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

Hardy County had the highest uninsured rate, ages 18 to 64 (US model-based estimate) of 55 counties in 2020, at 14.4%. Pleasants County had the lowest, at 7.6%. The median was 10.9% and the figure for West Virginia was 10.3%. Source: the U.S. Census Bureau.

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Highest14.4Hardy County
Median10.955 counties
West Virginia10.3History

Map of counties, 2020

Barbour County: 11.1 %Berkeley County: 9.6 %Boone County: 10 %Braxton County: 11.5 %Brooke County: 8.8 %Cabell County: 10.1 %Calhoun County: 10 %Clay County: 11 %Doddridge County: 10.5 %Fayette County: 11 %Gilmer County: 11.2 %Grant County: 11.7 %Greenbrier County: 11.6 %Hampshire County: 12 %Hancock County: 11 %Hardy County: 14.4 %Harrison County: 10.9 %Jackson County: 9 %Jefferson County: 8.5 %Kanawha County: 9.7 %Lewis County: 10.9 %Lincoln County: 9.6 %Logan County: 11.6 %McDowell County: 12.1 %Marion County: 11 %Marshall County: 9.2 %Mason County: 8.2 %Mercer County: 10.3 %Mineral County: 8.7 %Mingo County: 12.7 %Monongalia County: 10.7 %Monroe County: 12.6 %Morgan County: 11.5 %Nicholas County: 10.5 %Ohio County: 9.5 %Pendleton County: 12.3 %Pleasants County: 7.6 %Pocahontas County: 11.6 %Preston County: 10.6 %Putnam County: 7.9 %Raleigh County: 9.4 %Randolph County: 10.9 %Ritchie County: 11.5 %Roane County: 10.9 %Summers County: 10.5 %Taylor County: 10.9 %Tucker County: 12.7 %Tyler County: 8.6 %Upshur County: 12 %Wayne County: 9.8 %Webster County: 9.7 %Wetzel County: 9.7 %Wirt County: 9.9 %Wood County: 11.1 %Wyoming County: 11 %
  • Under 9.4
  • 9.4 to 10
  • 10 to 11
  • 11 to 12
  • 12 and over
%, 2020. 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, 2020

Hardy County: 14.4 %Hardy County14.4Mingo County: 12.7 %Mingo County12.7Tucker County: 12.7 %Tucker County12.7Monroe County: 12.6 %Monroe County12.6Pendleton County: 12.3 %Pendleton County12.3McDowell County: 12.1 %McDowell County12.1Hampshire County: 12 %Hampshire County12Upshur County: 12 %Upshur County12Grant County: 11.7 %Grant County11.7Greenbrier County: 11.6 %Greenbrier County11.6Logan County: 11.6 %Logan County11.6Pocahontas County: 11.6 %Pocahontas County11.6Braxton County: 11.5 %Braxton County11.5Morgan County: 11.5 %Morgan County11.5Ritchie County: 11.5 %Ritchie County11.5Gilmer County: 11.2 %Gilmer County11.2Barbour County: 11.1 %Barbour County11.1Wood County: 11.1 %Wood County11.1Clay County: 11 %Clay County11Fayette County: 11 %Fayette County11Hancock County: 11 %Hancock County11Marion County: 11 %Marion County11Wyoming County: 11 %Wyoming County11Harrison County: 10.9 %Harrison County10.9Lewis County: 10.9 %Lewis County10.9Randolph County: 10.9 %Randolph County10.9Roane County: 10.9 %Roane County10.9Taylor County: 10.9 %Taylor County10.9Monongalia County: 10.7 %Monongalia County10.7Preston County: 10.6 %Preston County10.6Doddridge County: 10.5 %Doddridge County10.5Nicholas County: 10.5 %Nicholas County10.5Summers County: 10.5 %Summers County10.5Mercer County: 10.3 %Mercer County10.3Cabell County: 10.1 %Cabell County10.1Boone County: 10 %Boone County10Calhoun County: 10 %Calhoun County10Wirt County: 9.9 %Wirt County9.9Wayne County: 9.8 %Wayne County9.8Kanawha County: 9.7 %Kanawha County9.7Webster County: 9.7 %Webster County9.7Wetzel County: 9.7 %Wetzel County9.7Berkeley County: 9.6 %Berkeley County9.6Lincoln County: 9.6 %Lincoln County9.6Ohio County: 9.5 %Ohio County9.5Raleigh County: 9.4 %Raleigh County9.4Marshall County: 9.2 %Marshall County9.2Jackson County: 9 %Jackson County9Brooke County: 8.8 %Brooke County8.8Mineral County: 8.7 %Mineral County8.7Tyler County: 8.6 %Tyler County8.6Jefferson County: 8.5 %Jefferson County8.5Mason County: 8.2 %Mason County8.2Putnam County: 7.9 %Putnam County7.9Pleasants County: 7.6 %Pleasants County7.6Hardy County: 14.4 %Hardy County14.4Mingo County: 12.7 %Mingo County12.7Tucker County: 12.7 %Tucker County12.7Monroe County: 12.6 %Monroe County12.6Pendleton County: 12.3 %Pendleton County12.3McDowell County: 12.1 %McDowell County12.1Hampshire County: 12 %Hampshire County12Upshur County: 12 %Upshur County12Grant County: 11.7 %Grant County11.7Greenbrier County: 11.6 %Greenbrier County11.6Logan County: 11.6 %Logan County11.6Pocahontas County: 11.6 %Pocahontas County11.6Braxton County: 11.5 %Braxton County11.5Morgan County: 11.5 %Morgan County11.5Ritchie County: 11.5 %Ritchie County11.5Gilmer County: 11.2 %Gilmer County11.2Barbour County: 11.1 %Barbour County11.1Wood County: 11.1 %Wood County11.1Clay County: 11 %Clay County11Fayette County: 11 %Fayette County11Hancock County: 11 %Hancock County11Marion County: 11 %Marion County11Wyoming County: 11 %Wyoming County11Harrison County: 10.9 %Harrison County10.9Lewis County: 10.9 %Lewis County10.9Randolph County: 10.9 %Randolph County10.9Roane County: 10.9 %Roane County10.9Taylor County: 10.9 %Taylor County10.9Monongalia County: 10.7 %Monongalia County10.7Preston County: 10.6 %Preston County10.6Doddridge County: 10.5 %Doddridge County10.5Nicholas County: 10.5 %Nicholas County10.5Summers County: 10.5 %Summers County10.5Mercer County: 10.3 %Mercer County10.3Cabell County: 10.1 %Cabell County10.1Boone County: 10 %Boone County10Calhoun County: 10 %Calhoun County10Wirt County: 9.9 %Wirt County9.9Wayne County: 9.8 %Wayne County9.8Kanawha County: 9.7 %Kanawha County9.7Webster County: 9.7 %Webster County9.7Wetzel County: 9.7 %Wetzel County9.7Berkeley County: 9.6 %Berkeley County9.6Lincoln County: 9.6 %Lincoln County9.6Ohio County: 9.5 %Ohio County9.5Raleigh County: 9.4 %Raleigh County9.4Marshall County: 9.2 %Marshall County9.2Jackson County: 9 %Jackson County9Brooke County: 8.8 %Brooke County8.8Mineral County: 8.7 %Mineral County8.7Tyler County: 8.6 %Tyler County8.6Jefferson County: 8.5 %Jefferson County8.5Mason County: 8.2 %Mason County8.2Putnam County: 7.9 %Putnam County7.9Pleasants County: 7.6 %Pleasants County7.6
%. 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

RankCounties2020 (%)Change on 2019
1Hardy County14.4+1.9 pts
2Mingo County12.7+0.5 pts
2Tucker County12.7+2.2 pts
4Monroe County12.6+0.1 pts
5Pendleton County12.3+0.8 pts
6McDowell County12.1-2.8 pts
7Hampshire County12-0.1 pts
7Upshur County12+0.1 pts
9Grant County11.7+1 pts
10Greenbrier County11.6+0.8 pts
10Logan County11.6+0.5 pts
10Pocahontas County11.6+1.4 pts
13Braxton County11.50 pts
13Morgan County11.50 pts
13Ritchie County11.5+0.6 pts
16Gilmer County11.2+1.8 pts
17Barbour County11.10 pts
17Wood County11.1+2.1 pts
19Clay County11+0.6 pts
19Fayette County11-0.5 pts
19Hancock County11+0.8 pts
19Marion County11+1.5 pts
19Wyoming County11-0.1 pts
24Harrison County10.9+1.4 pts
24Lewis County10.9+0.9 pts
24Randolph County10.90 pts
24Roane County10.9-1.4 pts
24Taylor County10.9+1.1 pts
29Monongalia County10.7+2.8 pts
30Preston County10.6+0.4 pts
31Doddridge County10.5+0.5 pts
31Nicholas County10.5-0.1 pts
31Summers County10.5+0.5 pts
34Mercer County10.3-0.8 pts
35Cabell County10.10 pts
36Boone County10+0.1 pts
36Calhoun County10-0.7 pts
38Wirt County9.9+0.5 pts
39Wayne County9.8-1.1 pts
40Kanawha County9.7-0.2 pts
40Webster County9.70 pts
40Wetzel County9.7+0.3 pts
43Berkeley County9.6-0.2 pts
43Lincoln County9.6-0.5 pts
45Ohio County9.5+1.5 pts
46Raleigh County9.4-0.6 pts
47Marshall County9.2+0.8 pts
48Jackson County9-0.1 pts
49Brooke County8.8+0.5 pts
50Mineral County8.7+0.5 pts
51Tyler County8.6+0.4 pts
52Jefferson County8.5-0.3 pts
53Mason County8.2-0.3 pts
54Putnam County7.9+0.8 pts
55Pleasants County7.6+1 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2020.
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-2020-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)?

Hardy County, with 14.4% in 2020, 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 7.6% in 2020.

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