 0.7 %Orange County0.7Hertford County: 0.7 %Hertford County0.7Graham County: 0.7 %Graham County0.7Guilford County: 0.7 %Guilford County0.7Sampson County: 0.7 %Sampson County0.7Bladen County: 0.6 %Bladen County0.6New Hanover County: 0.6 %New Hanover County0.6Johnston County: 0.6 %Johnston County0.6Cleveland County: 0.6 %Cleveland County0.6Northampton County: 0.6 %Northampton County0.6Wilson County: 0.5 %Wilson County0.5Union County: 0.5 %Union County0.5Yancey County: 0.5 %Yancey County0.5Stokes County: 0.5 %Stokes County0.5Bertie County: 0.4 %Bertie County0.4Person County: 0.4 %Person County0.4Richmond County: 0.4 %Richmond County0.4Forsyth County: 0.4 %Forsyth County0.4Caldwell County: 0.4 %Caldwell County0.4Lee County: 0.4 %Lee County0.4Pitt County: 1.8 %Pitt County1.8Durham County: 1.6 %Durham County1.6Greene County: 1.5 %Greene County1.5Stanly County: 1.4 %Stanly County1.4Craven County: 1.3 %Craven County1.3Surry County: 1.3 %Surry County1.3Duplin County: 1.3 %Duplin County1.3Mecklenburg County: 1.1 %Mecklenburg County1.1Wake County: 1.1 %Wake County1.1Jones County: 1 %Jones County1Wilkes County: 1 %Wilkes County1Robeson County: 1 %Robeson County1Alamance County: 0.9 %Alamance County0.9Jackson County: 0.8 %Jackson County0.8Columbus County: 0.8 %Columbus County0.8Rutherford County: 0.8 %Rutherford County0.8Chatham County: 0.8 %Chatham County0.8McDowell County: 0.7 %McDowell County0.7Harnett County: 0.7 %Harnett County0.7Macon County: 0.7 %Macon County0.7Orange County: 0.7 %Orange County0.7Hertford County: 0.7 %Hertford County0.7Graham County: 0.7 %Graham County0.7Guilford County: 0.7 %Guilford County0.7Sampson County: 0.7 %Sampson County0.7Bladen County: 0.6 %Bladen County0.6New Hanover County: 0.6 %New Hanover County0.6Johnston County: 0.6 %Johnston County0.6Cleveland County: 0.6 %Cleveland County0.6Northampton County: 0.6 %Northampton County0.6Wilson County: 0.5 %Wilson County0.5Union County: 0.5 %Union County0.5Yancey County: 0.5 %Yancey County0.5Stokes County: 0.5 %Stokes County0.5Bertie County: 0.4 %Bertie County0.4Person County: 0.4 %Person County0.4Richmond County: 0.4 %Richmond County0.4Forsyth County: 0.4 %Forsyth County0.4Caldwell County: 0.4 %Caldwell County0.4Lee County: 0.4 %Lee County0.4
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Pitt County1.8
2Durham County1.6
3Greene County1.5
4Stanly County1.4
5Craven County1.3
6Surry County1.3
7Duplin County1.3
8Mecklenburg County1.1
8Wake County1.1
10Jones County1
10Wilkes County1
12Robeson County1
13Alamance County0.9
14Jackson County0.8
15Columbus County0.8
16Rutherford County0.8
17Chatham County0.8
18McDowell County0.7
19Harnett County0.7
19Macon County0.7
19Orange County0.7
22Hertford County0.7
23Graham County0.7
23Guilford County0.7
25Sampson County0.7
26Bladen County0.6
27New Hanover County0.6
28Johnston County0.6
29Cleveland County0.6
30Northampton County0.6
31Wilson County0.5
32Union County0.5
33Yancey County0.5
34Stokes County0.5
35Bertie County0.4
36Person County0.4
36Richmond County0.4
38Forsyth County0.4
39Caldwell County0.4
39Lee County0.4
39Yadkin County0.4
42Haywood County0.4
43Cumberland County0.3
43Franklin County0.3
43Pender County0.3
43Wayne County0.3
47Rockingham County0.3
48Catawba County0.3
49Randolph County0.3
50Alleghany County0.3
51Lincoln County0.3
52Henderson County0.3
52Montgomery County0.3
54Cherokee County0.2
54Gaston County0.2
56Cabarrus County0.2
57Davidson County0.2
58Edgecombe County0.2
59Iredell County0.2
59Transylvania County0.2
59Vance County0.2
62Ashe County0.2
62Buncombe County0.2
62Pasquotank County0.2
62Rowan County0.2
66Hoke County0.1
67Brunswick County0.1
67Nash County0.1
69Polk County0.1
70Madison County0.1
71Carteret County0.1
71Moore County0.1
73Halifax County0.1
74Caswell County0.1
75Burke County0.1
76Onslow County0
76Warren County0
78Avery County0
78Lenoir County0
78Scotland County0
81Beaufort County0
82Alexander County0
82Anson County0
82Camden County0
82Chowan County0
82Clay County0
82Currituck County0
82Dare County0
82Davie County0
82Gates County0
82Granville County0
82Hyde County0
82Martin County0
82Mitchell County0
82Pamlico County0
82Perquimans County0
82Swain County0
82Tyrrell County0
82Washington County0
82Watauga County0

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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021. 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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021.

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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_north_carolina_2021,
  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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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 North Carolina by uninsured rate, 65 and over (US, ACS), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/north-carolina-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
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Questions

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

Pitt County, with 1.8% in 2021, according to the U.S. Census Bureau.

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

Watauga County, with 0% in 2021.

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 North Carolina: more rankings