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 2016, at 21.8%. Shelby County had the lowest, at 9.6%. The median was 14.6% and the figure for Alabama was 13.8%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest21.8DeKalb County
Lowest9.6Shelby County
Median14.667 counties
Alabama13.8History

Map of counties, 2016

Autauga County: 11 %Baldwin County: 13.6 %Barbour County: 16.5 %Bibb County: 12.3 %Blount County: 15.6 %Bullock County: 17.7 %Butler County: 14 %Calhoun County: 14.4 %Chambers County: 13.5 %Cherokee County: 14.9 %Chilton County: 18.3 %Choctaw County: 14.1 %Clarke County: 14.6 %Clay County: 16.9 %Cleburne County: 15.3 %Coffee County: 13.9 %Colbert County: 12.3 %Conecuh County: 16.4 %Coosa County: 16.1 %Covington County: 15.9 %Crenshaw County: 14.7 %Cullman County: 16.7 %Dale County: 14.3 %Dallas County: 13.8 %DeKalb County: 21.8 %Elmore County: 11 %Escambia County: 17.3 %Etowah County: 14.8 %Fayette County: 13.7 %Franklin County: 17 %Geneva County: 17.9 %Greene County: 14.3 %Hale County: 14.6 %Henry County: 14.8 %Houston County: 14.5 %Jackson County: 15.9 %Jefferson County: 12.7 %Lamar County: 14 %Lauderdale County: 12.5 %Lawrence County: 17.8 %Lee County: 13.1 %Limestone County: 14.1 %Lowndes County: 14.5 %Macon County: 12.8 %Madison County: 11.2 %Marengo County: 13 %Marion County: 14.6 %Marshall County: 18.1 %Mobile County: 16.3 %Monroe County: 15.9 %Montgomery County: 14.5 %Morgan County: 14.3 %Perry County: 14.7 %Pickens County: 14.8 %Pike County: 15.8 %Randolph County: 15.4 %Russell County: 14.3 %St. Clair County: 12.1 %Shelby County: 9.6 %Sumter County: 16 %Talladega County: 12.6 %Tallapoosa County: 13.6 %Tuscaloosa County: 11.6 %Walker County: 14.8 %Washington County: 16.6 %Wilcox County: 13.7 %Winston County: 16.4 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 and over
%, 2016. 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, 2016

DeKalb County: 21.8 %DeKalb County21.8Chilton County: 18.3 %Chilton County18.3Marshall County: 18.1 %Marshall County18.1Geneva County: 17.9 %Geneva County17.9Lawrence County: 17.8 %Lawrence County17.8Bullock County: 17.7 %Bullock County17.7Escambia County: 17.3 %Escambia County17.3Franklin County: 17 %Franklin County17Clay County: 16.9 %Clay County16.9Cullman County: 16.7 %Cullman County16.7Washington County: 16.6 %Washington County16.6Barbour County: 16.5 %Barbour County16.5Conecuh County: 16.4 %Conecuh County16.4Winston County: 16.4 %Winston County16.4Mobile County: 16.3 %Mobile County16.3Coosa County: 16.1 %Coosa County16.1Sumter County: 16 %Sumter County16Covington County: 15.9 %Covington County15.9Jackson County: 15.9 %Jackson County15.9Monroe County: 15.9 %Monroe County15.9Pike County: 15.8 %Pike County15.8Blount County: 15.6 %Blount County15.6Randolph County: 15.4 %Randolph County15.4Cleburne County: 15.3 %Cleburne County15.3Cherokee County: 14.9 %Cherokee County14.9Etowah County: 14.8 %Etowah County14.8Henry County: 14.8 %Henry County14.8Pickens County: 14.8 %Pickens County14.8Walker County: 14.8 %Walker County14.8Crenshaw County: 14.7 %Crenshaw County14.7Perry County: 14.7 %Perry County14.7Clarke County: 14.6 %Clarke County14.6Hale County: 14.6 %Hale County14.6Marion County: 14.6 %Marion County14.6Houston County: 14.5 %Houston County14.5Lowndes County: 14.5 %Lowndes County14.5Montgomery County: 14.5 %Montgomery County14.5Calhoun County: 14.4 %Calhoun County14.4Dale County: 14.3 %Dale County14.3Greene County: 14.3 %Greene County14.3DeKalb County: 21.8 %DeKalb County21.8Chilton County: 18.3 %Chilton County18.3Marshall County: 18.1 %Marshall County18.1Geneva County: 17.9 %Geneva County17.9Lawrence County: 17.8 %Lawrence County17.8Bullock County: 17.7 %Bullock County17.7Escambia County: 17.3 %Escambia County17.3Franklin County: 17 %Franklin County17Clay County: 16.9 %Clay County16.9Cullman County: 16.7 %Cullman County16.7Washington County: 16.6 %Washington County16.6Barbour County: 16.5 %Barbour County16.5Conecuh County: 16.4 %Conecuh County16.4Winston County: 16.4 %Winston County16.4Mobile County: 16.3 %Mobile County16.3Coosa County: 16.1 %Coosa County16.1Sumter County: 16 %Sumter County16Covington County: 15.9 %Covington County15.9Jackson County: 15.9 %Jackson County15.9Monroe County: 15.9 %Monroe County15.9Pike County: 15.8 %Pike County15.8Blount County: 15.6 %Blount County15.6Randolph County: 15.4 %Randolph County15.4Cleburne County: 15.3 %Cleburne County15.3Cherokee County: 14.9 %Cherokee County14.9Etowah County: 14.8 %Etowah County14.8Henry County: 14.8 %Henry County14.8Pickens County: 14.8 %Pickens County14.8Walker County: 14.8 %Walker County14.8Crenshaw County: 14.7 %Crenshaw County14.7Perry County: 14.7 %Perry County14.7Clarke County: 14.6 %Clarke County14.6Hale County: 14.6 %Hale County14.6Marion County: 14.6 %Marion County14.6Houston County: 14.5 %Houston County14.5Lowndes County: 14.5 %Lowndes County14.5Montgomery County: 14.5 %Montgomery County14.5Calhoun County: 14.4 %Calhoun County14.4Dale County: 14.3 %Dale County14.3Greene County: 14.3 %Greene County14.3
%. 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

RankCounties2016 (%)Change on 2015
1DeKalb County21.8-1.2 pts
2Chilton County18.3-1.2 pts
3Marshall County18.1-2.1 pts
4Geneva County17.9-2.3 pts
5Lawrence County17.8+0.8 pts
6Bullock County17.7-1.5 pts
7Escambia County17.3-3.1 pts
8Franklin County17-4.3 pts
9Clay County16.9-1.1 pts
10Cullman County16.7-1.4 pts
11Washington County16.6+1.4 pts
12Barbour County16.5-0.9 pts
13Conecuh County16.4-2.5 pts
13Winston County16.4+0.4 pts
15Mobile County16.3-0.8 pts
16Coosa County16.1-0.1 pts
17Sumter County16+0.6 pts
18Covington County15.9+0.1 pts
18Jackson County15.9-1.7 pts
18Monroe County15.9-2.3 pts
21Pike County15.8-1.3 pts
22Blount County15.6-2.1 pts
23Randolph County15.4-2.2 pts
24Cleburne County15.3-0.2 pts
25Cherokee County14.9+0.3 pts
26Etowah County14.8-0.5 pts
26Henry County14.8-2.1 pts
26Pickens County14.8-1 pts
26Walker County14.8-1.8 pts
30Crenshaw County14.7-1.5 pts
30Perry County14.7-1.8 pts
32Clarke County14.6-1.5 pts
32Hale County14.6-1 pts
32Marion County14.6-2.1 pts
35Houston County14.5-0.7 pts
35Lowndes County14.5-0.9 pts
35Montgomery County14.5-1.5 pts
38Calhoun County14.4-0.1 pts
39Dale County14.3-0.6 pts
39Greene County14.3-1.4 pts
39Morgan County14.3-3.3 pts
39Russell County14.3-0.9 pts
43Choctaw County14.1-0.6 pts
43Limestone County14.1-1.5 pts
45Butler County14-2 pts
45Lamar County14-1.6 pts
47Coffee County13.9-1.4 pts
48Dallas County13.8-2.4 pts
49Fayette County13.7-1.5 pts
49Wilcox County13.7-2.2 pts
51Baldwin County13.6-1.1 pts
51Tallapoosa County13.6-1.7 pts
53Chambers County13.5-3.5 pts
54Lee County13.1-1.3 pts
55Marengo County13-0.9 pts
56Macon County12.8-0.7 pts
57Jefferson County12.7-1.7 pts
58Talladega County12.6-1.9 pts
59Lauderdale County12.5-1.6 pts
60Bibb County12.3-2.8 pts
60Colbert County12.3-1.1 pts
62St. Clair County12.1-2.8 pts
63Tuscaloosa County11.6-0.6 pts
64Madison County11.2-1.9 pts
65Autauga County11-1.2 pts
65Elmore County11-1 pts
67Shelby County9.6-1.1 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2016.
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-2016-csv.zip. Retrieved 2026-10-12.
ER  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Alabama by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"Alabama","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Alabama&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

DeKalb County, with 21.8% in 2016, 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 9.6% in 2016.

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