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 2022, at 13%. Mineral County had the lowest, at 6.6%. The median was 9.3% and the figure for West Virginia was 9.1%. Source: the U.S. Census Bureau.

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Median9.355 counties
West Virginia9.1History

Map of counties, 2022

Barbour County: 9.4 %Berkeley County: 8.8 %Boone County: 8.4 %Braxton County: 9.9 %Brooke County: 6.7 %Cabell County: 9.4 %Calhoun County: 9.2 %Clay County: 9.1 %Doddridge County: 9.1 %Fayette County: 9.9 %Gilmer County: 11 %Grant County: 10.4 %Greenbrier County: 10.4 %Hampshire County: 9.8 %Hancock County: 8.5 %Hardy County: 9.8 %Harrison County: 9.5 %Jackson County: 8.7 %Jefferson County: 7.8 %Kanawha County: 9.3 %Lewis County: 8.8 %Lincoln County: 8.9 %Logan County: 10.5 %McDowell County: 13 %Marion County: 8.5 %Marshall County: 7.8 %Mason County: 8 %Mercer County: 10 %Mineral County: 6.6 %Mingo County: 12 %Monongalia County: 7.3 %Monroe County: 9.8 %Morgan County: 8.9 %Nicholas County: 9.7 %Ohio County: 8 %Pendleton County: 11.2 %Pleasants County: 7 %Pocahontas County: 12 %Preston County: 10.2 %Putnam County: 7.3 %Raleigh County: 10 %Randolph County: 9.1 %Ritchie County: 10.3 %Roane County: 11 %Summers County: 9.8 %Taylor County: 9 %Tucker County: 10.6 %Tyler County: 6.7 %Upshur County: 9.2 %Wayne County: 9.7 %Webster County: 9.1 %Wetzel County: 7.8 %Wirt County: 8.9 %Wood County: 9.8 %Wyoming County: 11.4 %
  • Under 8
  • 8 to 8.9
  • 8.9 to 9.3
  • 9.3 to 9.8
  • 9.8 to 10
  • 10 and over
%, 2022. 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, 2022

McDowell County: 13 %McDowell County13Mingo County: 12 %Mingo County12Pocahontas County: 12 %Pocahontas County12Wyoming County: 11.4 %Wyoming County11.4Pendleton County: 11.2 %Pendleton County11.2Gilmer County: 11 %Gilmer County11Roane County: 11 %Roane County11Tucker County: 10.6 %Tucker County10.6Logan County: 10.5 %Logan County10.5Grant County: 10.4 %Grant County10.4Greenbrier County: 10.4 %Greenbrier County10.4Ritchie County: 10.3 %Ritchie County10.3Preston County: 10.2 %Preston County10.2Mercer County: 10 %Mercer County10Raleigh County: 10 %Raleigh County10Braxton County: 9.9 %Braxton County9.9Fayette County: 9.9 %Fayette County9.9Hampshire County: 9.8 %Hampshire County9.8Hardy County: 9.8 %Hardy County9.8Monroe County: 9.8 %Monroe County9.8Summers County: 9.8 %Summers County9.8Wood County: 9.8 %Wood County9.8Nicholas County: 9.7 %Nicholas County9.7Wayne County: 9.7 %Wayne County9.7Harrison County: 9.5 %Harrison County9.5Barbour County: 9.4 %Barbour County9.4Cabell County: 9.4 %Cabell County9.4Kanawha County: 9.3 %Kanawha County9.3Calhoun County: 9.2 %Calhoun County9.2Upshur County: 9.2 %Upshur County9.2Clay County: 9.1 %Clay County9.1Doddridge County: 9.1 %Doddridge County9.1Randolph County: 9.1 %Randolph County9.1Webster County: 9.1 %Webster County9.1Taylor County: 9 %Taylor County9Lincoln County: 8.9 %Lincoln County8.9Morgan County: 8.9 %Morgan County8.9Wirt County: 8.9 %Wirt County8.9Berkeley County: 8.8 %Berkeley County8.8Lewis County: 8.8 %Lewis County8.8Jackson County: 8.7 %Jackson County8.7Hancock County: 8.5 %Hancock County8.5Marion County: 8.5 %Marion County8.5Boone County: 8.4 %Boone County8.4Mason County: 8 %Mason County8Ohio County: 8 %Ohio County8Jefferson County: 7.8 %Jefferson County7.8Marshall County: 7.8 %Marshall County7.8Wetzel County: 7.8 %Wetzel County7.8Monongalia County: 7.3 %Monongalia County7.3Putnam County: 7.3 %Putnam County7.3Pleasants County: 7 %Pleasants County7Brooke County: 6.7 %Brooke County6.7Tyler County: 6.7 %Tyler County6.7Mineral County: 6.6 %Mineral County6.6McDowell County: 13 %McDowell County13Mingo County: 12 %Mingo County12Pocahontas County: 12 %Pocahontas County12Wyoming County: 11.4 %Wyoming County11.4Pendleton County: 11.2 %Pendleton County11.2Gilmer County: 11 %Gilmer County11Roane County: 11 %Roane County11Tucker County: 10.6 %Tucker County10.6Logan County: 10.5 %Logan County10.5Grant County: 10.4 %Grant County10.4Greenbrier County: 10.4 %Greenbrier County10.4Ritchie County: 10.3 %Ritchie County10.3Preston County: 10.2 %Preston County10.2Mercer County: 10 %Mercer County10Raleigh County: 10 %Raleigh County10Braxton County: 9.9 %Braxton County9.9Fayette County: 9.9 %Fayette County9.9Hampshire County: 9.8 %Hampshire County9.8Hardy County: 9.8 %Hardy County9.8Monroe County: 9.8 %Monroe County9.8Summers County: 9.8 %Summers County9.8Wood County: 9.8 %Wood County9.8Nicholas County: 9.7 %Nicholas County9.7Wayne County: 9.7 %Wayne County9.7Harrison County: 9.5 %Harrison County9.5Barbour County: 9.4 %Barbour County9.4Cabell County: 9.4 %Cabell County9.4Kanawha County: 9.3 %Kanawha County9.3Calhoun County: 9.2 %Calhoun County9.2Upshur County: 9.2 %Upshur County9.2Clay County: 9.1 %Clay County9.1Doddridge County: 9.1 %Doddridge County9.1Randolph County: 9.1 %Randolph County9.1Webster County: 9.1 %Webster County9.1Taylor County: 9 %Taylor County9Lincoln County: 8.9 %Lincoln County8.9Morgan County: 8.9 %Morgan County8.9Wirt County: 8.9 %Wirt County8.9Berkeley County: 8.8 %Berkeley County8.8Lewis County: 8.8 %Lewis County8.8Jackson County: 8.7 %Jackson County8.7Hancock County: 8.5 %Hancock County8.5Marion County: 8.5 %Marion County8.5Boone County: 8.4 %Boone County8.4Mason County: 8 %Mason County8Ohio County: 8 %Ohio County8Jefferson County: 7.8 %Jefferson County7.8Marshall County: 7.8 %Marshall County7.8Wetzel County: 7.8 %Wetzel County7.8Monongalia County: 7.3 %Monongalia County7.3Putnam County: 7.3 %Putnam County7.3Pleasants County: 7 %Pleasants County7Brooke County: 6.7 %Brooke County6.7Tyler County: 6.7 %Tyler County6.7Mineral County: 6.6 %Mineral 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

RankCounties2022 (%)Change on 2021
1McDowell County13+0.1 pts
2Mingo County12-0.1 pts
2Pocahontas County12+0.4 pts
4Wyoming County11.4+0.3 pts
5Pendleton County11.2-0.5 pts
6Gilmer County11+0.8 pts
6Roane County11-0.3 pts
8Tucker County10.6-0.8 pts
9Logan County10.5+0.7 pts
10Grant County10.40 pts
10Greenbrier County10.4-0.3 pts
12Ritchie County10.3-1.3 pts
13Preston County10.2+0.2 pts
14Mercer County10-0.5 pts
14Raleigh County10+1.1 pts
16Braxton County9.9-1.6 pts
16Fayette County9.9-0.4 pts
18Hampshire County9.8+0.2 pts
18Hardy County9.8-2.2 pts
18Monroe County9.8-1 pts
18Summers County9.8+0.2 pts
18Wood County9.8+1.4 pts
23Nicholas County9.7+0.3 pts
23Wayne County9.7-1 pts
25Harrison County9.5-0.3 pts
26Barbour County9.4-0.8 pts
26Cabell County9.4-0.3 pts
28Kanawha County9.3+1.2 pts
29Calhoun County9.2-1.8 pts
29Upshur County9.2-1 pts
31Clay County9.1-2.2 pts
31Doddridge County9.1-0.6 pts
31Randolph County9.1-1 pts
31Webster County9.1-1.7 pts
35Taylor County9+0.4 pts
36Lincoln County8.9-1.3 pts
36Morgan County8.9-0.5 pts
36Wirt County8.9-1.2 pts
39Berkeley County8.8+0.5 pts
39Lewis County8.8-0.7 pts
41Jackson County8.7-0.2 pts
42Hancock County8.5-1.4 pts
42Marion County8.5-0.9 pts
44Boone County8.4-0.9 pts
45Mason County8-0.1 pts
45Ohio County8+0.3 pts
47Jefferson County7.8-0.3 pts
47Marshall County7.8+0.2 pts
47Wetzel County7.8-1.3 pts
50Monongalia County7.3-1.4 pts
50Putnam County7.3+0.1 pts
52Pleasants County7+0.3 pts
53Brooke County6.7-0.9 pts
53Tyler County6.7-1 pts
55Mineral County6.6-1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-18-64/west-virginia-counties?period=2022.
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-2022-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 13% in 2022, according to the U.S. Census Bureau.

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

Mineral County, with 6.6% in 2022.

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