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 2023, at 23.5%. West University Place, 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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Highest23.5Elgin, TX
Median1.1256 cities
Texas1.9History

Top 40 cities, 2023

Elgin, TX: 23.5 %Elgin, TX23.5Galena Park, TX: 12.6 %Galena Park, TX12.6Groves, TX: 7.8 %Groves, TX7.8Roanoke, TX: 6.7 %Roanoke, TX6.7Hidalgo, TX: 6.2 %Hidalgo, TX6.2Melissa, TX: 6.1 %Melissa, TX6.1Seagoville, TX: 6 %Seagoville, TX6San Juan, TX: 5.9 %San Juan, TX5.9Edinburg, TX: 5.6 %Edinburg, TX5.6South Houston, TX: 5.6 %South Houston, TX5.6Pharr, TX: 5.5 %Pharr, TX5.5Katy, TX: 5.3 %Katy, TX5.3Fate, TX: 5.1 %Fate, TX5.1Laredo, TX: 4.9 %Laredo, TX4.9Coppell, TX: 4.8 %Coppell, TX4.8McAllen, TX: 4.8 %McAllen, TX4.8Andrews, TX: 4.7 %Andrews, TX4.7Brownsville, TX: 4.7 %Brownsville, TX4.7Carrollton, TX: 4.6 %Carrollton, TX4.6Helotes, TX: 4.5 %Helotes, TX4.5Roma, TX: 4.4 %Roma, TX4.4Tomball, TX: 4.4 %Tomball, TX4.4Hutto, TX: 4.3 %Hutto, TX4.3Red Oak, TX: 4.1 %Red Oak, TX4.1Garland, TX: 4.1 %Garland, TX4.1Irving, TX: 4 %Irving, TX4San Elizario, TX: 4 %San Elizario, TX4Pasadena, TX: 4 %Pasadena, TX4Mission, TX: 3.7 %Mission, TX3.7Dumas, TX: 3.7 %Dumas, TX3.7Houston, TX: 3.6 %Houston, TX3.6Donna, TX: 3.5 %Donna, TX3.5Weslaco, TX: 3.5 %Weslaco, TX3.5Cedar Hill, TX: 3.5 %Cedar Hill, TX3.5Pleasanton, TX: 3.5 %Pleasanton, TX3.5Grand Prairie, TX: 3.3 %Grand Prairie, TX3.3Alice, TX: 3.3 %Alice, TX3.3Sugar Land, TX: 3.2 %Sugar Land, TX3.2Alton, TX: 3.2 %Alton, TX3.2Kilgore, TX: 3.1 %Kilgore, TX3.1Elgin, TX: 23.5 %Elgin, TX23.5Galena Park, TX: 12.6 %Galena Park, TX12.6Groves, TX: 7.8 %Groves, TX7.8Roanoke, TX: 6.7 %Roanoke, TX6.7Hidalgo, TX: 6.2 %Hidalgo, TX6.2Melissa, TX: 6.1 %Melissa, TX6.1Seagoville, TX: 6 %Seagoville, TX6San Juan, TX: 5.9 %San Juan, TX5.9Edinburg, TX: 5.6 %Edinburg, TX5.6South Houston, TX: 5.6 %South Houston, TX5.6Pharr, TX: 5.5 %Pharr, TX5.5Katy, TX: 5.3 %Katy, TX5.3Fate, TX: 5.1 %Fate, TX5.1Laredo, TX: 4.9 %Laredo, TX4.9Coppell, TX: 4.8 %Coppell, TX4.8McAllen, TX: 4.8 %McAllen, TX4.8Andrews, TX: 4.7 %Andrews, TX4.7Brownsville, TX: 4.7 %Brownsville, TX4.7Carrollton, TX: 4.6 %Carrollton, TX4.6Helotes, TX: 4.5 %Helotes, TX4.5Roma, TX: 4.4 %Roma, TX4.4Tomball, TX: 4.4 %Tomball, TX4.4Hutto, TX: 4.3 %Hutto, TX4.3Red Oak, TX: 4.1 %Red Oak, TX4.1Garland, TX: 4.1 %Garland, TX4.1Irving, TX: 4 %Irving, TX4San Elizario, TX: 4 %San Elizario, TX4Pasadena, TX: 4 %Pasadena, TX4Mission, TX: 3.7 %Mission, TX3.7Dumas, TX: 3.7 %Dumas, TX3.7Houston, TX: 3.6 %Houston, TX3.6Donna, TX: 3.5 %Donna, TX3.5Weslaco, TX: 3.5 %Weslaco, TX3.5Cedar Hill, TX: 3.5 %Cedar Hill, TX3.5Pleasanton, TX: 3.5 %Pleasanton, TX3.5Grand Prairie, TX: 3.3 %Grand Prairie, TX3.3Alice, TX: 3.3 %Alice, TX3.3Sugar Land, TX: 3.2 %Sugar Land, TX3.2Alton, TX: 3.2 %Alton, TX3.2Kilgore, TX: 3.1 %Kilgore, TX3.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Elgin, TX23.5-1.4 pts
2Galena Park, TX12.6+5.8 pts
3Groves, TX7.8-1.4 pts
4Roanoke, TX6.7-1.5 pts
5Hidalgo, TX6.2+3.7 pts
6Melissa, TX6.1+1.5 pts
7Seagoville, TX6-1.5 pts
8San Juan, TX5.9+0.1 pts
9Edinburg, TX5.60 pts
10South Houston, TX5.6+0.5 pts
11Pharr, TX5.5-0.2 pts
12Katy, TX5.3+3.3 pts
13Fate, TX5.1+0.2 pts
14Laredo, TX4.9-0.1 pts
15Coppell, TX4.8-0.4 pts
16McAllen, TX4.8-0.5 pts
17Andrews, TX4.7+4.7 pts
18Brownsville, TX4.7-0.8 pts
19Carrollton, TX4.60 pts
20Helotes, TX4.5+3.4 pts
21Roma, TX4.4+2.6 pts
22Tomball, TX4.4-0.1 pts
23Hutto, TX4.3-1.6 pts
24Red Oak, TX4.1+0.1 pts
25Garland, TX4.1+0.9 pts
26Irving, TX40 pts
27San Elizario, TX4-3.9 pts
28Pasadena, TX4+0.1 pts
29Mission, TX3.7+0.3 pts
30Dumas, TX3.70 pts
31Houston, TX3.6-0.1 pts
32Donna, TX3.5-0.2 pts
33Weslaco, TX3.5-1.7 pts
34Cedar Hill, TX3.5+0.7 pts
34Pleasanton, TX3.5+0.7 pts
36Grand Prairie, TX3.3-0.5 pts
37Alice, TX3.3-0.8 pts
38Sugar Land, TX3.20 pts
39Alton, TX3.2-1.3 pts
40Kilgore, TX3.1+0.4 pts
41Eagle Pass, TX3.1-0.3 pts
42Greenville, TX3.1+0.9 pts
43Killeen, TX3+0.7 pts
44Midlothian, TX3+1.8 pts
45Farmers Branch, TX2.9-0.5 pts
46Haltom City, TX2.9+1 pts
47Glenn Heights, TX2.8-3.8 pts
48Jacksonville, TX2.8+1 pts
49Palmview, TX2.8-1.3 pts
50Balch Springs, TX2.7+1.1 pts
51Duncanville, TX2.7-0.2 pts
52El Paso, TX2.6+0.2 pts
52Forest Hill, TX2.6+2.1 pts
54Fort Worth, TX2.6+0.4 pts
55Deer Park, TX2.6+0.3 pts
56Dallas, TX2.5-0 pts
57Seguin, TX2.5+0.3 pts
58Wylie, TX2.5+1 pts
59Rio Grande City, TX2.5-0.1 pts
60Fulshear, TX2.4+0.3 pts
61Raymondville, TX2.3-0.1 pts
62Beaumont, TX2.3+0.9 pts
62Ennis, TX2.3-0.4 pts
64Socorro, TX2.3-0.3 pts
65McKinney, TX2.3+0.4 pts
66Del Rio, TX2.2-1.4 pts
67Cedar Park, TX2.2+0.1 pts
67The Colony, TX2.2-1.1 pts
69La Porte, TX2.1+1.4 pts
69Mount Pleasant, TX2.1+0.7 pts
71Anna, TX2.1-0.4 pts
72Frisco, TX2-0.2 pts
73Watauga, TX2+0.1 pts
74Harker Heights, TX2-1.2 pts
74Mesquite, TX2-0.1 pts
76Round Rock, TX2-0.5 pts
77Clute, TX2+0.6 pts
77Pearland, TX2-0.2 pts
79Allen, TX1.9-0.3 pts
79Plano, TX1.9+0.7 pts
81Alvin, TX1.9-1.4 pts
82Baytown, TX1.8+1.2 pts
82Cleburne, TX1.8+0.9 pts
84Rockwall, TX1.8+0.3 pts
85Port Arthur, TX1.8+0.2 pts
86Rosenberg, TX1.8-0.4 pts
87Austin, TX1.7-0.4 pts
88Longview, TX1.7+0.3 pts
89San Marcos, TX1.7-0.2 pts
90Princeton, TX1.7-1.5 pts
90Wichita Falls, TX1.7+0.3 pts
92Azle, TX1.6+1.6 pts
93Arlington, TX1.6-0.4 pts
93Brenham, TX1.6+1.5 pts
93Sulphur Springs, TX1.6+0.3 pts
96Abilene, TX1.6-0.4 pts
97Angleton, TX1.6-0.6 pts
98Converse, TX1.5-0.5 pts
99Freeport, TX1.5-1.7 pts
99Lancaster, TX1.5+1.3 pts
99San Antonio, TX1.50 pts
102Kyle, TX1.5+0.9 pts
103Buda, TX1.5+0.1 pts
104Conroe, TX1.5-0.8 pts
104Levelland, TX1.5-0.3 pts
104Southlake, TX1.5+0.1 pts
104Tyler, TX1.5+0.3 pts
108Bryan, TX1.5-0.8 pts
109Bellaire, TX1.4-0.8 pts
110Marshall, TX1.4+0.8 pts
111Plainview, TX1.4+1 pts
112El Campo, TX1.4-1.4 pts
113Prosper, TX1.3-0.9 pts
114Waco, TX1.3-0.2 pts
115Little Elm, TX1.3-1.2 pts
116Lewisville, TX1.3-0.3 pts
117Denton, TX1.3+0.1 pts
118College Station, TX1.20 pts
119Addison, TX1.2+0.2 pts
119Hereford, TX1.2-0 pts
121Harlingen, TX1.2-0.3 pts
122League City, TX1.20 pts
123Hurst, TX1.1+0.2 pts
124Richardson, TX1.1-0.2 pts
125Galveston, TX1.1+0.3 pts
126Huntsville, TX1.1+0.2 pts
127Grapevine, TX1.1-0.3 pts
127Odessa, TX1.1-0.5 pts
129Corpus Christi, TX1.10 pts
130Bay City, TX1-1.9 pts
131Big Spring, TX1-0.6 pts
132Orange, TX1+0.7 pts
133Missouri City, TX1+0.6 pts
134Highland Village, TX1-0.4 pts
135Amarillo, TX1-0.2 pts
136Trophy Club, TX0.9+0.1 pts
136Victoria, TX0.9-0 pts
138DeSoto, TX0.9+0.1 pts
139Lubbock, TX0.90 pts
140Mansfield, TX0.8+0.1 pts
141Celina, TX0.8+0.8 pts
141Dripping Springs, TX0.8+0.8 pts
143Sweetwater, TX0.8-0.1 pts
143Texarkana, TX0.8-0.1 pts
145Lakeway, TX0.8+0.3 pts
145Leon Valley, TX0.8-0.3 pts
145Weatherford, TX0.8-0.2 pts
148Kaufman, TX0.7-0.1 pts
148Rowlett, TX0.7+0.4 pts
150Nacogdoches, TX0.7-0.4 pts
150Stafford, TX0.7+0.4 pts
152Athens, TX0.7-0.1 pts
153Georgetown, TX0.7+0.1 pts
154Denison, TX0.70 pts
155Paris, TX0.6-0.1 pts
156Alamo, TX0.6+0.3 pts
157Burkburnett, TX0.6-0 pts
157Midland, TX0.6-0.2 pts
159Friendswood, TX0.6-0 pts
160Palestine, TX0.6-0.2 pts
161Corsicana, TX0.6+0.1 pts
161Waxahachie, TX0.6+0.2 pts
163San Angelo, TX0.5+0.2 pts
164Bonham, TX0.5+0.1 pts
164Schertz, TX0.5-0.1 pts
164Texas City, TX0.5-0 pts
164Webster, TX0.5-0 pts
168Euless, TX0.5-0 pts
168North Richland Hills, TX0.5-0 pts
170Forney, TX0.4-0.1 pts
170Leander, TX0.4+0.4 pts
172Dickinson, TX0.4+0.1 pts
173Burleson, TX0.4+0.2 pts
174Temple, TX0.4-0.1 pts
175Copperas Cove, TX0.4-0 pts
175Corinth, TX0.4+0.4 pts
177Richmond, TX0.4-0.2 pts
178Mercedes, TX0.4-0.1 pts
179Lake Jackson, TX0.3-0.1 pts
179Lufkin, TX0.3-0.7 pts
181White Settlement, TX0.3-2.1 pts
182Sachse, TX0.3-2.1 pts
183Lockhart, TX0.3-1.7 pts
184Santa Fe, TX0.30 pts
185New Braunfels, TX0.20 pts
186Nederland, TX0.2-0.4 pts
187University Park, TX0.20 pts
188Gatesville, TX0.2-0 pts
189Kingsville, TX0.20 pts
189Uvalde, TX0.2-0.3 pts
191Kerrville, TX0.20 pts
192Taylor, TX0.2-0 pts
193Bedford, TX0.1-0 pts
194Cibolo, TX0.1-1.3 pts
195Belton, TX0.1-0.5 pts
196Flower Mound, TX0.1-0.5 pts
197Bastrop, TX00 pts
197Beeville, TX00 pts
197Bellmead, TX00 pts
197Benbrook, TX00 pts
197Boerne, TX00 pts
197Borger, TX00 pts
197Brownwood, TX00 pts
197Canyon, TX00 pts
197Colleyville, TX0-0.2 pts
197Crowley, TX00 pts
197Dayton, TX00 pts
197Fair Oaks Ranch, TX00 pts
197Fairview, TX00 pts
197Fredericksburg, TX00 pts
197Gainesville, TX00 pts
197Granbury, TX00 pts
197Heath, TX00 pts
197Henderson, TX0-0.4 pts
197Hewitt, TX00 pts
197Horizon City, TX00 pts
197Humble, TX00 pts
197Ingleside, TX00 pts
197Iowa Colony, TX00 pts
197Josephine, TX00 pts
197Keller, TX00 pts
197Kennedale, TX00 pts
197La Marque, TX00 pts
197Lago Vista, TX00 pts
197Lavon, TX0-3.3 pts
197Liberty Hill, TX00 pts
197Live Oak, TX00 pts
197Lumberton, TX0-1 pts
197Manor, TX0-12.6 pts
197Manvel, TX00 pts
197Mineral Wells, TX00 pts
197Mont Belvieu, TX00 pts
197Murphy, TX0-1.2 pts
197Northlake, TX00 pts
197Pampa, TX0-0.5 pts
197Pflugerville, TX00 pts
197Port Lavaca, TX00 pts
197Port Neches, TX0-0.4 pts
197Portland, TX00 pts
197Providence Village, TX00 pts
197Robinson, TX0-0.4 pts
197Robstown, TX00 pts
197Rockport, TX00 pts
197Royse City, TX00 pts
197Saginaw, TX0-0.7 pts
197San Benito, TX0-0.6 pts
197Sanger, TX00 pts
197Seabrook, TX00 pts
197Selma, TX00 pts
197Sherman, 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/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, US cities (incorporated places of 10,000 or more) (Cities in Texas 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, US cities (incorporated places of 10,000 or more), Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more). Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more), Cities in Texas 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/texas-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_texas_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, US cities (incorporated places of 10,000 or more): Cities in Texas 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/texas-cities?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, US cities (incorporated places of 10,000 or more). 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, US cities (incorporated places of 10,000 or more): Cities in Texas 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/texas-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-cities?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, US cities (incorporated places of 10,000 or more). 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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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 23.5% in 2023, 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 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, 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