Counties in Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024

Juniata County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 67 counties in 2024, at 13.1%. Montgomery County had the lowest, at 5.1%. The median was 8.4% and the figure for Pennsylvania was 7.9%. Source: the U.S. Census Bureau.

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Highest13.1Juniata County
Median8.467 counties
Pennsylvania7.9History

Map of counties, 2024

Adams County: 8.4 %Allegheny County: 5.9 %Armstrong County: 7.1 %Beaver County: 6.2 %Bedford County: 9.7 %Berks County: 10.3 %Blair County: 7.7 %Bradford County: 8.9 %Bucks County: 6.1 %Butler County: 5.7 %Cambria County: 6.3 %Cameron County: 8.4 %Carbon County: 8.1 %Centre County: 8.4 %Chester County: 6.2 %Clarion County: 9 %Clearfield County: 7.8 %Clinton County: 10.4 %Columbia County: 7.3 %Crawford County: 10.3 %Cumberland County: 7.9 %Dauphin County: 9.3 %Delaware County: 6.2 %Elk County: 7.2 %Erie County: 8.1 %Fayette County: 7.6 %Forest County: 9.5 %Franklin County: 9.6 %Fulton County: 7.8 %Greene County: 7.6 %Huntingdon County: 7.9 %Indiana County: 9.4 %Jefferson County: 9.7 %Juniata County: 13.1 %Lackawanna County: 8.9 %Lancaster County: 11.3 %Lawrence County: 7.4 %Lebanon County: 9.9 %Lehigh County: 9.7 %Luzerne County: 9.4 %Lycoming County: 8.1 %McKean County: 8 %Mercer County: 8.7 %Mifflin County: 11.4 %Monroe County: 9.2 %Montgomery County: 5.1 %Montour County: 6.2 %Northampton County: 6.6 %Northumberland County: 8.7 %Perry County: 10.4 %Philadelphia County: 10.1 %Pike County: 8.8 %Potter County: 9.1 %Schuylkill County: 8.3 %Snyder County: 11.8 %Somerset County: 9.3 %Sullivan County: 9.3 %Susquehanna County: 9.6 %Tioga County: 9 %Union County: 10.6 %Venango County: 8.4 %Warren County: 7.6 %Washington County: 6.2 %Wayne County: 9.5 %Westmoreland County: 5.5 %Wyoming County: 7.4 %York County: 7.5 %
  • Under 6.6
  • 6.6 to 7.8
  • 7.8 to 8.4
  • 8.4 to 9.3
  • 9.3 to 9.7
  • 9.7 and over
%, 2024. 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, 2024

Juniata County: 13.1 %Juniata County13.1Snyder County: 11.8 %Snyder County11.8Mifflin County: 11.4 %Mifflin County11.4Lancaster County: 11.3 %Lancaster County11.3Union County: 10.6 %Union County10.6Clinton County: 10.4 %Clinton County10.4Perry County: 10.4 %Perry County10.4Berks County: 10.3 %Berks County10.3Crawford County: 10.3 %Crawford County10.3Philadelphia County: 10.1 %Philadelphia County10.1Lebanon County: 9.9 %Lebanon County9.9Bedford County: 9.7 %Bedford County9.7Jefferson County: 9.7 %Jefferson County9.7Lehigh County: 9.7 %Lehigh County9.7Franklin County: 9.6 %Franklin County9.6Susquehanna County: 9.6 %Susquehanna County9.6Forest County: 9.5 %Forest County9.5Wayne County: 9.5 %Wayne County9.5Indiana County: 9.4 %Indiana County9.4Luzerne County: 9.4 %Luzerne County9.4Dauphin County: 9.3 %Dauphin County9.3Somerset County: 9.3 %Somerset County9.3Sullivan County: 9.3 %Sullivan County9.3Monroe County: 9.2 %Monroe County9.2Potter County: 9.1 %Potter County9.1Clarion County: 9 %Clarion County9Tioga County: 9 %Tioga County9Bradford County: 8.9 %Bradford County8.9Lackawanna County: 8.9 %Lackawanna County8.9Pike County: 8.8 %Pike County8.8Mercer County: 8.7 %Mercer County8.7Northumberland County: 8.7 %Northumberland County8.7Adams County: 8.4 %Adams County8.4Cameron County: 8.4 %Cameron County8.4Centre County: 8.4 %Centre County8.4Venango County: 8.4 %Venango County8.4Schuylkill County: 8.3 %Schuylkill County8.3Carbon County: 8.1 %Carbon County8.1Erie County: 8.1 %Erie County8.1Lycoming County: 8.1 %Lycoming County8.1Juniata County: 13.1 %Juniata County13.1Snyder County: 11.8 %Snyder County11.8Mifflin County: 11.4 %Mifflin County11.4Lancaster County: 11.3 %Lancaster County11.3Union County: 10.6 %Union County10.6Clinton County: 10.4 %Clinton County10.4Perry County: 10.4 %Perry County10.4Berks County: 10.3 %Berks County10.3Crawford County: 10.3 %Crawford County10.3Philadelphia County: 10.1 %Philadelphia County10.1Lebanon County: 9.9 %Lebanon County9.9Bedford County: 9.7 %Bedford County9.7Jefferson County: 9.7 %Jefferson County9.7Lehigh County: 9.7 %Lehigh County9.7Franklin County: 9.6 %Franklin County9.6Susquehanna County: 9.6 %Susquehanna County9.6Forest County: 9.5 %Forest County9.5Wayne County: 9.5 %Wayne County9.5Indiana County: 9.4 %Indiana County9.4Luzerne County: 9.4 %Luzerne County9.4Dauphin County: 9.3 %Dauphin County9.3Somerset County: 9.3 %Somerset County9.3Sullivan County: 9.3 %Sullivan County9.3Monroe County: 9.2 %Monroe County9.2Potter County: 9.1 %Potter County9.1Clarion County: 9 %Clarion County9Tioga County: 9 %Tioga County9Bradford County: 8.9 %Bradford County8.9Lackawanna County: 8.9 %Lackawanna County8.9Pike County: 8.8 %Pike County8.8Mercer County: 8.7 %Mercer County8.7Northumberland County: 8.7 %Northumberland County8.7Adams County: 8.4 %Adams County8.4Cameron County: 8.4 %Cameron County8.4Centre County: 8.4 %Centre County8.4Venango County: 8.4 %Venango County8.4Schuylkill County: 8.3 %Schuylkill County8.3Carbon County: 8.1 %Carbon County8.1Erie County: 8.1 %Erie County8.1Lycoming County: 8.1 %Lycoming 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

RankCounties2024 (%)Change on 2023
1Juniata County13.1+1.4 pts
2Snyder County11.8+2.2 pts
3Mifflin County11.4+0.5 pts
4Lancaster County11.3+0.5 pts
5Union County10.6+1.1 pts
6Clinton County10.4+2.7 pts
6Perry County10.4+2 pts
8Berks County10.3+0.8 pts
8Crawford County10.3+1.3 pts
10Philadelphia County10.1+1 pts
11Lebanon County9.9+0.8 pts
12Bedford County9.7+1.5 pts
12Jefferson County9.7+0.7 pts
12Lehigh County9.7+1.4 pts
15Franklin County9.6+0.5 pts
15Susquehanna County9.6+1.9 pts
17Forest County9.5-4 pts
17Wayne County9.5+1.6 pts
19Indiana County9.4+0.6 pts
19Luzerne County9.4+0.2 pts
21Dauphin County9.3+1.5 pts
21Somerset County9.3+1.9 pts
21Sullivan County9.3+1 pts
24Monroe County9.2+1.1 pts
25Potter County9.1+1.7 pts
26Clarion County9+2.2 pts
26Tioga County9+1.2 pts
28Bradford County8.9+1.4 pts
28Lackawanna County8.9+1.5 pts
30Pike County8.8+1.7 pts
31Mercer County8.7+0.5 pts
31Northumberland County8.7+1.5 pts
33Adams County8.4+0.9 pts
33Cameron County8.4+1.3 pts
33Centre County8.4+1.8 pts
33Venango County8.4+1.3 pts
37Schuylkill County8.3+0.9 pts
38Carbon County8.1+0.7 pts
38Erie County8.1+1.7 pts
38Lycoming County8.1+1.4 pts
41McKean County8+1.2 pts
42Cumberland County7.9+1.3 pts
42Huntingdon County7.9+0.7 pts
44Clearfield County7.8+0.7 pts
44Fulton County7.8+1.4 pts
46Blair County7.7+0.8 pts
47Fayette County7.6+1.2 pts
47Greene County7.6+1 pts
47Warren County7.6+1.7 pts
50York County7.5+1.1 pts
51Lawrence County7.4+1.3 pts
51Wyoming County7.4+1.3 pts
53Columbia County7.3+0.9 pts
54Elk County7.2+1 pts
55Armstrong County7.1+1.2 pts
56Northampton County6.60 pts
57Cambria County6.3+0.5 pts
58Beaver County6.2+0.6 pts
58Chester County6.2+0.8 pts
58Delaware County6.2+0.1 pts
58Montour County6.2+1.1 pts
58Washington County6.2+0.7 pts
63Bucks County6.1+1 pts
64Allegheny County5.9+0.6 pts
65Butler County5.7+1.2 pts
66Westmoreland County5.5+0.6 pts
67Montgomery County5.1-0.4 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-2024-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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties. 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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties.

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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_pennsylvania_by_2024,
  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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties. 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-2024-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 Pennsylvania by uninsured rate, ages 18 to 64 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/pennsylvania-counties.
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-2024-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)?

Juniata County, with 13.1% in 2024, according to the U.S. Census Bureau.

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

Montgomery County, with 5.1% in 2024.

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 Pennsylvania: more rankings