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

Elgin, TX had the highest uninsured rate, 65 and over (US, ACS) of 256 cities in 2022, at 24.9%. West University Place, TX had the lowest, at 0%. The median was 1% and the figure for Texas was 1.9%. Source: the U.S. Census Bureau.

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Highest24.9Elgin, TX
Median1256 cities
Texas1.9History

Top 40 cities, 2022

Elgin, TX: 24.9 %Elgin, TX24.9Manor, TX: 12.6 %Manor, TX12.6Groves, TX: 9.1 %Groves, TX9.1Roanoke, TX: 8.2 %Roanoke, TX8.2San Elizario, TX: 7.9 %San Elizario, TX7.9Seagoville, TX: 7.5 %Seagoville, TX7.5Galena Park, TX: 6.8 %Galena Park, TX6.8Glenn Heights, TX: 6.6 %Glenn Heights, TX6.6Hutto, TX: 5.9 %Hutto, TX5.9San Juan, TX: 5.7 %San Juan, TX5.7Pharr, TX: 5.7 %Pharr, TX5.7Edinburg, TX: 5.6 %Edinburg, TX5.6Brownsville, TX: 5.4 %Brownsville, TX5.4Weslaco, TX: 5.3 %Weslaco, TX5.3McAllen, TX: 5.2 %McAllen, TX5.2Coppell, TX: 5.2 %Coppell, TX5.2South Houston, TX: 5.1 %South Houston, TX5.1Laredo, TX: 5 %Laredo, TX5Fate, TX: 4.9 %Fate, TX4.9Melissa, TX: 4.6 %Melissa, TX4.6Carrollton, TX: 4.6 %Carrollton, TX4.6Alton, TX: 4.4 %Alton, TX4.4Tomball, TX: 4.4 %Tomball, TX4.4Palmview, TX: 4.1 %Palmview, TX4.1Red Oak, TX: 4 %Red Oak, TX4Alice, TX: 4 %Alice, TX4Irving, TX: 4 %Irving, TX4Pasadena, TX: 3.9 %Pasadena, TX3.9Grand Prairie, TX: 3.9 %Grand Prairie, TX3.9Donna, TX: 3.7 %Donna, TX3.7Houston, TX: 3.7 %Houston, TX3.7Dumas, TX: 3.7 %Dumas, TX3.7Del Rio, TX: 3.6 %Del Rio, TX3.6Eagle Pass, TX: 3.4 %Eagle Pass, TX3.4Mission, TX: 3.4 %Mission, TX3.4Farmers Branch, TX: 3.4 %Farmers Branch, TX3.4The Colony, TX: 3.3 %The Colony, TX3.3Alvin, TX: 3.3 %Alvin, TX3.3Lavon, TX: 3.3 %Lavon, TX3.3Freeport, TX: 3.2 %Freeport, TX3.2Elgin, TX: 24.9 %Elgin, TX24.9Manor, TX: 12.6 %Manor, TX12.6Groves, TX: 9.1 %Groves, TX9.1Roanoke, TX: 8.2 %Roanoke, TX8.2San Elizario, TX: 7.9 %San Elizario, TX7.9Seagoville, TX: 7.5 %Seagoville, TX7.5Galena Park, TX: 6.8 %Galena Park, TX6.8Glenn Heights, TX: 6.6 %Glenn Heights, TX6.6Hutto, TX: 5.9 %Hutto, TX5.9San Juan, TX: 5.7 %San Juan, TX5.7Pharr, TX: 5.7 %Pharr, TX5.7Edinburg, TX: 5.6 %Edinburg, TX5.6Brownsville, TX: 5.4 %Brownsville, TX5.4Weslaco, TX: 5.3 %Weslaco, TX5.3McAllen, TX: 5.2 %McAllen, TX5.2Coppell, TX: 5.2 %Coppell, TX5.2South Houston, TX: 5.1 %South Houston, TX5.1Laredo, TX: 5 %Laredo, TX5Fate, TX: 4.9 %Fate, TX4.9Melissa, TX: 4.6 %Melissa, TX4.6Carrollton, TX: 4.6 %Carrollton, TX4.6Alton, TX: 4.4 %Alton, TX4.4Tomball, TX: 4.4 %Tomball, TX4.4Palmview, TX: 4.1 %Palmview, TX4.1Red Oak, TX: 4 %Red Oak, TX4Alice, TX: 4 %Alice, TX4Irving, TX: 4 %Irving, TX4Pasadena, TX: 3.9 %Pasadena, TX3.9Grand Prairie, TX: 3.9 %Grand Prairie, TX3.9Donna, TX: 3.7 %Donna, TX3.7Houston, TX: 3.7 %Houston, TX3.7Dumas, TX: 3.7 %Dumas, TX3.7Del Rio, TX: 3.6 %Del Rio, TX3.6Eagle Pass, TX: 3.4 %Eagle Pass, TX3.4Mission, TX: 3.4 %Mission, TX3.4Farmers Branch, TX: 3.4 %Farmers Branch, TX3.4The Colony, TX: 3.3 %The Colony, TX3.3Alvin, TX: 3.3 %Alvin, TX3.3Lavon, TX: 3.3 %Lavon, TX3.3Freeport, TX: 3.2 %Freeport, TX3.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2022 (%)Change on 2021
1Elgin, TX24.9+10 pts
2Manor, TX12.6-4.8 pts
3Groves, TX9.1+0.6 pts
4Roanoke, TX8.2-3.5 pts
5San Elizario, TX7.9-0.8 pts
6Seagoville, TX7.5+2.4 pts
7Galena Park, TX6.8+1.1 pts
8Glenn Heights, TX6.6-1.1 pts
9Hutto, TX5.9-2.2 pts
10San Juan, TX5.7-1.7 pts
11Pharr, TX5.7-0.5 pts
12Edinburg, TX5.6+2.3 pts
13Brownsville, TX5.4+0.2 pts
14Weslaco, TX5.30 pts
15McAllen, TX5.2-0.1 pts
16Coppell, TX5.2-1.1 pts
17South Houston, TX5.1-0.6 pts
18Laredo, TX5-0.5 pts
19Fate, TX4.9+3.4 pts
20Melissa, TX4.6-17.8 pts
21Carrollton, TX4.6+0.1 pts
22Alton, TX4.4+1.1 pts
23Tomball, TX4.4-0.1 pts
24Palmview, TX4.1+0.9 pts
25Red Oak, TX4+0.2 pts
26Alice, TX4+2.1 pts
27Irving, TX4-0 pts
28Pasadena, TX3.9+0.4 pts
29Grand Prairie, TX3.9+0.3 pts
30Donna, TX3.7-1 pts
31Houston, TX3.7+0.2 pts
32Dumas, TX3.7-0.6 pts
33Del Rio, TX3.6-0.7 pts
34Eagle Pass, TX3.4+0.6 pts
34Mission, TX3.4-0.3 pts
36Farmers Branch, TX3.4+0.3 pts
37The Colony, TX3.3+1.1 pts
38Alvin, TX3.3+1 pts
39Lavon, TX3.3-0.9 pts
40Freeport, TX3.2+2.4 pts
41Harker Heights, TX3.2+1.9 pts
42Princeton, TX3.2+0.4 pts
43Garland, TX3.2-0.3 pts
44Sugar Land, TX3.2-0.5 pts
45Bay City, TX2.9-0.4 pts
45Duncanville, TX2.9+0.1 pts
47Cedar Hill, TX2.8+1 pts
48El Campo, TX2.8+1.3 pts
49Kilgore, TX2.8+1.3 pts
49Pleasanton, TX2.8+2.8 pts
51Ennis, TX2.7+0.2 pts
52Socorro, TX2.6+1.3 pts
53Rio Grande City, TX2.6-1 pts
54Dallas, TX2.6-0.1 pts
55Little Elm, TX2.5-0.3 pts
56Round Rock, TX2.5+0.6 pts
57Anna, TX2.5+0.6 pts
58El Paso, TX2.5+0.3 pts
59Hidalgo, TX2.4+0.8 pts
60Raymondville, TX2.4+0.2 pts
60Sachse, TX2.4-0.6 pts
60White Settlement, TX2.4-0.1 pts
63Deer Park, TX2.3+0.9 pts
64Conroe, TX2.3-0.2 pts
64Killeen, TX2.30 pts
66Bryan, TX2.3+0.5 pts
66Seguin, TX2.3+0.8 pts
68Bellaire, TX2.3+0.8 pts
68Frisco, TX2.3-0.4 pts
68Prosper, TX2.3-0.4 pts
71Allen, TX2.20 pts
71Fort Worth, TX2.2-0.1 pts
73Greenville, TX2.2-0 pts
74Austin, TX2.2+0.2 pts
75Rosenberg, TX2.1+1.2 pts
76Mesquite, TX2.1+0.2 pts
76Pearland, TX2.1-1.1 pts
78Cedar Park, TX2.1+0.4 pts
79Angleton, TX2.1-0.7 pts
80Arlington, TX2.10 pts
81Abilene, TX2+0.7 pts
81Fulshear, TX2-3 pts
83Katy, TX2-0.6 pts
84Lockhart, TX2-0.2 pts
85Converse, TX2+0.3 pts
86McKinney, TX1.9-0.1 pts
87Watauga, TX1.9+0.1 pts
88Jacksonville, TX1.9+0.2 pts
89San Marcos, TX1.8-0.1 pts
90Haltom City, TX1.8-0.5 pts
91Roma, TX1.8+1.8 pts
92Levelland, TX1.7+1.7 pts
93Balch Springs, TX1.6+0.1 pts
93Lewisville, TX1.6-0.6 pts
95Big Spring, TX1.6+0.7 pts
96Port Arthur, TX1.6-0.7 pts
97Odessa, TX1.6+1 pts
98Rockwall, TX1.5+0.1 pts
99Wylie, TX1.5+0.1 pts
100Harlingen, TX1.5+0.1 pts
100San Antonio, TX1.5+0.1 pts
102Beaumont, TX1.5-0.9 pts
102Waco, TX1.5+0.4 pts
104Grapevine, TX1.40 pts
104Longview, TX1.4+0.1 pts
106Clute, TX1.40 pts
107Buda, TX1.4-0 pts
108Mount Pleasant, TX1.4-2.4 pts
109Cibolo, TX1.4-1.3 pts
109Richardson, TX1.4-0.3 pts
111Highland Village, TX1.30 pts
112Southlake, TX1.3+0.3 pts
112Sulphur Springs, TX1.3-0.6 pts
114Wichita Falls, TX1.3+0.3 pts
115Hereford, TX1.2-0.1 pts
115Plano, TX1.2-0.4 pts
117Denton, TX1.2+0.8 pts
118Murphy, TX1.2-0.8 pts
119College Station, TX1.2-0.3 pts
120Tyler, TX1.2+0.2 pts
121Amarillo, TX1.2+0.2 pts
122Midlothian, TX1.1-0.4 pts
123League City, TX1.1+0.6 pts
124Nacogdoches, TX1.1+0.1 pts
125Helotes, TX1.1-3 pts
126Leon Valley, TX1.1-0.2 pts
127Corpus Christi, TX1+0.3 pts
128Lufkin, TX1-0.2 pts
129Addison, TX1+0.5 pts
130Weatherford, TX1+0.2 pts
131Victoria, TX1-0 pts
132Lumberton, TX1-0.9 pts
133Hurst, TX0.9-0.3 pts
134Cleburne, TX0.9-0.1 pts
134Texarkana, TX0.9-0.3 pts
136Huntsville, TX0.9+0.9 pts
137Kaufman, TX0.9-0.6 pts
137Sweetwater, TX0.9-0.1 pts
139DeSoto, TX0.8+0.3 pts
140Lubbock, TX0.8+0.3 pts
140Trophy Club, TX0.8+0.8 pts
142Galveston, TX0.8-0.1 pts
143Athens, TX0.8-0.1 pts
143Midland, TX0.8-0.1 pts
145Mansfield, TX0.7+0.3 pts
145Palestine, TX0.7+0.3 pts
147La Porte, TX0.7-0.6 pts
147Paris, TX0.7-0.4 pts
149Saginaw, TX0.7+0.2 pts
150Schertz, TX0.6-0 pts
151Burkburnett, TX0.6+0.1 pts
151Denison, TX0.6+0.3 pts
153Baytown, TX0.6-0.2 pts
154Friendswood, TX0.6-0.5 pts
154Nederland, TX0.6+0.1 pts
156San Benito, TX0.6-0.7 pts
157Marshall, TX0.6-5.5 pts
158Forney, TX0.6+0.6 pts
159Belton, TX0.6-0 pts
159Georgetown, TX0.6-0 pts
159Kyle, TX0.6-0.1 pts
162Texas City, TX0.6+0.3 pts
163Pampa, TX0.5+0.1 pts
163Webster, TX0.5-0.3 pts
165Euless, TX0.5-0 pts
165Richmond, TX0.5-0.2 pts
167Flower Mound, TX0.5-0.3 pts
167Forest Hill, TX0.5-2.3 pts
167North Richland Hills, TX0.5-0.1 pts
170Lakeway, TX0.5-0.1 pts
171Temple, TX0.5+0.1 pts
172Mercedes, TX0.5-0.8 pts
173Uvalde, TX0.5-0.2 pts
174Lake Jackson, TX0.5-0 pts
174Plainview, TX0.5+0.4 pts
176Corsicana, TX0.4+0.2 pts
177Port Neches, TX0.4-0.4 pts
178Bonham, TX0.4-0.2 pts
179Copperas Cove, TX0.4-0.1 pts
180Robinson, TX0.4-0.1 pts
181Missouri City, TX0.40 pts
181San Angelo, TX0.4-0 pts
183Henderson, TX0.4-1.7 pts
183Waxahachie, TX0.4-0.3 pts
185Alamo, TX0.3-0.3 pts
185Rowlett, TX0.3+0.3 pts
187Dickinson, TX0.30 pts
187Stafford, TX0.3-0.2 pts
189Santa Fe, TX0.3+0.3 pts
190Orange, TX0.30 pts
191Gatesville, TX0.2-0 pts
191University Park, TX0.2-0.9 pts
193Lancaster, TX0.2-0 pts
193New Braunfels, TX0.20 pts
195Taylor, TX0.2-0 pts
196Bedford, TX0.20 pts
196Kingsville, TX0.20 pts
198Burleson, TX0.2-0.1 pts
199Colleyville, TX0.2-0.2 pts
200Kerrville, TX0.1+0.1 pts
201Brenham, TX0.1-0.8 pts
202Corinth, TX0-0.1 pts
203Andrews, TX00 pts
203Azle, TX00 pts
203Bastrop, TX00 pts
203Beeville, TX00 pts
203Bellmead, TX00 pts
203Benbrook, TX00 pts
203Boerne, TX00 pts
203Borger, TX00 pts
203Brownwood, TX00 pts
203Canyon, TX00 pts
203Celina, TX00 pts
203Crowley, TX00 pts
203Dayton, TX00 pts
203Dripping Springs, TX00 pts
203Fair Oaks Ranch, TX00 pts
203Fairview, TX00 pts
203Fredericksburg, TX00 pts
203Gainesville, TX00 pts
203Granbury, TX00 pts
203Heath, TX00 pts
203Hewitt, TX00 pts
203Horizon City, TX00 pts
203Humble, TX00 pts
203Ingleside, TX00 pts
203Iowa Colony, TX00 pts
203Josephine, TX00 pts
203Keller, TX00 pts
203Kennedale, TX00 pts
203La Marque, TX00 pts
203Lago Vista, TX00 pts
203Leander, TX00 pts
203Liberty Hill, TX00 pts
203Live Oak, TX00 pts
203Manvel, TX00 pts
203Mineral Wells, TX00 pts
203Mont Belvieu, TX00 pts
203Northlake, TX00 pts
203Pflugerville, TX0-0.3 pts
203Port Lavaca, TX00 pts
203Portland, TX0-0.5 pts
203Providence Village, TX00 pts
203Robstown, TX00 pts
203Rockport, TX00 pts
203Royse City, TX00 pts
203Sanger, TX00 pts
203Seabrook, TX00 pts
203Selma, TX00 pts
203Sherman, TX00 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022. 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/2022/table-based-SF/data/5YRData/acsdt5y2022-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), 2022
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2022/table-based-SF/data/5YRData/acsdt5y2022-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?period=2022.
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/2022/table-based-SF/data/5YRData/acsdt5y2022-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 24.9% in 2022, according to the U.S. Census Bureau.

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

West University Place, TX, with 0% in 2022.

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