Counties in Florida by uninsured rate, ages 18 to 64 (US model-based estimate)

Hendry County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 67 counties in 2018, at 34.6%. St. Johns County had the lowest, at 12.7%. The median was 18.3% and the figure for Florida was 19.2%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest34.6Hendry County
Median18.367 counties
Florida19.2History

Map of counties, 2018

Alachua County: 13.2 %Baker County: 13.8 %Bay County: 17.7 %Bradford County: 16.1 %Brevard County: 15.7 %Broward County: 19.8 %Calhoun County: 18 %Charlotte County: 18 %Citrus County: 17.7 %Clay County: 14.3 %Collier County: 26.5 %Columbia County: 16 %DeSoto County: 29.8 %Dixie County: 18.8 %Duval County: 16.9 %Escambia County: 15.5 %Flagler County: 17.5 %Franklin County: 19.8 %Gadsden County: 18.7 %Gilchrist County: 19 %Glades County: 29.7 %Gulf County: 14.7 %Hamilton County: 18.4 %Hardee County: 24.4 %Hendry County: 34.6 %Hernando County: 18.6 %Highlands County: 23.4 %Hillsborough County: 17.8 %Holmes County: 20.8 %Indian River County: 21 %Jackson County: 17.5 %Jefferson County: 15.9 %Lafayette County: 23.2 %Lake County: 17.9 %Lee County: 22.5 %Leon County: 13.5 %Levy County: 21.5 %Liberty County: 16.2 %Madison County: 18.2 %Manatee County: 19.8 %Marion County: 21.1 %Martin County: 18.5 %Miami-Dade County: 23.6 %Monroe County: 22.1 %Nassau County: 13.1 %Okaloosa County: 15.6 %Okeechobee County: 26.7 %Orange County: 17.5 %Osceola County: 18.3 %Palm Beach County: 21.4 %Pasco County: 17.9 %Pinellas County: 17.6 %Polk County: 18.9 %Putnam County: 22.4 %St. Johns County: 12.7 %St. Lucie County: 20.9 %Santa Rosa County: 14.2 %Sarasota County: 18.5 %Seminole County: 14.8 %Sumter County: 13.3 %Suwannee County: 21.8 %Taylor County: 17.2 %Union County: 16.7 %Volusia County: 18.4 %Wakulla County: 14.8 %Walton County: 19.3 %Washington County: 18.9 %
  • Under 16
  • 16 to 18
  • 18 to 19
  • 19 to 22
  • 22 and over
%, 2018. 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, 2018

Hendry County: 34.6 %Hendry County34.6DeSoto County: 29.8 %DeSoto County29.8Glades County: 29.7 %Glades County29.7Okeechobee County: 26.7 %Okeechobee County26.7Collier County: 26.5 %Collier County26.5Hardee County: 24.4 %Hardee County24.4Miami-Dade County: 23.6 %Miami-Dade County23.6Highlands County: 23.4 %Highlands County23.4Lafayette County: 23.2 %Lafayette County23.2Lee County: 22.5 %Lee County22.5Putnam County: 22.4 %Putnam County22.4Monroe County: 22.1 %Monroe County22.1Suwannee County: 21.8 %Suwannee County21.8Levy County: 21.5 %Levy County21.5Palm Beach County: 21.4 %Palm Beach County21.4Marion County: 21.1 %Marion County21.1Indian River County: 21 %Indian River County21St. Lucie County: 20.9 %St. Lucie County20.9Holmes County: 20.8 %Holmes County20.8Broward County: 19.8 %Broward County19.8Franklin County: 19.8 %Franklin County19.8Manatee County: 19.8 %Manatee County19.8Walton County: 19.3 %Walton County19.3Gilchrist County: 19 %Gilchrist County19Polk County: 18.9 %Polk County18.9Washington County: 18.9 %Washington County18.9Dixie County: 18.8 %Dixie County18.8Gadsden County: 18.7 %Gadsden County18.7Hernando County: 18.6 %Hernando County18.6Martin County: 18.5 %Martin County18.5Sarasota County: 18.5 %Sarasota County18.5Hamilton County: 18.4 %Hamilton County18.4Volusia County: 18.4 %Volusia County18.4Osceola County: 18.3 %Osceola County18.3Madison County: 18.2 %Madison County18.2Calhoun County: 18 %Calhoun County18Charlotte County: 18 %Charlotte County18Lake County: 17.9 %Lake County17.9Pasco County: 17.9 %Pasco County17.9Hillsborough County: 17.8 %Hillsborough County17.8Hendry County: 34.6 %Hendry County34.6DeSoto County: 29.8 %DeSoto County29.8Glades County: 29.7 %Glades County29.7Okeechobee County: 26.7 %Okeechobee County26.7Collier County: 26.5 %Collier County26.5Hardee County: 24.4 %Hardee County24.4Miami-Dade County: 23.6 %Miami-Dade County23.6Highlands County: 23.4 %Highlands County23.4Lafayette County: 23.2 %Lafayette County23.2Lee County: 22.5 %Lee County22.5Putnam County: 22.4 %Putnam County22.4Monroe County: 22.1 %Monroe County22.1Suwannee County: 21.8 %Suwannee County21.8Levy County: 21.5 %Levy County21.5Palm Beach County: 21.4 %Palm Beach County21.4Marion County: 21.1 %Marion County21.1Indian River County: 21 %Indian River County21St. Lucie County: 20.9 %St. Lucie County20.9Holmes County: 20.8 %Holmes County20.8Broward County: 19.8 %Broward County19.8Franklin County: 19.8 %Franklin County19.8Manatee County: 19.8 %Manatee County19.8Walton County: 19.3 %Walton County19.3Gilchrist County: 19 %Gilchrist County19Polk County: 18.9 %Polk County18.9Washington County: 18.9 %Washington County18.9Dixie County: 18.8 %Dixie County18.8Gadsden County: 18.7 %Gadsden County18.7Hernando County: 18.6 %Hernando County18.6Martin County: 18.5 %Martin County18.5Sarasota County: 18.5 %Sarasota County18.5Hamilton County: 18.4 %Hamilton County18.4Volusia County: 18.4 %Volusia County18.4Osceola County: 18.3 %Osceola County18.3Madison County: 18.2 %Madison County18.2Calhoun County: 18 %Calhoun County18Charlotte County: 18 %Charlotte County18Lake County: 17.9 %Lake County17.9Pasco County: 17.9 %Pasco County17.9Hillsborough County: 17.8 %Hillsborough County17.8
%. 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

RankCounties2018 (%)Change on 2017
1Hendry County34.6+0.5 pts
2DeSoto County29.8+2.1 pts
3Glades County29.7+0.1 pts
4Okeechobee County26.7-0.7 pts
5Collier County26.50 pts
6Hardee County24.4-1.4 pts
7Miami-Dade County23.6-0.7 pts
8Highlands County23.4+0.9 pts
9Lafayette County23.2-0.2 pts
10Lee County22.5+0.7 pts
11Putnam County22.4+1.1 pts
12Monroe County22.1-0.2 pts
13Suwannee County21.8+1 pts
14Levy County21.50 pts
15Palm Beach County21.4+0.7 pts
16Marion County21.1+2.3 pts
17Indian River County21+1.4 pts
18St. Lucie County20.9+0.3 pts
19Holmes County20.8+2.1 pts
20Broward County19.8-0.1 pts
20Franklin County19.8-0.5 pts
20Manatee County19.8+0.7 pts
23Walton County19.3-1.2 pts
24Gilchrist County19+0.4 pts
25Polk County18.9-0.5 pts
25Washington County18.9-0.9 pts
27Dixie County18.8-0.3 pts
28Gadsden County18.7-1.3 pts
29Hernando County18.6-0.3 pts
30Martin County18.5-0.7 pts
30Sarasota County18.5-0.2 pts
32Hamilton County18.4-0.1 pts
32Volusia County18.4+0.9 pts
34Osceola County18.3-1.7 pts
35Madison County18.2+1.2 pts
36Calhoun County18-0.2 pts
36Charlotte County18-1.2 pts
38Lake County17.9-0.4 pts
38Pasco County17.9-0.6 pts
40Hillsborough County17.8+0.8 pts
41Bay County17.7-0.2 pts
41Citrus County17.7-0.3 pts
43Pinellas County17.6+1 pts
44Flagler County17.5+0.5 pts
44Jackson County17.5-0.7 pts
44Orange County17.5-1 pts
47Taylor County17.2-1 pts
48Duval County16.9+1.2 pts
49Union County16.7+1.1 pts
50Liberty County16.2-1.4 pts
51Bradford County16.10 pts
52Columbia County16+0.9 pts
53Jefferson County15.9+0.4 pts
54Brevard County15.7+0.4 pts
55Okaloosa County15.6-0.3 pts
56Escambia County15.5+2 pts
57Seminole County14.8+2.6 pts
57Wakulla County14.80 pts
59Gulf County14.7-0.9 pts
60Clay County14.3+0.7 pts
61Santa Rosa County14.2-1 pts
62Baker County13.8-1 pts
63Leon County13.5+1 pts
64Sumter County13.3+0.2 pts
65Alachua County13.2-0.5 pts
66Nassau County13.1-1.2 pts
67St. Johns County12.70 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-2018-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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018. 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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018.

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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_florida_by_2018,
  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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018. 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-2018-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 Florida by uninsured rate, ages 18 to 64 (US model-based estimate), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2018.
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-2018-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)?

Hendry County, with 34.6% in 2018, according to the U.S. Census Bureau.

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

St. Johns County, with 12.7% in 2018.

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 Florida: more rankings