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 2020, at 33.8%. St. Johns County had the lowest, at 11.6%. The median was 18.7% and the figure for Florida was 18.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest33.8Hendry County
Median18.767 counties
Florida18.4History

Map of counties, 2020

Alachua County: 13.2 %Baker County: 15.6 %Bay County: 19.8 %Bradford County: 16.6 %Brevard County: 16.3 %Broward County: 19.9 %Calhoun County: 19.3 %Charlotte County: 19.3 %Citrus County: 17.8 %Clay County: 15.7 %Collier County: 20.5 %Columbia County: 17.4 %DeSoto County: 30.7 %Dixie County: 17.8 %Duval County: 16.2 %Escambia County: 16.9 %Flagler County: 16.9 %Franklin County: 21.1 %Gadsden County: 20.9 %Gilchrist County: 18.7 %Glades County: 29.6 %Gulf County: 17.6 %Hamilton County: 19.2 %Hardee County: 24.7 %Hendry County: 33.8 %Hernando County: 19 %Highlands County: 22.4 %Hillsborough County: 15.4 %Holmes County: 19.6 %Indian River County: 20.1 %Jackson County: 17 %Jefferson County: 17.4 %Lafayette County: 21.6 %Lake County: 18.7 %Lee County: 22.2 %Leon County: 12.8 %Levy County: 21.9 %Liberty County: 19 %Madison County: 19.5 %Manatee County: 18.3 %Marion County: 19.2 %Martin County: 16.8 %Miami-Dade County: 21.3 %Monroe County: 19.4 %Nassau County: 14.3 %Okaloosa County: 17.1 %Okeechobee County: 26 %Orange County: 17.7 %Osceola County: 17.8 %Palm Beach County: 21.2 %Pasco County: 15.6 %Pinellas County: 16.2 %Polk County: 19.6 %Putnam County: 21.8 %St. Johns County: 11.6 %St. Lucie County: 21.9 %Santa Rosa County: 17.5 %Sarasota County: 18.1 %Seminole County: 14.6 %Sumter County: 13 %Suwannee County: 20.6 %Taylor County: 17.8 %Union County: 13.2 %Volusia County: 17.8 %Wakulla County: 16.1 %Walton County: 19.2 %Washington County: 23.2 %
  • Under 16
  • 16 to 17
  • 17 to 19
  • 19 to 20
  • 20 to 22
  • 22 and over
%, 2020. 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, 2020

Hendry County: 33.8 %Hendry County33.8DeSoto County: 30.7 %DeSoto County30.7Glades County: 29.6 %Glades County29.6Okeechobee County: 26 %Okeechobee County26Hardee County: 24.7 %Hardee County24.7Washington County: 23.2 %Washington County23.2Highlands County: 22.4 %Highlands County22.4Lee County: 22.2 %Lee County22.2Levy County: 21.9 %Levy County21.9St. Lucie County: 21.9 %St. Lucie County21.9Putnam County: 21.8 %Putnam County21.8Lafayette County: 21.6 %Lafayette County21.6Miami-Dade County: 21.3 %Miami-Dade County21.3Palm Beach County: 21.2 %Palm Beach County21.2Franklin County: 21.1 %Franklin County21.1Gadsden County: 20.9 %Gadsden County20.9Suwannee County: 20.6 %Suwannee County20.6Collier County: 20.5 %Collier County20.5Indian River County: 20.1 %Indian River County20.1Broward County: 19.9 %Broward County19.9Bay County: 19.8 %Bay County19.8Holmes County: 19.6 %Holmes County19.6Polk County: 19.6 %Polk County19.6Madison County: 19.5 %Madison County19.5Monroe County: 19.4 %Monroe County19.4Calhoun County: 19.3 %Calhoun County19.3Charlotte County: 19.3 %Charlotte County19.3Hamilton County: 19.2 %Hamilton County19.2Marion County: 19.2 %Marion County19.2Walton County: 19.2 %Walton County19.2Hernando County: 19 %Hernando County19Liberty County: 19 %Liberty County19Gilchrist County: 18.7 %Gilchrist County18.7Lake County: 18.7 %Lake County18.7Manatee County: 18.3 %Manatee County18.3Sarasota County: 18.1 %Sarasota County18.1Citrus County: 17.8 %Citrus County17.8Dixie County: 17.8 %Dixie County17.8Osceola County: 17.8 %Osceola County17.8Taylor County: 17.8 %Taylor County17.8Hendry County: 33.8 %Hendry County33.8DeSoto County: 30.7 %DeSoto County30.7Glades County: 29.6 %Glades County29.6Okeechobee County: 26 %Okeechobee County26Hardee County: 24.7 %Hardee County24.7Washington County: 23.2 %Washington County23.2Highlands County: 22.4 %Highlands County22.4Lee County: 22.2 %Lee County22.2Levy County: 21.9 %Levy County21.9St. Lucie County: 21.9 %St. Lucie County21.9Putnam County: 21.8 %Putnam County21.8Lafayette County: 21.6 %Lafayette County21.6Miami-Dade County: 21.3 %Miami-Dade County21.3Palm Beach County: 21.2 %Palm Beach County21.2Franklin County: 21.1 %Franklin County21.1Gadsden County: 20.9 %Gadsden County20.9Suwannee County: 20.6 %Suwannee County20.6Collier County: 20.5 %Collier County20.5Indian River County: 20.1 %Indian River County20.1Broward County: 19.9 %Broward County19.9Bay County: 19.8 %Bay County19.8Holmes County: 19.6 %Holmes County19.6Polk County: 19.6 %Polk County19.6Madison County: 19.5 %Madison County19.5Monroe County: 19.4 %Monroe County19.4Calhoun County: 19.3 %Calhoun County19.3Charlotte County: 19.3 %Charlotte County19.3Hamilton County: 19.2 %Hamilton County19.2Marion County: 19.2 %Marion County19.2Walton County: 19.2 %Walton County19.2Hernando County: 19 %Hernando County19Liberty County: 19 %Liberty County19Gilchrist County: 18.7 %Gilchrist County18.7Lake County: 18.7 %Lake County18.7Manatee County: 18.3 %Manatee County18.3Sarasota County: 18.1 %Sarasota County18.1Citrus County: 17.8 %Citrus County17.8Dixie County: 17.8 %Dixie County17.8Osceola County: 17.8 %Osceola County17.8Taylor County: 17.8 %Taylor 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

RankCounties2020 (%)Change on 2019
1Hendry County33.80 pts
2DeSoto County30.7-1.6 pts
3Glades County29.60 pts
4Okeechobee County26-0.6 pts
5Hardee County24.7-0.8 pts
6Washington County23.2+2 pts
7Highlands County22.4-2.1 pts
8Lee County22.2+1.4 pts
9Levy County21.9-0.8 pts
9St. Lucie County21.9+0.6 pts
11Putnam County21.8-0.6 pts
12Lafayette County21.6-1.3 pts
13Miami-Dade County21.3-2 pts
14Palm Beach County21.20 pts
15Franklin County21.1+0.5 pts
16Gadsden County20.9+1.4 pts
17Suwannee County20.6+0.1 pts
18Collier County20.5-4.3 pts
19Indian River County20.1-1.5 pts
20Broward County19.9-0.8 pts
21Bay County19.8+2.2 pts
22Holmes County19.6-2.6 pts
22Polk County19.6-1.5 pts
24Madison County19.50 pts
25Monroe County19.4-4.3 pts
26Calhoun County19.3+0.7 pts
26Charlotte County19.3-0.1 pts
28Hamilton County19.2+0.5 pts
28Marion County19.2-1.3 pts
28Walton County19.2+0.5 pts
31Hernando County19+0.5 pts
31Liberty County19+1.9 pts
33Gilchrist County18.7-1.2 pts
33Lake County18.7-0.1 pts
35Manatee County18.3-1.7 pts
36Sarasota County18.1-0.5 pts
37Citrus County17.8-1.8 pts
37Dixie County17.8-3 pts
37Osceola County17.8-2.1 pts
37Taylor County17.80 pts
37Volusia County17.8-1.6 pts
42Orange County17.7-0.7 pts
43Gulf County17.6+2 pts
44Santa Rosa County17.5+3.2 pts
45Columbia County17.4+0.1 pts
45Jefferson County17.4+0.8 pts
47Okaloosa County17.1-0.2 pts
48Jackson County17-0.3 pts
49Escambia County16.9+0.1 pts
49Flagler County16.9-1.1 pts
51Martin County16.8-1.9 pts
52Bradford County16.6+0.3 pts
53Brevard County16.30 pts
54Duval County16.2-1 pts
54Pinellas County16.2-1.5 pts
56Wakulla County16.1+1.4 pts
57Clay County15.7+0.8 pts
58Baker County15.6+2.2 pts
58Pasco County15.6-3.3 pts
60Hillsborough County15.4-2.6 pts
61Seminole County14.6+1.2 pts
62Nassau County14.3+0.6 pts
63Alachua County13.2-1 pts
63Union County13.2-2.2 pts
65Sumter County13-0.6 pts
66Leon County12.8-1 pts
67St. Johns County11.6-0.8 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_florida_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/florida-counties?period=2020.
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-2020-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 33.8% in 2020, 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 11.6% in 2020.

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