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.
Map of counties, 2019
- Under 14
- 14 to 15
- 15 to 16
- 16 to 17
- 17 and over
Top 40 counties, 2019
Full ranking
| Rank | Counties | 2019 (%) | Change on 2018 |
|---|---|---|---|
| 1 | Sevier County | 21.6 | +0.4 pts |
| 2 | Warren County | 19.7 | +0.6 pts |
| 3 | Hamblen County | 19.6 | +1.5 pts |
| 4 | Bledsoe County | 19.4 | -1.3 pts |
| 5 | Bedford County | 19.2 | +0.8 pts |
| 6 | Crockett County | 19 | +1.3 pts |
| 6 | Macon County | 19 | +1 pts |
| 8 | Perry County | 17.7 | +1.1 pts |
| 9 | Bradley County | 17.5 | +0.9 pts |
| 10 | Grundy County | 17.4 | -1.2 pts |
| 10 | Pickett County | 17.4 | +1.1 pts |
| 12 | Polk County | 17.3 | +0.7 pts |
| 12 | Rhea County | 17.3 | +1.6 pts |
| 14 | Cumberland County | 17.2 | +1.9 pts |
| 14 | DeKalb County | 17.2 | -1.2 pts |
| 16 | Clay County | 17.1 | +1 pts |
| 17 | Carter County | 17 | +1.2 pts |
| 17 | Hickman County | 17 | +0.7 pts |
| 19 | Houston County | 16.9 | +1.4 pts |
| 19 | Jackson County | 16.9 | +0.3 pts |
| 21 | Union County | 16.7 | +0.3 pts |
| 22 | Benton County | 16.6 | +1.1 pts |
| 22 | Grainger County | 16.6 | +0.2 pts |
| 22 | Shelby County | 16.6 | -0.3 pts |
| 25 | Lawrence County | 16.5 | +1.1 pts |
| 26 | Lincoln County | 16.3 | +1.3 pts |
| 26 | Loudon County | 16.3 | +0.7 pts |
| 28 | Monroe County | 16.2 | -1.1 pts |
| 28 | Putnam County | 16.2 | +1.5 pts |
| 30 | Overton County | 16.1 | +1 pts |
| 31 | Fentress County | 16 | -0.3 pts |
| 31 | Giles County | 16 | +1.5 pts |
| 31 | Greene County | 16 | +0.9 pts |
| 34 | Cocke County | 15.9 | +1.3 pts |
| 34 | McMinn County | 15.9 | +0.3 pts |
| 36 | Carroll County | 15.8 | +1.6 pts |
| 36 | Henderson County | 15.8 | +0.7 pts |
| 36 | Henry County | 15.8 | +1.8 pts |
| 36 | Lauderdale County | 15.8 | -0.1 pts |
| 36 | Wayne County | 15.8 | 0 pts |
| 36 | White County | 15.8 | +0.7 pts |
| 42 | Campbell County | 15.7 | -0.3 pts |
| 42 | Jefferson County | 15.7 | +0.9 pts |
| 42 | Meigs County | 15.7 | +1.1 pts |
| 42 | Unicoi County | 15.7 | +1.2 pts |
| 46 | Davidson County | 15.6 | -1 pts |
| 46 | Trousdale County | 15.6 | +0.4 pts |
| 48 | Obion County | 15.5 | +1.4 pts |
| 49 | Chester County | 15.4 | -0.1 pts |
| 49 | Hardeman County | 15.4 | +0.5 pts |
| 51 | Scott County | 15.3 | -1.4 pts |
| 51 | Van Buren County | 15.3 | -1.2 pts |
| 53 | Decatur County | 15.2 | +0.3 pts |
| 54 | Cannon County | 15.1 | +0.1 pts |
| 54 | Stewart County | 15.1 | +0.2 pts |
| 56 | Morgan County | 15 | -1.1 pts |
| 56 | Sequatchie County | 15 | +0.8 pts |
| 58 | Haywood County | 14.9 | +0.7 pts |
| 58 | Johnson County | 14.9 | -0.8 pts |
| 58 | Marion County | 14.9 | +0.9 pts |
| 61 | Anderson County | 14.8 | +0.6 pts |
| 61 | Claiborne County | 14.8 | +0.7 pts |
| 61 | Gibson County | 14.8 | +1 pts |
| 61 | Hardin County | 14.8 | -0.5 pts |
| 61 | Smith County | 14.8 | +0.7 pts |
| 61 | Sullivan County | 14.8 | +0.4 pts |
| 67 | Lewis County | 14.7 | -1.5 pts |
| 68 | Coffee County | 14.6 | +0.3 pts |
| 68 | Hancock County | 14.6 | -0.3 pts |
| 70 | Dyer County | 14.5 | +0.9 pts |
| 70 | Lake County | 14.5 | +0.4 pts |
| 72 | Hamilton County | 14.4 | 0 pts |
| 72 | Humphreys County | 14.4 | -1.1 pts |
| 72 | Marshall County | 14.4 | +0.9 pts |
| 75 | Dickson County | 14.3 | -1.4 pts |
| 75 | Robertson County | 14.3 | -0.4 pts |
| 75 | Washington County | 14.3 | +1.5 pts |
| 78 | Hawkins County | 14.2 | 0 pts |
| 78 | McNairy County | 14.2 | -1.7 pts |
| 80 | Franklin County | 14.1 | +0.2 pts |
| 81 | Cheatham County | 14 | +0.1 pts |
| 81 | Madison County | 14 | 0 pts |
| 83 | Maury County | 13.9 | +1.6 pts |
| 83 | Weakley County | 13.9 | -1.3 pts |
| 85 | Blount County | 13.8 | 0 pts |
| 86 | Fayette County | 13.2 | +1.7 pts |
| 87 | Knox County | 12.9 | +0.5 pts |
| 87 | Tipton County | 12.9 | -0.8 pts |
| 89 | Roane County | 12.8 | -0.6 pts |
| 90 | Rutherford County | 12.6 | +0.3 pts |
| 90 | Sumner County | 12.6 | +0.4 pts |
| 92 | Moore County | 11.8 | +0.8 pts |
| 93 | Montgomery County | 11.6 | +0.6 pts |
| 94 | Wilson County | 11.5 | +0.1 pts |
| 95 | Williamson County | 7.5 | +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
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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank Counties in Tennessee by uninsured rate, ages 18 to 64 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_18_64","level":"province","within":"Tennessee","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_18_64&level=province&within=Tennessee&limit=10
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.