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

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

Holmes County had the highest uninsured rate, under 19 (US, ACS) of 88 counties in 2021, at 53.8%. Pike County had the lowest, at 0.8%. The median was 3.7% and the figure for Ohio was 4.6%. Source: the U.S. Census Bureau.

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Highest53.8Holmes County
Lowest0.8Pike County
Median3.788 counties
Ohio4.6History

Map of counties, 2021

Adams County: 5.7 %Allen County: 4.5 %Ashland County: 12.6 %Ashtabula County: 12.1 %Athens County: 2.3 %Auglaize County: 2.2 %Belmont County: 3.9 %Brown County: 3.7 %Butler County: 3.6 %Carroll County: 14.5 %Champaign County: 2.7 %Clark County: 4.1 %Clermont County: 3.7 %Clinton County: 4 %Columbiana County: 5.2 %Coshocton County: 15 %Crawford County: 3.3 %Cuyahoga County: 2.8 %Darke County: 6.3 %Defiance County: 5.7 %Delaware County: 3.6 %Erie County: 3.5 %Fairfield County: 4.9 %Fayette County: 6.1 %Franklin County: 4.5 %Fulton County: 2.8 %Gallia County: 13.3 %Geauga County: 11.9 %Greene County: 2.4 %Guernsey County: 6.4 %Hamilton County: 3.7 %Hancock County: 2.8 %Hardin County: 17 %Harrison County: 15.2 %Henry County: 3.6 %Highland County: 12.3 %Hocking County: 2.5 %Holmes County: 53.8 %Huron County: 4.5 %Jackson County: 3.2 %Jefferson County: 3.4 %Knox County: 14.2 %Lake County: 3.2 %Lawrence County: 3.7 %Licking County: 3.7 %Logan County: 2.9 %Lorain County: 3.4 %Lucas County: 3.4 %Madison County: 5 %Mahoning County: 1.7 %Marion County: 2.9 %Medina County: 2.2 %Meigs County: 2.7 %Mercer County: 1.7 %Miami County: 3.6 %Monroe County: 6.2 %Montgomery County: 5.1 %Morgan County: 4.1 %Morrow County: 13.6 %Muskingum County: 4.5 %Noble County: 12.6 %Ottawa County: 2.1 %Paulding County: 3.1 %Perry County: 4.1 %Pickaway County: 6.1 %Pike County: 0.8 %Portage County: 3.5 %Preble County: 4.3 %Putnam County: 1.9 %Richland County: 8.1 %Ross County: 4.6 %Sandusky County: 4.4 %Scioto County: 2.4 %Seneca County: 2.6 %Shelby County: 2 %Stark County: 3.6 %Summit County: 2.7 %Trumbull County: 6.1 %Tuscarawas County: 8.3 %Union County: 3.4 %Van Wert County: 2.3 %Vinton County: 5 %Warren County: 2.3 %Washington County: 5.1 %Wayne County: 21.7 %Williams County: 5.7 %Wood County: 2.6 %Wyandot County: 2.7 %
  • Under 2.6
  • 2.6 to 3.4
  • 3.4 to 3.7
  • 3.7 to 5
  • 5 to 8.2
  • 8.2 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

Holmes County: 53.8 %Holmes County53.8Wayne County: 21.7 %Wayne County21.7Hardin County: 17 %Hardin County17Harrison County: 15.2 %Harrison County15.2Coshocton County: 15 %Coshocton County15Carroll County: 14.5 %Carroll County14.5Knox County: 14.2 %Knox County14.2Morrow County: 13.6 %Morrow County13.6Gallia County: 13.3 %Gallia County13.3Noble County: 12.6 %Noble County12.6Ashland County: 12.6 %Ashland County12.6Highland County: 12.3 %Highland County12.3Ashtabula County: 12.1 %Ashtabula County12.1Geauga County: 11.9 %Geauga County11.9Tuscarawas County: 8.3 %Tuscarawas County8.3Richland County: 8.1 %Richland County8.1Guernsey County: 6.4 %Guernsey County6.4Darke County: 6.3 %Darke County6.3Monroe County: 6.2 %Monroe County6.2Fayette County: 6.1 %Fayette County6.1Trumbull County: 6.1 %Trumbull County6.1Pickaway County: 6.1 %Pickaway County6.1Defiance County: 5.7 %Defiance County5.7Adams County: 5.7 %Adams County5.7Williams County: 5.7 %Williams County5.7Columbiana County: 5.2 %Columbiana County5.2Montgomery County: 5.1 %Montgomery County5.1Washington County: 5.1 %Washington County5.1Vinton County: 5 %Vinton County5Madison County: 5 %Madison County5Fairfield County: 4.9 %Fairfield County4.9Ross County: 4.6 %Ross County4.6Huron County: 4.5 %Huron County4.5Allen County: 4.5 %Allen County4.5Muskingum County: 4.5 %Muskingum County4.5Franklin County: 4.5 %Franklin County4.5Sandusky County: 4.4 %Sandusky County4.4Preble County: 4.3 %Preble County4.3Morgan County: 4.1 %Morgan County4.1Perry County: 4.1 %Perry County4.1Holmes County: 53.8 %Holmes County53.8Wayne County: 21.7 %Wayne County21.7Hardin County: 17 %Hardin County17Harrison County: 15.2 %Harrison County15.2Coshocton County: 15 %Coshocton County15Carroll County: 14.5 %Carroll County14.5Knox County: 14.2 %Knox County14.2Morrow County: 13.6 %Morrow County13.6Gallia County: 13.3 %Gallia County13.3Noble County: 12.6 %Noble County12.6Ashland County: 12.6 %Ashland County12.6Highland County: 12.3 %Highland County12.3Ashtabula County: 12.1 %Ashtabula County12.1Geauga County: 11.9 %Geauga County11.9Tuscarawas County: 8.3 %Tuscarawas County8.3Richland County: 8.1 %Richland County8.1Guernsey County: 6.4 %Guernsey County6.4Darke County: 6.3 %Darke County6.3Monroe County: 6.2 %Monroe County6.2Fayette County: 6.1 %Fayette County6.1Trumbull County: 6.1 %Trumbull County6.1Pickaway County: 6.1 %Pickaway County6.1Defiance County: 5.7 %Defiance County5.7Adams County: 5.7 %Adams County5.7Williams County: 5.7 %Williams County5.7Columbiana County: 5.2 %Columbiana County5.2Montgomery County: 5.1 %Montgomery County5.1Washington County: 5.1 %Washington County5.1Vinton County: 5 %Vinton County5Madison County: 5 %Madison County5Fairfield County: 4.9 %Fairfield County4.9Ross County: 4.6 %Ross County4.6Huron County: 4.5 %Huron County4.5Allen County: 4.5 %Allen County4.5Muskingum County: 4.5 %Muskingum County4.5Franklin County: 4.5 %Franklin County4.5Sandusky County: 4.4 %Sandusky County4.4Preble County: 4.3 %Preble County4.3Morgan County: 4.1 %Morgan County4.1Perry County: 4.1 %Perry County4.1
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Holmes County53.8
2Wayne County21.7
3Hardin County17
4Harrison County15.2
5Coshocton County15
6Carroll County14.5
7Knox County14.2
8Morrow County13.6
9Gallia County13.3
10Noble County12.6
11Ashland County12.6
12Highland County12.3
13Ashtabula County12.1
14Geauga County11.9
15Tuscarawas County8.3
16Richland County8.1
17Guernsey County6.4
18Darke County6.3
19Monroe County6.2
20Fayette County6.1
20Trumbull County6.1
22Pickaway County6.1
23Defiance County5.7
24Adams County5.7
25Williams County5.7
26Columbiana County5.2
27Montgomery County5.1
28Washington County5.1
29Vinton County5
30Madison County5
31Fairfield County4.9
32Ross County4.6
33Huron County4.5
34Allen County4.5
34Muskingum County4.5
36Franklin County4.5
37Sandusky County4.4
38Preble County4.3
39Morgan County4.1
40Perry County4.1
41Clark County4.1
42Clinton County4
43Belmont County3.9
44Licking County3.7
45Hamilton County3.7
46Clermont County3.7
47Brown County3.7
47Lawrence County3.7
49Delaware County3.6
49Stark County3.6
51Henry County3.6
51Miami County3.6
53Butler County3.6
54Portage County3.5
55Erie County3.5
56Lorain County3.4
57Jefferson County3.4
57Lucas County3.4
59Union County3.4
60Crawford County3.3
61Lake County3.2
62Jackson County3.2
63Paulding County3.1
64Marion County2.9
65Logan County2.9
66Hancock County2.8
67Cuyahoga County2.8
68Fulton County2.8
69Meigs County2.7
70Summit County2.7
70Wyandot County2.7
72Champaign County2.7
73Seneca County2.6
74Wood County2.6
75Hocking County2.5
76Greene County2.4
77Scioto County2.4
78Athens County2.3
78Warren County2.3
80Van Wert County2.3
81Medina County2.2
82Auglaize County2.2
83Ottawa County2.1
84Shelby County2
85Putnam County1.9
86Mahoning County1.7
87Mercer County1.7
88Pike County0.8

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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/ohio-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 Ohio 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)?

Holmes County, with 53.8% in 2021, according to the U.S. Census Bureau.

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

Pike County, with 0.8% 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 Ohio: more rankings