Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024

Greene County had the highest uninsured rate, under 19 (US, ACS) of 67 counties in 2024, at 10.3%. Fayette County had the lowest, at 0%. The median was 3.3% and the figure for Alabama was 3.6%. Source: the U.S. Census Bureau.

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Highest10.3Greene County
Median3.367 counties
Alabama3.6History

Map of counties, 2024

Autauga County: 2.9 %Baldwin County: 5.5 %Barbour County: 2.5 %Bibb County: 2.6 %Blount County: 2.8 %Bullock County: 1 %Butler County: 4.7 %Calhoun County: 3.1 %Chambers County: 5.5 %Cherokee County: 1.1 %Chilton County: 3.9 %Choctaw County: 6.9 %Clarke County: 1 %Clay County: 3.5 %Cleburne County: 2.5 %Coffee County: 4.7 %Colbert County: 2.8 %Conecuh County: 3.3 %Coosa County: 7.2 %Covington County: 4.7 %Crenshaw County: 4.6 %Cullman County: 4.8 %Dale County: 2.4 %Dallas County: 1.2 %DeKalb County: 3.7 %Elmore County: 2.1 %Escambia County: 4.4 %Etowah County: 3.7 %Fayette County: 0 %Franklin County: 7.6 %Geneva County: 2.4 %Greene County: 10.3 %Hale County: 3.3 %Henry County: 8.3 %Houston County: 3.8 %Jackson County: 3.7 %Jefferson County: 4.4 %Lamar County: 0.5 %Lauderdale County: 4.4 %Lawrence County: 2.4 %Lee County: 3.4 %Limestone County: 2.8 %Lowndes County: 0.5 %Macon County: 6 %Madison County: 3.3 %Marengo County: 2.2 %Marion County: 2.7 %Marshall County: 5.1 %Mobile County: 2.9 %Monroe County: 2.5 %Montgomery County: 4.3 %Morgan County: 4.2 %Perry County: 0.9 %Pickens County: 0.7 %Pike County: 5.5 %Randolph County: 3.8 %Russell County: 4.4 %St. Clair County: 2.2 %Shelby County: 3.5 %Sumter County: 5.8 %Talladega County: 4 %Tallapoosa County: 1.8 %Tuscaloosa County: 2 %Walker County: 3.8 %Washington County: 0.5 %Wilcox County: 0.2 %Winston County: 2.9 %
  • Under 1.8
  • 1.8 to 2.6
  • 2.6 to 3.3
  • 3.3 to 4
  • 4 to 4.8
  • 4.8 and over
%, 2024. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

Greene County: 10.3 %Greene County10.3Henry County: 8.3 %Henry County8.3Franklin County: 7.6 %Franklin County7.6Coosa County: 7.2 %Coosa County7.2Choctaw County: 6.9 %Choctaw County6.9Macon County: 6 %Macon County6Sumter County: 5.8 %Sumter County5.8Pike County: 5.5 %Pike County5.5Baldwin County: 5.5 %Baldwin County5.5Chambers County: 5.5 %Chambers County5.5Marshall County: 5.1 %Marshall County5.1Cullman County: 4.8 %Cullman County4.8Coffee County: 4.7 %Coffee County4.7Covington County: 4.7 %Covington County4.7Butler County: 4.7 %Butler County4.7Crenshaw County: 4.6 %Crenshaw County4.6Jefferson County: 4.4 %Jefferson County4.4Lauderdale County: 4.4 %Lauderdale County4.4Russell County: 4.4 %Russell County4.4Escambia County: 4.4 %Escambia County4.4Montgomery County: 4.3 %Montgomery County4.3Morgan County: 4.2 %Morgan County4.2Talladega County: 4 %Talladega County4Chilton County: 3.9 %Chilton County3.9Houston County: 3.8 %Houston County3.8Randolph County: 3.8 %Randolph County3.8Walker County: 3.8 %Walker County3.8Etowah County: 3.7 %Etowah County3.7DeKalb County: 3.7 %DeKalb County3.7Jackson County: 3.7 %Jackson County3.7Clay County: 3.5 %Clay County3.5Shelby County: 3.5 %Shelby County3.5Lee County: 3.4 %Lee County3.4Hale County: 3.3 %Hale County3.3Madison County: 3.3 %Madison County3.3Conecuh County: 3.3 %Conecuh County3.3Calhoun County: 3.1 %Calhoun County3.1Autauga County: 2.9 %Autauga County2.9Mobile County: 2.9 %Mobile County2.9Winston County: 2.9 %Winston County2.9Greene County: 10.3 %Greene County10.3Henry County: 8.3 %Henry County8.3Franklin County: 7.6 %Franklin County7.6Coosa County: 7.2 %Coosa County7.2Choctaw County: 6.9 %Choctaw County6.9Macon County: 6 %Macon County6Sumter County: 5.8 %Sumter County5.8Pike County: 5.5 %Pike County5.5Baldwin County: 5.5 %Baldwin County5.5Chambers County: 5.5 %Chambers County5.5Marshall County: 5.1 %Marshall County5.1Cullman County: 4.8 %Cullman County4.8Coffee County: 4.7 %Coffee County4.7Covington County: 4.7 %Covington County4.7Butler County: 4.7 %Butler County4.7Crenshaw County: 4.6 %Crenshaw County4.6Jefferson County: 4.4 %Jefferson County4.4Lauderdale County: 4.4 %Lauderdale County4.4Russell County: 4.4 %Russell County4.4Escambia County: 4.4 %Escambia County4.4Montgomery County: 4.3 %Montgomery County4.3Morgan County: 4.2 %Morgan County4.2Talladega County: 4 %Talladega County4Chilton County: 3.9 %Chilton County3.9Houston County: 3.8 %Houston County3.8Randolph County: 3.8 %Randolph County3.8Walker County: 3.8 %Walker County3.8Etowah County: 3.7 %Etowah County3.7DeKalb County: 3.7 %DeKalb County3.7Jackson County: 3.7 %Jackson County3.7Clay County: 3.5 %Clay County3.5Shelby County: 3.5 %Shelby County3.5Lee County: 3.4 %Lee County3.4Hale County: 3.3 %Hale County3.3Madison County: 3.3 %Madison County3.3Conecuh County: 3.3 %Conecuh County3.3Calhoun County: 3.1 %Calhoun County3.1Autauga County: 2.9 %Autauga County2.9Mobile County: 2.9 %Mobile County2.9Winston County: 2.9 %Winston County2.9
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1Greene County10.3+0.2 pts
2Henry County8.3+3.6 pts
3Franklin County7.6-1.4 pts
4Coosa County7.2+1.2 pts
5Choctaw County6.9+3.4 pts
6Macon County6+1.2 pts
7Sumter County5.8+2 pts
8Pike County5.5+1.2 pts
9Baldwin County5.5+0.6 pts
10Chambers County5.5+0.9 pts
11Marshall County5.1+1 pts
12Cullman County4.8+1.2 pts
13Coffee County4.7-0 pts
14Covington County4.7-1.3 pts
15Butler County4.7-1.5 pts
16Crenshaw County4.6-2.7 pts
17Jefferson County4.4+0.4 pts
18Lauderdale County4.4-0.6 pts
19Russell County4.4+0.8 pts
20Escambia County4.4-1.6 pts
21Montgomery County4.3+0.7 pts
22Morgan County4.2-0.2 pts
23Talladega County4+0.3 pts
24Chilton County3.9+1.6 pts
25Houston County3.8+0.7 pts
26Randolph County3.8+0.5 pts
27Walker County3.8-4.8 pts
28Etowah County3.7-1.1 pts
29DeKalb County3.7-0.1 pts
30Jackson County3.7+0.8 pts
31Clay County3.5+3.5 pts
31Shelby County3.5+0.2 pts
33Lee County3.4+0.5 pts
34Hale County3.3+0.1 pts
34Madison County3.3+0.5 pts
36Conecuh County3.3-0.1 pts
37Calhoun County3.1-0.3 pts
38Autauga County2.9+0.2 pts
39Mobile County2.9-0.2 pts
39Winston County2.9-0 pts
41Blount County2.8+0.6 pts
42Colbert County2.8-0 pts
42Limestone County2.8-0.2 pts
44Marion County2.7+0.9 pts
45Bibb County2.6+1.1 pts
46Barbour County2.5-2.2 pts
47Cleburne County2.5+1.1 pts
48Monroe County2.5-0.4 pts
49Dale County2.4+0.1 pts
50Geneva County2.4-0.3 pts
51Lawrence County2.4+0.4 pts
52St. Clair County2.2-0.2 pts
53Marengo County2.2+0.4 pts
54Elmore County2.1-1.1 pts
55Tuscaloosa County2-0.1 pts
56Tallapoosa County1.8-0.4 pts
57Dallas County1.2-0.7 pts
58Cherokee County1.1-0.2 pts
59Clarke County1-0.2 pts
60Bullock County1-0.4 pts
61Perry County0.9+0.5 pts
62Pickens County0.7-2.5 pts
63Lamar County0.5+0.5 pts
63Lowndes County0.5-1.6 pts
65Washington County0.5-0.5 pts
66Wilcox County0.2+0.1 pts
67Fayette County0-1.2 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. 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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-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 under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs (Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary\_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs: Counties in Alabama by uninsured rate, under 19 (US, ACS), 2024
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. https://www2.census.gov/programs-surveys/acs/summary_file/2024/table-based-SF/data/5YRData/acsdt5y2024-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Questions

Which county has the highest uninsured rate, under 19 (US, ACS)?

Greene County, with 10.3% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US, ACS)?

Fayette County, with 0% 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, American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs. Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Counties in Alabama: more rankings