Data / Rankings / Uninsured rate, 65 and over (US, ACS) / US cities

US cities by uninsured rate, 65 and over (US, ACS)

Melissa, TX had the highest uninsured rate, 65 and over (US, ACS) of 3211 cities in 2021, at 22.5%. Zionsville, IN had the lowest, at 0%. The median was 0.3% and the figure for the United States was 0.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest22.5Melissa, TX
Lowest0Zionsville, IN
Median0.33211 cities
United States0.8History

Top 40 cities, 2021

Melissa, TX: 22.5 %Melissa, TX22.5Manor, TX: 17.4 %Manor, TX17.4Elgin, TX: 14.9 %Elgin, TX14.9Hobbs, NM: 12.6 %Hobbs, NM12.6Dallas, GA: 12 %Dallas, GA12Roanoke, TX: 11.7 %Roanoke, TX11.7Doraville, GA: 11.5 %Doraville, GA11.5Commerce, CA: 10.1 %Commerce, CA10.1Pooler, GA: 10 %Pooler, GA10Carpentersville, IL: 9.9 %Carpentersville, IL9.9Mendota, CA: 9.6 %Mendota, CA9.6Parlier, CA: 9.5 %Parlier, CA9.5Florida City, FL: 9 %Florida City, FL9Lindsay, CA: 9 %Lindsay, CA9Federal Heights, CO: 8.7 %Federal Heights, CO8.7San Elizario, TX: 8.7 %San Elizario, TX8.7Groves, TX: 8.5 %Groves, TX8.5Stonecrest, GA: 8.5 %Stonecrest, GA8.5Hutto, TX: 8.1 %Hutto, TX8.1Hamtramck, MI: 7.9 %Hamtramck, MI7.9Glenn Heights, TX: 7.7 %Glenn Heights, TX7.7Blacksburg, VA: 7.4 %Blacksburg, VA7.4San Juan, TX: 7.4 %San Juan, TX7.4North Liberty, IA: 7.3 %North Liberty, IA7.3Plainfield, IL: 6.8 %Plainfield, IL6.8Central Falls, RI: 6.8 %Central Falls, RI6.8Huntington Park, CA: 6.4 %Huntington Park, CA6.4Avenal, CA: 6.3 %Avenal, CA6.3Coppell, TX: 6.3 %Coppell, TX6.3Pharr, TX: 6.2 %Pharr, TX6.2Marshall, TX: 6.1 %Marshall, TX6.1Winnetka, IL: 6.1 %Winnetka, IL6.1Carthage, MO: 6 %Carthage, MO6Cooper City, FL: 5.8 %Cooper City, FL5.8Doral, FL: 5.8 %Doral, FL5.8Cudahy, CA: 5.7 %Cudahy, CA5.7South Houston, TX: 5.7 %South Houston, TX5.7Coolidge, AZ: 5.7 %Coolidge, AZ5.7Belle Glade, FL: 5.7 %Belle Glade, FL5.7Galena Park, TX: 5.7 %Galena Park, TX5.7Melissa, TX: 22.5 %Melissa, TX22.5Manor, TX: 17.4 %Manor, TX17.4Elgin, TX: 14.9 %Elgin, TX14.9Hobbs, NM: 12.6 %Hobbs, NM12.6Dallas, GA: 12 %Dallas, GA12Roanoke, TX: 11.7 %Roanoke, TX11.7Doraville, GA: 11.5 %Doraville, GA11.5Commerce, CA: 10.1 %Commerce, CA10.1Pooler, GA: 10 %Pooler, GA10Carpentersville, IL: 9.9 %Carpentersville, IL9.9Mendota, CA: 9.6 %Mendota, CA9.6Parlier, CA: 9.5 %Parlier, CA9.5Florida City, FL: 9 %Florida City, FL9Lindsay, CA: 9 %Lindsay, CA9Federal Heights, CO: 8.7 %Federal Heights, CO8.7San Elizario, TX: 8.7 %San Elizario, TX8.7Groves, TX: 8.5 %Groves, TX8.5Stonecrest, GA: 8.5 %Stonecrest, GA8.5Hutto, TX: 8.1 %Hutto, TX8.1Hamtramck, MI: 7.9 %Hamtramck, MI7.9Glenn Heights, TX: 7.7 %Glenn Heights, TX7.7Blacksburg, VA: 7.4 %Blacksburg, VA7.4San Juan, TX: 7.4 %San Juan, TX7.4North Liberty, IA: 7.3 %North Liberty, IA7.3Plainfield, IL: 6.8 %Plainfield, IL6.8Central Falls, RI: 6.8 %Central Falls, RI6.8Huntington Park, CA: 6.4 %Huntington Park, CA6.4Avenal, CA: 6.3 %Avenal, CA6.3Coppell, TX: 6.3 %Coppell, TX6.3Pharr, TX: 6.2 %Pharr, TX6.2Marshall, TX: 6.1 %Marshall, TX6.1Winnetka, IL: 6.1 %Winnetka, IL6.1Carthage, MO: 6 %Carthage, MO6Cooper City, FL: 5.8 %Cooper City, FL5.8Doral, FL: 5.8 %Doral, FL5.8Cudahy, CA: 5.7 %Cudahy, CA5.7South Houston, TX: 5.7 %South Houston, TX5.7Coolidge, AZ: 5.7 %Coolidge, AZ5.7Belle Glade, FL: 5.7 %Belle Glade, FL5.7Galena Park, TX: 5.7 %Galena Park, TX5.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2021 (%)
1Melissa, TX22.5
2Manor, TX17.4
3Elgin, TX14.9
4Hobbs, NM12.6
5Dallas, GA12
6Roanoke, TX11.7
7Doraville, GA11.5
8Commerce, CA10.1
9Pooler, GA10
10Carpentersville, IL9.9
11Mendota, CA9.6
12Parlier, CA9.5
13Florida City, FL9
14Lindsay, CA9
15Federal Heights, CO8.7
16San Elizario, TX8.7
17Groves, TX8.5
18Stonecrest, GA8.5
19Hutto, TX8.1
20Hamtramck, MI7.9
21Glenn Heights, TX7.7
22Blacksburg, VA7.4
23San Juan, TX7.4
24North Liberty, IA7.3
25Plainfield, IL6.8
26Central Falls, RI6.8
27Huntington Park, CA6.4
28Avenal, CA6.3
28Coppell, TX6.3
30Pharr, TX6.2
31Marshall, TX6.1
32Winnetka, IL6.1
33Carthage, MO6
34Cooper City, FL5.8
35Doral, FL5.8
36Cudahy, CA5.7
37South Houston, TX5.7
38Coolidge, AZ5.7
39Belle Glade, FL5.7
40Galena Park, TX5.7
41Herndon, VA5.6
42Grantsville, UT5.6
42Sugar Hill, GA5.6
44Laredo, TX5.4
45Riverdale, IL5.4
46McAllen, TX5.3
47North Lauderdale, FL5.3
48Weslaco, TX5.2
49Brownsville, TX5.2
50Palisades Park, NJ5.2
51Pleasantville, NJ5.1
52Pineville, NC5.1
53Harrison, NJ5.1
54Wood River, IL5.1
55Fulshear, TX5.1
56Seagoville, TX5
57Locust Grove, GA5
58East Palo Alto, CA5
58New Albany, OH5
60Parkland, FL4.8
61Goleta, CA4.7
62Donna, TX4.7
63Little Ferry, NJ4.7
64Palm Springs, FL4.6
65Sevierville, TN4.6
66Cheney, WA4.5
66Tomball, TX4.5
68Davie, FL4.4
69Carrollton, TX4.4
70San Luis, AZ4.4
71Haverstraw, NY4.3
72Dumas, TX4.3
73Del Rio, TX4.3
74Cicero, IL4.3
74Union City, NJ4.3
76Miramar, FL4.3
76Montclair, CA4.3
78Elizabeth, NJ4.2
79Blue Island, IL4.2
79Lavon, TX4.2
81Perris, CA4.2
82Paramount, CA4.2
83Harvey, IL4.2
84La Vista, NE4.1
84Morrisville, NC4.1
84Snoqualmie, WA4.1
87Chambersburg, PA4.1
87Sammamish, WA4.1
89Kerman, CA4.1
90College Park, MD4.1
91Romeoville, IL4.1
92Secaucus, NJ4.1
93Powder Springs, GA4.1
94Greenacres, FL4
95Hasbrouck Heights, NJ4
95Helotes, TX4
97Irving, TX4
97Sunland Park, NM4
99Alexandria, VA4
99Lake Elsinore, CA4
101Cutler Bay, FL3.9
102Ocoee, FL3.9
103Bell, CA3.9
104Geneva, IL3.9
105Paterson, NJ3.9
106Lake Mary, FL3.8
106New London, CT3.8
108Athens, OH3.8
109Red Oak, TX3.8
110Mount Pleasant, TX3.8
111South River, NJ3.8
112Lake Worth Beach, FL3.7
112Northlake, IL3.7
114Mission, TX3.7
114Superior, CO3.7
116Albemarle, NC3.7
116Carol Stream, IL3.7
116James Island, SC3.7
116Sugar Land, TX3.7
120Weston, FL3.7
121Azusa, CA3.7
122Lebanon, OR3.7
123Oakland, NJ3.6
123Rio Grande City, TX3.6
125Snellville, GA3.6
126Dublin, CA3.6
126Stamford, CT3.6
128Grand Prairie, TX3.6
128Reedley, CA3.6
130Bound Brook, NJ3.6
131Elko, NV3.6
131Norwalk, CA3.6
131Parker, CO3.6
134Pasadena, TX3.5
135Claremont, NH3.5
135Seaside, CA3.5
137Garland, TX3.5
137Lynwood, CA3.5
139Avon Park, FL3.5
140Houston, TX3.5
141Bergenfield, NJ3.5
142Deerfield Beach, FL3.5
142Manassas Park, VA3.5
142North Miami, FL3.5
145North Plainfield, NJ3.5
146Albertville, AL3.4
147Chicago Ridge, IL3.4
147Desert Hot Springs, CA3.4
149Bellefontaine Neighbors, MO3.4
149North Arlington, NJ3.4
149Riverbank, CA3.4
149Warrenville, IL3.4
153Alton, TX3.4
154Eastvale, CA3.4
155Hawaiian Gardens, CA3.3
155Miami Springs, FL3.3
155Santa Paula, CA3.3
158Miami Gardens, FL3.3
159Bay City, TX3.3
160Collierville, TN3.3
160Margate, FL3.3
160New Bern, NC3.3
160San Pablo, CA3.3
164Artesia, NM3.3
164Dalton, GA3.3
164Edinburg, TX3.3
164Pearland, TX3.3
168Compton, CA3.3
169Bell Gardens, CA3.2
170Inglewood, CA3.2
170Lexington, NE3.2
172Guttenberg, NJ3.2
173Chapel Hill, NC3.2
174Palmview, TX3.2
175Perth Amboy, NJ3.2
176Lantana, FL3.1
177Lauderdale Lakes, FL3.1
178Farmers Branch, TX3.1
178Lynnwood, WA3.1
180West Valley City, UT3.1
181Hickory Hills, IL3.1
181Woonsocket, RI3.1
183Grandview, WA3.1
184Kennesaw, GA3.1
184Port Angeles, WA3.1
186Newark, NJ3
187Fairview, NJ3
187Milton, GA3
189Sachse, TX3
190Farmersville, CA3
191Tamarac, FL3
192Wood-Ridge, NJ2.9
193Ramsey, NJ2.9
194Jersey City, NJ2.9
194Lauderhill, FL2.9
196McDonough, GA2.9
197El Monte, CA2.9
197Maywood, CA2.9
199Miami Shores, FL2.9
199Smithfield, NC2.9
201Forest Park, GA2.8
202Apopka, FL2.8
203Eagle Pass, TX2.8
203Forest Hill, TX2.8
203Miami Beach, FL2.8
206Champaign, IL2.8
206Woodbury, NJ2.8
208Duncanville, TX2.8
209Princeton, TX2.8
209Waukegan, IL2.8
211Beloit, WI2.8
211Gaithersburg, MD2.8
211North Chicago, IL2.8
214Angleton, TX2.8
214Des Moines, WA2.8
214Dinuba, CA2.8
214Lincoln City, OR2.8
214Little Elm, TX2.8
219La Habra, CA2.8
219Marathon, FL2.8
221Hanover Park, IL2.7
221The Dalles, OR2.7
223Culpeper, VA2.7
223Gardena, CA2.7
223St. Augustine, FL2.7
226Airway Heights, WA2.7
226Pickerington, OH2.7
226Pleasant View, UT2.7
229Miami, FL2.7
230Dallas, TX2.7
230Tremonton, UT2.7
232Hempstead, NY2.7
233Shawnee, OK2.7
234Avondale, AZ2.7
234Cibolo, TX2.7
234Hialeah Gardens, FL2.7
234Katy, TX2.7
238Baldwin Park, CA2.6
238Hazelwood, MO2.6
238Moreno Valley, CA2.6
241Chino Hills, CA2.6
241Hammonton, NJ2.6
241Homestead, FL2.6
241New Brunswick, NJ2.6
245Frisco, TX2.6
246Petal, MS2.6
246Prosper, TX2.6
246Valley, AL2.6
249Pembroke Pines, FL2.6
250Hallandale Beach, FL2.6

Showing the top 250 of 3211. 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. 8 cities with data in other periods have no value for 2021 and are left out rather than filled from another source. 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/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, US cities (incorporated places of 10,000 or more) (US cities 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, US cities (incorporated places of 10,000 or more), US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more). US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more), US cities 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/us-cities?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_cities_by_uninsured_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, US cities (incorporated places of 10,000 or more): US cities 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/us-cities?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, US cities (incorporated places of 10,000 or more). 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, US cities (incorporated places of 10,000 or more): US cities 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/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-cities?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, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank US cities 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":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_65_plus&level=municipality&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Melissa, TX, with 22.5% in 2021, according to the U.S. Census Bureau.

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

Zionsville, IN, 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, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12. 8 cities have no value for 2021 and are not ranked.

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

US cities: more rankings