Counties in Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Mackinac County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 83 counties in 2024, at 11%. Livingston County had the lowest, at 4.5%. The median was 7.5% and the figure for Michigan was 7.1%. Source: the U.S. Census Bureau.

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Median7.583 counties
Michigan7.1History

Map of counties, 2024

Alcona County: 7.7 %Alger County: 5.7 %Allegan County: 7.4 %Alpena County: 8.2 %Antrim County: 7.8 %Arenac County: 8.6 %Baraga County: 7.4 %Barry County: 6.5 %Bay County: 6.8 %Benzie County: 7.4 %Berrien County: 8.8 %Branch County: 9.6 %Calhoun County: 7.9 %Cass County: 8.7 %Charlevoix County: 7.4 %Cheboygan County: 9.5 %Chippewa County: 8 %Clare County: 9.2 %Clinton County: 4.6 %Crawford County: 8.3 %Delta County: 7.2 %Dickinson County: 5.2 %Eaton County: 6.1 %Emmet County: 7.3 %Genesee County: 7.6 %Gladwin County: 9.4 %Gogebic County: 6.7 %Grand Traverse County: 7.1 %Gratiot County: 6.7 %Hillsdale County: 8.3 %Houghton County: 7.7 %Huron County: 7.4 %Ingham County: 7.5 %Ionia County: 7 %Iosco County: 8.4 %Iron County: 7.6 %Isabella County: 8.8 %Jackson County: 7 %Kalamazoo County: 6.9 %Kalkaska County: 8.6 %Kent County: 7.4 %Keweenaw County: 4.8 %Lake County: 10.1 %Lapeer County: 7 %Leelanau County: 6.4 %Lenawee County: 7.1 %Livingston County: 4.5 %Luce County: 6.7 %Mackinac County: 11 %Macomb County: 7.2 %Manistee County: 9 %Marquette County: 6.4 %Mason County: 7.3 %Mecosta County: 8.2 %Menominee County: 7.5 %Midland County: 5.7 %Missaukee County: 9.3 %Monroe County: 5.6 %Montcalm County: 9.6 %Montmorency County: 9.1 %Muskegon County: 6.9 %Newaygo County: 8.4 %Oakland County: 5.8 %Oceana County: 10.3 %Ogemaw County: 9.1 %Ontonagon County: 8.2 %Osceola County: 9 %Oscoda County: 10.7 %Otsego County: 6.9 %Ottawa County: 6.1 %Presque Isle County: 8.2 %Roscommon County: 8.4 %Saginaw County: 7.2 %St. Clair County: 6.7 %St. Joseph County: 10.6 %Sanilac County: 9.3 %Schoolcraft County: 7.7 %Shiawassee County: 6.6 %Tuscola County: 7.1 %Van Buren County: 9.2 %Washtenaw County: 5.5 %Wayne County: 8.2 %Wexford County: 8.8 %
  • Under 6.6
  • 6.6 to 7.1
  • 7.1 to 7.5
  • 7.5 to 8.3
  • 8.3 to 9.1
  • 9.1 and over
%, 2024. 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, 2024

Mackinac County: 11 %Mackinac County11Oscoda County: 10.7 %Oscoda County10.7St. Joseph County: 10.6 %St. Joseph County10.6Oceana County: 10.3 %Oceana County10.3Lake County: 10.1 %Lake County10.1Branch County: 9.6 %Branch County9.6Montcalm County: 9.6 %Montcalm County9.6Cheboygan County: 9.5 %Cheboygan County9.5Gladwin County: 9.4 %Gladwin County9.4Missaukee County: 9.3 %Missaukee County9.3Sanilac County: 9.3 %Sanilac County9.3Clare County: 9.2 %Clare County9.2Van Buren County: 9.2 %Van Buren County9.2Montmorency County: 9.1 %Montmorency County9.1Ogemaw County: 9.1 %Ogemaw County9.1Manistee County: 9 %Manistee County9Osceola County: 9 %Osceola County9Berrien County: 8.8 %Berrien County8.8Isabella County: 8.8 %Isabella County8.8Wexford County: 8.8 %Wexford County8.8Cass County: 8.7 %Cass County8.7Arenac County: 8.6 %Arenac County8.6Kalkaska County: 8.6 %Kalkaska County8.6Iosco County: 8.4 %Iosco County8.4Newaygo County: 8.4 %Newaygo County8.4Roscommon County: 8.4 %Roscommon County8.4Crawford County: 8.3 %Crawford County8.3Hillsdale County: 8.3 %Hillsdale County8.3Alpena County: 8.2 %Alpena County8.2Mecosta County: 8.2 %Mecosta County8.2Ontonagon County: 8.2 %Ontonagon County8.2Presque Isle County: 8.2 %Presque Isle County8.2Wayne County: 8.2 %Wayne County8.2Chippewa County: 8 %Chippewa County8Calhoun County: 7.9 %Calhoun County7.9Antrim County: 7.8 %Antrim County7.8Alcona County: 7.7 %Alcona County7.7Houghton County: 7.7 %Houghton County7.7Schoolcraft County: 7.7 %Schoolcraft County7.7Genesee County: 7.6 %Genesee County7.6Mackinac County: 11 %Mackinac County11Oscoda County: 10.7 %Oscoda County10.7St. Joseph County: 10.6 %St. Joseph County10.6Oceana County: 10.3 %Oceana County10.3Lake County: 10.1 %Lake County10.1Branch County: 9.6 %Branch County9.6Montcalm County: 9.6 %Montcalm County9.6Cheboygan County: 9.5 %Cheboygan County9.5Gladwin County: 9.4 %Gladwin County9.4Missaukee County: 9.3 %Missaukee County9.3Sanilac County: 9.3 %Sanilac County9.3Clare County: 9.2 %Clare County9.2Van Buren County: 9.2 %Van Buren County9.2Montmorency County: 9.1 %Montmorency County9.1Ogemaw County: 9.1 %Ogemaw County9.1Manistee County: 9 %Manistee County9Osceola County: 9 %Osceola County9Berrien County: 8.8 %Berrien County8.8Isabella County: 8.8 %Isabella County8.8Wexford County: 8.8 %Wexford County8.8Cass County: 8.7 %Cass County8.7Arenac County: 8.6 %Arenac County8.6Kalkaska County: 8.6 %Kalkaska County8.6Iosco County: 8.4 %Iosco County8.4Newaygo County: 8.4 %Newaygo County8.4Roscommon County: 8.4 %Roscommon County8.4Crawford County: 8.3 %Crawford County8.3Hillsdale County: 8.3 %Hillsdale County8.3Alpena County: 8.2 %Alpena County8.2Mecosta County: 8.2 %Mecosta County8.2Ontonagon County: 8.2 %Ontonagon County8.2Presque Isle County: 8.2 %Presque Isle County8.2Wayne County: 8.2 %Wayne County8.2Chippewa County: 8 %Chippewa County8Calhoun County: 7.9 %Calhoun County7.9Antrim County: 7.8 %Antrim County7.8Alcona County: 7.7 %Alcona County7.7Houghton County: 7.7 %Houghton County7.7Schoolcraft County: 7.7 %Schoolcraft County7.7Genesee County: 7.6 %Genesee County7.6
%. 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

RankCounties2024 (%)Change on 2023
1Mackinac County11+1.7 pts
2Oscoda County10.7+1 pts
3St. Joseph County10.6+1.5 pts
4Oceana County10.3+1.5 pts
5Lake County10.1+0.4 pts
6Branch County9.6+0.6 pts
6Montcalm County9.6+1.7 pts
8Cheboygan County9.5+1.1 pts
9Gladwin County9.4+1.4 pts
10Missaukee County9.3+0.1 pts
10Sanilac County9.3+0.4 pts
12Clare County9.2+0.5 pts
12Van Buren County9.2+0.5 pts
14Montmorency County9.1+1.7 pts
14Ogemaw County9.1+1.1 pts
16Manistee County9+1.8 pts
16Osceola County9+1 pts
18Berrien County8.8+0.6 pts
18Isabella County8.8+1.5 pts
18Wexford County8.8+1.7 pts
21Cass County8.7+0.6 pts
22Arenac County8.6+0.7 pts
22Kalkaska County8.6+0.7 pts
24Iosco County8.4+1.7 pts
24Newaygo County8.4+1.7 pts
24Roscommon County8.4+2 pts
27Crawford County8.3+1.5 pts
27Hillsdale County8.3+0.7 pts
29Alpena County8.2+1.2 pts
29Mecosta County8.2+1.5 pts
29Ontonagon County8.2+1.7 pts
29Presque Isle County8.2+0.7 pts
29Wayne County8.2+0.5 pts
34Chippewa County8+0.7 pts
35Calhoun County7.9+0.7 pts
36Antrim County7.8+1.4 pts
37Alcona County7.7+1.1 pts
37Houghton County7.7+0.2 pts
37Schoolcraft County7.7+0.3 pts
40Genesee County7.6+0.6 pts
40Iron County7.6+0.9 pts
42Ingham County7.5+1.2 pts
42Menominee County7.5+0.9 pts
44Allegan County7.4+0.4 pts
44Baraga County7.4+1.2 pts
44Benzie County7.4+1.2 pts
44Charlevoix County7.4+1.3 pts
44Huron County7.4+0.4 pts
44Kent County7.4+0.4 pts
50Emmet County7.3+1.2 pts
50Mason County7.3+0.9 pts
52Delta County7.2+0.9 pts
52Macomb County7.2+0.8 pts
52Saginaw County7.2+0.8 pts
55Grand Traverse County7.1+1.3 pts
55Lenawee County7.1+0.3 pts
55Tuscola County7.1+1.2 pts
58Ionia County7+0.5 pts
58Jackson County7+1.3 pts
58Lapeer County7-0.1 pts
61Kalamazoo County6.9+1 pts
61Muskegon County6.9+0.4 pts
61Otsego County6.9+1 pts
64Bay County6.8+0.4 pts
65Gogebic County6.7+0.4 pts
65Gratiot County6.7+1.2 pts
65Luce County6.7+0.9 pts
65St. Clair County6.7+0.7 pts
69Shiawassee County6.6+0.4 pts
70Barry County6.5+0.7 pts
71Leelanau County6.4+0.7 pts
71Marquette County6.4+0.9 pts
73Eaton County6.1+1 pts
73Ottawa County6.1+1 pts
75Oakland County5.8+0.8 pts
76Alger County5.7-0.2 pts
76Midland County5.7+0.9 pts
78Monroe County5.6+0.4 pts
79Washtenaw County5.5+0.8 pts
80Dickinson County5.2+0.5 pts
81Keweenaw County4.8+0.6 pts
82Clinton County4.6+0.6 pts
83Livingston County4.5+0.5 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-2024-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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties. 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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties.

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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_michigan_by_2024,
  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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties. 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-2024-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 Michigan by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/michigan-counties.
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-2024-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)?

Mackinac County, with 11% in 2024, according to the U.S. Census Bureau.

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

Livingston County, with 4.5% in 2024.

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 Michigan: more rankings