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

Alexandria city had the highest uninsured rate, 65 and over (US, ACS) of 133 counties in 2021, at 4%. Waynesboro city had the lowest, at 0%. The median was 0.3% and the figure for Virginia was 1%. Source: the U.S. Census Bureau.

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Median0.3133 counties
Virginia1History

Map of counties, 2021

Accomack County: 0.1 %Albemarle County: 0.4 %Alleghany County: 0 %Amelia County: 1 %Amherst County: 0 %Appomattox County: 0 %Arlington County: 2.1 %Augusta County: 0.3 %Bath County: 0 %Bedford County: 0.1 %Bland County: 0 %Botetourt County: 0.4 %Brunswick County: 0 %Buchanan County: 0 %Buckingham County: 0.4 %Campbell County: 0.5 %Caroline County: 0.2 %Carroll County: 0 %Charles City County: 0 %Charlotte County: 0 %Chesterfield County: 0.5 %Clarke County: 0 %Craig County: 0 %Culpeper County: 1.3 %Cumberland County: 2.9 %Dickenson County: 0 %Dinwiddie County: 0 %Essex County: 0 %Fairfax County: 2 %Fauquier County: 0.2 %Floyd County: 0.2 %Fluvanna County: 0.4 %Franklin County: 0.1 %Frederick County: 0.9 %Giles County: 0.4 %Gloucester County: 0.4 %Goochland County: 0.6 %Grayson County: 0.2 %Greene County: 0 %Greensville County: 0 %Halifax County: 0.2 %Hanover County: 0.4 %Henrico County: 1.5 %Henry County: 0.9 %Highland County: 0 %Isle of Wight County: 0.1 %James City County: 0 %King and Queen County: 0 %King George County: 0 %King William County: 0 %Lancaster County: 0 %Lee County: 0.2 %Loudoun County: 2.3 %Louisa County: 0 %Lunenburg County: 0.7 %Madison County: 0.9 %Mathews County: 0 %Mecklenburg County: 0.7 %Middlesex County: 0 %Montgomery County: 2.3 %Nelson County: 0 %New Kent County: 1 %Northampton County: 1.4 %Northumberland County: 0.4 %Nottoway County: 0.6 %Orange County: 0 %Page County: 0 %Patrick County: 0 %Pittsylvania County: 0.9 %Powhatan County: 0.2 %Prince Edward County: 0 %Prince George County: 0 %Prince William County: 2.4 %Pulaski County: 0.3 %Rappahannock County: 1.1 %Richmond County: 0 %Roanoke County: 0.7 %Rockbridge County: 0.4 %Rockingham County: 1.1 %Russell County: 0.1 %Scott County: 0.2 %Shenandoah County: 0.2 %Smyth County: 0.5 %Southampton County: 0 %Spotsylvania County: 0.7 %Stafford County: 1 %Surry County: 0 %Sussex County: 0.1 %Tazewell County: 0.4 %Warren County: 0.3 %Washington County: 0.3 %Westmoreland County: 0.2 %Wise County: 0.4 %Wythe County: 0.1 %York County: 1.8 %Alexandria city: 4 %Bristol city: 0.5 %Buena Vista city: 0 %Charlottesville city: 2.5 %Chesapeake city: 0.3 %Colonial Heights city: 0.2 %Covington city: 0 %Danville city: 0.4 %Emporia city: 0 %Fairfax city: 1.4 %Falls Church city: 1.1 %Franklin city: 0 %Fredericksburg city: 2.2 %Galax city: 0 %Hampton city: 0.5 %Harrisonburg city: 0.2 %Hopewell city: 1.4 %Lexington city: 0 %Lynchburg city: 1.4 %Manassas city: 1 %Manassas Park city: 3.5 %Martinsville city: 0 %Newport News city: 1.3 %Norfolk city: 0.8 %Norton city: 0 %Petersburg city: 1 %Poquoson city: 0.4 %Portsmouth city: 0.6 %Radford city: 0 %Richmond city: 0.9 %Roanoke city: 0.6 %Salem city: 0 %Staunton city: 0.9 %Suffolk city: 0.7 %Virginia Beach city: 0.7 %Waynesboro city: 0 %Williamsburg city: 1 %Winchester city: 0.3 %
  • Under 0.3
  • 0.3 to 0.5
  • 0.5 to 1
  • 1 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

Alexandria city: 4 %Alexandria city4Manassas Park city: 3.5 %Manassas Park city3.5Cumberland County: 2.9 %Cumberland County2.9Charlottesville city: 2.5 %Charlottesville city2.5Prince William County: 2.4 %Prince William County2.4Montgomery County: 2.3 %Montgomery County2.3Loudoun County: 2.3 %Loudoun County2.3Fredericksburg city: 2.2 %Fredericksburg city2.2Arlington County: 2.1 %Arlington County2.1Fairfax County: 2 %Fairfax County2York County: 1.8 %York County1.8Henrico County: 1.5 %Henrico County1.5Hopewell city: 1.4 %Hopewell city1.4Lynchburg city: 1.4 %Lynchburg city1.4Northampton County: 1.4 %Northampton County1.4Fairfax city: 1.4 %Fairfax city1.4Culpeper County: 1.3 %Culpeper County1.3Newport News city: 1.3 %Newport News city1.3Rockingham County: 1.1 %Rockingham County1.1Rappahannock County: 1.1 %Rappahannock County1.1Falls Church city: 1.1 %Falls Church city1.1Manassas city: 1 %Manassas city1New Kent County: 1 %New Kent County1Petersburg city: 1 %Petersburg city1Williamsburg city: 1 %Williamsburg city1Amelia County: 1 %Amelia County1Stafford County: 1 %Stafford County1Richmond city: 0.9 %Richmond city0.9Pittsylvania County: 0.9 %Pittsylvania County0.9Staunton city: 0.9 %Staunton city0.9Henry County: 0.9 %Henry County0.9Frederick County: 0.9 %Frederick County0.9Madison County: 0.9 %Madison County0.9Norfolk city: 0.8 %Norfolk city0.8Lunenburg County: 0.7 %Lunenburg County0.7Roanoke County: 0.7 %Roanoke County0.7Spotsylvania County: 0.7 %Spotsylvania County0.7Mecklenburg County: 0.7 %Mecklenburg County0.7Virginia Beach city: 0.7 %Virginia Beach city0.7Suffolk city: 0.7 %Suffolk city0.7Alexandria city: 4 %Alexandria city4Manassas Park city: 3.5 %Manassas Park city3.5Cumberland County: 2.9 %Cumberland County2.9Charlottesville city: 2.5 %Charlottesville city2.5Prince William County: 2.4 %Prince William County2.4Montgomery County: 2.3 %Montgomery County2.3Loudoun County: 2.3 %Loudoun County2.3Fredericksburg city: 2.2 %Fredericksburg city2.2Arlington County: 2.1 %Arlington County2.1Fairfax County: 2 %Fairfax County2York County: 1.8 %York County1.8Henrico County: 1.5 %Henrico County1.5Hopewell city: 1.4 %Hopewell city1.4Lynchburg city: 1.4 %Lynchburg city1.4Northampton County: 1.4 %Northampton County1.4Fairfax city: 1.4 %Fairfax city1.4Culpeper County: 1.3 %Culpeper County1.3Newport News city: 1.3 %Newport News city1.3Rockingham County: 1.1 %Rockingham County1.1Rappahannock County: 1.1 %Rappahannock County1.1Falls Church city: 1.1 %Falls Church city1.1Manassas city: 1 %Manassas city1New Kent County: 1 %New Kent County1Petersburg city: 1 %Petersburg city1Williamsburg city: 1 %Williamsburg city1Amelia County: 1 %Amelia County1Stafford County: 1 %Stafford County1Richmond city: 0.9 %Richmond city0.9Pittsylvania County: 0.9 %Pittsylvania County0.9Staunton city: 0.9 %Staunton city0.9Henry County: 0.9 %Henry County0.9Frederick County: 0.9 %Frederick County0.9Madison County: 0.9 %Madison County0.9Norfolk city: 0.8 %Norfolk city0.8Lunenburg County: 0.7 %Lunenburg County0.7Roanoke County: 0.7 %Roanoke County0.7Spotsylvania County: 0.7 %Spotsylvania County0.7Mecklenburg County: 0.7 %Mecklenburg County0.7Virginia Beach city: 0.7 %Virginia Beach city0.7Suffolk city: 0.7 %Suffolk city0.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Alexandria city4
2Manassas Park city3.5
3Cumberland County2.9
4Charlottesville city2.5
5Prince William County2.4
6Montgomery County2.3
7Loudoun County2.3
8Fredericksburg city2.2
9Arlington County2.1
10Fairfax County2
11York County1.8
12Henrico County1.5
13Hopewell city1.4
14Lynchburg city1.4
14Northampton County1.4
16Fairfax city1.4
17Culpeper County1.3
18Newport News city1.3
19Rockingham County1.1
20Rappahannock County1.1
21Falls Church city1.1
22Manassas city1
22New Kent County1
24Petersburg city1
25Williamsburg city1
26Amelia County1
26Stafford County1
28Richmond city0.9
29Pittsylvania County0.9
30Staunton city0.9
31Henry County0.9
32Frederick County0.9
32Madison County0.9
34Norfolk city0.8
35Lunenburg County0.7
35Roanoke County0.7
37Spotsylvania County0.7
38Mecklenburg County0.7
38Virginia Beach city0.7
40Suffolk city0.7
41Goochland County0.6
41Portsmouth city0.6
43Roanoke city0.6
44Nottoway County0.6
45Smyth County0.5
46Hampton city0.5
47Campbell County0.5
48Chesterfield County0.5
49Bristol city0.5
50Fluvanna County0.4
51Albemarle County0.4
52Botetourt County0.4
52Buckingham County0.4
54Danville city0.4
54Tazewell County0.4
56Northumberland County0.4
56Wise County0.4
58Giles County0.4
58Gloucester County0.4
58Poquoson city0.4
61Hanover County0.4
62Rockbridge County0.4
63Pulaski County0.3
64Warren County0.3
65Chesapeake city0.3
66Washington County0.3
67Winchester city0.3
68Augusta County0.3
69Westmoreland County0.2
70Shenandoah County0.2
71Grayson County0.2
72Caroline County0.2
73Colonial Heights city0.2
73Halifax County0.2
73Scott County0.2
76Floyd County0.2
76Lee County0.2
78Fauquier County0.2
78Powhatan County0.2
80Harrisonburg city0.2
81Bedford County0.1
81Isle of Wight County0.1
81Russell County0.1
84Accomack County0.1
84Wythe County0.1
86Franklin County0.1
87Sussex County0.1
88Dickenson County0
89Alleghany County0
89Amherst County0
89Appomattox County0
89Bath County0
89Bland County0
89Brunswick County0
89Buchanan County0
89Buena Vista city0
89Carroll County0
89Charles City County0
89Charlotte County0
89Clarke County0
89Covington city0
89Craig County0
89Dinwiddie County0
89Emporia city0
89Essex County0
89Franklin city0
89Galax city0
89Greene County0
89Greensville County0
89Highland County0
89James City County0
89King and Queen County0
89King George County0
89King William County0
89Lancaster County0
89Lexington city0
89Louisa County0
89Martinsville city0
89Mathews County0
89Middlesex County0
89Nelson County0
89Norton city0
89Orange County0
89Page County0
89Patrick County0
89Prince Edward County0
89Prince George County0
89Radford city0
89Richmond County0
89Salem city0
89Southampton County0
89Surry County0
89Waynesboro city0

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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

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

Alexandria city, with 4% in 2021, according to the U.S. Census Bureau.

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

Waynesboro city, 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 Virginia: more rankings