Data / Rankings / Uninsured rate, under 19 (US, ACS) / Counties in Alabama

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

Greene County had the highest uninsured rate, under 19 (US, ACS) of 67 counties in 2021, at 12.6%. Perry County had the lowest, at 0%. The median was 2.9% and the figure for Alabama was 3.4%. Source: the U.S. Census Bureau.

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Highest12.6Greene County
Lowest0Perry County
Median2.967 counties
Alabama3.4History

Map of counties, 2021

Autauga County: 2.1 %Baldwin County: 5.9 %Barbour County: 2.8 %Bibb County: 2 %Blount County: 3.4 %Bullock County: 0.5 %Butler County: 4.9 %Calhoun County: 3 %Chambers County: 3.3 %Cherokee County: 1.9 %Chilton County: 3.3 %Choctaw County: 1.5 %Clarke County: 1.4 %Clay County: 0.6 %Cleburne County: 4.4 %Coffee County: 5.6 %Colbert County: 1.9 %Conecuh County: 3.4 %Coosa County: 6.1 %Covington County: 8 %Crenshaw County: 1.8 %Cullman County: 4 %Dale County: 2.5 %Dallas County: 1.7 %DeKalb County: 3.5 %Elmore County: 3.6 %Escambia County: 6.7 %Etowah County: 3.7 %Fayette County: 2.8 %Franklin County: 10.1 %Geneva County: 2.5 %Greene County: 12.6 %Hale County: 1.9 %Henry County: 2.5 %Houston County: 2.2 %Jackson County: 2.8 %Jefferson County: 3.9 %Lamar County: 1 %Lauderdale County: 3.8 %Lawrence County: 2.3 %Lee County: 2.7 %Limestone County: 2.3 %Lowndes County: 1.6 %Macon County: 4.6 %Madison County: 3.4 %Marengo County: 0.6 %Marion County: 4.7 %Marshall County: 2.2 %Mobile County: 3.2 %Monroe County: 3.2 %Montgomery County: 3.1 %Morgan County: 4.5 %Perry County: 0 %Pickens County: 3.6 %Pike County: 3.9 %Randolph County: 3.4 %Russell County: 1.7 %St. Clair County: 1.4 %Shelby County: 2.7 %Sumter County: 2.1 %Talladega County: 3.4 %Tallapoosa County: 2.9 %Tuscaloosa County: 2.2 %Walker County: 8.1 %Washington County: 2.6 %Wilcox County: 0.1 %Winston County: 5.7 %
  • Under 1.7
  • 1.7 to 2.3
  • 2.3 to 2.9
  • 2.9 to 3.4
  • 3.4 to 4.6
  • 4.6 and over
%, 2021. Source: Invokely calculation with data from U.S. Census Bureau. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Greene County: 12.6 %Greene County12.6Franklin County: 10.1 %Franklin County10.1Walker County: 8.1 %Walker County8.1Covington County: 8 %Covington County8Escambia County: 6.7 %Escambia County6.7Coosa County: 6.1 %Coosa County6.1Baldwin County: 5.9 %Baldwin County5.9Winston County: 5.7 %Winston County5.7Coffee County: 5.6 %Coffee County5.6Butler County: 4.9 %Butler County4.9Marion County: 4.7 %Marion County4.7Macon County: 4.6 %Macon County4.6Morgan County: 4.5 %Morgan County4.5Cleburne County: 4.4 %Cleburne County4.4Cullman County: 4 %Cullman County4Pike County: 3.9 %Pike County3.9Jefferson County: 3.9 %Jefferson County3.9Lauderdale County: 3.8 %Lauderdale County3.8Etowah County: 3.7 %Etowah County3.7Elmore County: 3.6 %Elmore County3.6Pickens County: 3.6 %Pickens County3.6DeKalb County: 3.5 %DeKalb County3.5Randolph County: 3.4 %Randolph County3.4Blount County: 3.4 %Blount County3.4Conecuh County: 3.4 %Conecuh County3.4Madison County: 3.4 %Madison County3.4Talladega County: 3.4 %Talladega County3.4Chambers County: 3.3 %Chambers County3.3Chilton County: 3.3 %Chilton County3.3Monroe County: 3.2 %Monroe County3.2Mobile County: 3.2 %Mobile County3.2Montgomery County: 3.1 %Montgomery County3.1Calhoun County: 3 %Calhoun County3Tallapoosa County: 2.9 %Tallapoosa County2.9Fayette County: 2.8 %Fayette County2.8Jackson County: 2.8 %Jackson County2.8Barbour County: 2.8 %Barbour County2.8Lee County: 2.7 %Lee County2.7Shelby County: 2.7 %Shelby County2.7Washington County: 2.6 %Washington County2.6Greene County: 12.6 %Greene County12.6Franklin County: 10.1 %Franklin County10.1Walker County: 8.1 %Walker County8.1Covington County: 8 %Covington County8Escambia County: 6.7 %Escambia County6.7Coosa County: 6.1 %Coosa County6.1Baldwin County: 5.9 %Baldwin County5.9Winston County: 5.7 %Winston County5.7Coffee County: 5.6 %Coffee County5.6Butler County: 4.9 %Butler County4.9Marion County: 4.7 %Marion County4.7Macon County: 4.6 %Macon County4.6Morgan County: 4.5 %Morgan County4.5Cleburne County: 4.4 %Cleburne County4.4Cullman County: 4 %Cullman County4Pike County: 3.9 %Pike County3.9Jefferson County: 3.9 %Jefferson County3.9Lauderdale County: 3.8 %Lauderdale County3.8Etowah County: 3.7 %Etowah County3.7Elmore County: 3.6 %Elmore County3.6Pickens County: 3.6 %Pickens County3.6DeKalb County: 3.5 %DeKalb County3.5Randolph County: 3.4 %Randolph County3.4Blount County: 3.4 %Blount County3.4Conecuh County: 3.4 %Conecuh County3.4Madison County: 3.4 %Madison County3.4Talladega County: 3.4 %Talladega County3.4Chambers County: 3.3 %Chambers County3.3Chilton County: 3.3 %Chilton County3.3Monroe County: 3.2 %Monroe County3.2Mobile County: 3.2 %Mobile County3.2Montgomery County: 3.1 %Montgomery County3.1Calhoun County: 3 %Calhoun County3Tallapoosa County: 2.9 %Tallapoosa County2.9Fayette County: 2.8 %Fayette County2.8Jackson County: 2.8 %Jackson County2.8Barbour County: 2.8 %Barbour County2.8Lee County: 2.7 %Lee County2.7Shelby County: 2.7 %Shelby County2.7Washington County: 2.6 %Washington County2.6
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Greene County12.6
2Franklin County10.1
3Walker County8.1
4Covington County8
5Escambia County6.7
6Coosa County6.1
7Baldwin County5.9
8Winston County5.7
9Coffee County5.6
10Butler County4.9
11Marion County4.7
12Macon County4.6
13Morgan County4.5
14Cleburne County4.4
15Cullman County4
16Pike County3.9
17Jefferson County3.9
18Lauderdale County3.8
19Etowah County3.7
20Elmore County3.6
21Pickens County3.6
22DeKalb County3.5
23Randolph County3.4
24Blount County3.4
24Conecuh County3.4
26Madison County3.4
27Talladega County3.4
28Chambers County3.3
29Chilton County3.3
30Monroe County3.2
31Mobile County3.2
32Montgomery County3.1
33Calhoun County3
34Tallapoosa County2.9
35Fayette County2.8
36Jackson County2.8
37Barbour County2.8
38Lee County2.7
39Shelby County2.7
40Washington County2.6
41Geneva County2.5
42Dale County2.5
43Henry County2.5
44Limestone County2.3
45Lawrence County2.3
46Marshall County2.2
46Tuscaloosa County2.2
48Houston County2.2
49Sumter County2.1
50Autauga County2.1
51Bibb County2
52Hale County1.9
53Colbert County1.9
54Cherokee County1.9
55Crenshaw County1.8
56Dallas County1.7
57Russell County1.7
58Lowndes County1.6
59Choctaw County1.5
60Clarke County1.4
61St. Clair County1.4
62Lamar County1
63Marengo County0.6
64Clay County0.6
65Bullock County0.5
66Wilcox County0.1
67Perry County0

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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021. 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/2021/table-based-SF/data/5YRData/acsdt5y2021-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), 2021
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-counties?period=2021.
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/2021/table-based-SF/data/5YRData/acsdt5y2021-b27010.dat. Retrieved 2026-10-12.
ER  -
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Rank Counties in Alabama by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

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

Greene County, with 12.6% in 2021, according to the U.S. Census Bureau.

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

Perry County, with 0% in 2021.

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