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

Queens County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 62 counties in 2018, at 12.2%. Saratoga County had the lowest, at 4.7%. The median was 6% and the figure for New York was 7.7%. Source: the U.S. Census Bureau.

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Highest12.2Queens County
Median662 counties
New York7.7History

Map of counties, 2018

Albany County: 4.8 %Allegany County: 6.7 %Bronx County: 11.3 %Broome County: 6.2 %Cattaraugus County: 7.7 %Cayuga County: 5.5 %Chautauqua County: 6.4 %Chemung County: 5 %Chenango County: 5.8 %Clinton County: 5.9 %Columbia County: 6.6 %Cortland County: 5.1 %Delaware County: 6.6 %Dutchess County: 6.1 %Erie County: 5.3 %Essex County: 5.1 %Franklin County: 8.2 %Fulton County: 6 %Genesee County: 5.3 %Greene County: 6.4 %Hamilton County: 6.9 %Herkimer County: 5.8 %Jefferson County: 5.8 %Kings County: 9.8 %Lewis County: 5.9 %Livingston County: 5.2 %Madison County: 5.5 %Monroe County: 5.1 %Montgomery County: 6.3 %Nassau County: 5.6 %New York County: 6.9 %Niagara County: 5.3 %Oneida County: 5.9 %Onondaga County: 5.7 %Ontario County: 5 %Orange County: 6.7 %Orleans County: 6.2 %Oswego County: 6.4 %Otsego County: 6.3 %Putnam County: 4.9 %Queens County: 12.2 %Rensselaer County: 5 %Richmond County: 6.3 %Rockland County: 6.8 %St. Lawrence County: 6.5 %Saratoga County: 4.7 %Schenectady County: 5.7 %Schoharie County: 6 %Schuyler County: 5.9 %Seneca County: 6.2 %Steuben County: 6.2 %Suffolk County: 5.9 %Sullivan County: 7.3 %Tioga County: 5.4 %Tompkins County: 5.3 %Ulster County: 7 %Warren County: 5.7 %Washington County: 6.2 %Wayne County: 5.7 %Westchester County: 7 %Wyoming County: 5.5 %Yates County: 9.3 %
  • Under 5.3
  • 5.3 to 5.7
  • 5.7 to 6
  • 6 to 6.3
  • 6.3 to 6.9
  • 6.9 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.

Top 40 counties, 2018

Queens County: 12.2 %Queens County12.2Bronx County: 11.3 %Bronx County11.3Kings County: 9.8 %Kings County9.8Yates County: 9.3 %Yates County9.3Franklin County: 8.2 %Franklin County8.2Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.3 %Sullivan County7.3Ulster County: 7 %Ulster County7Westchester County: 7 %Westchester County7Hamilton County: 6.9 %Hamilton County6.9New York County: 6.9 %New York County6.9Rockland County: 6.8 %Rockland County6.8Allegany County: 6.7 %Allegany County6.7Orange County: 6.7 %Orange County6.7Columbia County: 6.6 %Columbia County6.6Delaware County: 6.6 %Delaware County6.6St. Lawrence County: 6.5 %St. Lawrence County6.5Chautauqua County: 6.4 %Chautauqua County6.4Greene County: 6.4 %Greene County6.4Oswego County: 6.4 %Oswego County6.4Montgomery County: 6.3 %Montgomery County6.3Otsego County: 6.3 %Otsego County6.3Richmond County: 6.3 %Richmond County6.3Broome County: 6.2 %Broome County6.2Orleans County: 6.2 %Orleans County6.2Seneca County: 6.2 %Seneca County6.2Steuben County: 6.2 %Steuben County6.2Washington County: 6.2 %Washington County6.2Dutchess County: 6.1 %Dutchess County6.1Fulton County: 6 %Fulton County6Schoharie County: 6 %Schoharie County6Clinton County: 5.9 %Clinton County5.9Lewis County: 5.9 %Lewis County5.9Oneida County: 5.9 %Oneida County5.9Schuyler County: 5.9 %Schuyler County5.9Suffolk County: 5.9 %Suffolk County5.9Chenango County: 5.8 %Chenango County5.8Herkimer County: 5.8 %Herkimer County5.8Jefferson County: 5.8 %Jefferson County5.8Onondaga County: 5.7 %Onondaga County5.7Queens County: 12.2 %Queens County12.2Bronx County: 11.3 %Bronx County11.3Kings County: 9.8 %Kings County9.8Yates County: 9.3 %Yates County9.3Franklin County: 8.2 %Franklin County8.2Cattaraugus County: 7.7 %Cattaraugus County7.7Sullivan County: 7.3 %Sullivan County7.3Ulster County: 7 %Ulster County7Westchester County: 7 %Westchester County7Hamilton County: 6.9 %Hamilton County6.9New York County: 6.9 %New York County6.9Rockland County: 6.8 %Rockland County6.8Allegany County: 6.7 %Allegany County6.7Orange County: 6.7 %Orange County6.7Columbia County: 6.6 %Columbia County6.6Delaware County: 6.6 %Delaware County6.6St. Lawrence County: 6.5 %St. Lawrence County6.5Chautauqua County: 6.4 %Chautauqua County6.4Greene County: 6.4 %Greene County6.4Oswego County: 6.4 %Oswego County6.4Montgomery County: 6.3 %Montgomery County6.3Otsego County: 6.3 %Otsego County6.3Richmond County: 6.3 %Richmond County6.3Broome County: 6.2 %Broome County6.2Orleans County: 6.2 %Orleans County6.2Seneca County: 6.2 %Seneca County6.2Steuben County: 6.2 %Steuben County6.2Washington County: 6.2 %Washington County6.2Dutchess County: 6.1 %Dutchess County6.1Fulton County: 6 %Fulton County6Schoharie County: 6 %Schoharie County6Clinton County: 5.9 %Clinton County5.9Lewis County: 5.9 %Lewis County5.9Oneida County: 5.9 %Oneida County5.9Schuyler County: 5.9 %Schuyler County5.9Suffolk County: 5.9 %Suffolk County5.9Chenango County: 5.8 %Chenango County5.8Herkimer County: 5.8 %Herkimer County5.8Jefferson County: 5.8 %Jefferson County5.8Onondaga County: 5.7 %Onondaga County5.7
%. 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
1Queens County12.2-0.2 pts
2Bronx County11.3-0.1 pts
3Kings County9.8-0.1 pts
4Yates County9.3-0.1 pts
5Franklin County8.2-0.4 pts
6Cattaraugus County7.7-0.2 pts
7Sullivan County7.3-0.5 pts
8Ulster County7-0.8 pts
8Westchester County7-1.4 pts
10Hamilton County6.9-0.5 pts
10New York County6.9+0.1 pts
12Rockland County6.8-0.9 pts
13Allegany County6.7-0.2 pts
13Orange County6.7-0.4 pts
15Columbia County6.6-0.3 pts
15Delaware County6.6-1.1 pts
17St. Lawrence County6.5-0.8 pts
18Chautauqua County6.4+0.1 pts
18Greene County6.40 pts
18Oswego County6.4+0.1 pts
21Montgomery County6.3-1 pts
21Otsego County6.3+0.4 pts
21Richmond County6.3+0.4 pts
24Broome County6.2-0.2 pts
24Orleans County6.2-0.4 pts
24Seneca County6.2-1.1 pts
24Steuben County6.2-1 pts
24Washington County6.2-0.3 pts
29Dutchess County6.1-0.1 pts
30Fulton County6-0.7 pts
30Schoharie County60 pts
32Clinton County5.9-0.4 pts
32Lewis County5.9-1 pts
32Oneida County5.9-0.9 pts
32Schuyler County5.9-0.3 pts
32Suffolk County5.9-0.7 pts
37Chenango County5.8-0.3 pts
37Herkimer County5.80 pts
37Jefferson County5.8+0.1 pts
40Onondaga County5.7-0.2 pts
40Schenectady County5.7-0.2 pts
40Warren County5.7-0.4 pts
40Wayne County5.70 pts
44Nassau County5.6-0.7 pts
45Cayuga County5.5-0.3 pts
45Madison County5.5-0.3 pts
45Wyoming County5.5+0.2 pts
48Tioga County5.4-0.3 pts
49Erie County5.30 pts
49Genesee County5.3-0.5 pts
49Niagara County5.3-0.8 pts
49Tompkins County5.3-0.7 pts
53Livingston County5.2+0.1 pts
54Cortland County5.1+0.1 pts
54Essex County5.1-1 pts
54Monroe County5.1-0.5 pts
57Chemung County5-0.1 pts
57Ontario County5-0.3 pts
57Rensselaer County5-0.4 pts
60Putnam County4.9-0.8 pts
61Albany County4.8-0.3 pts
62Saratoga County4.7+0.3 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2018 (Accessed: 12 October 2026).

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

Queens County, with 12.2% in 2018, according to the U.S. Census Bureau.

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

Saratoga County, with 4.7% 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 New York: more rankings