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

Roosevelt County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 56 counties in 2018, at 25.6%. Stillwater County had the lowest, at 8.2%. The median was 12.9% and the figure for Montana was 11.8%. Source: the U.S. Census Bureau.

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Highest25.6Roosevelt County
Median12.956 counties
Montana11.8History

Map of counties, 2018

Beaverhead County: 12.9 %Big Horn County: 20.8 %Blaine County: 19.9 %Broadwater County: 11.3 %Carbon County: 12.9 %Carter County: 15 %Cascade County: 10.9 %Chouteau County: 17.4 %Custer County: 10.4 %Daniels County: 11 %Dawson County: 8.5 %Deer Lodge County: 10.6 %Fallon County: 10 %Fergus County: 13.6 %Flathead County: 11.5 %Gallatin County: 9.8 %Garfield County: 16.4 %Glacier County: 23.3 %Golden Valley County: 12.9 %Granite County: 14.2 %Hill County: 14.8 %Jefferson County: 9.6 %Judith Basin County: 9.2 %Lake County: 19.4 %Lewis and Clark County: 9 %Liberty County: 17.1 %Lincoln County: 14.5 %McCone County: 15.1 %Madison County: 14.5 %Meagher County: 11.5 %Mineral County: 12.3 %Missoula County: 10.4 %Musselshell County: 13.1 %Park County: 11.4 %Petroleum County: 8.9 %Phillips County: 17 %Pondera County: 14.9 %Powder River County: 14 %Powell County: 12.2 %Prairie County: 10.6 %Ravalli County: 16.1 %Richland County: 11 %Roosevelt County: 25.6 %Rosebud County: 15.3 %Sanders County: 17.5 %Sheridan County: 11.6 %Silver Bow County: 10.8 %Stillwater County: 8.2 %Sweet Grass County: 11.5 %Teton County: 13.4 %Toole County: 13.5 %Treasure County: 11.2 %Valley County: 11.4 %Wheatland County: 20.9 %Wibaux County: 16.1 %Yellowstone County: 9.7 %
  • Under 10
  • 10 to 11
  • 11 to 13
  • 13 to 15
  • 15 to 17
  • 17 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.

All counties, 2018

Roosevelt County: 25.6 %Roosevelt County25.6Glacier County: 23.3 %Glacier County23.3Wheatland County: 20.9 %Wheatland County20.9Big Horn County: 20.8 %Big Horn County20.8Blaine County: 19.9 %Blaine County19.9Lake County: 19.4 %Lake County19.4Sanders County: 17.5 %Sanders County17.5Chouteau County: 17.4 %Chouteau County17.4Liberty County: 17.1 %Liberty County17.1Phillips County: 17 %Phillips County17Garfield County: 16.4 %Garfield County16.4Ravalli County: 16.1 %Ravalli County16.1Wibaux County: 16.1 %Wibaux County16.1Rosebud County: 15.3 %Rosebud County15.3McCone County: 15.1 %McCone County15.1Carter County: 15 %Carter County15Pondera County: 14.9 %Pondera County14.9Hill County: 14.8 %Hill County14.8Lincoln County: 14.5 %Lincoln County14.5Madison County: 14.5 %Madison County14.5Granite County: 14.2 %Granite County14.2Powder River County: 14 %Powder River County14Fergus County: 13.6 %Fergus County13.6Toole County: 13.5 %Toole County13.5Teton County: 13.4 %Teton County13.4Musselshell County: 13.1 %Musselshell County13.1Beaverhead County: 12.9 %Beaverhead County12.9Carbon County: 12.9 %Carbon County12.9Golden Valley County: 12.9 %Golden Valley County12.9Mineral County: 12.3 %Mineral County12.3Powell County: 12.2 %Powell County12.2Sheridan County: 11.6 %Sheridan County11.6Flathead County: 11.5 %Flathead County11.5Meagher County: 11.5 %Meagher County11.5Sweet Grass County: 11.5 %Sweet Grass County11.5Park County: 11.4 %Park County11.4Valley County: 11.4 %Valley County11.4Broadwater County: 11.3 %Broadwater County11.3Treasure County: 11.2 %Treasure County11.2Daniels County: 11 %Daniels County11Richland County: 11 %Richland County11Cascade County: 10.9 %Cascade County10.9Silver Bow County: 10.8 %Silver Bow County10.8Deer Lodge County: 10.6 %Deer Lodge County10.6Prairie County: 10.6 %Prairie County10.6Custer County: 10.4 %Custer County10.4Missoula County: 10.4 %Missoula County10.4Fallon County: 10 %Fallon County10Gallatin County: 9.8 %Gallatin County9.8Yellowstone County: 9.7 %Yellowstone County9.7Jefferson County: 9.6 %Jefferson County9.6Judith Basin County: 9.2 %Judith Basin County9.2Lewis and Clark County: 9 %Lewis and Clark County9Petroleum County: 8.9 %Petroleum County8.9Dawson County: 8.5 %Dawson County8.5Stillwater County: 8.2 %Stillwater County8.2Roosevelt County: 25.6 %Roosevelt County25.6Glacier County: 23.3 %Glacier County23.3Wheatland County: 20.9 %Wheatland County20.9Big Horn County: 20.8 %Big Horn County20.8Blaine County: 19.9 %Blaine County19.9Lake County: 19.4 %Lake County19.4Sanders County: 17.5 %Sanders County17.5Chouteau County: 17.4 %Chouteau County17.4Liberty County: 17.1 %Liberty County17.1Phillips County: 17 %Phillips County17Garfield County: 16.4 %Garfield County16.4Ravalli County: 16.1 %Ravalli County16.1Wibaux County: 16.1 %Wibaux County16.1Rosebud County: 15.3 %Rosebud County15.3McCone County: 15.1 %McCone County15.1Carter County: 15 %Carter County15Pondera County: 14.9 %Pondera County14.9Hill County: 14.8 %Hill County14.8Lincoln County: 14.5 %Lincoln County14.5Madison County: 14.5 %Madison County14.5Granite County: 14.2 %Granite County14.2Powder River County: 14 %Powder River County14Fergus County: 13.6 %Fergus County13.6Toole County: 13.5 %Toole County13.5Teton County: 13.4 %Teton County13.4Musselshell County: 13.1 %Musselshell County13.1Beaverhead County: 12.9 %Beaverhead County12.9Carbon County: 12.9 %Carbon County12.9Golden Valley County: 12.9 %Golden Valley County12.9Mineral County: 12.3 %Mineral County12.3Powell County: 12.2 %Powell County12.2Sheridan County: 11.6 %Sheridan County11.6Flathead County: 11.5 %Flathead County11.5Meagher County: 11.5 %Meagher County11.5Sweet Grass County: 11.5 %Sweet Grass County11.5Park County: 11.4 %Park County11.4Valley County: 11.4 %Valley County11.4Broadwater County: 11.3 %Broadwater County11.3Treasure County: 11.2 %Treasure County11.2Daniels County: 11 %Daniels County11Richland County: 11 %Richland County11Cascade County: 10.9 %Cascade County10.9Silver Bow County: 10.8 %Silver Bow County10.8Deer Lodge County: 10.6 %Deer Lodge County10.6Prairie County: 10.6 %Prairie County10.6Custer County: 10.4 %Custer County10.4Missoula County: 10.4 %Missoula County10.4Fallon County: 10 %Fallon County10Gallatin County: 9.8 %Gallatin County9.8Yellowstone County: 9.7 %Yellowstone County9.7Jefferson County: 9.6 %Jefferson County9.6Judith Basin County: 9.2 %Judith Basin County9.2Lewis and Clark County: 9 %Lewis and Clark County9Petroleum County: 8.9 %Petroleum County8.9Dawson County: 8.5 %Dawson County8.5Stillwater County: 8.2 %Stillwater County8.2
%. 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
1Roosevelt County25.6+0.6 pts
2Glacier County23.3-1.8 pts
3Wheatland County20.9+1 pts
4Big Horn County20.8-4.5 pts
5Blaine County19.9-1.6 pts
6Lake County19.4+0.8 pts
7Sanders County17.5+0.2 pts
8Chouteau County17.4+0.9 pts
9Liberty County17.1-1.7 pts
10Phillips County17+1.1 pts
11Garfield County16.4+2.6 pts
12Ravalli County16.1+1.5 pts
12Wibaux County16.1+3.6 pts
14Rosebud County15.3-1.1 pts
15McCone County15.1-0.1 pts
16Carter County15+2 pts
17Pondera County14.9-1.1 pts
18Hill County14.8-0.9 pts
19Lincoln County14.5-0.3 pts
19Madison County14.5-0.2 pts
21Granite County14.2-0.2 pts
22Powder River County14-0.8 pts
23Fergus County13.6+0.4 pts
24Toole County13.5-1.8 pts
25Teton County13.4-0.2 pts
26Musselshell County13.1-0.8 pts
27Beaverhead County12.9-0.1 pts
27Carbon County12.9+0.5 pts
27Golden Valley County12.9-1.8 pts
30Mineral County12.3+0.3 pts
31Powell County12.20 pts
32Sheridan County11.6-0.1 pts
33Flathead County11.5-0.6 pts
33Meagher County11.5-1 pts
33Sweet Grass County11.5+1 pts
36Park County11.4+0.1 pts
36Valley County11.4-2.8 pts
38Broadwater County11.3-0.9 pts
39Treasure County11.2-3.8 pts
40Daniels County11+0.2 pts
40Richland County11-0.9 pts
42Cascade County10.9-1.3 pts
43Silver Bow County10.8-0.4 pts
44Deer Lodge County10.6-0.8 pts
44Prairie County10.6-1.8 pts
46Custer County10.40 pts
46Missoula County10.4+0.4 pts
48Fallon County100 pts
49Gallatin County9.8+0.3 pts
50Yellowstone County9.7-1.1 pts
51Jefferson County9.6+0.3 pts
52Judith Basin County9.2-2.9 pts
53Lewis and Clark County9+0.1 pts
54Petroleum County8.9-2.4 pts
55Dawson County8.5-0.7 pts
56Stillwater County8.2-1 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-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 Montana 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 Montana 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/montana-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 Montana 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/montana-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 Montana 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/montana-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_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 Montana 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/montana-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 Montana 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/montana-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-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)?

Roosevelt County, with 25.6% in 2018, according to the U.S. Census Bureau.

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

Stillwater County, with 8.2% 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 Montana: more rankings