Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in Alabama

Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

DeKalb County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 67 counties in 2024, at 18.6%. Shelby County had the lowest, at 8.7%. The median was 12.9% and the figure for Alabama was 12.2%. Source: the U.S. Census Bureau.

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Highest18.6DeKalb County
Lowest8.7Shelby County
Median12.967 counties
Alabama12.2History

Map of counties, 2024

Autauga County: 9.9 %Baldwin County: 11.5 %Barbour County: 14.2 %Bibb County: 13.5 %Blount County: 15.5 %Bullock County: 16.5 %Butler County: 11.1 %Calhoun County: 12.7 %Chambers County: 12.8 %Cherokee County: 13.3 %Chilton County: 14.7 %Choctaw County: 12.4 %Clarke County: 12.1 %Clay County: 13 %Cleburne County: 13 %Coffee County: 12.9 %Colbert County: 11.9 %Conecuh County: 12.5 %Coosa County: 11.7 %Covington County: 14.3 %Crenshaw County: 13.7 %Cullman County: 14.3 %Dale County: 14 %Dallas County: 11.1 %DeKalb County: 18.6 %Elmore County: 9.7 %Escambia County: 13.1 %Etowah County: 13.5 %Fayette County: 13.2 %Franklin County: 17.1 %Geneva County: 15.3 %Greene County: 11 %Hale County: 12.7 %Henry County: 13.9 %Houston County: 13.7 %Jackson County: 15.1 %Jefferson County: 13 %Lamar County: 12.3 %Lauderdale County: 11.9 %Lawrence County: 13.2 %Lee County: 11.6 %Limestone County: 10.2 %Lowndes County: 11.3 %Macon County: 11.3 %Madison County: 10 %Marengo County: 12.3 %Marion County: 13.2 %Marshall County: 16.6 %Mobile County: 12.3 %Monroe County: 12.9 %Montgomery County: 11.9 %Morgan County: 13.3 %Perry County: 11 %Pickens County: 11.8 %Pike County: 12 %Randolph County: 14.2 %Russell County: 13 %St. Clair County: 10.8 %Shelby County: 8.7 %Sumter County: 11.6 %Talladega County: 11.5 %Tallapoosa County: 13.2 %Tuscaloosa County: 10.4 %Walker County: 13.9 %Washington County: 9.9 %Wilcox County: 12.9 %Winston County: 15.7 %
  • Under 11
  • 11 to 12
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  • 14 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

DeKalb County: 18.6 %DeKalb County18.6Franklin County: 17.1 %Franklin County17.1Marshall County: 16.6 %Marshall County16.6Bullock County: 16.5 %Bullock County16.5Winston County: 15.7 %Winston County15.7Blount County: 15.5 %Blount County15.5Geneva County: 15.3 %Geneva County15.3Jackson County: 15.1 %Jackson County15.1Chilton County: 14.7 %Chilton County14.7Covington County: 14.3 %Covington County14.3Cullman County: 14.3 %Cullman County14.3Barbour County: 14.2 %Barbour County14.2Randolph County: 14.2 %Randolph County14.2Dale County: 14 %Dale County14Henry County: 13.9 %Henry County13.9Walker County: 13.9 %Walker County13.9Crenshaw County: 13.7 %Crenshaw County13.7Houston County: 13.7 %Houston County13.7Bibb County: 13.5 %Bibb County13.5Etowah County: 13.5 %Etowah County13.5Cherokee County: 13.3 %Cherokee County13.3Morgan County: 13.3 %Morgan County13.3Fayette County: 13.2 %Fayette County13.2Lawrence County: 13.2 %Lawrence County13.2Marion County: 13.2 %Marion County13.2Tallapoosa County: 13.2 %Tallapoosa County13.2Escambia County: 13.1 %Escambia County13.1Clay County: 13 %Clay County13Cleburne County: 13 %Cleburne County13Jefferson County: 13 %Jefferson County13Russell County: 13 %Russell County13Coffee County: 12.9 %Coffee County12.9Monroe County: 12.9 %Monroe County12.9Wilcox County: 12.9 %Wilcox County12.9Chambers County: 12.8 %Chambers County12.8Calhoun County: 12.7 %Calhoun County12.7Hale County: 12.7 %Hale County12.7Conecuh County: 12.5 %Conecuh County12.5Choctaw County: 12.4 %Choctaw County12.4Lamar County: 12.3 %Lamar County12.3DeKalb County: 18.6 %DeKalb County18.6Franklin County: 17.1 %Franklin County17.1Marshall County: 16.6 %Marshall County16.6Bullock County: 16.5 %Bullock County16.5Winston County: 15.7 %Winston County15.7Blount County: 15.5 %Blount County15.5Geneva County: 15.3 %Geneva County15.3Jackson County: 15.1 %Jackson County15.1Chilton County: 14.7 %Chilton County14.7Covington County: 14.3 %Covington County14.3Cullman County: 14.3 %Cullman County14.3Barbour County: 14.2 %Barbour County14.2Randolph County: 14.2 %Randolph County14.2Dale County: 14 %Dale County14Henry County: 13.9 %Henry County13.9Walker County: 13.9 %Walker County13.9Crenshaw County: 13.7 %Crenshaw County13.7Houston County: 13.7 %Houston County13.7Bibb County: 13.5 %Bibb County13.5Etowah County: 13.5 %Etowah County13.5Cherokee County: 13.3 %Cherokee County13.3Morgan County: 13.3 %Morgan County13.3Fayette County: 13.2 %Fayette County13.2Lawrence County: 13.2 %Lawrence County13.2Marion County: 13.2 %Marion County13.2Tallapoosa County: 13.2 %Tallapoosa County13.2Escambia County: 13.1 %Escambia County13.1Clay County: 13 %Clay County13Cleburne County: 13 %Cleburne County13Jefferson County: 13 %Jefferson County13Russell County: 13 %Russell County13Coffee County: 12.9 %Coffee County12.9Monroe County: 12.9 %Monroe County12.9Wilcox County: 12.9 %Wilcox County12.9Chambers County: 12.8 %Chambers County12.8Calhoun County: 12.7 %Calhoun County12.7Hale County: 12.7 %Hale County12.7Conecuh County: 12.5 %Conecuh County12.5Choctaw County: 12.4 %Choctaw County12.4Lamar County: 12.3 %Lamar County12.3
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1DeKalb County18.6-0.8 pts
2Franklin County17.1+1.4 pts
3Marshall County16.6+2.2 pts
4Bullock County16.5-1.8 pts
5Winston County15.7+1.1 pts
6Blount County15.5-1.1 pts
7Geneva County15.3-0.9 pts
8Jackson County15.1+0.3 pts
9Chilton County14.7-0.4 pts
10Covington County14.3+0.6 pts
10Cullman County14.3-0.6 pts
12Barbour County14.2-1.4 pts
12Randolph County14.2-0.7 pts
14Dale County14-0.6 pts
15Henry County13.9-0.4 pts
15Walker County13.9-0.1 pts
17Crenshaw County13.7-1.4 pts
17Houston County13.7-0.2 pts
19Bibb County13.5-1.6 pts
19Etowah County13.5-0.7 pts
21Cherokee County13.3-0.9 pts
21Morgan County13.3-1.3 pts
23Fayette County13.2-0.1 pts
23Lawrence County13.2-1.3 pts
23Marion County13.2-1.3 pts
23Tallapoosa County13.2+0.4 pts
27Escambia County13.1-1.1 pts
28Clay County13-0.7 pts
28Cleburne County13-1.6 pts
28Jefferson County13+0.3 pts
28Russell County13-0.7 pts
32Coffee County12.9-0.2 pts
32Monroe County12.9-0.4 pts
32Wilcox County12.9-1 pts
35Chambers County12.8-0.1 pts
36Calhoun County12.7-1.2 pts
36Hale County12.7-0.9 pts
38Conecuh County12.5-0.6 pts
39Choctaw County12.4-1.3 pts
40Lamar County12.3-0.5 pts
40Marengo County12.3+1.4 pts
40Mobile County12.3-1.8 pts
43Clarke County12.1-1.2 pts
44Pike County12-0.9 pts
45Colbert County11.9-0.6 pts
45Lauderdale County11.9+0.2 pts
45Montgomery County11.9-1.9 pts
48Pickens County11.8-0.3 pts
49Coosa County11.7-0.4 pts
50Lee County11.6-0.2 pts
50Sumter County11.6-1 pts
52Baldwin County11.5+0.1 pts
52Talladega County11.5-0.3 pts
54Lowndes County11.3-0.8 pts
54Macon County11.3-1.5 pts
56Butler County11.1-2.3 pts
56Dallas County11.1-0.7 pts
58Greene County11-0.7 pts
58Perry County11-0.7 pts
60St. Clair County10.8-0.2 pts
61Tuscaloosa County10.4-0.2 pts
62Limestone County10.2+0.1 pts
63Madison County10-0.1 pts
64Autauga County9.9-0.3 pts
64Washington County9.9-0.3 pts
66Elmore County9.7-1.3 pts
67Shelby County8.70 pts

Other periods

About this ranking

People aged 18 to 64 without health insurance coverage of any kind, as a percentage of all people aged 18 to 64. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Working-age adults; the rate for everyone under 65 is uninsured_rate_under_65.

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. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties (Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, ages 18 to 64 (US model-based estimate)?

DeKalb County, with 18.6% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 18 to 64 (US model-based estimate)?

Shelby County, with 8.7% 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, Small Area Health Insurance Estimates (SAHIE): percent uninsured, ages 18 to 64, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, ages 18 to 64 (US model-based estimate): other rankings

Counties in Alabama: more rankings