Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024

Elgin, TX had the highest uninsured rate, 65 and over (US, ACS) of 256 cities in 2024, at 20.5%. Webster, TX had the lowest, at 0%. The median was 1.1% and the figure for Texas was 1.9%. Source: the U.S. Census Bureau.

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Highest20.5Elgin, TX
Median1.1256 cities
Texas1.9History

Top 40 cities, 2024

Elgin, TX: 20.5 %Elgin, TX20.5Galena Park, TX: 14.8 %Galena Park, TX14.8Groves, TX: 8.4 %Groves, TX8.4Dumas, TX: 7.6 %Dumas, TX7.6Red Oak, TX: 6.9 %Red Oak, TX6.9Katy, TX: 6.9 %Katy, TX6.9South Houston, TX: 6 %South Houston, TX6Hidalgo, TX: 6 %Hidalgo, TX6Kilgore, TX: 5.6 %Kilgore, TX5.6Andrews, TX: 5.5 %Andrews, TX5.5Laredo, TX: 5.5 %Laredo, TX5.5Eagle Pass, TX: 4.8 %Eagle Pass, TX4.8Helotes, TX: 4.7 %Helotes, TX4.7Pharr, TX: 4.6 %Pharr, TX4.6San Juan, TX: 4.5 %San Juan, TX4.5Brownsville, TX: 4.5 %Brownsville, TX4.5San Elizario, TX: 4.4 %San Elizario, TX4.4McAllen, TX: 4.3 %McAllen, TX4.3Irving, TX: 4.3 %Irving, TX4.3Forest Hill, TX: 4.3 %Forest Hill, TX4.3Tomball, TX: 4.1 %Tomball, TX4.1Garland, TX: 4.1 %Garland, TX4.1Ennis, TX: 4.1 %Ennis, TX4.1Hutto, TX: 3.9 %Hutto, TX3.9Grand Prairie, TX: 3.8 %Grand Prairie, TX3.8Coppell, TX: 3.8 %Coppell, TX3.8Houston, TX: 3.8 %Houston, TX3.8Palmview, TX: 3.7 %Palmview, TX3.7Edinburg, TX: 3.7 %Edinburg, TX3.7Weslaco, TX: 3.7 %Weslaco, TX3.7Frisco, TX: 3.7 %Frisco, TX3.7Kaufman, TX: 3.7 %Kaufman, TX3.7Wylie, TX: 3.6 %Wylie, TX3.6Roma, TX: 3.6 %Roma, TX3.6Pasadena, TX: 3.5 %Pasadena, TX3.5Princeton, TX: 3.5 %Princeton, TX3.5Pleasanton, TX: 3.4 %Pleasanton, TX3.4Mission, TX: 3.3 %Mission, TX3.3Little Elm, TX: 3.3 %Little Elm, TX3.3Fulshear, TX: 3.1 %Fulshear, TX3.1Elgin, TX: 20.5 %Elgin, TX20.5Galena Park, TX: 14.8 %Galena Park, TX14.8Groves, TX: 8.4 %Groves, TX8.4Dumas, TX: 7.6 %Dumas, TX7.6Red Oak, TX: 6.9 %Red Oak, TX6.9Katy, TX: 6.9 %Katy, TX6.9South Houston, TX: 6 %South Houston, TX6Hidalgo, TX: 6 %Hidalgo, TX6Kilgore, TX: 5.6 %Kilgore, TX5.6Andrews, TX: 5.5 %Andrews, TX5.5Laredo, TX: 5.5 %Laredo, TX5.5Eagle Pass, TX: 4.8 %Eagle Pass, TX4.8Helotes, TX: 4.7 %Helotes, TX4.7Pharr, TX: 4.6 %Pharr, TX4.6San Juan, TX: 4.5 %San Juan, TX4.5Brownsville, TX: 4.5 %Brownsville, TX4.5San Elizario, TX: 4.4 %San Elizario, TX4.4McAllen, TX: 4.3 %McAllen, TX4.3Irving, TX: 4.3 %Irving, TX4.3Forest Hill, TX: 4.3 %Forest Hill, TX4.3Tomball, TX: 4.1 %Tomball, TX4.1Garland, TX: 4.1 %Garland, TX4.1Ennis, TX: 4.1 %Ennis, TX4.1Hutto, TX: 3.9 %Hutto, TX3.9Grand Prairie, TX: 3.8 %Grand Prairie, TX3.8Coppell, TX: 3.8 %Coppell, TX3.8Houston, TX: 3.8 %Houston, TX3.8Palmview, TX: 3.7 %Palmview, TX3.7Edinburg, TX: 3.7 %Edinburg, TX3.7Weslaco, TX: 3.7 %Weslaco, TX3.7Frisco, TX: 3.7 %Frisco, TX3.7Kaufman, TX: 3.7 %Kaufman, TX3.7Wylie, TX: 3.6 %Wylie, TX3.6Roma, TX: 3.6 %Roma, TX3.6Pasadena, TX: 3.5 %Pasadena, TX3.5Princeton, TX: 3.5 %Princeton, TX3.5Pleasanton, TX: 3.4 %Pleasanton, TX3.4Mission, TX: 3.3 %Mission, TX3.3Little Elm, TX: 3.3 %Little Elm, TX3.3Fulshear, TX: 3.1 %Fulshear, TX3.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2024 (%)Change on 2023
1Elgin, TX20.5-3 pts
2Galena Park, TX14.8+2.2 pts
3Groves, TX8.4+0.6 pts
4Dumas, TX7.6+3.9 pts
5Red Oak, TX6.9+2.8 pts
6Katy, TX6.9+1.6 pts
7South Houston, TX6+0.5 pts
8Hidalgo, TX6-0.2 pts
9Kilgore, TX5.6+2.5 pts
10Andrews, TX5.5+0.7 pts
10Laredo, TX5.5+0.6 pts
12Eagle Pass, TX4.8+1.7 pts
13Helotes, TX4.7+0.3 pts
14Pharr, TX4.6-0.9 pts
15San Juan, TX4.5-1.3 pts
16Brownsville, TX4.5-0.2 pts
17San Elizario, TX4.4+0.4 pts
18McAllen, TX4.3-0.4 pts
19Irving, TX4.3+0.3 pts
20Forest Hill, TX4.3+1.6 pts
21Tomball, TX4.1-0.2 pts
22Garland, TX4.10 pts
23Ennis, TX4.1+1.7 pts
24Hutto, TX3.9-0.4 pts
25Grand Prairie, TX3.8+0.5 pts
26Coppell, TX3.8-1 pts
27Houston, TX3.8+0.2 pts
28Palmview, TX3.7+1 pts
29Edinburg, TX3.7-1.9 pts
29Weslaco, TX3.7+0.2 pts
31Frisco, TX3.7+1.7 pts
32Kaufman, TX3.7+2.9 pts
33Wylie, TX3.6+1.1 pts
34Roma, TX3.6-0.8 pts
35Pasadena, TX3.5-0.4 pts
36Princeton, TX3.5+1.9 pts
37Pleasanton, TX3.4-0.1 pts
38Mission, TX3.3-0.4 pts
39Little Elm, TX3.3+2 pts
40Fulshear, TX3.1+0.7 pts
41Greenville, TX3-0 pts
42Carrollton, TX3-1.6 pts
42Killeen, TX3-0 pts
44Fate, TX3-2.1 pts
45Alice, TX2.9-0.4 pts
46Seguin, TX2.8+0.3 pts
47Sugar Land, TX2.7-0.5 pts
48Farmers Branch, TX2.7-0.2 pts
49Haltom City, TX2.6-0.3 pts
50El Paso, TX2.5-0.1 pts
51Balch Springs, TX2.5-0.3 pts
52Seagoville, TX2.4-3.5 pts
53Duncanville, TX2.4-0.3 pts
54Celina, TX2.4+1.6 pts
55The Colony, TX2.4+0.2 pts
56Fort Worth, TX2.3-0.3 pts
56Watauga, TX2.3+0.3 pts
58Dallas, TX2.3-0.3 pts
58Rosenberg, TX2.3+0.5 pts
60Cedar Hill, TX2.2-1.2 pts
61Snyder, TX2.2+2.2 pts
62Baytown, TX2.2+0.3 pts
62Bedford, TX2.2+2.1 pts
64Freeport, TX2.2+0.7 pts
64Prosper, TX2.2+0.9 pts
66Jacksonville, TX2.1-0.7 pts
66Stafford, TX2.1+1.4 pts
68Alvin, TX2.1+0.3 pts
69Deer Park, TX2.1-0.5 pts
70Converse, TX2.1+0.6 pts
71Longview, TX2.1+0.4 pts
71Mesquite, TX2.1+0.1 pts
73Kyle, TX2+0.5 pts
74Denton, TX2+0.8 pts
75Waco, TX2+0.7 pts
76Austin, TX2+0.3 pts
76Grapevine, TX2+0.9 pts
76Harlingen, TX2+0.8 pts
79Midlothian, TX2-1 pts
80Tyler, TX1.9+0.4 pts
81Rockwall, TX1.9+0.1 pts
82Alamo, TX1.9+1.3 pts
83Buda, TX1.9+0.4 pts
84Dickinson, TX1.8+1.4 pts
85El Campo, TX1.8+0.5 pts
86Del Rio, TX1.8-0.4 pts
87Arlington, TX1.7+0.1 pts
87McKinney, TX1.7-0.6 pts
89Beaumont, TX1.7-0.6 pts
90Wichita Falls, TX1.7+0.1 pts
91Anna, TX1.7-0.4 pts
92Allen, TX1.7-0.3 pts
92Plano, TX1.7-0.3 pts
94La Porte, TX1.7-0.4 pts
95Socorro, TX1.7-0.6 pts
96Marshall, TX1.6+0.2 pts
97Huntsville, TX1.6+0.6 pts
98Santa Fe, TX1.6+1.4 pts
99Abilene, TX1.60 pts
100Bellaire, TX1.6+0.1 pts
101San Marcos, TX1.6-0.1 pts
102Levelland, TX1.5+0.1 pts
103San Antonio, TX1.50 pts
104Plainview, TX1.5+0.1 pts
105Galveston, TX1.5+0.4 pts
105Port Arthur, TX1.5-0.3 pts
107Cedar Park, TX1.4-0.7 pts
108North Richland Hills, TX1.4+0.9 pts
108Sulphur Springs, TX1.4-0.2 pts
110Conroe, TX1.4-0.1 pts
110Southlake, TX1.4-0.1 pts
112Glenn Heights, TX1.4-1.5 pts
113Leander, TX1.3+0.9 pts
114Bryan, TX1.3-0.1 pts
115Azle, TX1.3-0.4 pts
116Hereford, TX1.3+0.1 pts
117Donna, TX1.2-2.3 pts
117League City, TX1.2+0.1 pts
117Schertz, TX1.2+0.7 pts
120College Station, TX1.20 pts
121Canyon, TX1.2+1.2 pts
121Lewisville, TX1.2-0.1 pts
121Lufkin, TX1.2+0.9 pts
121Missouri City, TX1.2+0.2 pts
125Lancaster, TX1.2-0.4 pts
126Clute, TX1.2-0.8 pts
126Odessa, TX1.2+0.1 pts
126Pearland, TX1.2-0.8 pts
129Sweetwater, TX1.1+0.3 pts
130Cleburne, TX1.1-0.7 pts
131Harker Heights, TX1.1-0.9 pts
131Highland Village, TX1.1+0.1 pts
133Trophy Club, TX1.1+0.1 pts
134Weatherford, TX1.1+0.3 pts
135Corpus Christi, TX1.10 pts
136Ingleside, TX1.1+1.1 pts
137Sherman, TX1+1 pts
138Brenham, TX1-0.6 pts
138Round Rock, TX1-0.9 pts
140Richardson, TX1-0.1 pts
141Orange, TX10 pts
141West University Place, TX1+1 pts
143Texarkana, TX1+0.2 pts
144Mount Pleasant, TX1-1.1 pts
145Flower Mound, TX1+0.9 pts
146Lubbock, TX0.9+0.1 pts
147Big Spring, TX0.9-0.1 pts
148Palestine, TX0.9+0.3 pts
149DeSoto, TX0.90 pts
150Gatesville, TX0.9+0.7 pts
151Amarillo, TX0.8-0.1 pts
152Addison, TX0.8-0.4 pts
152Midland, TX0.8+0.2 pts
154Victoria, TX0.8-0.2 pts
155Rowlett, TX0.80 pts
156Georgetown, TX0.8+0.1 pts
157Keller, TX0.7+0.7 pts
158Corsicana, TX0.7+0.1 pts
159Borger, TX0.7+0.7 pts
159Robstown, TX0.7+0.7 pts
161Nacogdoches, TX0.7-0.1 pts
162Mercedes, TX0.6+0.3 pts
163Dripping Springs, TX0.6-0.2 pts
164San Angelo, TX0.60 pts
165Leon Valley, TX0.6-0.2 pts
166Mansfield, TX0.5-0.3 pts
167Burkburnett, TX0.5-0.1 pts
167Lakeway, TX0.5-0.3 pts
169Temple, TX0.5+0.1 pts
170Texas City, TX0.5-0.1 pts
171White Settlement, TX0.4+0.1 pts
172Forney, TX0.4-0 pts
172Sachse, TX0.4+0.1 pts
174Denison, TX0.4-0.3 pts
175Kerrville, TX0.4+0.2 pts
176Lockhart, TX0.3+0.1 pts
177Nederland, TX0.3+0.1 pts
178New Braunfels, TX0.3+0.1 pts
179Waxahachie, TX0.3-0.3 pts
180Pampa, TX0.3+0.3 pts
181Benbrook, TX0.2+0.2 pts
181Burleson, TX0.2-0.2 pts
183Euless, TX0.2-0.3 pts
183Kingsville, TX0.20 pts
185Friendswood, TX0.2-0.4 pts
186Brownwood, TX0.1+0.1 pts
187Copperas Cove, TX0.1-0.3 pts
188Paris, TX0.1-0.6 pts
189Corinth, TX0.1-0.3 pts
190Alton, TX0-3.1 pts
190Angleton, TX0-1.6 pts
190Athens, TX0-0.7 pts
190Bastrop, TX00 pts
190Bay City, TX0-1 pts
190Beeville, TX00 pts
190Bellmead, TX00 pts
190Belton, TX0-0.1 pts
190Boerne, TX00 pts
190Bonham, TX0-0.5 pts
190Cibolo, TX0-0.1 pts
190Colleyville, TX00 pts
190Crowley, TX00 pts
190Dayton, TX00 pts
190Fair Oaks Ranch, TX00 pts
190Fairview, TX00 pts
190Fredericksburg, TX00 pts
190Gainesville, TX00 pts
190Granbury, TX00 pts
190Heath, TX00 pts
190Henderson, TX00 pts
190Hewitt, TX00 pts
190Horizon City, TX00 pts
190Humble, TX00 pts
190Hurst, TX0-1.1 pts
190Iowa Colony, TX00 pts
190Josephine, TX00 pts
190Kennedale, TX00 pts
190La Marque, TX00 pts
190Lago Vista, TX00 pts
190Lake Jackson, TX0-0.3 pts
190Lavon, TX00 pts
190Liberty Hill, TX00 pts
190Live Oak, TX00 pts
190Lumberton, TX00 pts
190Manor, TX00 pts
190Manvel, TX00 pts
190Melissa, TX0-6.1 pts
190Mineral Wells, TX00 pts
190Mont Belvieu, TX00 pts
190Murphy, TX00 pts
190Northlake, TX00 pts
190Pflugerville, TX00 pts
190Port Lavaca, TX00 pts
190Port Neches, TX00 pts
190Portland, TX00 pts
190Providence Village, TX00 pts
190Raymondville, TX0-2.3 pts
190Richmond, TX0-0.4 pts
190Rio Grande City, TX0-2.5 pts
190Roanoke, TX0-6.7 pts
190Robinson, TX00 pts
190Rockport, TX00 pts
190Royse City, TX00 pts
190Saginaw, TX00 pts
190San Benito, TX00 pts
190Sanger, TX00 pts
190Seabrook, TX00 pts
190Selma, TX00 pts
190Stephenville, TX00 pts
190Taylor, TX0-0.2 pts

Showing the top 250 of 256. The Excel download has every row.

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 cities 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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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, US cities (incorporated places of 10,000 or more) (Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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, US cities (incorporated places of 10,000 or more), Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities. 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, US cities (incorporated places of 10,000 or more). Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities.

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, US cities (incorporated places of 10,000 or more), Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_by_2024,
  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, US cities (incorporated places of 10,000 or more): Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities. 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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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, US cities (incorporated places of 10,000 or more): Cities in Texas by uninsured rate, 65 and over (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities.
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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Cities in Texas by uninsured rate, 65 and over (US, ACS) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_65_plus","level":"municipality","within":"Texas","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_65_plus&level=municipality&within=Texas&limit=10

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Questions

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

Elgin, TX, with 20.5% in 2024, according to the U.S. Census Bureau.

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

Webster, TX, with 0% in 2024.

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, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

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

Cities in Texas: more rankings