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 2019, at 25.3%. Dawson County had the lowest, at 8.4%. The median was 13% and the figure for Montana was 11.7%. Source: the U.S. Census Bureau.

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Highest25.3Roosevelt County
Lowest8.4Dawson County
Median1356 counties
Montana11.7History

Map of counties, 2019

Beaverhead County: 11.7 %Big Horn County: 19.3 %Blaine County: 18.1 %Broadwater County: 11.7 %Carbon County: 12.5 %Carter County: 13.6 %Cascade County: 11.4 %Chouteau County: 15.6 %Custer County: 10.6 %Daniels County: 11.5 %Dawson County: 8.4 %Deer Lodge County: 11.1 %Fallon County: 11.9 %Fergus County: 12.8 %Flathead County: 11.7 %Gallatin County: 9.1 %Garfield County: 16.8 %Glacier County: 24.4 %Golden Valley County: 13.4 %Granite County: 14.2 %Hill County: 15.2 %Jefferson County: 9.8 %Judith Basin County: 12.9 %Lake County: 18.3 %Lewis and Clark County: 9.1 %Liberty County: 16.4 %Lincoln County: 16.2 %McCone County: 17.2 %Madison County: 14.4 %Meagher County: 10.4 %Mineral County: 11.8 %Missoula County: 10.6 %Musselshell County: 15.1 %Park County: 11.1 %Petroleum County: 8.5 %Phillips County: 18 %Pondera County: 13.8 %Powder River County: 13.6 %Powell County: 13.1 %Prairie County: 13.1 %Ravalli County: 14.2 %Richland County: 11.8 %Roosevelt County: 25.3 %Rosebud County: 15.5 %Sanders County: 17.9 %Sheridan County: 12.2 %Silver Bow County: 10.7 %Stillwater County: 8.6 %Sweet Grass County: 11.5 %Teton County: 13.2 %Toole County: 15.2 %Treasure County: 10.6 %Valley County: 11.9 %Wheatland County: 21.5 %Wibaux County: 14.1 %Yellowstone County: 9.9 %
  • Under 11
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  • 17 and over
%, 2019. 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, 2019

Roosevelt County: 25.3 %Roosevelt County25.3Glacier County: 24.4 %Glacier County24.4Wheatland County: 21.5 %Wheatland County21.5Big Horn County: 19.3 %Big Horn County19.3Lake County: 18.3 %Lake County18.3Blaine County: 18.1 %Blaine County18.1Phillips County: 18 %Phillips County18Sanders County: 17.9 %Sanders County17.9McCone County: 17.2 %McCone County17.2Garfield County: 16.8 %Garfield County16.8Liberty County: 16.4 %Liberty County16.4Lincoln County: 16.2 %Lincoln County16.2Chouteau County: 15.6 %Chouteau County15.6Rosebud County: 15.5 %Rosebud County15.5Hill County: 15.2 %Hill County15.2Toole County: 15.2 %Toole County15.2Musselshell County: 15.1 %Musselshell County15.1Madison County: 14.4 %Madison County14.4Granite County: 14.2 %Granite County14.2Ravalli County: 14.2 %Ravalli County14.2Wibaux County: 14.1 %Wibaux County14.1Pondera County: 13.8 %Pondera County13.8Carter County: 13.6 %Carter County13.6Powder River County: 13.6 %Powder River County13.6Golden Valley County: 13.4 %Golden Valley County13.4Teton County: 13.2 %Teton County13.2Powell County: 13.1 %Powell County13.1Prairie County: 13.1 %Prairie County13.1Judith Basin County: 12.9 %Judith Basin County12.9Fergus County: 12.8 %Fergus County12.8Carbon County: 12.5 %Carbon County12.5Sheridan County: 12.2 %Sheridan County12.2Fallon County: 11.9 %Fallon County11.9Valley County: 11.9 %Valley County11.9Mineral County: 11.8 %Mineral County11.8Richland County: 11.8 %Richland County11.8Beaverhead County: 11.7 %Beaverhead County11.7Broadwater County: 11.7 %Broadwater County11.7Flathead County: 11.7 %Flathead County11.7Daniels County: 11.5 %Daniels County11.5Sweet Grass County: 11.5 %Sweet Grass County11.5Cascade County: 11.4 %Cascade County11.4Deer Lodge County: 11.1 %Deer Lodge County11.1Park County: 11.1 %Park County11.1Silver Bow County: 10.7 %Silver Bow County10.7Custer County: 10.6 %Custer County10.6Missoula County: 10.6 %Missoula County10.6Treasure County: 10.6 %Treasure County10.6Meagher County: 10.4 %Meagher County10.4Yellowstone County: 9.9 %Yellowstone County9.9Jefferson County: 9.8 %Jefferson County9.8Gallatin County: 9.1 %Gallatin County9.1Lewis and Clark County: 9.1 %Lewis and Clark County9.1Stillwater County: 8.6 %Stillwater County8.6Petroleum County: 8.5 %Petroleum County8.5Dawson County: 8.4 %Dawson County8.4Roosevelt County: 25.3 %Roosevelt County25.3Glacier County: 24.4 %Glacier County24.4Wheatland County: 21.5 %Wheatland County21.5Big Horn County: 19.3 %Big Horn County19.3Lake County: 18.3 %Lake County18.3Blaine County: 18.1 %Blaine County18.1Phillips County: 18 %Phillips County18Sanders County: 17.9 %Sanders County17.9McCone County: 17.2 %McCone County17.2Garfield County: 16.8 %Garfield County16.8Liberty County: 16.4 %Liberty County16.4Lincoln County: 16.2 %Lincoln County16.2Chouteau County: 15.6 %Chouteau County15.6Rosebud County: 15.5 %Rosebud County15.5Hill County: 15.2 %Hill County15.2Toole County: 15.2 %Toole County15.2Musselshell County: 15.1 %Musselshell County15.1Madison County: 14.4 %Madison County14.4Granite County: 14.2 %Granite County14.2Ravalli County: 14.2 %Ravalli County14.2Wibaux County: 14.1 %Wibaux County14.1Pondera County: 13.8 %Pondera County13.8Carter County: 13.6 %Carter County13.6Powder River County: 13.6 %Powder River County13.6Golden Valley County: 13.4 %Golden Valley County13.4Teton County: 13.2 %Teton County13.2Powell County: 13.1 %Powell County13.1Prairie County: 13.1 %Prairie County13.1Judith Basin County: 12.9 %Judith Basin County12.9Fergus County: 12.8 %Fergus County12.8Carbon County: 12.5 %Carbon County12.5Sheridan County: 12.2 %Sheridan County12.2Fallon County: 11.9 %Fallon County11.9Valley County: 11.9 %Valley County11.9Mineral County: 11.8 %Mineral County11.8Richland County: 11.8 %Richland County11.8Beaverhead County: 11.7 %Beaverhead County11.7Broadwater County: 11.7 %Broadwater County11.7Flathead County: 11.7 %Flathead County11.7Daniels County: 11.5 %Daniels County11.5Sweet Grass County: 11.5 %Sweet Grass County11.5Cascade County: 11.4 %Cascade County11.4Deer Lodge County: 11.1 %Deer Lodge County11.1Park County: 11.1 %Park County11.1Silver Bow County: 10.7 %Silver Bow County10.7Custer County: 10.6 %Custer County10.6Missoula County: 10.6 %Missoula County10.6Treasure County: 10.6 %Treasure County10.6Meagher County: 10.4 %Meagher County10.4Yellowstone County: 9.9 %Yellowstone County9.9Jefferson County: 9.8 %Jefferson County9.8Gallatin County: 9.1 %Gallatin County9.1Lewis and Clark County: 9.1 %Lewis and Clark County9.1Stillwater County: 8.6 %Stillwater County8.6Petroleum County: 8.5 %Petroleum County8.5Dawson County: 8.4 %Dawson County8.4
%. 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

RankCounties2019 (%)Change on 2018
1Roosevelt County25.3-0.3 pts
2Glacier County24.4+1.1 pts
3Wheatland County21.5+0.6 pts
4Big Horn County19.3-1.5 pts
5Lake County18.3-1.1 pts
6Blaine County18.1-1.8 pts
7Phillips County18+1 pts
8Sanders County17.9+0.4 pts
9McCone County17.2+2.1 pts
10Garfield County16.8+0.4 pts
11Liberty County16.4-0.7 pts
12Lincoln County16.2+1.7 pts
13Chouteau County15.6-1.8 pts
14Rosebud County15.5+0.2 pts
15Hill County15.2+0.4 pts
15Toole County15.2+1.7 pts
17Musselshell County15.1+2 pts
18Madison County14.4-0.1 pts
19Granite County14.20 pts
19Ravalli County14.2-1.9 pts
21Wibaux County14.1-2 pts
22Pondera County13.8-1.1 pts
23Carter County13.6-1.4 pts
23Powder River County13.6-0.4 pts
25Golden Valley County13.4+0.5 pts
26Teton County13.2-0.2 pts
27Powell County13.1+0.9 pts
27Prairie County13.1+2.5 pts
29Judith Basin County12.9+3.7 pts
30Fergus County12.8-0.8 pts
31Carbon County12.5-0.4 pts
32Sheridan County12.2+0.6 pts
33Fallon County11.9+1.9 pts
33Valley County11.9+0.5 pts
35Mineral County11.8-0.5 pts
35Richland County11.8+0.8 pts
37Beaverhead County11.7-1.2 pts
37Broadwater County11.7+0.4 pts
37Flathead County11.7+0.2 pts
40Daniels County11.5+0.5 pts
40Sweet Grass County11.50 pts
42Cascade County11.4+0.5 pts
43Deer Lodge County11.1+0.5 pts
43Park County11.1-0.3 pts
45Silver Bow County10.7-0.1 pts
46Custer County10.6+0.2 pts
46Missoula County10.6+0.2 pts
46Treasure County10.6-0.6 pts
49Meagher County10.4-1.1 pts
50Yellowstone County9.9+0.2 pts
51Jefferson County9.8+0.2 pts
52Gallatin County9.1-0.7 pts
52Lewis and Clark County9.1+0.1 pts
54Stillwater County8.6+0.4 pts
55Petroleum County8.5-0.4 pts
56Dawson County8.4-0.1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/montana-counties?period=2019.
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-2019-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 25.3% in 2019, according to the U.S. Census Bureau.

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

Dawson County, with 8.4% in 2019.

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