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 2022, at 20.1%. Shelby County had the lowest, at 9.5%. The median was 14.1% and the figure for Alabama was 13.3%. Source: the U.S. Census Bureau.

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Highest20.1DeKalb County
Lowest9.5Shelby County
Median14.167 counties
Alabama13.3History

Map of counties, 2022

Autauga County: 10.3 %Baldwin County: 12.7 %Barbour County: 15.8 %Bibb County: 13.5 %Blount County: 16.1 %Bullock County: 15.1 %Butler County: 13.3 %Calhoun County: 14.8 %Chambers County: 16.1 %Cherokee County: 16.5 %Chilton County: 16.9 %Choctaw County: 13.8 %Clarke County: 14.4 %Clay County: 13.2 %Cleburne County: 15.8 %Coffee County: 14.9 %Colbert County: 13.3 %Conecuh County: 13.2 %Coosa County: 11.4 %Covington County: 14 %Crenshaw County: 16.7 %Cullman County: 14.8 %Dale County: 13.5 %Dallas County: 12.5 %DeKalb County: 20.1 %Elmore County: 11.3 %Escambia County: 16.3 %Etowah County: 14.3 %Fayette County: 14.6 %Franklin County: 17.7 %Geneva County: 15.5 %Greene County: 11.8 %Hale County: 14.5 %Henry County: 13.9 %Houston County: 15.1 %Jackson County: 16.4 %Jefferson County: 12.3 %Lamar County: 14.1 %Lauderdale County: 13.2 %Lawrence County: 15.4 %Lee County: 12.3 %Limestone County: 11.4 %Lowndes County: 11.6 %Macon County: 11.9 %Madison County: 10.1 %Marengo County: 12.9 %Marion County: 14 %Marshall County: 16.3 %Mobile County: 15.2 %Monroe County: 14.6 %Montgomery County: 14.6 %Morgan County: 15.8 %Perry County: 12.9 %Pickens County: 13 %Pike County: 13 %Randolph County: 16 %Russell County: 15.2 %St. Clair County: 11.9 %Shelby County: 9.5 %Sumter County: 11.6 %Talladega County: 13.1 %Tallapoosa County: 15 %Tuscaloosa County: 10.9 %Walker County: 15.7 %Washington County: 12.6 %Wilcox County: 15.5 %Winston County: 14.5 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 to 16
  • 16 and over
%, 2022. 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, 2022

DeKalb County: 20.1 %DeKalb County20.1Franklin County: 17.7 %Franklin County17.7Chilton County: 16.9 %Chilton County16.9Crenshaw County: 16.7 %Crenshaw County16.7Cherokee County: 16.5 %Cherokee County16.5Jackson County: 16.4 %Jackson County16.4Escambia County: 16.3 %Escambia County16.3Marshall County: 16.3 %Marshall County16.3Blount County: 16.1 %Blount County16.1Chambers County: 16.1 %Chambers County16.1Randolph County: 16 %Randolph County16Barbour County: 15.8 %Barbour County15.8Cleburne County: 15.8 %Cleburne County15.8Morgan County: 15.8 %Morgan County15.8Walker County: 15.7 %Walker County15.7Geneva County: 15.5 %Geneva County15.5Wilcox County: 15.5 %Wilcox County15.5Lawrence County: 15.4 %Lawrence County15.4Mobile County: 15.2 %Mobile County15.2Russell County: 15.2 %Russell County15.2Bullock County: 15.1 %Bullock County15.1Houston County: 15.1 %Houston County15.1Tallapoosa County: 15 %Tallapoosa County15Coffee County: 14.9 %Coffee County14.9Calhoun County: 14.8 %Calhoun County14.8Cullman County: 14.8 %Cullman County14.8Fayette County: 14.6 %Fayette County14.6Monroe County: 14.6 %Monroe County14.6Montgomery County: 14.6 %Montgomery County14.6Hale County: 14.5 %Hale County14.5Winston County: 14.5 %Winston County14.5Clarke County: 14.4 %Clarke County14.4Etowah County: 14.3 %Etowah County14.3Lamar County: 14.1 %Lamar County14.1Covington County: 14 %Covington County14Marion County: 14 %Marion County14Henry County: 13.9 %Henry County13.9Choctaw County: 13.8 %Choctaw County13.8Bibb County: 13.5 %Bibb County13.5Dale County: 13.5 %Dale County13.5DeKalb County: 20.1 %DeKalb County20.1Franklin County: 17.7 %Franklin County17.7Chilton County: 16.9 %Chilton County16.9Crenshaw County: 16.7 %Crenshaw County16.7Cherokee County: 16.5 %Cherokee County16.5Jackson County: 16.4 %Jackson County16.4Escambia County: 16.3 %Escambia County16.3Marshall County: 16.3 %Marshall County16.3Blount County: 16.1 %Blount County16.1Chambers County: 16.1 %Chambers County16.1Randolph County: 16 %Randolph County16Barbour County: 15.8 %Barbour County15.8Cleburne County: 15.8 %Cleburne County15.8Morgan County: 15.8 %Morgan County15.8Walker County: 15.7 %Walker County15.7Geneva County: 15.5 %Geneva County15.5Wilcox County: 15.5 %Wilcox County15.5Lawrence County: 15.4 %Lawrence County15.4Mobile County: 15.2 %Mobile County15.2Russell County: 15.2 %Russell County15.2Bullock County: 15.1 %Bullock County15.1Houston County: 15.1 %Houston County15.1Tallapoosa County: 15 %Tallapoosa County15Coffee County: 14.9 %Coffee County14.9Calhoun County: 14.8 %Calhoun County14.8Cullman County: 14.8 %Cullman County14.8Fayette County: 14.6 %Fayette County14.6Monroe County: 14.6 %Monroe County14.6Montgomery County: 14.6 %Montgomery County14.6Hale County: 14.5 %Hale County14.5Winston County: 14.5 %Winston County14.5Clarke County: 14.4 %Clarke County14.4Etowah County: 14.3 %Etowah County14.3Lamar County: 14.1 %Lamar County14.1Covington County: 14 %Covington County14Marion County: 14 %Marion County14Henry County: 13.9 %Henry County13.9Choctaw County: 13.8 %Choctaw County13.8Bibb County: 13.5 %Bibb County13.5Dale County: 13.5 %Dale County13.5
%. 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

RankCounties2022 (%)Change on 2021
1DeKalb County20.1-5 pts
2Franklin County17.7-0.9 pts
3Chilton County16.9-1.3 pts
4Crenshaw County16.7-0.1 pts
5Cherokee County16.5+0.7 pts
6Jackson County16.4-0.7 pts
7Escambia County16.3-1 pts
7Marshall County16.3-3 pts
9Blount County16.10 pts
9Chambers County16.1+0.4 pts
11Randolph County16+0.4 pts
12Barbour County15.8-0.5 pts
12Cleburne County15.8+0.7 pts
12Morgan County15.8-1.6 pts
15Walker County15.70 pts
16Geneva County15.5-1.7 pts
16Wilcox County15.5+0.8 pts
18Lawrence County15.4-3.2 pts
19Mobile County15.2-2.2 pts
19Russell County15.2+0.7 pts
21Bullock County15.1-1.3 pts
21Houston County15.1-0.8 pts
23Tallapoosa County15-1 pts
24Coffee County14.9-0.5 pts
25Calhoun County14.8-1.8 pts
25Cullman County14.8-0.2 pts
27Fayette County14.6-0.5 pts
27Monroe County14.6-1 pts
27Montgomery County14.6-1.1 pts
30Hale County14.5-1.2 pts
30Winston County14.5-2.4 pts
32Clarke County14.4-0.8 pts
33Etowah County14.3-2.2 pts
34Lamar County14.1-0.6 pts
35Covington County14-2.4 pts
35Marion County14-2.9 pts
37Henry County13.9-0.7 pts
38Choctaw County13.8-1.7 pts
39Bibb County13.5-0.6 pts
39Dale County13.5-1.1 pts
41Butler County13.3-1.8 pts
41Colbert County13.3+0.1 pts
43Clay County13.2-2.9 pts
43Conecuh County13.2-1 pts
43Lauderdale County13.2-2.4 pts
46Talladega County13.1-1.2 pts
47Pickens County13-1.6 pts
47Pike County13-1.5 pts
49Marengo County12.9-1.1 pts
49Perry County12.9-2.9 pts
51Baldwin County12.7-0.7 pts
52Washington County12.6-2.1 pts
53Dallas County12.5-1.2 pts
54Jefferson County12.3-0.7 pts
54Lee County12.3-2.1 pts
56Macon County11.9-2.6 pts
56St. Clair County11.9-1.3 pts
58Greene County11.8-2.6 pts
59Lowndes County11.6-1.9 pts
59Sumter County11.6-3.3 pts
61Coosa County11.4-2 pts
61Limestone County11.4-2.5 pts
63Elmore County11.3-3.4 pts
64Tuscaloosa County10.9-1.3 pts
65Autauga County10.3-2.1 pts
66Madison County10.1-1.1 pts
67Shelby County9.5-0.3 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/alabama-counties?period=2022.
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-2022-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 20.1% in 2022, 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 9.5% in 2022.

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