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

McDowell County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 55 counties in 2024, at 12.8%. Putnam County had the lowest, at 7%. The median was 9.2% and the figure for West Virginia was 8.9%. Source: the U.S. Census Bureau.

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Highest12.8McDowell County
Median9.255 counties
West Virginia8.9History

Map of counties, 2024

Barbour County: 10.1 %Berkeley County: 8.2 %Boone County: 8.2 %Braxton County: 10.5 %Brooke County: 7.4 %Cabell County: 8.9 %Calhoun County: 9.3 %Clay County: 9.2 %Doddridge County: 8.4 %Fayette County: 9.5 %Gilmer County: 11.7 %Grant County: 9.1 %Greenbrier County: 10.2 %Hampshire County: 9.7 %Hancock County: 8.5 %Hardy County: 11.2 %Harrison County: 9.3 %Jackson County: 9 %Jefferson County: 8 %Kanawha County: 9 %Lewis County: 8.4 %Lincoln County: 9.6 %Logan County: 9.6 %McDowell County: 12.8 %Marion County: 8 %Marshall County: 7 %Mason County: 7.9 %Mercer County: 8.6 %Mineral County: 7.7 %Mingo County: 11.9 %Monongalia County: 7.7 %Monroe County: 10.5 %Morgan County: 9.7 %Nicholas County: 10.3 %Ohio County: 8.2 %Pendleton County: 10.6 %Pleasants County: 8.7 %Pocahontas County: 11.3 %Preston County: 10.4 %Putnam County: 7 %Raleigh County: 9.1 %Randolph County: 9.8 %Ritchie County: 10.2 %Roane County: 12 %Summers County: 10.6 %Taylor County: 9.8 %Tucker County: 9.6 %Tyler County: 7.2 %Upshur County: 9 %Wayne County: 9.2 %Webster County: 10.4 %Wetzel County: 8 %Wirt County: 7.6 %Wood County: 9 %Wyoming County: 11.5 %
  • Under 8
  • 8 to 8.7
  • 8.7 to 9.2
  • 9.2 to 9.8
  • 9.8 to 11
  • 11 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.

All counties, 2024

McDowell County: 12.8 %McDowell County12.8Roane County: 12 %Roane County12Mingo County: 11.9 %Mingo County11.9Gilmer County: 11.7 %Gilmer County11.7Wyoming County: 11.5 %Wyoming County11.5Pocahontas County: 11.3 %Pocahontas County11.3Hardy County: 11.2 %Hardy County11.2Pendleton County: 10.6 %Pendleton County10.6Summers County: 10.6 %Summers County10.6Braxton County: 10.5 %Braxton County10.5Monroe County: 10.5 %Monroe County10.5Preston County: 10.4 %Preston County10.4Webster County: 10.4 %Webster County10.4Nicholas County: 10.3 %Nicholas County10.3Greenbrier County: 10.2 %Greenbrier County10.2Ritchie County: 10.2 %Ritchie County10.2Barbour County: 10.1 %Barbour County10.1Randolph County: 9.8 %Randolph County9.8Taylor County: 9.8 %Taylor County9.8Hampshire County: 9.7 %Hampshire County9.7Morgan County: 9.7 %Morgan County9.7Lincoln County: 9.6 %Lincoln County9.6Logan County: 9.6 %Logan County9.6Tucker County: 9.6 %Tucker County9.6Fayette County: 9.5 %Fayette County9.5Calhoun County: 9.3 %Calhoun County9.3Harrison County: 9.3 %Harrison County9.3Clay County: 9.2 %Clay County9.2Wayne County: 9.2 %Wayne County9.2Grant County: 9.1 %Grant County9.1Raleigh County: 9.1 %Raleigh County9.1Jackson County: 9 %Jackson County9Kanawha County: 9 %Kanawha County9Upshur County: 9 %Upshur County9Wood County: 9 %Wood County9Cabell County: 8.9 %Cabell County8.9Pleasants County: 8.7 %Pleasants County8.7Mercer County: 8.6 %Mercer County8.6Hancock County: 8.5 %Hancock County8.5Doddridge County: 8.4 %Doddridge County8.4Lewis County: 8.4 %Lewis County8.4Berkeley County: 8.2 %Berkeley County8.2Boone County: 8.2 %Boone County8.2Ohio County: 8.2 %Ohio County8.2Jefferson County: 8 %Jefferson County8Marion County: 8 %Marion County8Wetzel County: 8 %Wetzel County8Mason County: 7.9 %Mason County7.9Mineral County: 7.7 %Mineral County7.7Monongalia County: 7.7 %Monongalia County7.7Wirt County: 7.6 %Wirt County7.6Brooke County: 7.4 %Brooke County7.4Tyler County: 7.2 %Tyler County7.2Marshall County: 7 %Marshall County7Putnam County: 7 %Putnam County7McDowell County: 12.8 %McDowell County12.8Roane County: 12 %Roane County12Mingo County: 11.9 %Mingo County11.9Gilmer County: 11.7 %Gilmer County11.7Wyoming County: 11.5 %Wyoming County11.5Pocahontas County: 11.3 %Pocahontas County11.3Hardy County: 11.2 %Hardy County11.2Pendleton County: 10.6 %Pendleton County10.6Summers County: 10.6 %Summers County10.6Braxton County: 10.5 %Braxton County10.5Monroe County: 10.5 %Monroe County10.5Preston County: 10.4 %Preston County10.4Webster County: 10.4 %Webster County10.4Nicholas County: 10.3 %Nicholas County10.3Greenbrier County: 10.2 %Greenbrier County10.2Ritchie County: 10.2 %Ritchie County10.2Barbour County: 10.1 %Barbour County10.1Randolph County: 9.8 %Randolph County9.8Taylor County: 9.8 %Taylor County9.8Hampshire County: 9.7 %Hampshire County9.7Morgan County: 9.7 %Morgan County9.7Lincoln County: 9.6 %Lincoln County9.6Logan County: 9.6 %Logan County9.6Tucker County: 9.6 %Tucker County9.6Fayette County: 9.5 %Fayette County9.5Calhoun County: 9.3 %Calhoun County9.3Harrison County: 9.3 %Harrison County9.3Clay County: 9.2 %Clay County9.2Wayne County: 9.2 %Wayne County9.2Grant County: 9.1 %Grant County9.1Raleigh County: 9.1 %Raleigh County9.1Jackson County: 9 %Jackson County9Kanawha County: 9 %Kanawha County9Upshur County: 9 %Upshur County9Wood County: 9 %Wood County9Cabell County: 8.9 %Cabell County8.9Pleasants County: 8.7 %Pleasants County8.7Mercer County: 8.6 %Mercer County8.6Hancock County: 8.5 %Hancock County8.5Doddridge County: 8.4 %Doddridge County8.4Lewis County: 8.4 %Lewis County8.4Berkeley County: 8.2 %Berkeley County8.2Boone County: 8.2 %Boone County8.2Ohio County: 8.2 %Ohio County8.2Jefferson County: 8 %Jefferson County8Marion County: 8 %Marion County8Wetzel County: 8 %Wetzel County8Mason County: 7.9 %Mason County7.9Mineral County: 7.7 %Mineral County7.7Monongalia County: 7.7 %Monongalia County7.7Wirt County: 7.6 %Wirt County7.6Brooke County: 7.4 %Brooke County7.4Tyler County: 7.2 %Tyler County7.2Marshall County: 7 %Marshall County7Putnam County: 7 %Putnam County7
%. 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
1McDowell County12.8+0.9 pts
2Roane County12-0.4 pts
3Mingo County11.9-0.2 pts
4Gilmer County11.7+1.8 pts
5Wyoming County11.5-0.5 pts
6Pocahontas County11.3-0.3 pts
7Hardy County11.2+0.6 pts
8Pendleton County10.6+0.1 pts
8Summers County10.6-0.4 pts
10Braxton County10.5+0.2 pts
10Monroe County10.5-0.5 pts
12Preston County10.4-0.1 pts
12Webster County10.4+1 pts
14Nicholas County10.3+0.1 pts
15Greenbrier County10.2+0.7 pts
15Ritchie County10.20 pts
17Barbour County10.1-0.3 pts
18Randolph County9.8-0.1 pts
18Taylor County9.8-0.3 pts
20Hampshire County9.7-0.3 pts
20Morgan County9.7+0.2 pts
22Lincoln County9.6-0.7 pts
22Logan County9.6-1.3 pts
22Tucker County9.6+0.3 pts
25Fayette County9.5-0.8 pts
26Calhoun County9.30 pts
26Harrison County9.3-0.6 pts
28Clay County9.2-0.1 pts
28Wayne County9.2-0.8 pts
30Grant County9.1-1 pts
30Raleigh County9.1-0.6 pts
32Jackson County9+0.2 pts
32Kanawha County9+0.8 pts
32Upshur County9-0.6 pts
32Wood County9-0.7 pts
36Cabell County8.9-0.5 pts
37Pleasants County8.7+0.6 pts
38Mercer County8.6-0.7 pts
39Hancock County8.5+0.4 pts
40Doddridge County8.4-1 pts
40Lewis County8.4-0.3 pts
42Berkeley County8.2-0.1 pts
42Boone County8.2-0.1 pts
42Ohio County8.2-0.3 pts
45Jefferson County80 pts
45Marion County8+0.4 pts
45Wetzel County8+0.3 pts
48Mason County7.9-1.2 pts
49Mineral County7.7+0.7 pts
49Monongalia County7.7+0.4 pts
51Wirt County7.6-1.4 pts
52Brooke County7.4-0.2 pts
53Tyler County7.2-0.6 pts
54Marshall County7-0.2 pts
54Putnam County7-0.8 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 West Virginia 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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-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)?

McDowell County, with 12.8% in 2024, according to the U.S. Census Bureau.

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

Putnam County, with 7% 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 West Virginia: more rankings