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 2015, at 23%. Shelby County had the lowest, at 10.7%. The median was 15.8% and the figure for Alabama was 15.3%. Source: the U.S. Census Bureau.

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Highest23DeKalb County
Lowest10.7Shelby County
Median15.867 counties
Alabama15.3History

Map of counties, 2015

Autauga County: 12.2 %Baldwin County: 14.7 %Barbour County: 17.4 %Bibb County: 15.1 %Blount County: 17.7 %Bullock County: 19.2 %Butler County: 16 %Calhoun County: 14.5 %Chambers County: 17 %Cherokee County: 14.6 %Chilton County: 19.5 %Choctaw County: 14.7 %Clarke County: 16.1 %Clay County: 18 %Cleburne County: 15.5 %Coffee County: 15.3 %Colbert County: 13.4 %Conecuh County: 18.9 %Coosa County: 16.2 %Covington County: 15.8 %Crenshaw County: 16.2 %Cullman County: 18.1 %Dale County: 14.9 %Dallas County: 16.2 %DeKalb County: 23 %Elmore County: 12 %Escambia County: 20.4 %Etowah County: 15.3 %Fayette County: 15.2 %Franklin County: 21.3 %Geneva County: 20.2 %Greene County: 15.7 %Hale County: 15.6 %Henry County: 16.9 %Houston County: 15.2 %Jackson County: 17.6 %Jefferson County: 14.4 %Lamar County: 15.6 %Lauderdale County: 14.1 %Lawrence County: 17 %Lee County: 14.4 %Limestone County: 15.6 %Lowndes County: 15.4 %Macon County: 13.5 %Madison County: 13.1 %Marengo County: 13.9 %Marion County: 16.7 %Marshall County: 20.2 %Mobile County: 17.1 %Monroe County: 18.2 %Montgomery County: 16 %Morgan County: 17.6 %Perry County: 16.5 %Pickens County: 15.8 %Pike County: 17.1 %Randolph County: 17.6 %Russell County: 15.2 %St. Clair County: 14.9 %Shelby County: 10.7 %Sumter County: 15.4 %Talladega County: 14.5 %Tallapoosa County: 15.3 %Tuscaloosa County: 12.2 %Walker County: 16.6 %Washington County: 15.2 %Wilcox County: 15.9 %Winston County: 16 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 and over
%, 2015. 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, 2015

DeKalb County: 23 %DeKalb County23Franklin County: 21.3 %Franklin County21.3Escambia County: 20.4 %Escambia County20.4Geneva County: 20.2 %Geneva County20.2Marshall County: 20.2 %Marshall County20.2Chilton County: 19.5 %Chilton County19.5Bullock County: 19.2 %Bullock County19.2Conecuh County: 18.9 %Conecuh County18.9Monroe County: 18.2 %Monroe County18.2Cullman County: 18.1 %Cullman County18.1Clay County: 18 %Clay County18Blount County: 17.7 %Blount County17.7Jackson County: 17.6 %Jackson County17.6Morgan County: 17.6 %Morgan County17.6Randolph County: 17.6 %Randolph County17.6Barbour County: 17.4 %Barbour County17.4Mobile County: 17.1 %Mobile County17.1Pike County: 17.1 %Pike County17.1Chambers County: 17 %Chambers County17Lawrence County: 17 %Lawrence County17Henry County: 16.9 %Henry County16.9Marion County: 16.7 %Marion County16.7Walker County: 16.6 %Walker County16.6Perry County: 16.5 %Perry County16.5Coosa County: 16.2 %Coosa County16.2Crenshaw County: 16.2 %Crenshaw County16.2Dallas County: 16.2 %Dallas County16.2Clarke County: 16.1 %Clarke County16.1Butler County: 16 %Butler County16Montgomery County: 16 %Montgomery County16Winston County: 16 %Winston County16Wilcox County: 15.9 %Wilcox County15.9Covington County: 15.8 %Covington County15.8Pickens County: 15.8 %Pickens County15.8Greene County: 15.7 %Greene County15.7Hale County: 15.6 %Hale County15.6Lamar County: 15.6 %Lamar County15.6Limestone County: 15.6 %Limestone County15.6Cleburne County: 15.5 %Cleburne County15.5Lowndes County: 15.4 %Lowndes County15.4DeKalb County: 23 %DeKalb County23Franklin County: 21.3 %Franklin County21.3Escambia County: 20.4 %Escambia County20.4Geneva County: 20.2 %Geneva County20.2Marshall County: 20.2 %Marshall County20.2Chilton County: 19.5 %Chilton County19.5Bullock County: 19.2 %Bullock County19.2Conecuh County: 18.9 %Conecuh County18.9Monroe County: 18.2 %Monroe County18.2Cullman County: 18.1 %Cullman County18.1Clay County: 18 %Clay County18Blount County: 17.7 %Blount County17.7Jackson County: 17.6 %Jackson County17.6Morgan County: 17.6 %Morgan County17.6Randolph County: 17.6 %Randolph County17.6Barbour County: 17.4 %Barbour County17.4Mobile County: 17.1 %Mobile County17.1Pike County: 17.1 %Pike County17.1Chambers County: 17 %Chambers County17Lawrence County: 17 %Lawrence County17Henry County: 16.9 %Henry County16.9Marion County: 16.7 %Marion County16.7Walker County: 16.6 %Walker County16.6Perry County: 16.5 %Perry County16.5Coosa County: 16.2 %Coosa County16.2Crenshaw County: 16.2 %Crenshaw County16.2Dallas County: 16.2 %Dallas County16.2Clarke County: 16.1 %Clarke County16.1Butler County: 16 %Butler County16Montgomery County: 16 %Montgomery County16Winston County: 16 %Winston County16Wilcox County: 15.9 %Wilcox County15.9Covington County: 15.8 %Covington County15.8Pickens County: 15.8 %Pickens County15.8Greene County: 15.7 %Greene County15.7Hale County: 15.6 %Hale County15.6Lamar County: 15.6 %Lamar County15.6Limestone County: 15.6 %Limestone County15.6Cleburne County: 15.5 %Cleburne County15.5Lowndes County: 15.4 %Lowndes County15.4
%. 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

RankCounties2015 (%)Change on 2014
1DeKalb County23-3.9 pts
2Franklin County21.3-4.1 pts
3Escambia County20.4-1.7 pts
4Geneva County20.2-1.5 pts
4Marshall County20.2-4.3 pts
6Chilton County19.5-3.1 pts
7Bullock County19.2-3.6 pts
8Conecuh County18.9-2.1 pts
9Monroe County18.2-4.7 pts
10Cullman County18.1-2.7 pts
11Clay County18-4.2 pts
12Blount County17.7-3.1 pts
13Jackson County17.6-2.3 pts
13Morgan County17.6-2.9 pts
13Randolph County17.6-4 pts
16Barbour County17.4-2.5 pts
17Mobile County17.1-2.3 pts
17Pike County17.1-1.4 pts
19Chambers County17-1.9 pts
19Lawrence County17-3.1 pts
21Henry County16.9-1.9 pts
22Marion County16.7-2.8 pts
23Walker County16.6-2.8 pts
24Perry County16.5-3.5 pts
25Coosa County16.2-2.5 pts
25Crenshaw County16.2-4.3 pts
25Dallas County16.2-2.8 pts
28Clarke County16.1-3.2 pts
29Butler County16-2.7 pts
29Montgomery County16-2.1 pts
29Winston County16-4.6 pts
32Wilcox County15.9-5.1 pts
33Covington County15.8-3.9 pts
33Pickens County15.8-2.2 pts
35Greene County15.7-3.7 pts
36Hale County15.6-2.3 pts
36Lamar County15.6-2 pts
36Limestone County15.6-3 pts
39Cleburne County15.5-2.7 pts
40Lowndes County15.4-2.9 pts
40Sumter County15.4-5.3 pts
42Coffee County15.3-3.6 pts
42Etowah County15.3-3.4 pts
42Tallapoosa County15.3-2.7 pts
45Fayette County15.2-3.3 pts
45Houston County15.2-2.1 pts
45Russell County15.2-4.2 pts
45Washington County15.2-3.7 pts
49Bibb County15.1-2.1 pts
50Dale County14.9-3 pts
50St. Clair County14.9-2.1 pts
52Baldwin County14.7-5.8 pts
52Choctaw County14.7-3.1 pts
54Cherokee County14.6-3.6 pts
55Calhoun County14.5-3.7 pts
55Talladega County14.5-2.8 pts
57Jefferson County14.4-1.8 pts
57Lee County14.4-2.2 pts
59Lauderdale County14.1-3.1 pts
60Marengo County13.9-3 pts
61Macon County13.5-2.6 pts
62Colbert County13.4-3.1 pts
63Madison County13.1-2.7 pts
64Autauga County12.2-2 pts
64Tuscaloosa County12.2-3.1 pts
66Elmore County12-2.7 pts
67Shelby County10.7-2.5 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2015.
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-2015-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 23% in 2015, 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 10.7% in 2015.

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