Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS)

Holmes County had the highest uninsured rate, ages 35 to 64 (US, ACS) of 88 counties in 2023, at 36.9%. Putnam County had the lowest, at 3.1%. The median was 7.1% and the figure for Ohio was 7.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest36.9Holmes County
Lowest3.1Putnam County
Median7.188 counties
Ohio7.4History

Map of counties, 2023

Adams County: 10.2 %Allen County: 9 %Ashland County: 7.3 %Ashtabula County: 10.5 %Athens County: 8.2 %Auglaize County: 5.7 %Belmont County: 6.8 %Brown County: 9.2 %Butler County: 7.2 %Carroll County: 8.6 %Champaign County: 7.1 %Clark County: 7.9 %Clermont County: 6.9 %Clinton County: 7.8 %Columbiana County: 8.7 %Coshocton County: 11 %Crawford County: 9.1 %Cuyahoga County: 6.7 %Darke County: 6.6 %Defiance County: 10.4 %Delaware County: 5.1 %Erie County: 6.2 %Fairfield County: 7.1 %Fayette County: 8.9 %Franklin County: 10 %Fulton County: 5.3 %Gallia County: 11.3 %Geauga County: 7 %Greene County: 6.5 %Guernsey County: 12.7 %Hamilton County: 6.6 %Hancock County: 5.5 %Hardin County: 10.2 %Harrison County: 17.8 %Henry County: 6.5 %Highland County: 8.9 %Hocking County: 8.9 %Holmes County: 36.9 %Huron County: 7.8 %Jackson County: 6 %Jefferson County: 6.7 %Knox County: 10.7 %Lake County: 6.6 %Lawrence County: 6.2 %Licking County: 6.6 %Logan County: 7 %Lorain County: 6.4 %Lucas County: 6.7 %Madison County: 8.3 %Mahoning County: 6.1 %Marion County: 8.1 %Medina County: 4.7 %Meigs County: 9.6 %Mercer County: 4.6 %Miami County: 5.5 %Monroe County: 11.3 %Montgomery County: 7.7 %Morgan County: 9.1 %Morrow County: 12.6 %Muskingum County: 7.8 %Noble County: 6.3 %Ottawa County: 5.8 %Paulding County: 8.5 %Perry County: 10.4 %Pickaway County: 6.3 %Pike County: 6.6 %Portage County: 5.7 %Preble County: 5.5 %Putnam County: 3.1 %Richland County: 8.2 %Ross County: 6.7 %Sandusky County: 7.2 %Scioto County: 7.6 %Seneca County: 6.8 %Shelby County: 6.2 %Stark County: 7.3 %Summit County: 6.7 %Trumbull County: 8.6 %Tuscarawas County: 9.4 %Union County: 5.2 %Van Wert County: 4.5 %Vinton County: 9.6 %Warren County: 4.1 %Washington County: 9.1 %Wayne County: 12.7 %Williams County: 6 %Wood County: 4.6 %Wyandot County: 3.2 %
  • Under 5.8
  • 5.8 to 6.6
  • 6.6 to 7.1
  • 7.1 to 8.5
  • 8.5 to 9.8
  • 9.8 and over
%, 2023. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Holmes County: 36.9 %Holmes County36.9Harrison County: 17.8 %Harrison County17.8Wayne County: 12.7 %Wayne County12.7Guernsey County: 12.7 %Guernsey County12.7Morrow County: 12.6 %Morrow County12.6Gallia County: 11.3 %Gallia County11.3Monroe County: 11.3 %Monroe County11.3Coshocton County: 11 %Coshocton County11Knox County: 10.7 %Knox County10.7Ashtabula County: 10.5 %Ashtabula County10.5Defiance County: 10.4 %Defiance County10.4Perry County: 10.4 %Perry County10.4Hardin County: 10.2 %Hardin County10.2Adams County: 10.2 %Adams County10.2Franklin County: 10 %Franklin County10Meigs County: 9.6 %Meigs County9.6Vinton County: 9.6 %Vinton County9.6Tuscarawas County: 9.4 %Tuscarawas County9.4Brown County: 9.2 %Brown County9.2Crawford County: 9.1 %Crawford County9.1Morgan County: 9.1 %Morgan County9.1Washington County: 9.1 %Washington County9.1Allen County: 9 %Allen County9Hocking County: 8.9 %Hocking County8.9Highland County: 8.9 %Highland County8.9Fayette County: 8.9 %Fayette County8.9Columbiana County: 8.7 %Columbiana County8.7Carroll County: 8.6 %Carroll County8.6Trumbull County: 8.6 %Trumbull County8.6Paulding County: 8.5 %Paulding County8.5Madison County: 8.3 %Madison County8.3Richland County: 8.2 %Richland County8.2Athens County: 8.2 %Athens County8.2Marion County: 8.1 %Marion County8.1Clark County: 7.9 %Clark County7.9Clinton County: 7.8 %Clinton County7.8Huron County: 7.8 %Huron County7.8Muskingum County: 7.8 %Muskingum County7.8Montgomery County: 7.7 %Montgomery County7.7Scioto County: 7.6 %Scioto County7.6Holmes County: 36.9 %Holmes County36.9Harrison County: 17.8 %Harrison County17.8Wayne County: 12.7 %Wayne County12.7Guernsey County: 12.7 %Guernsey County12.7Morrow County: 12.6 %Morrow County12.6Gallia County: 11.3 %Gallia County11.3Monroe County: 11.3 %Monroe County11.3Coshocton County: 11 %Coshocton County11Knox County: 10.7 %Knox County10.7Ashtabula County: 10.5 %Ashtabula County10.5Defiance County: 10.4 %Defiance County10.4Perry County: 10.4 %Perry County10.4Hardin County: 10.2 %Hardin County10.2Adams County: 10.2 %Adams County10.2Franklin County: 10 %Franklin County10Meigs County: 9.6 %Meigs County9.6Vinton County: 9.6 %Vinton County9.6Tuscarawas County: 9.4 %Tuscarawas County9.4Brown County: 9.2 %Brown County9.2Crawford County: 9.1 %Crawford County9.1Morgan County: 9.1 %Morgan County9.1Washington County: 9.1 %Washington County9.1Allen County: 9 %Allen County9Hocking County: 8.9 %Hocking County8.9Highland County: 8.9 %Highland County8.9Fayette County: 8.9 %Fayette County8.9Columbiana County: 8.7 %Columbiana County8.7Carroll County: 8.6 %Carroll County8.6Trumbull County: 8.6 %Trumbull County8.6Paulding County: 8.5 %Paulding County8.5Madison County: 8.3 %Madison County8.3Richland County: 8.2 %Richland County8.2Athens County: 8.2 %Athens County8.2Marion County: 8.1 %Marion County8.1Clark County: 7.9 %Clark County7.9Clinton County: 7.8 %Clinton County7.8Huron County: 7.8 %Huron County7.8Muskingum County: 7.8 %Muskingum County7.8Montgomery County: 7.7 %Montgomery County7.7Scioto County: 7.6 %Scioto County7.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Holmes County36.9+1.1 pts
2Harrison County17.8-0.4 pts
3Wayne County12.7+0.2 pts
4Guernsey County12.7-0.7 pts
5Morrow County12.6-0.3 pts
6Gallia County11.3+0.3 pts
7Monroe County11.3+0.3 pts
8Coshocton County11+1.4 pts
9Knox County10.7+1.4 pts
10Ashtabula County10.5-0.4 pts
11Defiance County10.4+1.7 pts
12Perry County10.40 pts
13Hardin County10.2+0.3 pts
14Adams County10.2-1.5 pts
15Franklin County10+0.8 pts
16Meigs County9.6-1.8 pts
17Vinton County9.6+0.6 pts
18Tuscarawas County9.4-0.4 pts
19Brown County9.2+0.9 pts
20Crawford County9.1-0.2 pts
21Morgan County9.1-0.7 pts
22Washington County9.1-0.1 pts
23Allen County9+0.2 pts
24Hocking County8.9-1.5 pts
25Highland County8.9+0.5 pts
26Fayette County8.9-1.7 pts
27Columbiana County8.7+0.2 pts
28Carroll County8.6-1.4 pts
29Trumbull County8.6+0.1 pts
30Paulding County8.5+0.2 pts
31Madison County8.3+1.1 pts
32Richland County8.2+0.9 pts
33Athens County8.2+0.3 pts
34Marion County8.1+0.2 pts
35Clark County7.90 pts
36Clinton County7.8+0.4 pts
36Huron County7.8-0.8 pts
36Muskingum County7.8+0.1 pts
39Montgomery County7.7-0.2 pts
40Scioto County7.6-1.3 pts
41Ashland County7.3-0.2 pts
42Stark County7.3-0.5 pts
43Butler County7.2-0.4 pts
44Sandusky County7.2+0.1 pts
45Champaign County7.1+0.1 pts
46Fairfield County7.1+0.3 pts
47Geauga County7+0.2 pts
48Logan County7+0.2 pts
49Clermont County6.9+0.1 pts
50Belmont County6.8-0.1 pts
51Seneca County6.8-0.9 pts
52Summit County6.7-0.1 pts
53Lucas County6.7-0.4 pts
54Jefferson County6.7+0.2 pts
55Ross County6.7+0.1 pts
56Cuyahoga County6.7-0.1 pts
57Licking County6.6+0.2 pts
58Hamilton County6.60 pts
59Lake County6.6-0.5 pts
60Pike County6.6+0.1 pts
61Darke County6.6-1.2 pts
62Greene County6.5-0.3 pts
63Henry County6.5+0.4 pts
64Lorain County6.4-0.1 pts
65Noble County6.3-0.9 pts
66Pickaway County6.30 pts
67Shelby County6.2-0.2 pts
68Erie County6.2-0.1 pts
68Lawrence County6.2-0.1 pts
70Mahoning County6.1-0.4 pts
71Jackson County6-1.5 pts
72Williams County6+0.2 pts
73Ottawa County5.8-0.7 pts
74Portage County5.70 pts
75Auglaize County5.7-0.3 pts
76Miami County5.5-0.4 pts
77Hancock County5.5-0.4 pts
78Preble County5.5-0.3 pts
79Fulton County5.3+0.4 pts
80Union County5.2-0.3 pts
81Delaware County5.1+0.4 pts
82Medina County4.7+0.2 pts
83Mercer County4.6-0.8 pts
84Wood County4.6-0.4 pts
85Van Wert County4.5-0.9 pts
86Warren County4.1-0.1 pts
87Wyandot County3.2-0.4 pts
88Putnam County3.1+0.2 pts

Other periods

About this ranking

People aged 35 to 64 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population aged 35 to 64. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

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. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. 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). American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs (Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs, Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs: Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-ages-35-64/ohio-counties?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Ohio by uninsured rate, ages 35 to 64 (US, ACS) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, ages 35 to 64 (US, ACS)?

Holmes County, with 36.9% in 2023, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, ages 35 to 64 (US, ACS)?

Putnam County, with 3.1% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people aged 35 to 64 with no health insurance coverage as a percentage of the civilian noninstitutionalized population aged 35 to 64, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, ages 35 to 64 (US, ACS): other rankings

Counties in Ohio: more rankings