US counties by uninsured rate, 65 and over (US, ACS), 2024

Holmes County had the highest uninsured rate, 65 and over (US, ACS) of 3144 counties in 2024, at 12.7%. Yalobusha County had the lowest, at 0%. The median was 0.3% and the figure for the United States was 0.9%. Source: the U.S. Census Bureau.

Highest12.7Holmes County
Median0.33144 counties
United States0.9History

Top 40 counties, 2024

Holmes County: 12.7 %Holmes County12.7Kodiak Island Borough: 12.1 %Kodiak Island Borough12.1Presidio County: 10.4 %Presidio County10.4Eureka County: 9.8 %Eureka County9.8Scotland County: 9.4 %Scotland County9.4Moore County: 9.1 %Moore County9.1Oldham County: 9.1 %Oldham County9.1Crane County: 9.1 %Crane County9.1Irion County: 9.1 %Irion County9.1Roberts County: 8.8 %Roberts County8.8LaGrange County: 8.7 %LaGrange County8.7Aleutians West Census Area: 8.7 %Aleutians West Census Area8.7Telfair County: 8.2 %Telfair County8.2Wheeler County: 7.9 %Wheeler County7.9Hemphill County: 7.6 %Hemphill County7.6Winkler County: 6.4 %Winkler County6.4Glacier County: 6 %Glacier County6Lea County: 6 %Lea County6Cimarron County: 5.8 %Cimarron County5.8Davis County: 5.8 %Davis County5.8Yukon-Koyukuk Census Area: 5.6 %Yukon-Koyukuk Census Area5.6Lake and Peninsula Borough: 5.6 %Lake and Peninsula Borough5.6Yoakum County: 5.5 %Yoakum County5.5Webb County: 5.5 %Webb County5.5Owyhee County: 5.2 %Owyhee County5.2Rolette County: 5.1 %Rolette County5.1Dimmit County: 5.1 %Dimmit County5.1Pecos County: 5.1 %Pecos County5.1Yakutat City and Borough: 5 %Yakutat City and Borough5Sherman County: 4.8 %Sherman County4.8Hidalgo County: 4.8 %Hidalgo County4.8Brooks County: 4.8 %Brooks County4.8Baker County: 4.6 %Baker County4.6Manassas Park city: 4.2 %Manassas Park city4.2Buffalo County: 4.2 %Buffalo County4.2Culberson County: 4.2 %Culberson County4.2Aleutians East Borough: 4.2 %Aleutians East Borough4.2Carroll County: 4.2 %Carroll County4.2Mineral County: 4.1 %Mineral County4.1Harrisonburg city: 4.1 %Harrisonburg city4.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Holmes County12.7-0.3 pts
2Kodiak Island Borough12.1+5.4 pts
3Presidio County10.4+10.4 pts
4Eureka County9.8+2.8 pts
5Scotland County9.4+4.7 pts
6Moore County9.1+2.6 pts
7Oldham County9.1+7.9 pts
8Crane County9.1-0.3 pts
9Irion County9.1-0.6 pts
10Roberts County8.8-1.1 pts
11LaGrange County8.7-0 pts
12Aleutians West Census Area8.7-2.9 pts
13Telfair County8.2+2 pts
14Wheeler County7.9+4.8 pts
15Hemphill County7.6-1.8 pts
16Winkler County6.4-0.5 pts
17Glacier County6+2.8 pts
17Lea County6-0.9 pts
19Cimarron County5.8+3.1 pts
20Davis County5.8+1.4 pts
21Yukon-Koyukuk Census Area5.6+0.6 pts
22Lake and Peninsula Borough5.6+2.6 pts
23Yoakum County5.5-0 pts
24Webb County5.5+0.4 pts
25Owyhee County5.2-2.1 pts
26Rolette County5.1-0.4 pts
27Dimmit County5.1+1 pts
28Pecos County5.1-2.5 pts
29Yakutat City and Borough5+1.4 pts
30Sherman County4.8+1.3 pts
31Hidalgo County4.8+4.8 pts
32Brooks County4.8+1.7 pts
33Baker County4.6+2.9 pts
34Manassas Park city4.2+0.2 pts
35Buffalo County4.2+1.2 pts
36Culberson County4.2-6.9 pts
37Aleutians East Borough4.2+3.4 pts
38Carroll County4.2+0.3 pts
39Mineral County4.1+3.2 pts
40Harrisonburg city4.1+0.4 pts
40Noble County4.1-0 pts
42Bastrop County4.1-0 pts
43Todd County4+0.8 pts
44Clinch County3.9+1.6 pts
45Northwest Arctic Borough3.9+0.4 pts
46Andrews County3.8+0.8 pts
47Hidalgo County3.8-0.4 pts
48Nome Census Area3.8+0.2 pts
49Lamar County3.7+3.6 pts
49Oglala Lakota County3.7+1.7 pts
51Bacon County3.7+1.6 pts
52Lincoln County3.7-0.5 pts
53Butte County3.6-0.6 pts
53Dillingham Census Area3.6-1.2 pts
55Camden County3.5+3.5 pts
56Colfax County3.5-1.2 pts
56Pershing County3.5+0.6 pts
58Adams County3.5-0.6 pts
59Austin County3.5+1.1 pts
59Hale County3.5+0.8 pts
61Douglas County3.4-0.9 pts
62Morton County3.4+3.4 pts
63Harris County3.4-0.1 pts
63Hoonah-Angoon Census Area3.4-0.7 pts
65Camp County3.4+0.5 pts
66Hopewell city3.3-0.5 pts
66North Slope Borough3.3+2.3 pts
68McDonald County3.3+0.4 pts
69Benton County3.3-2.7 pts
70Switzerland County3.2+2.7 pts
71Blaine County3.2+0.6 pts
72Lafayette County3.2-0.6 pts
73McKenzie County3.1-0.1 pts
74Archer County3.1+0.7 pts
75Cameron County3.1-0.1 pts
76Alexandria city3+0.3 pts
76Howard County3+0.4 pts
76Willacy County3-0.3 pts
79Geary County3+0.2 pts
80Galax city3-0.2 pts
81Cheyenne County3+1.1 pts
82Parmer County2.9+0.3 pts
83Wyandotte County2.9+0.5 pts
84McKinley County2.9-0.4 pts
85Stanley County2.9+0.3 pts
86Hudson County2.9-0 pts
86Madison County2.9-0.4 pts
88Southeast Fairbanks Census Area2.8+0.3 pts
89Mono County2.8+2.8 pts
90Daviess County2.8-0.8 pts
91Roosevelt County2.7-1.7 pts
92Big Horn County2.7-0.6 pts
93Dallas County2.6-0.3 pts
94Bartow County2.6-0.3 pts
95DeWitt County2.6+0.9 pts
96Anderson County2.6-0.1 pts
97Gem County2.6+0.1 pts
97Wolfe County2.6+1.3 pts
99Maverick County2.6+0.9 pts
100El Paso County2.6-0.1 pts
100Floyd County2.6-0.1 pts
102Prince of Wales-Hyder Census Area2.6+0.8 pts
103Clayton County2.5+0.8 pts
104Lyman County2.5+0.1 pts
105Orange County2.5-0.1 pts
105Ozark County2.5+1.7 pts
105Ziebach County2.5+1 pts
108Sioux County2.5-0.9 pts
109Waller County2.5+0.3 pts
110Fort Bend County2.5-0.3 pts
111Washakie County2.4-0 pts
112Edwards County2.4+0.2 pts
113Hartley County2.4+0.1 pts
114Broward County2.4-0.1 pts
114Moultrie County2.4-1.7 pts
116McLean County2.4-0.2 pts
117Chickasaw County2.4+2 pts
117Passaic County2.4+0.3 pts
117Summit County2.40 pts
120Hendry County2.4-0.2 pts
120Union County2.4+0.1 pts
122Merced County2.3+0.7 pts
122Morgan County2.3+0.1 pts
124Gwinnett County2.3-0.2 pts
125Benson County2.3+0.5 pts
126Gadsden County2.3+0.3 pts
127Motley County2.30 pts
128Jefferson County2.3-0.5 pts
129Fergus County2.3-0.9 pts
130Tattnall County2.3+0.5 pts
131Barrow County2.2-0.4 pts
131Callahan County2.2+0.3 pts
133Appling County2.2-0.2 pts
133Morrow County2.2-0.5 pts
133Wahkiakum County2.2-0.2 pts
136Hempstead County2.2+0.9 pts
136Moore County2.2-0.9 pts
136Powell County2.2-0.4 pts
139Chambers County2.2+0.6 pts
139Franklin County2.2+0.1 pts
139Morris County2.2-0.4 pts
142Douglas County2.2-0.1 pts
142Miami-Dade County2.2-0.1 pts
144Lancaster County2.20 pts
144Lewis County2.2+1 pts
144St. Helena Parish2.2+1.1 pts
147Cleburne County2.1-0.4 pts
147Cotton County2.1+0.9 pts
147Noxubee County2.1+2.1 pts
150Caddo County2.1+0.5 pts
151Arlington County2.1-0.1 pts
152Bethel Census Area2.1-0.4 pts
153Levy County2.1-0.6 pts
154Limestone County2.1-0.1 pts
154Williams County2.1+0.9 pts
156Prince George's County2.1+0.2 pts
156Queens County2.1-0.1 pts
158Adams County2+0.1 pts
158Apache County20 pts
160Swisher County2+2 pts
161Lincoln County2+0.1 pts
162Culpeper County2+0.2 pts
162Haines Borough2+2 pts
162Osage County2+0.9 pts
165Modoc County2+0.3 pts
165Sampson County2+0.4 pts
167Burke County2+0.2 pts
167Forsyth County20 pts
169Montgomery County1.90 pts
170Golden Valley County1.9-0.6 pts
171Dickson County1.90 pts
171Prince William County1.9-0.4 pts
171Starr County1.9-1.1 pts
174Colusa County1.9+0.2 pts
174Paulding County1.9+0.3 pts
176Elkhart County1.9+0.2 pts
177Alexander County1.9+0.1 pts
177Red River Parish1.9+1.9 pts
179Collin County1.9-0 pts
179Harney County1.9+1.4 pts
179Lyon County1.9+0.1 pts
179Pierce County1.9+0.8 pts
183Bamberg County1.9+0.5 pts
184Delaware County1.8+0.4 pts
184Panola County1.8-1.9 pts
184Talbot County1.8-0.4 pts
187Essex County1.80 pts
187Holmes County1.8+0.1 pts
189Gregg County1.8+0.4 pts
189Lincoln County1.8-1 pts
189San Augustine County1.8+1.8 pts
189Titus County1.8+0.4 pts
193Chase County1.8-0.1 pts
193Chelan County1.80 pts
193Hardee County1.8+0.9 pts
193Platte County1.8+0.5 pts
197DeKalb County1.8+0.1 pts
197Nottoway County1.8+1.1 pts
197San Juan County1.8+0.3 pts
200Donley County1.8+0.6 pts
200Lee County1.8+0.7 pts
202Fairfax County1.80 pts
203Adair County1.7+0.1 pts
203Hockley County1.7+0.6 pts
203Jeff Davis County1.7+0.3 pts
203Knox County1.7+0.2 pts
203Texas County1.7+1.3 pts
208Columbia County1.7+1 pts
208East Carroll Parish1.7-0.5 pts
208Newton County1.7+0.9 pts
211Franklin County1.7+0.1 pts
211Jefferson County1.7-0.5 pts
213Cumberland County1.7-0.9 pts
213Douglas County1.7-0.1 pts
213Sunflower County1.7+0.2 pts
216Jackson County1.7+0.5 pts
216Ware County1.7+1 pts
218Coal County1.7+1.1 pts
218Ford County1.7+0.3 pts
218Knox County1.7-1.7 pts
218Montgomery County1.7+0.1 pts
218Montgomery County1.70 pts
223Atascosa County1.7-0.9 pts
223Lee County1.7+0.2 pts
223Loudoun County1.7-0.5 pts
223Tarrant County1.70 pts
227Aurora County1.7+1.7 pts
227Bronx County1.7-0.1 pts
227DeKalb County1.7+0.3 pts
227DeSoto County1.7-1.2 pts
227Ellis County1.7+0.2 pts
227Plaquemines Parish1.7+1 pts
233Denali Borough1.7-0.2 pts
233Mariposa County1.7+1.7 pts
233Middlesex County1.7+0.1 pts
236Clark County1.70 pts
236Greater Bridgeport Planning Region1.7+0.3 pts
236McLean County1.70 pts
239Bulloch County1.60 pts
239Greene County1.6+1.6 pts
239Johnson County1.6-0 pts
239Yakima County1.6+0.5 pts
243Greene County1.6-0.4 pts
243Northampton County1.6-0.2 pts
245Chugach Census Area1.6+1.6 pts
245Washington County1.6+0.3 pts
247Los Angeles County1.6-0 pts
248Clark County1.6+0.1 pts
248Jerome County1.6+0.2 pts
248Leon County1.6+1.4 pts

Showing the top 250 of 3144. 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/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 counties 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 counties 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/us-counties. 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 counties 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/us-counties.

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 counties 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/us-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_us_counties_by_uninsured_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 counties 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/us-counties. 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/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 counties 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/us-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-counties.
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/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

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

Holmes County, with 12.7% in 2024, according to the U.S. Census Bureau.

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

Yalobusha County, 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. Retrieved 2026-10-12.

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

US counties: more rankings