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

Culberson County had the highest uninsured rate, 65 and over (US, ACS) of 254 counties in 2021, at 25.8%. Zapata County had the lowest, at 0%. The median was 0.5% and the figure for Texas was 1.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest25.8Culberson County
Median0.5254 counties
Texas1.9History

Map of counties, 2021

Anderson County: 0.2 %Andrews County: 0 %Angelina County: 0.7 %Aransas County: 0.1 %Archer County: 0.1 %Armstrong County: 0 %Atascosa County: 1.2 %Austin County: 2.5 %Bailey County: 0 %Bandera County: 0.3 %Bastrop County: 2.2 %Baylor County: 3.6 %Bee County: 0.1 %Bell County: 1.4 %Bexar County: 1.4 %Blanco County: 0.4 %Borden County: 0 %Bosque County: 0.6 %Bowie County: 1.1 %Brazoria County: 1.9 %Brazos County: 1.5 %Brewster County: 0.9 %Briscoe County: 0 %Brooks County: 0 %Brown County: 0.4 %Burleson County: 0.8 %Burnet County: 0.5 %Caldwell County: 1.7 %Calhoun County: 0.2 %Callahan County: 0.5 %Cameron County: 3.5 %Camp County: 0 %Carson County: 0 %Cass County: 1.6 %Castro County: 1.5 %Chambers County: 0.6 %Cherokee County: 1.4 %Childress County: 0 %Clay County: 1 %Cochran County: 0 %Coke County: 0.6 %Coleman County: 0 %Collin County: 2.3 %Collingsworth County: 0 %Colorado County: 1.3 %Comal County: 0.3 %Comanche County: 0.8 %Concho County: 0.5 %Cooke County: 0.1 %Coryell County: 0.8 %Cottle County: 0 %Crane County: 6 %Crockett County: 0 %Crosby County: 0 %Culberson County: 25.8 %Dallam County: 0 %Dallas County: 2.8 %Dawson County: 0.5 %Deaf Smith County: 3.4 %Delta County: 0 %Denton County: 1.7 %DeWitt County: 2.1 %Dickens County: 0 %Dimmit County: 3.5 %Donley County: 0.4 %Duval County: 0 %Eastland County: 0 %Ector County: 0.8 %Edwards County: 0 %Ellis County: 1.5 %El Paso County: 2.6 %Erath County: 0.1 %Falls County: 1.9 %Fannin County: 0.6 %Fayette County: 0.2 %Fisher County: 0 %Floyd County: 0 %Foard County: 0 %Fort Bend County: 2.9 %Franklin County: 1.8 %Freestone County: 0.1 %Frio County: 2.6 %Gaines County: 0.4 %Galveston County: 0.4 %Garza County: 0 %Gillespie County: 1.3 %Glasscock County: 0 %Goliad County: 0 %Gonzales County: 1.7 %Gray County: 0.8 %Grayson County: 0.2 %Gregg County: 1.1 %Grimes County: 1.2 %Guadalupe County: 2.2 %Hale County: 0.4 %Hall County: 0 %Hamilton County: 0 %Hansford County: 0 %Hardeman County: 0 %Hardin County: 0.9 %Harris County: 3.2 %Harrison County: 2.7 %Hartley County: 3.5 %Haskell County: 0 %Hays County: 0.6 %Hemphill County: 0 %Henderson County: 0.5 %Hidalgo County: 4.4 %Hill County: 0.9 %Hockley County: 0.3 %Hood County: 0.3 %Hopkins County: 1.2 %Houston County: 0.2 %Howard County: 0.6 %Hudspeth County: 0 %Hunt County: 1.1 %Hutchinson County: 0.1 %Irion County: 8.5 %Jack County: 0 %Jackson County: 0.8 %Jasper County: 0.3 %Jeff Davis County: 1.7 %Jefferson County: 2.5 %Jim Hogg County: 0 %Jim Wells County: 1.4 %Johnson County: 1.3 %Jones County: 0.1 %Karnes County: 0 %Kaufman County: 1.3 %Kendall County: 2.1 %Kenedy County: 0 %Kent County: 0 %Kerr County: 0.2 %Kimble County: 0 %King County: 0 %Kinney County: 0 %Kleberg County: 0.2 %Knox County: 4.2 %Lamar County: 0.7 %Lamb County: 0.3 %Lampasas County: 0.5 %La Salle County: 0.3 %Lavaca County: 0.5 %Lee County: 0.1 %Leon County: 0.2 %Liberty County: 1.3 %Limestone County: 1.8 %Lipscomb County: 0 %Live Oak County: 0 %Llano County: 1.1 %Loving County: 0 %Lubbock County: 0.6 %Lynn County: 0.1 %McCulloch County: 0.3 %McLennan County: 0.9 %McMullen County: 0 %Madison County: 1 %Marion County: 0.3 %Martin County: 3.4 %Mason County: 0 %Matagorda County: 2 %Maverick County: 2.8 %Medina County: 0.7 %Menard County: 0 %Midland County: 0.8 %Milam County: 0.9 %Mills County: 0.2 %Mitchell County: 0 %Montague County: 1.4 %Montgomery County: 1.3 %Moore County: 8 %Morris County: 0.5 %Motley County: 0 %Nacogdoches County: 0.7 %Navarro County: 0.6 %Newton County: 0.5 %Nolan County: 0.6 %Nueces County: 0.6 %Ochiltree County: 3.2 %Oldham County: 1.5 %Orange County: 0.3 %Palo Pinto County: 0.9 %Panola County: 4 %Parker County: 0.8 %Parmer County: 0.5 %Pecos County: 10.6 %Polk County: 0.2 %Potter County: 1.8 %Presidio County: 8.5 %Rains County: 1.2 %Randall County: 0 %Reagan County: 0 %Real County: 0 %Red River County: 0.5 %Reeves County: 0 %Refugio County: 0 %Roberts County: 7.3 %Robertson County: 0 %Rockwall County: 1 %Runnels County: 1 %Rusk County: 0.9 %Sabine County: 0.4 %San Augustine County: 1.2 %San Jacinto County: 0.9 %San Patricio County: 0.6 %San Saba County: 0.5 %Schleicher County: 0 %Scurry County: 0 %Shackelford County: 0 %Shelby County: 0.8 %Sherman County: 0.3 %Smith County: 0.7 %Somervell County: 0 %Starr County: 3.2 %Stephens County: 0.4 %Sterling County: 0 %Stonewall County: 0 %Sutton County: 0.2 %Swisher County: 0 %Tarrant County: 1.6 %Taylor County: 1.3 %Terrell County: 0 %Terry County: 0.1 %Throckmorton County: 1.4 %Titus County: 1.7 %Tom Green County: 0.4 %Travis County: 1.4 %Trinity County: 0.2 %Tyler County: 0.2 %Upshur County: 0.2 %Upton County: 6.5 %Uvalde County: 0.4 %Val Verde County: 3.2 %Van Zandt County: 0.3 %Victoria County: 0.8 %Walker County: 0.6 %Waller County: 3.1 %Ward County: 4.3 %Washington County: 0.4 %Webb County: 5.4 %Wharton County: 0.6 %Wheeler County: 3.2 %Wichita County: 0.8 %Wilbarger County: 0 %Willacy County: 1.5 %Williamson County: 1.4 %Wilson County: 1.1 %Winkler County: 0 %Wise County: 0.1 %Wood County: 0.4 %Yoakum County: 5.6 %Young County: 1.8 %Zapata County: 0 %Zavala County: 0.8 %
  • Under 0.2
  • 0.2 to 0.5
  • 0.5 to 1
  • 1 to 1.8
  • 1.8 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

Culberson County: 25.8 %Culberson County25.8Pecos County: 10.6 %Pecos County10.6Irion County: 8.5 %Irion County8.5Presidio County: 8.5 %Presidio County8.5Moore County: 8 %Moore County8Roberts County: 7.3 %Roberts County7.3Upton County: 6.5 %Upton County6.5Crane County: 6 %Crane County6Yoakum County: 5.6 %Yoakum County5.6Webb County: 5.4 %Webb County5.4Hidalgo County: 4.4 %Hidalgo County4.4Ward County: 4.3 %Ward County4.3Knox County: 4.2 %Knox County4.2Panola County: 4 %Panola County4Baylor County: 3.6 %Baylor County3.6Hartley County: 3.5 %Hartley County3.5Dimmit County: 3.5 %Dimmit County3.5Cameron County: 3.5 %Cameron County3.5Martin County: 3.4 %Martin County3.4Deaf Smith County: 3.4 %Deaf Smith County3.4Ochiltree County: 3.2 %Ochiltree County3.2Harris County: 3.2 %Harris County3.2Wheeler County: 3.2 %Wheeler County3.2Val Verde County: 3.2 %Val Verde County3.2Starr County: 3.2 %Starr County3.2Waller County: 3.1 %Waller County3.1Fort Bend County: 2.9 %Fort Bend County2.9Dallas County: 2.8 %Dallas County2.8Maverick County: 2.8 %Maverick County2.8Harrison County: 2.7 %Harrison County2.7El Paso County: 2.6 %El Paso County2.6Frio County: 2.6 %Frio County2.6Austin County: 2.5 %Austin County2.5Jefferson County: 2.5 %Jefferson County2.5Collin County: 2.3 %Collin County2.3Bastrop County: 2.2 %Bastrop County2.2Guadalupe County: 2.2 %Guadalupe County2.2DeWitt County: 2.1 %DeWitt County2.1Kendall County: 2.1 %Kendall County2.1Matagorda County: 2 %Matagorda County2Culberson County: 25.8 %Culberson County25.8Pecos County: 10.6 %Pecos County10.6Irion County: 8.5 %Irion County8.5Presidio County: 8.5 %Presidio County8.5Moore County: 8 %Moore County8Roberts County: 7.3 %Roberts County7.3Upton County: 6.5 %Upton County6.5Crane County: 6 %Crane County6Yoakum County: 5.6 %Yoakum County5.6Webb County: 5.4 %Webb County5.4Hidalgo County: 4.4 %Hidalgo County4.4Ward County: 4.3 %Ward County4.3Knox County: 4.2 %Knox County4.2Panola County: 4 %Panola County4Baylor County: 3.6 %Baylor County3.6Hartley County: 3.5 %Hartley County3.5Dimmit County: 3.5 %Dimmit County3.5Cameron County: 3.5 %Cameron County3.5Martin County: 3.4 %Martin County3.4Deaf Smith County: 3.4 %Deaf Smith County3.4Ochiltree County: 3.2 %Ochiltree County3.2Harris County: 3.2 %Harris County3.2Wheeler County: 3.2 %Wheeler County3.2Val Verde County: 3.2 %Val Verde County3.2Starr County: 3.2 %Starr County3.2Waller County: 3.1 %Waller County3.1Fort Bend County: 2.9 %Fort Bend County2.9Dallas County: 2.8 %Dallas County2.8Maverick County: 2.8 %Maverick County2.8Harrison County: 2.7 %Harrison County2.7El Paso County: 2.6 %El Paso County2.6Frio County: 2.6 %Frio County2.6Austin County: 2.5 %Austin County2.5Jefferson County: 2.5 %Jefferson County2.5Collin County: 2.3 %Collin County2.3Bastrop County: 2.2 %Bastrop County2.2Guadalupe County: 2.2 %Guadalupe County2.2DeWitt County: 2.1 %DeWitt County2.1Kendall County: 2.1 %Kendall County2.1Matagorda County: 2 %Matagorda County2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Culberson County25.8
2Pecos County10.6
3Irion County8.5
4Presidio County8.5
5Moore County8
6Roberts County7.3
7Upton County6.5
8Crane County6
9Yoakum County5.6
10Webb County5.4
11Hidalgo County4.4
12Ward County4.3
13Knox County4.2
14Panola County4
15Baylor County3.6
16Hartley County3.5
17Dimmit County3.5
18Cameron County3.5
19Martin County3.4
20Deaf Smith County3.4
21Ochiltree County3.2
22Harris County3.2
22Wheeler County3.2
24Val Verde County3.2
25Starr County3.2
26Waller County3.1
27Fort Bend County2.9
28Dallas County2.8
29Maverick County2.8
30Harrison County2.7
31El Paso County2.6
32Frio County2.6
33Austin County2.5
34Jefferson County2.5
35Collin County2.3
36Bastrop County2.2
36Guadalupe County2.2
38DeWitt County2.1
39Kendall County2.1
40Matagorda County2
41Falls County1.9
42Brazoria County1.9
43Young County1.8
44Potter County1.8
45Limestone County1.8
46Franklin County1.8
47Jeff Davis County1.7
48Titus County1.7
49Caldwell County1.7
49Denton County1.7
51Gonzales County1.7
52Tarrant County1.6
53Cass County1.6
54Castro County1.5
55Willacy County1.5
56Brazos County1.5
57Ellis County1.5
57Oldham County1.5
59Jim Wells County1.4
60Travis County1.4
61Cherokee County1.4
62Bexar County1.4
62Throckmorton County1.4
64Bell County1.4
65Williamson County1.4
66Montague County1.4
67Colorado County1.3
68Gillespie County1.3
68Johnson County1.3
68Kaufman County1.3
71Liberty County1.3
72Montgomery County1.3
72Taylor County1.3
74Atascosa County1.2
74San Augustine County1.2
76Grimes County1.2
77Rains County1.2
78Hopkins County1.2
79Llano County1.1
80Hunt County1.1
81Wilson County1.1
82Gregg County1.1
83Bowie County1.1
84Madison County1
85Clay County1
85Runnels County1
87Rockwall County1
88Hill County0.9
88Milam County0.9
90San Jacinto County0.9
91McLennan County0.9
91Palo Pinto County0.9
93Hardin County0.9
94Brewster County0.9
94Rusk County0.9
96Shelby County0.8
96Wichita County0.8
98Midland County0.8
98Zavala County0.8
100Comanche County0.8
100Ector County0.8
100Victoria County0.8
103Coryell County0.8
103Gray County0.8
105Parker County0.8
106Jackson County0.8
107Burleson County0.8
108Nacogdoches County0.7
109Angelina County0.7
109Smith County0.7
111Lamar County0.7
111Medina County0.7
113Navarro County0.6
114Nueces County0.6
115Chambers County0.6
115Hays County0.6
115Howard County0.6
115Walker County0.6
119Fannin County0.6
119Wharton County0.6
121Coke County0.6
121Lubbock County0.6
123Nolan County0.6
123San Patricio County0.6
125Bosque County0.6
126Burnet County0.5
126Callahan County0.5
128Concho County0.5
128Lampasas County0.5
130Parmer County0.5
131Lavaca County0.5
132Dawson County0.5
132Newton County0.5
132Red River County0.5
135Henderson County0.5
136Morris County0.5
136San Saba County0.5
138Donley County0.4
138Hale County0.4
140Wood County0.4
141Blanco County0.4
141Gaines County0.4
143Brown County0.4
144Washington County0.4
145Galveston County0.4
145Sabine County0.4
147Uvalde County0.4
148Stephens County0.4
148Tom Green County0.4
150Lamb County0.3
151Hockley County0.3
152Marion County0.3
152Van Zandt County0.3
154McCulloch County0.3
155Hood County0.3
155La Salle County0.3
157Orange County0.3
158Bandera County0.3
158Sherman County0.3
160Comal County0.3
161Jasper County0.3
162Tyler County0.2
163Anderson County0.2
163Kleberg County0.2
165Leon County0.2
165Upshur County0.2
167Trinity County0.2
168Grayson County0.2
168Kerr County0.2
170Fayette County0.2
170Polk County0.2
172Calhoun County0.2
172Houston County0.2
172Mills County0.2
172Sutton County0.2
176Hutchinson County0.1
176Jones County0.1
178Archer County0.1
178Terry County0.1
180Bee County0.1
180Lynn County0.1
182Erath County0.1
183Aransas County0.1
183Freestone County0.1
183Wise County0.1
186Lee County0.1
187Cooke County0.1
188Eastland County0
189Andrews County0
189Armstrong County0
189Bailey County0
189Borden County0
189Briscoe County0
189Brooks County0
189Camp County0
189Carson County0
189Childress County0
189Cochran County0
189Coleman County0
189Collingsworth County0
189Cottle County0
189Crockett County0
189Crosby County0
189Dallam County0
189Delta County0
189Dickens County0
189Duval County0
189Edwards County0
189Fisher County0
189Floyd County0
189Foard County0
189Garza County0
189Glasscock County0
189Goliad County0
189Hall County0
189Hamilton County0
189Hansford County0
189Hardeman County0
189Haskell County0
189Hemphill County0
189Hudspeth County0
189Jack County0
189Jim Hogg County0
189Karnes County0
189Kenedy County0
189Kent County0
189Kimble County0
189King County0
189Kinney County0
189Lipscomb County0
189Live Oak County0
189Loving County0
189Mason County0
189McMullen County0
189Menard County0
189Mitchell County0
189Motley County0
189Randall County0
189Reagan County0
189Real County0
189Reeves County0
189Refugio County0
189Robertson County0
189Schleicher County0
189Scurry County0
189Shackelford County0
189Somervell County0
189Sterling County0
189Stonewall County0
189Swisher County0

Showing the top 250 of 254. 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 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 Texas 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 Texas 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/texas-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 Texas 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/texas-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 Texas 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/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_texas_by_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 Texas 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/texas-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 Texas 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/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/texas-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)?

Culberson County, with 25.8% in 2021, according to the U.S. Census Bureau.

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

Zapata 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 Texas: more rankings