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

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

Texas had the highest uninsured rate, 65 and over (US, ACS) of 51 states in 2023, at 1.9%. Maine had the lowest, at 0.2%. The median was 0.6% and the figure for the United States was 0.8%. Source: the U.S. Census Bureau.

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Highest1.9Texas
Lowest0.2Maine
Median0.651 states
United States0.8History

Map of states, 2023

Alabama: 0.5 %Alaska: 1.2 %Arizona: 0.9 %Arkansas: 0.5 %California: 1.1 %Colorado: 0.7 %Connecticut: 0.8 %Delaware: 0.7 %District of Columbia: 0.6 %Florida: 1.1 %Georgia: 1 %Hawaii: 0.5 %Idaho: 0.6 %Illinois: 0.9 %Indiana: 0.5 %Iowa: 0.3 %Kansas: 0.6 %Kentucky: 0.3 %Louisiana: 0.6 %Maine: 0.2 %Maryland: 1 %Massachusetts: 0.5 %Michigan: 0.4 %Minnesota: 0.4 %Mississippi: 0.4 %Missouri: 0.5 %Montana: 0.4 %Nebraska: 0.6 %Nevada: 1.4 %New Hampshire: 0.4 %New Jersey: 1.1 %New Mexico: 1 %New York: 0.9 %North Carolina: 0.7 %North Dakota: 0.5 %Ohio: 0.5 %Oklahoma: 0.8 %Oregon: 0.5 %Pennsylvania: 0.5 %Rhode Island: 0.7 %South Carolina: 0.5 %South Dakota: 0.3 %Tennessee: 0.6 %Texas: 1.9 %Utah: 0.8 %Vermont: 0.3 %Virginia: 0.9 %Washington: 0.8 %West Virginia: 0.3 %Wisconsin: 0.3 %Wyoming: 0.4 %
  • Under 0.4
  • 0.4 to 0.5
  • 0.5 to 0.6
  • 0.6 to 0.7
  • 0.7 to 0.9
  • 0.9 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2023

Texas: 1.9 %Texas1.9Nevada: 1.4 %Nevada1.4Alaska: 1.2 %Alaska1.2New Jersey: 1.1 %New Jersey1.1California: 1.1 %California1.1Florida: 1.1 %Florida1.1New Mexico: 1 %New Mexico1Georgia: 1 %Georgia1Maryland: 1 %Maryland1New York: 0.9 %New York0.9Virginia: 0.9 %Virginia0.9Illinois: 0.9 %Illinois0.9Arizona: 0.9 %Arizona0.9Connecticut: 0.8 %Connecticut0.8Oklahoma: 0.8 %Oklahoma0.8Washington: 0.8 %Washington0.8Utah: 0.8 %Utah0.8Colorado: 0.7 %Colorado0.7Rhode Island: 0.7 %Rhode Island0.7Delaware: 0.7 %Delaware0.7North Carolina: 0.7 %North Carolina0.7District of Columbia: 0.6 %District of Columbia0.6Louisiana: 0.6 %Louisiana0.6Tennessee: 0.6 %Tennessee0.6Nebraska: 0.6 %Nebraska0.6Idaho: 0.6 %Idaho0.6Kansas: 0.6 %Kansas0.6Ohio: 0.5 %Ohio0.5Oregon: 0.5 %Oregon0.5Hawaii: 0.5 %Hawaii0.5Alabama: 0.5 %Alabama0.5Pennsylvania: 0.5 %Pennsylvania0.5Indiana: 0.5 %Indiana0.5Massachusetts: 0.5 %Massachusetts0.5North Dakota: 0.5 %North Dakota0.5Arkansas: 0.5 %Arkansas0.5Missouri: 0.5 %Missouri0.5South Carolina: 0.5 %South Carolina0.5Mississippi: 0.4 %Mississippi0.4Montana: 0.4 %Montana0.4Michigan: 0.4 %Michigan0.4New Hampshire: 0.4 %New Hampshire0.4Wyoming: 0.4 %Wyoming0.4Minnesota: 0.4 %Minnesota0.4Kentucky: 0.3 %Kentucky0.3Wisconsin: 0.3 %Wisconsin0.3Iowa: 0.3 %Iowa0.3West Virginia: 0.3 %West Virginia0.3Vermont: 0.3 %Vermont0.3South Dakota: 0.3 %South Dakota0.3Maine: 0.2 %Maine0.2Texas: 1.9 %Texas1.9Nevada: 1.4 %Nevada1.4Alaska: 1.2 %Alaska1.2New Jersey: 1.1 %New Jersey1.1California: 1.1 %California1.1Florida: 1.1 %Florida1.1New Mexico: 1 %New Mexico1Georgia: 1 %Georgia1Maryland: 1 %Maryland1New York: 0.9 %New York0.9Virginia: 0.9 %Virginia0.9Illinois: 0.9 %Illinois0.9Arizona: 0.9 %Arizona0.9Connecticut: 0.8 %Connecticut0.8Oklahoma: 0.8 %Oklahoma0.8Washington: 0.8 %Washington0.8Utah: 0.8 %Utah0.8Colorado: 0.7 %Colorado0.7Rhode Island: 0.7 %Rhode Island0.7Delaware: 0.7 %Delaware0.7North Carolina: 0.7 %North Carolina0.7District of Columbia: 0.6 %District of Columbia0.6Louisiana: 0.6 %Louisiana0.6Tennessee: 0.6 %Tennessee0.6Nebraska: 0.6 %Nebraska0.6Idaho: 0.6 %Idaho0.6Kansas: 0.6 %Kansas0.6Ohio: 0.5 %Ohio0.5Oregon: 0.5 %Oregon0.5Hawaii: 0.5 %Hawaii0.5Alabama: 0.5 %Alabama0.5Pennsylvania: 0.5 %Pennsylvania0.5Indiana: 0.5 %Indiana0.5Massachusetts: 0.5 %Massachusetts0.5North Dakota: 0.5 %North Dakota0.5Arkansas: 0.5 %Arkansas0.5Missouri: 0.5 %Missouri0.5South Carolina: 0.5 %South Carolina0.5Mississippi: 0.4 %Mississippi0.4Montana: 0.4 %Montana0.4Michigan: 0.4 %Michigan0.4New Hampshire: 0.4 %New Hampshire0.4Wyoming: 0.4 %Wyoming0.4Minnesota: 0.4 %Minnesota0.4Kentucky: 0.3 %Kentucky0.3Wisconsin: 0.3 %Wisconsin0.3Iowa: 0.3 %Iowa0.3West Virginia: 0.3 %West Virginia0.3Vermont: 0.3 %Vermont0.3South Dakota: 0.3 %South Dakota0.3Maine: 0.2 %Maine0.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankStates2023 (%)Change on 2022
1Texas1.90 pts
2Nevada1.4+0.1 pts
3Alaska1.2+0.1 pts
4New Jersey1.10 pts
5California1.1-0 pts
6Florida1.1-0 pts
7New Mexico1-0 pts
8Georgia10 pts
9Maryland10 pts
10New York0.90 pts
10Virginia0.9-0 pts
12Illinois0.9-0 pts
13Arizona0.90 pts
14Connecticut0.80 pts
15Oklahoma0.80 pts
16Washington0.8+0.1 pts
17Utah0.8-0 pts
18Colorado0.70 pts
18Rhode Island0.70 pts
20Delaware0.7+0.1 pts
21North Carolina0.7+0.1 pts
22District of Columbia0.6+0.1 pts
22Louisiana0.60 pts
24Tennessee0.60 pts
25Nebraska0.60 pts
26Idaho0.6+0.1 pts
26Kansas0.6+0.1 pts
28Ohio0.50 pts
28Oregon0.50 pts
30Hawaii0.50 pts
31Alabama0.5+0.1 pts
31Pennsylvania0.50 pts
33Indiana0.5-0 pts
33Massachusetts0.5+0.1 pts
33North Dakota0.50 pts
36Arkansas0.50 pts
37Missouri0.50 pts
37South Carolina0.50 pts
39Mississippi0.4+0.1 pts
40Montana0.40 pts
41Michigan0.40 pts
42New Hampshire0.4-0 pts
43Wyoming0.4-0 pts
44Minnesota0.40 pts
45Kentucky0.30 pts
46Wisconsin0.30 pts
47Iowa0.30 pts
48West Virginia0.3-0 pts
49Vermont0.30 pts
50South Dakota0.30 pts
51Maine0.20 pts

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 states 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/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 states 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 states 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/us-states?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 states 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/us-states?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 states 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/us-states?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_us_states_by_uninsured_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 states 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/us-states?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. 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 states 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/us-states?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-65-and-over/us-states?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. 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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Questions

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

Texas, with 1.9% in 2023, according to the U.S. Census Bureau.

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

Maine, with 0.2% 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. Retrieved 2026-10-12.

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

US states: more rankings