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

Sevier County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 95 counties in 2019, at 21.6%. Williamson County had the lowest, at 7.5%. The median was 15.5% and the figure for Tennessee was 14.8%. Source: the U.S. Census Bureau.

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Highest21.6Sevier County
Median15.595 counties
Tennessee14.8History

Map of counties, 2019

Anderson County: 14.8 %Bedford County: 19.2 %Benton County: 16.6 %Bledsoe County: 19.4 %Blount County: 13.8 %Bradley County: 17.5 %Campbell County: 15.7 %Cannon County: 15.1 %Carroll County: 15.8 %Carter County: 17 %Cheatham County: 14 %Chester County: 15.4 %Claiborne County: 14.8 %Clay County: 17.1 %Cocke County: 15.9 %Coffee County: 14.6 %Crockett County: 19 %Cumberland County: 17.2 %Davidson County: 15.6 %Decatur County: 15.2 %DeKalb County: 17.2 %Dickson County: 14.3 %Dyer County: 14.5 %Fayette County: 13.2 %Fentress County: 16 %Franklin County: 14.1 %Gibson County: 14.8 %Giles County: 16 %Grainger County: 16.6 %Greene County: 16 %Grundy County: 17.4 %Hamblen County: 19.6 %Hamilton County: 14.4 %Hancock County: 14.6 %Hardeman County: 15.4 %Hardin County: 14.8 %Hawkins County: 14.2 %Haywood County: 14.9 %Henderson County: 15.8 %Henry County: 15.8 %Hickman County: 17 %Houston County: 16.9 %Humphreys County: 14.4 %Jackson County: 16.9 %Jefferson County: 15.7 %Johnson County: 14.9 %Knox County: 12.9 %Lake County: 14.5 %Lauderdale County: 15.8 %Lawrence County: 16.5 %Lewis County: 14.7 %Lincoln County: 16.3 %Loudon County: 16.3 %McMinn County: 15.9 %McNairy County: 14.2 %Macon County: 19 %Madison County: 14 %Marion County: 14.9 %Marshall County: 14.4 %Maury County: 13.9 %Meigs County: 15.7 %Monroe County: 16.2 %Montgomery County: 11.6 %Moore County: 11.8 %Morgan County: 15 %Obion County: 15.5 %Overton County: 16.1 %Perry County: 17.7 %Pickett County: 17.4 %Polk County: 17.3 %Putnam County: 16.2 %Rhea County: 17.3 %Roane County: 12.8 %Robertson County: 14.3 %Rutherford County: 12.6 %Scott County: 15.3 %Sequatchie County: 15 %Sevier County: 21.6 %Shelby County: 16.6 %Smith County: 14.8 %Stewart County: 15.1 %Sullivan County: 14.8 %Sumner County: 12.6 %Tipton County: 12.9 %Trousdale County: 15.6 %Unicoi County: 15.7 %Union County: 16.7 %Van Buren County: 15.3 %Warren County: 19.7 %Washington County: 14.3 %Wayne County: 15.8 %Weakley County: 13.9 %White County: 15.8 %Williamson County: 7.5 %Wilson County: 11.5 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 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.

Top 40 counties, 2019

Sevier County: 21.6 %Sevier County21.6Warren County: 19.7 %Warren County19.7Hamblen County: 19.6 %Hamblen County19.6Bledsoe County: 19.4 %Bledsoe County19.4Bedford County: 19.2 %Bedford County19.2Crockett County: 19 %Crockett County19Macon County: 19 %Macon County19Perry County: 17.7 %Perry County17.7Bradley County: 17.5 %Bradley County17.5Grundy County: 17.4 %Grundy County17.4Pickett County: 17.4 %Pickett County17.4Polk County: 17.3 %Polk County17.3Rhea County: 17.3 %Rhea County17.3Cumberland County: 17.2 %Cumberland County17.2DeKalb County: 17.2 %DeKalb County17.2Clay County: 17.1 %Clay County17.1Carter County: 17 %Carter County17Hickman County: 17 %Hickman County17Houston County: 16.9 %Houston County16.9Jackson County: 16.9 %Jackson County16.9Union County: 16.7 %Union County16.7Benton County: 16.6 %Benton County16.6Grainger County: 16.6 %Grainger County16.6Shelby County: 16.6 %Shelby County16.6Lawrence County: 16.5 %Lawrence County16.5Lincoln County: 16.3 %Lincoln County16.3Loudon County: 16.3 %Loudon County16.3Monroe County: 16.2 %Monroe County16.2Putnam County: 16.2 %Putnam County16.2Overton County: 16.1 %Overton County16.1Fentress County: 16 %Fentress County16Giles County: 16 %Giles County16Greene County: 16 %Greene County16Cocke County: 15.9 %Cocke County15.9McMinn County: 15.9 %McMinn County15.9Carroll County: 15.8 %Carroll County15.8Henderson County: 15.8 %Henderson County15.8Henry County: 15.8 %Henry County15.8Lauderdale County: 15.8 %Lauderdale County15.8Wayne County: 15.8 %Wayne County15.8Sevier County: 21.6 %Sevier County21.6Warren County: 19.7 %Warren County19.7Hamblen County: 19.6 %Hamblen County19.6Bledsoe County: 19.4 %Bledsoe County19.4Bedford County: 19.2 %Bedford County19.2Crockett County: 19 %Crockett County19Macon County: 19 %Macon County19Perry County: 17.7 %Perry County17.7Bradley County: 17.5 %Bradley County17.5Grundy County: 17.4 %Grundy County17.4Pickett County: 17.4 %Pickett County17.4Polk County: 17.3 %Polk County17.3Rhea County: 17.3 %Rhea County17.3Cumberland County: 17.2 %Cumberland County17.2DeKalb County: 17.2 %DeKalb County17.2Clay County: 17.1 %Clay County17.1Carter County: 17 %Carter County17Hickman County: 17 %Hickman County17Houston County: 16.9 %Houston County16.9Jackson County: 16.9 %Jackson County16.9Union County: 16.7 %Union County16.7Benton County: 16.6 %Benton County16.6Grainger County: 16.6 %Grainger County16.6Shelby County: 16.6 %Shelby County16.6Lawrence County: 16.5 %Lawrence County16.5Lincoln County: 16.3 %Lincoln County16.3Loudon County: 16.3 %Loudon County16.3Monroe County: 16.2 %Monroe County16.2Putnam County: 16.2 %Putnam County16.2Overton County: 16.1 %Overton County16.1Fentress County: 16 %Fentress County16Giles County: 16 %Giles County16Greene County: 16 %Greene County16Cocke County: 15.9 %Cocke County15.9McMinn County: 15.9 %McMinn County15.9Carroll County: 15.8 %Carroll County15.8Henderson County: 15.8 %Henderson County15.8Henry County: 15.8 %Henry County15.8Lauderdale County: 15.8 %Lauderdale County15.8Wayne County: 15.8 %Wayne County15.8
%. 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
1Sevier County21.6+0.4 pts
2Warren County19.7+0.6 pts
3Hamblen County19.6+1.5 pts
4Bledsoe County19.4-1.3 pts
5Bedford County19.2+0.8 pts
6Crockett County19+1.3 pts
6Macon County19+1 pts
8Perry County17.7+1.1 pts
9Bradley County17.5+0.9 pts
10Grundy County17.4-1.2 pts
10Pickett County17.4+1.1 pts
12Polk County17.3+0.7 pts
12Rhea County17.3+1.6 pts
14Cumberland County17.2+1.9 pts
14DeKalb County17.2-1.2 pts
16Clay County17.1+1 pts
17Carter County17+1.2 pts
17Hickman County17+0.7 pts
19Houston County16.9+1.4 pts
19Jackson County16.9+0.3 pts
21Union County16.7+0.3 pts
22Benton County16.6+1.1 pts
22Grainger County16.6+0.2 pts
22Shelby County16.6-0.3 pts
25Lawrence County16.5+1.1 pts
26Lincoln County16.3+1.3 pts
26Loudon County16.3+0.7 pts
28Monroe County16.2-1.1 pts
28Putnam County16.2+1.5 pts
30Overton County16.1+1 pts
31Fentress County16-0.3 pts
31Giles County16+1.5 pts
31Greene County16+0.9 pts
34Cocke County15.9+1.3 pts
34McMinn County15.9+0.3 pts
36Carroll County15.8+1.6 pts
36Henderson County15.8+0.7 pts
36Henry County15.8+1.8 pts
36Lauderdale County15.8-0.1 pts
36Wayne County15.80 pts
36White County15.8+0.7 pts
42Campbell County15.7-0.3 pts
42Jefferson County15.7+0.9 pts
42Meigs County15.7+1.1 pts
42Unicoi County15.7+1.2 pts
46Davidson County15.6-1 pts
46Trousdale County15.6+0.4 pts
48Obion County15.5+1.4 pts
49Chester County15.4-0.1 pts
49Hardeman County15.4+0.5 pts
51Scott County15.3-1.4 pts
51Van Buren County15.3-1.2 pts
53Decatur County15.2+0.3 pts
54Cannon County15.1+0.1 pts
54Stewart County15.1+0.2 pts
56Morgan County15-1.1 pts
56Sequatchie County15+0.8 pts
58Haywood County14.9+0.7 pts
58Johnson County14.9-0.8 pts
58Marion County14.9+0.9 pts
61Anderson County14.8+0.6 pts
61Claiborne County14.8+0.7 pts
61Gibson County14.8+1 pts
61Hardin County14.8-0.5 pts
61Smith County14.8+0.7 pts
61Sullivan County14.8+0.4 pts
67Lewis County14.7-1.5 pts
68Coffee County14.6+0.3 pts
68Hancock County14.6-0.3 pts
70Dyer County14.5+0.9 pts
70Lake County14.5+0.4 pts
72Hamilton County14.40 pts
72Humphreys County14.4-1.1 pts
72Marshall County14.4+0.9 pts
75Dickson County14.3-1.4 pts
75Robertson County14.3-0.4 pts
75Washington County14.3+1.5 pts
78Hawkins County14.20 pts
78McNairy County14.2-1.7 pts
80Franklin County14.1+0.2 pts
81Cheatham County14+0.1 pts
81Madison County140 pts
83Maury County13.9+1.6 pts
83Weakley County13.9-1.3 pts
85Blount County13.80 pts
86Fayette County13.2+1.7 pts
87Knox County12.9+0.5 pts
87Tipton County12.9-0.8 pts
89Roane County12.8-0.6 pts
90Rutherford County12.6+0.3 pts
90Sumner County12.6+0.4 pts
92Moore County11.8+0.8 pts
93Montgomery County11.6+0.6 pts
94Wilson County11.5+0.1 pts
95Williamson County7.5+0.2 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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/tennessee-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)?

Sevier County, with 21.6% in 2019, according to the U.S. Census Bureau.

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

Williamson County, with 7.5% 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 Tennessee: more rankings