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

Holmes County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 88 counties in 2017, at 24%. Delaware County had the lowest, at 4.9%. The median was 8% and the figure for Ohio was 8.1%. Source: the U.S. Census Bureau.

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Highest24Holmes County
Median888 counties
Ohio8.1History

Map of counties, 2017

Adams County: 10.1 %Allen County: 8.7 %Ashland County: 9.3 %Ashtabula County: 9.3 %Athens County: 10.3 %Auglaize County: 6.4 %Belmont County: 7.4 %Brown County: 8.5 %Butler County: 7.9 %Carroll County: 8.6 %Champaign County: 7.5 %Clark County: 8.5 %Clermont County: 6.7 %Clinton County: 7.9 %Columbiana County: 8.7 %Coshocton County: 9.7 %Crawford County: 8.1 %Cuyahoga County: 7.6 %Darke County: 8.1 %Defiance County: 7.7 %Delaware County: 4.9 %Erie County: 7 %Fairfield County: 6.5 %Fayette County: 7.8 %Franklin County: 9.5 %Fulton County: 7.3 %Gallia County: 9.8 %Geauga County: 8.8 %Greene County: 6.7 %Guernsey County: 9.5 %Hamilton County: 7.8 %Hancock County: 6.9 %Hardin County: 8.1 %Harrison County: 8.7 %Henry County: 7 %Highland County: 10.3 %Hocking County: 7.8 %Holmes County: 24 %Huron County: 8.6 %Jackson County: 9.1 %Jefferson County: 8.2 %Knox County: 8.4 %Lake County: 7.1 %Lawrence County: 8.1 %Licking County: 7.9 %Logan County: 7.8 %Lorain County: 7.2 %Lucas County: 8.9 %Madison County: 7.3 %Mahoning County: 7.9 %Marion County: 7.8 %Medina County: 6.2 %Meigs County: 9.1 %Mercer County: 7 %Miami County: 7.4 %Monroe County: 9.5 %Montgomery County: 8.7 %Morgan County: 8.8 %Morrow County: 8.5 %Muskingum County: 8.5 %Noble County: 8.6 %Ottawa County: 7.2 %Paulding County: 8.1 %Perry County: 8.1 %Pickaway County: 7.3 %Pike County: 8.6 %Portage County: 7.8 %Preble County: 7.4 %Putnam County: 6.1 %Richland County: 9.2 %Ross County: 8 %Sandusky County: 7.6 %Scioto County: 8 %Seneca County: 7.5 %Shelby County: 7.1 %Stark County: 8.4 %Summit County: 7.6 %Trumbull County: 8.8 %Tuscarawas County: 8.9 %Union County: 5.7 %Van Wert County: 7.3 %Vinton County: 9.5 %Warren County: 5.8 %Washington County: 8.2 %Wayne County: 11.6 %Williams County: 7.3 %Wood County: 6.3 %Wyandot County: 7.5 %
  • Under 7.1
  • 7.1 to 7.6
  • 7.6 to 8
  • 8 to 8.5
  • 8.5 to 9.1
  • 9.1 and over
%, 2017. 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, 2017

Holmes County: 24 %Holmes County24Wayne County: 11.6 %Wayne County11.6Athens County: 10.3 %Athens County10.3Highland County: 10.3 %Highland County10.3Adams County: 10.1 %Adams County10.1Gallia County: 9.8 %Gallia County9.8Coshocton County: 9.7 %Coshocton County9.7Franklin County: 9.5 %Franklin County9.5Guernsey County: 9.5 %Guernsey County9.5Monroe County: 9.5 %Monroe County9.5Vinton County: 9.5 %Vinton County9.5Ashland County: 9.3 %Ashland County9.3Ashtabula County: 9.3 %Ashtabula County9.3Richland County: 9.2 %Richland County9.2Jackson County: 9.1 %Jackson County9.1Meigs County: 9.1 %Meigs County9.1Lucas County: 8.9 %Lucas County8.9Tuscarawas County: 8.9 %Tuscarawas County8.9Geauga County: 8.8 %Geauga County8.8Morgan County: 8.8 %Morgan County8.8Trumbull County: 8.8 %Trumbull County8.8Allen County: 8.7 %Allen County8.7Columbiana County: 8.7 %Columbiana County8.7Harrison County: 8.7 %Harrison County8.7Montgomery County: 8.7 %Montgomery County8.7Carroll County: 8.6 %Carroll County8.6Huron County: 8.6 %Huron County8.6Noble County: 8.6 %Noble County8.6Pike County: 8.6 %Pike County8.6Brown County: 8.5 %Brown County8.5Clark County: 8.5 %Clark County8.5Morrow County: 8.5 %Morrow County8.5Muskingum County: 8.5 %Muskingum County8.5Knox County: 8.4 %Knox County8.4Stark County: 8.4 %Stark County8.4Jefferson County: 8.2 %Jefferson County8.2Washington County: 8.2 %Washington County8.2Crawford County: 8.1 %Crawford County8.1Darke County: 8.1 %Darke County8.1Hardin County: 8.1 %Hardin County8.1Holmes County: 24 %Holmes County24Wayne County: 11.6 %Wayne County11.6Athens County: 10.3 %Athens County10.3Highland County: 10.3 %Highland County10.3Adams County: 10.1 %Adams County10.1Gallia County: 9.8 %Gallia County9.8Coshocton County: 9.7 %Coshocton County9.7Franklin County: 9.5 %Franklin County9.5Guernsey County: 9.5 %Guernsey County9.5Monroe County: 9.5 %Monroe County9.5Vinton County: 9.5 %Vinton County9.5Ashland County: 9.3 %Ashland County9.3Ashtabula County: 9.3 %Ashtabula County9.3Richland County: 9.2 %Richland County9.2Jackson County: 9.1 %Jackson County9.1Meigs County: 9.1 %Meigs County9.1Lucas County: 8.9 %Lucas County8.9Tuscarawas County: 8.9 %Tuscarawas County8.9Geauga County: 8.8 %Geauga County8.8Morgan County: 8.8 %Morgan County8.8Trumbull County: 8.8 %Trumbull County8.8Allen County: 8.7 %Allen County8.7Columbiana County: 8.7 %Columbiana County8.7Harrison County: 8.7 %Harrison County8.7Montgomery County: 8.7 %Montgomery County8.7Carroll County: 8.6 %Carroll County8.6Huron County: 8.6 %Huron County8.6Noble County: 8.6 %Noble County8.6Pike County: 8.6 %Pike County8.6Brown County: 8.5 %Brown County8.5Clark County: 8.5 %Clark County8.5Morrow County: 8.5 %Morrow County8.5Muskingum County: 8.5 %Muskingum County8.5Knox County: 8.4 %Knox County8.4Stark County: 8.4 %Stark County8.4Jefferson County: 8.2 %Jefferson County8.2Washington County: 8.2 %Washington County8.2Crawford County: 8.1 %Crawford County8.1Darke County: 8.1 %Darke County8.1Hardin County: 8.1 %Hardin County8.1
%. 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

RankCounties2017 (%)Change on 2016
1Holmes County24+2.3 pts
2Wayne County11.6+1.4 pts
3Athens County10.3-0.2 pts
3Highland County10.3+0.5 pts
5Adams County10.1-0.3 pts
6Gallia County9.8+1 pts
7Coshocton County9.7+0.6 pts
8Franklin County9.5+0.1 pts
8Guernsey County9.5+1.3 pts
8Monroe County9.5+1 pts
8Vinton County9.5+0.6 pts
12Ashland County9.3+1.1 pts
12Ashtabula County9.3-0.3 pts
14Richland County9.2+0.9 pts
15Jackson County9.1+0.4 pts
15Meigs County9.1-0.2 pts
17Lucas County8.9+1 pts
17Tuscarawas County8.90 pts
19Geauga County8.8+0.3 pts
19Morgan County8.8+0.8 pts
19Trumbull County8.8+1.1 pts
22Allen County8.7+0.1 pts
22Columbiana County8.7+0.8 pts
22Harrison County8.7+0.8 pts
22Montgomery County8.7-0.2 pts
26Carroll County8.6-0.2 pts
26Huron County8.6-0.6 pts
26Noble County8.6+0.1 pts
26Pike County8.6-0.6 pts
30Brown County8.5-0.1 pts
30Clark County8.5+0.6 pts
30Morrow County8.5+0.4 pts
30Muskingum County8.5+0.9 pts
34Knox County8.4+0.2 pts
34Stark County8.4+1.3 pts
36Jefferson County8.2+1.6 pts
36Washington County8.2-0.4 pts
38Crawford County8.1+0.4 pts
38Darke County8.1+0.1 pts
38Hardin County8.1-0.5 pts
38Lawrence County8.1-0.2 pts
38Paulding County8.1+0.5 pts
38Perry County8.1-0.7 pts
44Ross County8+0.4 pts
44Scioto County8+0.4 pts
46Butler County7.9+0.9 pts
46Clinton County7.9+0.7 pts
46Licking County7.9+0.9 pts
46Mahoning County7.9+0.6 pts
50Fayette County7.8-0.4 pts
50Hamilton County7.8+0.3 pts
50Hocking County7.80 pts
50Logan County7.8+0.3 pts
50Marion County7.8+0.4 pts
50Portage County7.80 pts
56Defiance County7.7+0.1 pts
57Cuyahoga County7.60 pts
57Sandusky County7.6+1.3 pts
57Summit County7.6-0.2 pts
60Champaign County7.5+0.1 pts
60Seneca County7.50 pts
60Wyandot County7.5+0.4 pts
63Belmont County7.40 pts
63Miami County7.4-0.5 pts
63Preble County7.4-0.8 pts
66Fulton County7.3+0.6 pts
66Madison County7.3+0.6 pts
66Pickaway County7.3+0.3 pts
66Van Wert County7.3+0.6 pts
66Williams County7.3-0.1 pts
71Lorain County7.2-0.6 pts
71Ottawa County7.2+0.1 pts
73Lake County7.1+0.6 pts
73Shelby County7.1+1 pts
75Erie County7-0.1 pts
75Henry County7+0.2 pts
75Mercer County7+0.7 pts
78Hancock County6.9-0.1 pts
79Clermont County6.7-0.2 pts
79Greene County6.7+0.4 pts
81Fairfield County6.5-0.7 pts
82Auglaize County6.4+0.3 pts
83Wood County6.3-0.1 pts
84Medina County6.2+0.6 pts
85Putnam County6.1+0.1 pts
86Warren County5.8+0.6 pts
87Union County5.7+0.3 pts
88Delaware County4.9+0.4 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-2017-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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017. 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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017.

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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2017,
  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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017. 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-2017-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 Ohio by uninsured rate, ages 18 to 64 (US model-based estimate), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/ohio-counties?period=2017.
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-2017-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)?

Holmes County, with 24% in 2017, according to the U.S. Census Bureau.

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

Delaware County, with 4.9% in 2017.

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 Ohio: more rankings