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

Neshoba County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 82 counties in 2020, at 25.1%. Madison County had the lowest, at 12.1%. The median was 18.7% and the figure for Mississippi was 17.5%. Source: the U.S. Census Bureau.

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Highest25.1Neshoba County
Lowest12.1Madison County
Median18.782 counties
Mississippi17.5History

Map of counties, 2020

Adams County: 19.2 %Alcorn County: 17 %Amite County: 19.7 %Attala County: 19.9 %Benton County: 20.1 %Bolivar County: 20.4 %Calhoun County: 22 %Carroll County: 17.8 %Chickasaw County: 20.2 %Choctaw County: 17.6 %Claiborne County: 18.8 %Clarke County: 18 %Clay County: 18.5 %Coahoma County: 19.6 %Copiah County: 17.7 %Covington County: 19.2 %DeSoto County: 13.8 %Forrest County: 18.3 %Franklin County: 17.5 %George County: 17.9 %Greene County: 16.5 %Grenada County: 17.8 %Hancock County: 16.1 %Harrison County: 18.1 %Hinds County: 15.3 %Holmes County: 17.5 %Humphreys County: 21.5 %Issaquena County: 19.1 %Itawamba County: 20.5 %Jackson County: 16.3 %Jasper County: 17.3 %Jefferson County: 19.4 %Jefferson Davis County: 18.6 %Jones County: 17.8 %Kemper County: 23.9 %Lafayette County: 17.5 %Lamar County: 18.4 %Lauderdale County: 17.5 %Lawrence County: 18.9 %Leake County: 25 %Lee County: 17.3 %Leflore County: 18.8 %Lincoln County: 17.9 %Lowndes County: 16.4 %Madison County: 12.1 %Marion County: 21 %Marshall County: 17.5 %Monroe County: 18.2 %Montgomery County: 19.8 %Neshoba County: 25.1 %Newton County: 20.8 %Noxubee County: 20.3 %Oktibbeha County: 17 %Panola County: 20.2 %Pearl River County: 17.7 %Perry County: 19.1 %Pike County: 19.4 %Pontotoc County: 21.4 %Prentiss County: 20 %Quitman County: 20.2 %Rankin County: 14.1 %Scott County: 22.8 %Sharkey County: 22 %Simpson County: 17.9 %Smith County: 20.2 %Stone County: 19.4 %Sunflower County: 18.1 %Tallahatchie County: 18.2 %Tate County: 17 %Tippah County: 20.2 %Tishomingo County: 18.9 %Tunica County: 18.1 %Union County: 21.2 %Walthall County: 19.5 %Warren County: 17.9 %Washington County: 20.3 %Wayne County: 20.6 %Webster County: 17.2 %Wilkinson County: 19.6 %Winston County: 21.2 %Yalobusha County: 16.8 %Yazoo County: 17.8 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 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

Neshoba County: 25.1 %Neshoba County25.1Leake County: 25 %Leake County25Kemper County: 23.9 %Kemper County23.9Scott County: 22.8 %Scott County22.8Calhoun County: 22 %Calhoun County22Sharkey County: 22 %Sharkey County22Humphreys County: 21.5 %Humphreys County21.5Pontotoc County: 21.4 %Pontotoc County21.4Union County: 21.2 %Union County21.2Winston County: 21.2 %Winston County21.2Marion County: 21 %Marion County21Newton County: 20.8 %Newton County20.8Wayne County: 20.6 %Wayne County20.6Itawamba County: 20.5 %Itawamba County20.5Bolivar County: 20.4 %Bolivar County20.4Noxubee County: 20.3 %Noxubee County20.3Washington County: 20.3 %Washington County20.3Chickasaw County: 20.2 %Chickasaw County20.2Panola County: 20.2 %Panola County20.2Quitman County: 20.2 %Quitman County20.2Smith County: 20.2 %Smith County20.2Tippah County: 20.2 %Tippah County20.2Benton County: 20.1 %Benton County20.1Prentiss County: 20 %Prentiss County20Attala County: 19.9 %Attala County19.9Montgomery County: 19.8 %Montgomery County19.8Amite County: 19.7 %Amite County19.7Coahoma County: 19.6 %Coahoma County19.6Wilkinson County: 19.6 %Wilkinson County19.6Walthall County: 19.5 %Walthall County19.5Jefferson County: 19.4 %Jefferson County19.4Pike County: 19.4 %Pike County19.4Stone County: 19.4 %Stone County19.4Adams County: 19.2 %Adams County19.2Covington County: 19.2 %Covington County19.2Issaquena County: 19.1 %Issaquena County19.1Perry County: 19.1 %Perry County19.1Lawrence County: 18.9 %Lawrence County18.9Tishomingo County: 18.9 %Tishomingo County18.9Claiborne County: 18.8 %Claiborne County18.8Neshoba County: 25.1 %Neshoba County25.1Leake County: 25 %Leake County25Kemper County: 23.9 %Kemper County23.9Scott County: 22.8 %Scott County22.8Calhoun County: 22 %Calhoun County22Sharkey County: 22 %Sharkey County22Humphreys County: 21.5 %Humphreys County21.5Pontotoc County: 21.4 %Pontotoc County21.4Union County: 21.2 %Union County21.2Winston County: 21.2 %Winston County21.2Marion County: 21 %Marion County21Newton County: 20.8 %Newton County20.8Wayne County: 20.6 %Wayne County20.6Itawamba County: 20.5 %Itawamba County20.5Bolivar County: 20.4 %Bolivar County20.4Noxubee County: 20.3 %Noxubee County20.3Washington County: 20.3 %Washington County20.3Chickasaw County: 20.2 %Chickasaw County20.2Panola County: 20.2 %Panola County20.2Quitman County: 20.2 %Quitman County20.2Smith County: 20.2 %Smith County20.2Tippah County: 20.2 %Tippah County20.2Benton County: 20.1 %Benton County20.1Prentiss County: 20 %Prentiss County20Attala County: 19.9 %Attala County19.9Montgomery County: 19.8 %Montgomery County19.8Amite County: 19.7 %Amite County19.7Coahoma County: 19.6 %Coahoma County19.6Wilkinson County: 19.6 %Wilkinson County19.6Walthall County: 19.5 %Walthall County19.5Jefferson County: 19.4 %Jefferson County19.4Pike County: 19.4 %Pike County19.4Stone County: 19.4 %Stone County19.4Adams County: 19.2 %Adams County19.2Covington County: 19.2 %Covington County19.2Issaquena County: 19.1 %Issaquena County19.1Perry County: 19.1 %Perry County19.1Lawrence County: 18.9 %Lawrence County18.9Tishomingo County: 18.9 %Tishomingo County18.9Claiborne County: 18.8 %Claiborne County18.8
%. 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
1Neshoba County25.1-2.7 pts
2Leake County25-2.1 pts
3Kemper County23.9+0.7 pts
4Scott County22.8-4.7 pts
5Calhoun County22-0.9 pts
5Sharkey County22-0.7 pts
7Humphreys County21.5+0.5 pts
8Pontotoc County21.4-2.1 pts
9Union County21.2-0.4 pts
9Winston County21.2-0.1 pts
11Marion County21-2.4 pts
12Newton County20.8-1.3 pts
13Wayne County20.6-0.5 pts
14Itawamba County20.5+0.8 pts
15Bolivar County20.4-0.9 pts
16Noxubee County20.3-3.9 pts
16Washington County20.3+1.5 pts
18Chickasaw County20.2-1.7 pts
18Panola County20.2-0.5 pts
18Quitman County20.2-0.6 pts
18Smith County20.2-1.3 pts
18Tippah County20.20 pts
23Benton County20.1-1 pts
24Prentiss County20-1.1 pts
25Attala County19.9-0.8 pts
26Montgomery County19.8+1.3 pts
27Amite County19.7-1.3 pts
28Coahoma County19.6-0.7 pts
28Wilkinson County19.6-1.2 pts
30Walthall County19.5-2.9 pts
31Jefferson County19.4-1.2 pts
31Pike County19.4-1.3 pts
31Stone County19.4-1.7 pts
34Adams County19.2-2.6 pts
34Covington County19.2-2.4 pts
36Issaquena County19.1-0.3 pts
36Perry County19.1-2.2 pts
38Lawrence County18.9+0.7 pts
38Tishomingo County18.9-2.1 pts
40Claiborne County18.8+0.8 pts
40Leflore County18.8-1.2 pts
42Jefferson Davis County18.6-2.5 pts
43Clay County18.5-1.2 pts
44Lamar County18.4+0.9 pts
45Forrest County18.3-1 pts
46Monroe County18.2-0.4 pts
46Tallahatchie County18.2-2.1 pts
48Harrison County18.1-2.6 pts
48Sunflower County18.1-1.9 pts
48Tunica County18.1+1.1 pts
51Clarke County18-1.8 pts
52George County17.9-3.3 pts
52Lincoln County17.9-2.2 pts
52Simpson County17.9-3.6 pts
52Warren County17.9-1 pts
56Carroll County17.8-1.4 pts
56Grenada County17.8-1.9 pts
56Jones County17.8-3.2 pts
56Yazoo County17.8-2.4 pts
60Copiah County17.7-2.7 pts
60Pearl River County17.7-2.9 pts
62Choctaw County17.6-0.8 pts
63Franklin County17.5-0.5 pts
63Holmes County17.5-2.6 pts
63Lafayette County17.5-0.9 pts
63Lauderdale County17.5-0.8 pts
63Marshall County17.5-1.6 pts
68Jasper County17.3-2.6 pts
68Lee County17.3-1.8 pts
70Webster County17.2-1.2 pts
71Alcorn County17-2.6 pts
71Oktibbeha County17+0.1 pts
71Tate County17-2.2 pts
74Yalobusha County16.8-0.3 pts
75Greene County16.5-2.5 pts
76Lowndes County16.4-0.4 pts
77Jackson County16.3-1.3 pts
78Hancock County16.1-3.3 pts
79Hinds County15.3-4.1 pts
80Rankin County14.1-2.5 pts
81DeSoto County13.8-0.7 pts
82Madison County12.1-1.1 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 Mississippi 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 Mississippi 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/mississippi-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 Mississippi 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/mississippi-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 Mississippi 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/mississippi-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_mississippi_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 Mississippi 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/mississippi-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 Mississippi 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/mississippi-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/mississippi-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)?

Neshoba County, with 25.1% in 2020, according to the U.S. Census Bureau.

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

Madison County, with 12.1% 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 Mississippi: more rankings