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)

DeKalb County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 67 counties in 2013, at 29.3%. Shelby County had the lowest, at 15.1%. The median was 20.8% and the figure for Alabama was 20.2%. Source: the U.S. Census Bureau.

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Highest29.3DeKalb County
Lowest15.1Shelby County
Median20.867 counties
Alabama20.2History

Map of counties, 2013

Autauga County: 17.4 %Baldwin County: 22 %Barbour County: 22.6 %Bibb County: 19.1 %Blount County: 22.3 %Bullock County: 24.5 %Butler County: 20.2 %Calhoun County: 20.4 %Chambers County: 21.5 %Cherokee County: 20.5 %Chilton County: 24.4 %Choctaw County: 19.8 %Clarke County: 20.3 %Clay County: 23.9 %Cleburne County: 21.1 %Coffee County: 21.3 %Colbert County: 18.3 %Conecuh County: 23.4 %Coosa County: 20.9 %Covington County: 21.5 %Crenshaw County: 20.8 %Cullman County: 23.7 %Dale County: 19.1 %Dallas County: 19.2 %DeKalb County: 29.3 %Elmore County: 15.5 %Escambia County: 24.4 %Etowah County: 20.4 %Fayette County: 19.6 %Franklin County: 26.4 %Geneva County: 24.6 %Greene County: 21.7 %Hale County: 20.8 %Henry County: 21.2 %Houston County: 20.5 %Jackson County: 22.7 %Jefferson County: 18.4 %Lamar County: 20.2 %Lauderdale County: 18.8 %Lawrence County: 22.5 %Lee County: 19.9 %Limestone County: 20.4 %Lowndes County: 19.3 %Macon County: 19.8 %Madison County: 17.2 %Marengo County: 19.9 %Marion County: 20.4 %Marshall County: 28.7 %Mobile County: 21.4 %Monroe County: 23.9 %Montgomery County: 19.9 %Morgan County: 21.8 %Perry County: 20.6 %Pickens County: 21.4 %Pike County: 21.3 %Randolph County: 24.2 %Russell County: 22.4 %St. Clair County: 18.2 %Shelby County: 15.1 %Sumter County: 21.5 %Talladega County: 18.7 %Tallapoosa County: 20.3 %Tuscaloosa County: 18.9 %Walker County: 20.4 %Washington County: 20 %Wilcox County: 22.8 %Winston County: 21.2 %
  • Under 19
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%, 2013. 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, 2013

DeKalb County: 29.3 %DeKalb County29.3Marshall County: 28.7 %Marshall County28.7Franklin County: 26.4 %Franklin County26.4Geneva County: 24.6 %Geneva County24.6Bullock County: 24.5 %Bullock County24.5Chilton County: 24.4 %Chilton County24.4Escambia County: 24.4 %Escambia County24.4Randolph County: 24.2 %Randolph County24.2Clay County: 23.9 %Clay County23.9Monroe County: 23.9 %Monroe County23.9Cullman County: 23.7 %Cullman County23.7Conecuh County: 23.4 %Conecuh County23.4Wilcox County: 22.8 %Wilcox County22.8Jackson County: 22.7 %Jackson County22.7Barbour County: 22.6 %Barbour County22.6Lawrence County: 22.5 %Lawrence County22.5Russell County: 22.4 %Russell County22.4Blount County: 22.3 %Blount County22.3Baldwin County: 22 %Baldwin County22Morgan County: 21.8 %Morgan County21.8Greene County: 21.7 %Greene County21.7Chambers County: 21.5 %Chambers County21.5Covington County: 21.5 %Covington County21.5Sumter County: 21.5 %Sumter County21.5Mobile County: 21.4 %Mobile County21.4Pickens County: 21.4 %Pickens County21.4Coffee County: 21.3 %Coffee County21.3Pike County: 21.3 %Pike County21.3Henry County: 21.2 %Henry County21.2Winston County: 21.2 %Winston County21.2Cleburne County: 21.1 %Cleburne County21.1Coosa County: 20.9 %Coosa County20.9Crenshaw County: 20.8 %Crenshaw County20.8Hale County: 20.8 %Hale County20.8Perry County: 20.6 %Perry County20.6Cherokee County: 20.5 %Cherokee County20.5Houston County: 20.5 %Houston County20.5Calhoun County: 20.4 %Calhoun County20.4Etowah County: 20.4 %Etowah County20.4Limestone County: 20.4 %Limestone County20.4DeKalb County: 29.3 %DeKalb County29.3Marshall County: 28.7 %Marshall County28.7Franklin County: 26.4 %Franklin County26.4Geneva County: 24.6 %Geneva County24.6Bullock County: 24.5 %Bullock County24.5Chilton County: 24.4 %Chilton County24.4Escambia County: 24.4 %Escambia County24.4Randolph County: 24.2 %Randolph County24.2Clay County: 23.9 %Clay County23.9Monroe County: 23.9 %Monroe County23.9Cullman County: 23.7 %Cullman County23.7Conecuh County: 23.4 %Conecuh County23.4Wilcox County: 22.8 %Wilcox County22.8Jackson County: 22.7 %Jackson County22.7Barbour County: 22.6 %Barbour County22.6Lawrence County: 22.5 %Lawrence County22.5Russell County: 22.4 %Russell County22.4Blount County: 22.3 %Blount County22.3Baldwin County: 22 %Baldwin County22Morgan County: 21.8 %Morgan County21.8Greene County: 21.7 %Greene County21.7Chambers County: 21.5 %Chambers County21.5Covington County: 21.5 %Covington County21.5Sumter County: 21.5 %Sumter County21.5Mobile County: 21.4 %Mobile County21.4Pickens County: 21.4 %Pickens County21.4Coffee County: 21.3 %Coffee County21.3Pike County: 21.3 %Pike County21.3Henry County: 21.2 %Henry County21.2Winston County: 21.2 %Winston County21.2Cleburne County: 21.1 %Cleburne County21.1Coosa County: 20.9 %Coosa County20.9Crenshaw County: 20.8 %Crenshaw County20.8Hale County: 20.8 %Hale County20.8Perry County: 20.6 %Perry County20.6Cherokee County: 20.5 %Cherokee County20.5Houston County: 20.5 %Houston County20.5Calhoun County: 20.4 %Calhoun County20.4Etowah County: 20.4 %Etowah County20.4Limestone County: 20.4 %Limestone County20.4
%. 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

RankCounties2013 (%)Change on 2012
1DeKalb County29.3+1.1 pts
2Marshall County28.7+4.5 pts
3Franklin County26.4+0.4 pts
4Geneva County24.6+0.3 pts
5Bullock County24.5+1.3 pts
6Chilton County24.4-0.1 pts
6Escambia County24.4-1.2 pts
8Randolph County24.2+0.7 pts
9Clay County23.9+0.1 pts
9Monroe County23.9+2.4 pts
11Cullman County23.7+0.7 pts
12Conecuh County23.40 pts
13Wilcox County22.8-0.6 pts
14Jackson County22.7+0.9 pts
15Barbour County22.6-0.2 pts
16Lawrence County22.5-0.6 pts
17Russell County22.4+0.4 pts
18Blount County22.3-1 pts
19Baldwin County22+2.1 pts
20Morgan County21.80 pts
21Greene County21.7+1.1 pts
22Chambers County21.5+1 pts
22Covington County21.5-0.8 pts
22Sumter County21.5-0.2 pts
25Mobile County21.4-1.6 pts
25Pickens County21.4+0.5 pts
27Coffee County21.3+0.8 pts
27Pike County21.3-1.2 pts
29Henry County21.2-0.1 pts
29Winston County21.2-1.2 pts
31Cleburne County21.1+0.7 pts
32Coosa County20.9+0.7 pts
33Crenshaw County20.8-0.2 pts
33Hale County20.8-0.1 pts
35Perry County20.6-0.9 pts
36Cherokee County20.5-0.4 pts
36Houston County20.5-1 pts
38Calhoun County20.4+0.7 pts
38Etowah County20.4-1 pts
38Limestone County20.4-0.3 pts
38Marion County20.4+0.2 pts
38Walker County20.4+0.2 pts
43Clarke County20.3-1.8 pts
43Tallapoosa County20.3-0.1 pts
45Butler County20.2-1.4 pts
45Lamar County20.2-1.1 pts
47Washington County20-2.3 pts
48Lee County19.9+0.8 pts
48Marengo County19.9+0.3 pts
48Montgomery County19.9-0.1 pts
51Choctaw County19.8-0.6 pts
51Macon County19.8+0.7 pts
53Fayette County19.6-0.1 pts
54Lowndes County19.3-0.7 pts
55Dallas County19.2-0.2 pts
56Bibb County19.1-0.2 pts
56Dale County19.1-0.1 pts
58Tuscaloosa County18.9-0.2 pts
59Lauderdale County18.8-1.9 pts
60Talladega County18.7-0.3 pts
61Jefferson County18.4-0.2 pts
62Colbert County18.3+0.2 pts
63St. Clair County18.2-1.5 pts
64Autauga County17.4+0.5 pts
65Madison County17.2-0.2 pts
66Elmore County15.5-1.3 pts
67Shelby County15.1+0.8 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2013.
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-2013-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 29.3% in 2013, 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 15.1% in 2013.

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