Data / Rankings / Uninsured rate, ages 18 to 64 (US model-based estimate) / Counties in West Virginia

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

McDowell County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 55 counties in 2019, at 14.9%. Pleasants County had the lowest, at 6.6%. The median was 10.1% and the figure for West Virginia was 9.8%. Source: the U.S. Census Bureau.

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Highest14.9McDowell County
Lowest6.6Pleasants County
Median10.155 counties
West Virginia9.8History

Map of counties, 2019

Barbour County: 11.1 %Berkeley County: 9.8 %Boone County: 9.9 %Braxton County: 11.5 %Brooke County: 8.3 %Cabell County: 10.1 %Calhoun County: 10.7 %Clay County: 10.4 %Doddridge County: 10 %Fayette County: 11.5 %Gilmer County: 9.4 %Grant County: 10.7 %Greenbrier County: 10.8 %Hampshire County: 12.1 %Hancock County: 10.2 %Hardy County: 12.5 %Harrison County: 9.5 %Jackson County: 9.1 %Jefferson County: 8.8 %Kanawha County: 9.9 %Lewis County: 10 %Lincoln County: 10.1 %Logan County: 11.1 %McDowell County: 14.9 %Marion County: 9.5 %Marshall County: 8.4 %Mason County: 8.5 %Mercer County: 11.1 %Mineral County: 8.2 %Mingo County: 12.2 %Monongalia County: 7.9 %Monroe County: 12.5 %Morgan County: 11.5 %Nicholas County: 10.6 %Ohio County: 8 %Pendleton County: 11.5 %Pleasants County: 6.6 %Pocahontas County: 10.2 %Preston County: 10.2 %Putnam County: 7.1 %Raleigh County: 10 %Randolph County: 10.9 %Ritchie County: 10.9 %Roane County: 12.3 %Summers County: 10 %Taylor County: 9.8 %Tucker County: 10.5 %Tyler County: 8.2 %Upshur County: 11.9 %Wayne County: 10.9 %Webster County: 9.7 %Wetzel County: 9.4 %Wirt County: 9.4 %Wood County: 9 %Wyoming County: 11.1 %
  • Under 8.8
  • 8.8 to 9.8
  • 9.8 to 10
  • 10 to 11
  • 11 to 12
  • 12 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.

All counties, 2019

McDowell County: 14.9 %McDowell County14.9Hardy County: 12.5 %Hardy County12.5Monroe County: 12.5 %Monroe County12.5Roane County: 12.3 %Roane County12.3Mingo County: 12.2 %Mingo County12.2Hampshire County: 12.1 %Hampshire County12.1Upshur County: 11.9 %Upshur County11.9Braxton County: 11.5 %Braxton County11.5Fayette County: 11.5 %Fayette County11.5Morgan County: 11.5 %Morgan County11.5Pendleton County: 11.5 %Pendleton County11.5Barbour County: 11.1 %Barbour County11.1Logan County: 11.1 %Logan County11.1Mercer County: 11.1 %Mercer County11.1Wyoming County: 11.1 %Wyoming County11.1Randolph County: 10.9 %Randolph County10.9Ritchie County: 10.9 %Ritchie County10.9Wayne County: 10.9 %Wayne County10.9Greenbrier County: 10.8 %Greenbrier County10.8Calhoun County: 10.7 %Calhoun County10.7Grant County: 10.7 %Grant County10.7Nicholas County: 10.6 %Nicholas County10.6Tucker County: 10.5 %Tucker County10.5Clay County: 10.4 %Clay County10.4Hancock County: 10.2 %Hancock County10.2Pocahontas County: 10.2 %Pocahontas County10.2Preston County: 10.2 %Preston County10.2Cabell County: 10.1 %Cabell County10.1Lincoln County: 10.1 %Lincoln County10.1Doddridge County: 10 %Doddridge County10Lewis County: 10 %Lewis County10Raleigh County: 10 %Raleigh County10Summers County: 10 %Summers County10Boone County: 9.9 %Boone County9.9Kanawha County: 9.9 %Kanawha County9.9Berkeley County: 9.8 %Berkeley County9.8Taylor County: 9.8 %Taylor County9.8Webster County: 9.7 %Webster County9.7Harrison County: 9.5 %Harrison County9.5Marion County: 9.5 %Marion County9.5Gilmer County: 9.4 %Gilmer County9.4Wetzel County: 9.4 %Wetzel County9.4Wirt County: 9.4 %Wirt County9.4Jackson County: 9.1 %Jackson County9.1Wood County: 9 %Wood County9Jefferson County: 8.8 %Jefferson County8.8Mason County: 8.5 %Mason County8.5Marshall County: 8.4 %Marshall County8.4Brooke County: 8.3 %Brooke County8.3Mineral County: 8.2 %Mineral County8.2Tyler County: 8.2 %Tyler County8.2Ohio County: 8 %Ohio County8Monongalia County: 7.9 %Monongalia County7.9Putnam County: 7.1 %Putnam County7.1Pleasants County: 6.6 %Pleasants County6.6McDowell County: 14.9 %McDowell County14.9Hardy County: 12.5 %Hardy County12.5Monroe County: 12.5 %Monroe County12.5Roane County: 12.3 %Roane County12.3Mingo County: 12.2 %Mingo County12.2Hampshire County: 12.1 %Hampshire County12.1Upshur County: 11.9 %Upshur County11.9Braxton County: 11.5 %Braxton County11.5Fayette County: 11.5 %Fayette County11.5Morgan County: 11.5 %Morgan County11.5Pendleton County: 11.5 %Pendleton County11.5Barbour County: 11.1 %Barbour County11.1Logan County: 11.1 %Logan County11.1Mercer County: 11.1 %Mercer County11.1Wyoming County: 11.1 %Wyoming County11.1Randolph County: 10.9 %Randolph County10.9Ritchie County: 10.9 %Ritchie County10.9Wayne County: 10.9 %Wayne County10.9Greenbrier County: 10.8 %Greenbrier County10.8Calhoun County: 10.7 %Calhoun County10.7Grant County: 10.7 %Grant County10.7Nicholas County: 10.6 %Nicholas County10.6Tucker County: 10.5 %Tucker County10.5Clay County: 10.4 %Clay County10.4Hancock County: 10.2 %Hancock County10.2Pocahontas County: 10.2 %Pocahontas County10.2Preston County: 10.2 %Preston County10.2Cabell County: 10.1 %Cabell County10.1Lincoln County: 10.1 %Lincoln County10.1Doddridge County: 10 %Doddridge County10Lewis County: 10 %Lewis County10Raleigh County: 10 %Raleigh County10Summers County: 10 %Summers County10Boone County: 9.9 %Boone County9.9Kanawha County: 9.9 %Kanawha County9.9Berkeley County: 9.8 %Berkeley County9.8Taylor County: 9.8 %Taylor County9.8Webster County: 9.7 %Webster County9.7Harrison County: 9.5 %Harrison County9.5Marion County: 9.5 %Marion County9.5Gilmer County: 9.4 %Gilmer County9.4Wetzel County: 9.4 %Wetzel County9.4Wirt County: 9.4 %Wirt County9.4Jackson County: 9.1 %Jackson County9.1Wood County: 9 %Wood County9Jefferson County: 8.8 %Jefferson County8.8Mason County: 8.5 %Mason County8.5Marshall County: 8.4 %Marshall County8.4Brooke County: 8.3 %Brooke County8.3Mineral County: 8.2 %Mineral County8.2Tyler County: 8.2 %Tyler County8.2Ohio County: 8 %Ohio County8Monongalia County: 7.9 %Monongalia County7.9Putnam County: 7.1 %Putnam County7.1Pleasants County: 6.6 %Pleasants County6.6
%. 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
1McDowell County14.9+1.5 pts
2Hardy County12.5+1.5 pts
2Monroe County12.5+0.6 pts
4Roane County12.3+1.3 pts
5Mingo County12.2+0.9 pts
6Hampshire County12.1+0.1 pts
7Upshur County11.9+1.8 pts
8Braxton County11.5+1.2 pts
8Fayette County11.5+1.5 pts
8Morgan County11.5+1.7 pts
8Pendleton County11.5+0.3 pts
12Barbour County11.1+1.1 pts
12Logan County11.1+1.3 pts
12Mercer County11.1+0.2 pts
12Wyoming County11.1+0.8 pts
16Randolph County10.9+0.6 pts
16Ritchie County10.9+0.3 pts
16Wayne County10.9+0.3 pts
19Greenbrier County10.8-0.5 pts
20Calhoun County10.7+0.4 pts
20Grant County10.7+0.8 pts
22Nicholas County10.6+1.4 pts
23Tucker County10.5+1.5 pts
24Clay County10.4+0.4 pts
25Hancock County10.2+1.1 pts
25Pocahontas County10.2+0.7 pts
25Preston County10.2+0.4 pts
28Cabell County10.1+0.9 pts
28Lincoln County10.1+0.3 pts
30Doddridge County10+1.4 pts
30Lewis County10+1.2 pts
30Raleigh County10+1 pts
30Summers County10+0.4 pts
34Boone County9.9+0.7 pts
34Kanawha County9.9+0.1 pts
36Berkeley County9.8+0.5 pts
36Taylor County9.8+1.6 pts
38Webster County9.7+0.5 pts
39Harrison County9.5-0.5 pts
39Marion County9.5+0.9 pts
41Gilmer County9.4+0.5 pts
41Wetzel County9.4-0.2 pts
41Wirt County9.4+0.4 pts
44Jackson County9.1+0.6 pts
45Wood County9+0.1 pts
46Jefferson County8.8+1.2 pts
47Mason County8.5+0.1 pts
48Marshall County8.4+0.3 pts
49Brooke County8.3+1.5 pts
50Mineral County8.2+0.3 pts
50Tyler County8.2+0.6 pts
52Ohio County8+0.8 pts
53Monongalia County7.9-0.6 pts
54Putnam County7.1+0.3 pts
55Pleasants County6.6-0.3 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 West Virginia 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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties?period=2019 (Accessed: 12 October 2026).

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

McDowell County, with 14.9% in 2019, according to the U.S. Census Bureau.

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

Pleasants County, with 6.6% 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 West Virginia: more rankings