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

Buffalo County had the highest uninsured rate, 65 and over (US, ACS) of 66 counties in 2021, at 10.1%. Yankton County had the lowest, at 0%. The median was 0.1% and the figure for South Dakota was 0.3%. Source: the U.S. Census Bureau.

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Highest10.1Buffalo County
Median0.166 counties
South Dakota0.3History

Map of counties, 2021

Aurora County: 0 %Beadle County: 0.2 %Bennett County: 0 %Bon Homme County: 0 %Brookings County: 0.2 %Brown County: 0 %Brule County: 0.1 %Buffalo County: 10.1 %Butte County: 0.1 %Campbell County: 0.3 %Charles Mix County: 1.5 %Clark County: 0.4 %Clay County: 0 %Codington County: 0.4 %Corson County: 0.7 %Custer County: 0 %Davison County: 0 %Day County: 0.8 %Deuel County: 0.5 %Dewey County: 0 %Douglas County: 2.1 %Edmunds County: 0 %Fall River County: 1.4 %Faulk County: 0 %Grant County: 0 %Gregory County: 0.1 %Haakon County: 0 %Hamlin County: 0 %Hand County: 0 %Hanson County: 0.6 %Harding County: 0 %Hughes County: 0.3 %Hutchinson County: 0.1 %Hyde County: 0 %Jackson County: 1.2 %Jerauld County: 0 %Jones County: 0 %Kingsbury County: 0 %Lake County: 0.1 %Lawrence County: 0 %Lincoln County: 0 %Lyman County: 1.5 %McCook County: 0.2 %McPherson County: 0.2 %Marshall County: 2.2 %Meade County: 0 %Mellette County: 1.2 %Miner County: 0 %Minnehaha County: 0.3 %Moody County: 0.3 %Oglala Lakota County: 0 %Pennington County: 0.1 %Perkins County: 0 %Potter County: 0 %Roberts County: 0.5 %Sanborn County: 0 %Spink County: 0 %Stanley County: 1.6 %Sully County: 0 %Todd County: 4.9 %Tripp County: 0 %Turner County: 0 %Union County: 0 %Walworth County: 0.3 %Yankton County: 0 %Ziebach County: 4.8 %
  • Under 0.1
  • 0.1 to 0.3
  • 0.3 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

Buffalo County: 10.1 %Buffalo County10.1Todd County: 4.9 %Todd County4.9Ziebach County: 4.8 %Ziebach County4.8Marshall County: 2.2 %Marshall County2.2Douglas County: 2.1 %Douglas County2.1Stanley County: 1.6 %Stanley County1.6Charles Mix County: 1.5 %Charles Mix County1.5Lyman County: 1.5 %Lyman County1.5Fall River County: 1.4 %Fall River County1.4Jackson County: 1.2 %Jackson County1.2Mellette County: 1.2 %Mellette County1.2Day County: 0.8 %Day County0.8Corson County: 0.7 %Corson County0.7Hanson County: 0.6 %Hanson County0.6Roberts County: 0.5 %Roberts County0.5Deuel County: 0.5 %Deuel County0.5Codington County: 0.4 %Codington County0.4Clark County: 0.4 %Clark County0.4Walworth County: 0.3 %Walworth County0.3Minnehaha County: 0.3 %Minnehaha County0.3Hughes County: 0.3 %Hughes County0.3Campbell County: 0.3 %Campbell County0.3Moody County: 0.3 %Moody County0.3Beadle County: 0.2 %Beadle County0.2McCook County: 0.2 %McCook County0.2McPherson County: 0.2 %McPherson County0.2Brookings County: 0.2 %Brookings County0.2Pennington County: 0.1 %Pennington County0.1Hutchinson County: 0.1 %Hutchinson County0.1Brule County: 0.1 %Brule County0.1Butte County: 0.1 %Butte County0.1Gregory County: 0.1 %Gregory County0.1Lake County: 0.1 %Lake County0.1Union County: 0 %Union County0Aurora County: 0 %Aurora County0Bennett County: 0 %Bennett County0Bon Homme County: 0 %Bon Homme County0Brown County: 0 %Brown County0Clay County: 0 %Clay County0Custer County: 0 %Custer County0Buffalo County: 10.1 %Buffalo County10.1Todd County: 4.9 %Todd County4.9Ziebach County: 4.8 %Ziebach County4.8Marshall County: 2.2 %Marshall County2.2Douglas County: 2.1 %Douglas County2.1Stanley County: 1.6 %Stanley County1.6Charles Mix County: 1.5 %Charles Mix County1.5Lyman County: 1.5 %Lyman County1.5Fall River County: 1.4 %Fall River County1.4Jackson County: 1.2 %Jackson County1.2Mellette County: 1.2 %Mellette County1.2Day County: 0.8 %Day County0.8Corson County: 0.7 %Corson County0.7Hanson County: 0.6 %Hanson County0.6Roberts County: 0.5 %Roberts County0.5Deuel County: 0.5 %Deuel County0.5Codington County: 0.4 %Codington County0.4Clark County: 0.4 %Clark County0.4Walworth County: 0.3 %Walworth County0.3Minnehaha County: 0.3 %Minnehaha County0.3Hughes County: 0.3 %Hughes County0.3Campbell County: 0.3 %Campbell County0.3Moody County: 0.3 %Moody County0.3Beadle County: 0.2 %Beadle County0.2McCook County: 0.2 %McCook County0.2McPherson County: 0.2 %McPherson County0.2Brookings County: 0.2 %Brookings County0.2Pennington County: 0.1 %Pennington County0.1Hutchinson County: 0.1 %Hutchinson County0.1Brule County: 0.1 %Brule County0.1Butte County: 0.1 %Butte County0.1Gregory County: 0.1 %Gregory County0.1Lake County: 0.1 %Lake County0.1Union County: 0 %Union County0Aurora County: 0 %Aurora County0Bennett County: 0 %Bennett County0Bon Homme County: 0 %Bon Homme County0Brown County: 0 %Brown County0Clay County: 0 %Clay County0Custer County: 0 %Custer County0
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

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 South Dakota 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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_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 South Dakota 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/south-dakota-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 South Dakota 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/south-dakota-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/south-dakota-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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Rank Counties in South Dakota 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)?

Buffalo County, with 10.1% in 2021, according to the U.S. Census Bureau.

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

Yankton 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 South Dakota: more rankings