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 2017, at 22.8%. Shelby County had the lowest, at 9.9%. The median was 14.9% and the figure for Alabama was 14.1%. Source: the U.S. Census Bureau.

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Highest22.8DeKalb County
Lowest9.9Shelby County
Median14.967 counties
Alabama14.1History

Map of counties, 2017

Autauga County: 11.1 %Baldwin County: 14.3 %Barbour County: 16.1 %Bibb County: 13 %Blount County: 17.1 %Bullock County: 15.2 %Butler County: 14.5 %Calhoun County: 15.4 %Chambers County: 15.2 %Cherokee County: 13.9 %Chilton County: 17.5 %Choctaw County: 14.1 %Clarke County: 15.3 %Clay County: 17.2 %Cleburne County: 16.8 %Coffee County: 15.3 %Colbert County: 12.1 %Conecuh County: 15.3 %Coosa County: 15.5 %Covington County: 15.3 %Crenshaw County: 15.6 %Cullman County: 16.2 %Dale County: 12.5 %Dallas County: 13.7 %DeKalb County: 22.8 %Elmore County: 11 %Escambia County: 18.9 %Etowah County: 16 %Fayette County: 14.5 %Franklin County: 19.9 %Geneva County: 18.1 %Greene County: 14.7 %Hale County: 13.7 %Henry County: 15.3 %Houston County: 14.4 %Jackson County: 16.5 %Jefferson County: 12.7 %Lamar County: 14.5 %Lauderdale County: 14.1 %Lawrence County: 17.5 %Lee County: 12.8 %Limestone County: 14.1 %Lowndes County: 13.8 %Macon County: 13.1 %Madison County: 11.8 %Marengo County: 12.6 %Marion County: 14.5 %Marshall County: 20.8 %Mobile County: 15.2 %Monroe County: 16.3 %Montgomery County: 14.3 %Morgan County: 14.9 %Perry County: 15.1 %Pickens County: 14.6 %Pike County: 16 %Randolph County: 16.8 %Russell County: 14.9 %St. Clair County: 12.9 %Shelby County: 9.9 %Sumter County: 14 %Talladega County: 13.1 %Tallapoosa County: 15.1 %Tuscaloosa County: 11.7 %Walker County: 15 %Washington County: 17.5 %Wilcox County: 13.7 %Winston County: 16 %
  • Under 13
  • 13 to 14
  • 14 to 15
  • 15 to 17
  • 17 and over
%, 2017. 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, 2017

DeKalb County: 22.8 %DeKalb County22.8Marshall County: 20.8 %Marshall County20.8Franklin County: 19.9 %Franklin County19.9Escambia County: 18.9 %Escambia County18.9Geneva County: 18.1 %Geneva County18.1Chilton County: 17.5 %Chilton County17.5Lawrence County: 17.5 %Lawrence County17.5Washington County: 17.5 %Washington County17.5Clay County: 17.2 %Clay County17.2Blount County: 17.1 %Blount County17.1Cleburne County: 16.8 %Cleburne County16.8Randolph County: 16.8 %Randolph County16.8Jackson County: 16.5 %Jackson County16.5Monroe County: 16.3 %Monroe County16.3Cullman County: 16.2 %Cullman County16.2Barbour County: 16.1 %Barbour County16.1Etowah County: 16 %Etowah County16Pike County: 16 %Pike County16Winston County: 16 %Winston County16Crenshaw County: 15.6 %Crenshaw County15.6Coosa County: 15.5 %Coosa County15.5Calhoun County: 15.4 %Calhoun County15.4Clarke County: 15.3 %Clarke County15.3Coffee County: 15.3 %Coffee County15.3Conecuh County: 15.3 %Conecuh County15.3Covington County: 15.3 %Covington County15.3Henry County: 15.3 %Henry County15.3Bullock County: 15.2 %Bullock County15.2Chambers County: 15.2 %Chambers County15.2Mobile County: 15.2 %Mobile County15.2Perry County: 15.1 %Perry County15.1Tallapoosa County: 15.1 %Tallapoosa County15.1Walker County: 15 %Walker County15Morgan County: 14.9 %Morgan County14.9Russell County: 14.9 %Russell County14.9Greene County: 14.7 %Greene County14.7Pickens County: 14.6 %Pickens County14.6Butler County: 14.5 %Butler County14.5Fayette County: 14.5 %Fayette County14.5Lamar County: 14.5 %Lamar County14.5DeKalb County: 22.8 %DeKalb County22.8Marshall County: 20.8 %Marshall County20.8Franklin County: 19.9 %Franklin County19.9Escambia County: 18.9 %Escambia County18.9Geneva County: 18.1 %Geneva County18.1Chilton County: 17.5 %Chilton County17.5Lawrence County: 17.5 %Lawrence County17.5Washington County: 17.5 %Washington County17.5Clay County: 17.2 %Clay County17.2Blount County: 17.1 %Blount County17.1Cleburne County: 16.8 %Cleburne County16.8Randolph County: 16.8 %Randolph County16.8Jackson County: 16.5 %Jackson County16.5Monroe County: 16.3 %Monroe County16.3Cullman County: 16.2 %Cullman County16.2Barbour County: 16.1 %Barbour County16.1Etowah County: 16 %Etowah County16Pike County: 16 %Pike County16Winston County: 16 %Winston County16Crenshaw County: 15.6 %Crenshaw County15.6Coosa County: 15.5 %Coosa County15.5Calhoun County: 15.4 %Calhoun County15.4Clarke County: 15.3 %Clarke County15.3Coffee County: 15.3 %Coffee County15.3Conecuh County: 15.3 %Conecuh County15.3Covington County: 15.3 %Covington County15.3Henry County: 15.3 %Henry County15.3Bullock County: 15.2 %Bullock County15.2Chambers County: 15.2 %Chambers County15.2Mobile County: 15.2 %Mobile County15.2Perry County: 15.1 %Perry County15.1Tallapoosa County: 15.1 %Tallapoosa County15.1Walker County: 15 %Walker County15Morgan County: 14.9 %Morgan County14.9Russell County: 14.9 %Russell County14.9Greene County: 14.7 %Greene County14.7Pickens County: 14.6 %Pickens County14.6Butler County: 14.5 %Butler County14.5Fayette County: 14.5 %Fayette County14.5Lamar County: 14.5 %Lamar County14.5
%. 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

RankCounties2017 (%)Change on 2016
1DeKalb County22.8+1 pts
2Marshall County20.8+2.7 pts
3Franklin County19.9+2.9 pts
4Escambia County18.9+1.6 pts
5Geneva County18.1+0.2 pts
6Chilton County17.5-0.8 pts
6Lawrence County17.5-0.3 pts
6Washington County17.5+0.9 pts
9Clay County17.2+0.3 pts
10Blount County17.1+1.5 pts
11Cleburne County16.8+1.5 pts
11Randolph County16.8+1.4 pts
13Jackson County16.5+0.6 pts
14Monroe County16.3+0.4 pts
15Cullman County16.2-0.5 pts
16Barbour County16.1-0.4 pts
17Etowah County16+1.2 pts
17Pike County16+0.2 pts
17Winston County16-0.4 pts
20Crenshaw County15.6+0.9 pts
21Coosa County15.5-0.6 pts
22Calhoun County15.4+1 pts
23Clarke County15.3+0.7 pts
23Coffee County15.3+1.4 pts
23Conecuh County15.3-1.1 pts
23Covington County15.3-0.6 pts
23Henry County15.3+0.5 pts
28Bullock County15.2-2.5 pts
28Chambers County15.2+1.7 pts
28Mobile County15.2-1.1 pts
31Perry County15.1+0.4 pts
31Tallapoosa County15.1+1.5 pts
33Walker County15+0.2 pts
34Morgan County14.9+0.6 pts
34Russell County14.9+0.6 pts
36Greene County14.7+0.4 pts
37Pickens County14.6-0.2 pts
38Butler County14.5+0.5 pts
38Fayette County14.5+0.8 pts
38Lamar County14.5+0.5 pts
38Marion County14.5-0.1 pts
42Houston County14.4-0.1 pts
43Baldwin County14.3+0.7 pts
43Montgomery County14.3-0.2 pts
45Choctaw County14.10 pts
45Lauderdale County14.1+1.6 pts
45Limestone County14.10 pts
48Sumter County14-2 pts
49Cherokee County13.9-1 pts
50Lowndes County13.8-0.7 pts
51Dallas County13.7-0.1 pts
51Hale County13.7-0.9 pts
51Wilcox County13.70 pts
54Macon County13.1+0.3 pts
54Talladega County13.1+0.5 pts
56Bibb County13+0.7 pts
57St. Clair County12.9+0.8 pts
58Lee County12.8-0.3 pts
59Jefferson County12.70 pts
60Marengo County12.6-0.4 pts
61Dale County12.5-1.8 pts
62Colbert County12.1-0.2 pts
63Madison County11.8+0.6 pts
64Tuscaloosa County11.7+0.1 pts
65Autauga County11.1+0.1 pts
66Elmore County110 pts
67Shelby County9.9+0.3 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2017.
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-2017-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 22.8% in 2017, 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 9.9% in 2017.

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