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 2023, at 54.3%. Scioto County had the lowest, at 1.6%. The median was 4% and the figure for Ohio was 4.7%. Source: the U.S. Census Bureau.

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Highest54.3Holmes County
Lowest1.6Scioto County
Median488 counties
Ohio4.7History

Map of counties, 2023

Adams County: 4.2 %Allen County: 4.1 %Ashland County: 14.2 %Ashtabula County: 11.9 %Athens County: 2.8 %Auglaize County: 2.2 %Belmont County: 4.9 %Brown County: 2.8 %Butler County: 3.9 %Carroll County: 16.1 %Champaign County: 3.5 %Clark County: 4.2 %Clermont County: 3.7 %Clinton County: 3.2 %Columbiana County: 5 %Coshocton County: 13.7 %Crawford County: 3.5 %Cuyahoga County: 3.1 %Darke County: 5.8 %Defiance County: 10.7 %Delaware County: 3.9 %Erie County: 2.2 %Fairfield County: 3.9 %Fayette County: 7.2 %Franklin County: 4.8 %Fulton County: 4.5 %Gallia County: 12.1 %Geauga County: 12.8 %Greene County: 3.2 %Guernsey County: 6.2 %Hamilton County: 4.1 %Hancock County: 1.7 %Hardin County: 20.2 %Harrison County: 13.8 %Henry County: 5.7 %Highland County: 10.3 %Hocking County: 3.3 %Holmes County: 54.3 %Huron County: 6.6 %Jackson County: 6 %Jefferson County: 3.8 %Knox County: 15.9 %Lake County: 2.7 %Lawrence County: 3 %Licking County: 3.1 %Logan County: 5 %Lorain County: 3.1 %Lucas County: 3.2 %Madison County: 5.8 %Mahoning County: 2.3 %Marion County: 2 %Medina County: 2.6 %Meigs County: 2.5 %Mercer County: 1.6 %Miami County: 4.7 %Monroe County: 9.8 %Montgomery County: 4.6 %Morgan County: 3.8 %Morrow County: 8.2 %Muskingum County: 3.3 %Noble County: 10 %Ottawa County: 2.6 %Paulding County: 3.8 %Perry County: 4 %Pickaway County: 4.4 %Pike County: 4 %Portage County: 3 %Preble County: 4.9 %Putnam County: 3.3 %Richland County: 6 %Ross County: 5.6 %Sandusky County: 5.3 %Scioto County: 1.6 %Seneca County: 3.1 %Shelby County: 3.1 %Stark County: 3.2 %Summit County: 2.7 %Trumbull County: 6.7 %Tuscarawas County: 9.5 %Union County: 3.1 %Van Wert County: 2.3 %Vinton County: 2.2 %Warren County: 2.8 %Washington County: 4.4 %Wayne County: 20.7 %Williams County: 5.1 %Wood County: 2.9 %Wyandot County: 1.9 %
  • Under 2.8
  • 2.8 to 3.2
  • 3.2 to 4
  • 4 to 5
  • 5 to 9.6
  • 9.6 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: 54.3 %Holmes County54.3Wayne County: 20.7 %Wayne County20.7Hardin County: 20.2 %Hardin County20.2Carroll County: 16.1 %Carroll County16.1Knox County: 15.9 %Knox County15.9Ashland County: 14.2 %Ashland County14.2Harrison County: 13.8 %Harrison County13.8Coshocton County: 13.7 %Coshocton County13.7Geauga County: 12.8 %Geauga County12.8Gallia County: 12.1 %Gallia County12.1Ashtabula County: 11.9 %Ashtabula County11.9Defiance County: 10.7 %Defiance County10.7Highland County: 10.3 %Highland County10.3Noble County: 10 %Noble County10Monroe County: 9.8 %Monroe County9.8Tuscarawas County: 9.5 %Tuscarawas County9.5Morrow County: 8.2 %Morrow County8.2Fayette County: 7.2 %Fayette County7.2Trumbull County: 6.7 %Trumbull County6.7Huron County: 6.6 %Huron County6.6Guernsey County: 6.2 %Guernsey County6.2Jackson County: 6 %Jackson County6Richland County: 6 %Richland County6Madison County: 5.8 %Madison County5.8Darke County: 5.8 %Darke County5.8Henry County: 5.7 %Henry County5.7Ross County: 5.6 %Ross County5.6Sandusky County: 5.3 %Sandusky County5.3Williams County: 5.1 %Williams County5.1Columbiana County: 5 %Columbiana County5Logan County: 5 %Logan County5Preble County: 4.9 %Preble County4.9Belmont County: 4.9 %Belmont County4.9Franklin County: 4.8 %Franklin County4.8Miami County: 4.7 %Miami County4.7Montgomery County: 4.6 %Montgomery County4.6Fulton County: 4.5 %Fulton County4.5Washington County: 4.4 %Washington County4.4Pickaway County: 4.4 %Pickaway County4.4Clark County: 4.2 %Clark County4.2Holmes County: 54.3 %Holmes County54.3Wayne County: 20.7 %Wayne County20.7Hardin County: 20.2 %Hardin County20.2Carroll County: 16.1 %Carroll County16.1Knox County: 15.9 %Knox County15.9Ashland County: 14.2 %Ashland County14.2Harrison County: 13.8 %Harrison County13.8Coshocton County: 13.7 %Coshocton County13.7Geauga County: 12.8 %Geauga County12.8Gallia County: 12.1 %Gallia County12.1Ashtabula County: 11.9 %Ashtabula County11.9Defiance County: 10.7 %Defiance County10.7Highland County: 10.3 %Highland County10.3Noble County: 10 %Noble County10Monroe County: 9.8 %Monroe County9.8Tuscarawas County: 9.5 %Tuscarawas County9.5Morrow County: 8.2 %Morrow County8.2Fayette County: 7.2 %Fayette County7.2Trumbull County: 6.7 %Trumbull County6.7Huron County: 6.6 %Huron County6.6Guernsey County: 6.2 %Guernsey County6.2Jackson County: 6 %Jackson County6Richland County: 6 %Richland County6Madison County: 5.8 %Madison County5.8Darke County: 5.8 %Darke County5.8Henry County: 5.7 %Henry County5.7Ross County: 5.6 %Ross County5.6Sandusky County: 5.3 %Sandusky County5.3Williams County: 5.1 %Williams County5.1Columbiana County: 5 %Columbiana County5Logan County: 5 %Logan County5Preble County: 4.9 %Preble County4.9Belmont County: 4.9 %Belmont County4.9Franklin County: 4.8 %Franklin County4.8Miami County: 4.7 %Miami County4.7Montgomery County: 4.6 %Montgomery County4.6Fulton County: 4.5 %Fulton County4.5Washington County: 4.4 %Washington County4.4Pickaway County: 4.4 %Pickaway County4.4Clark County: 4.2 %Clark County4.2
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Holmes County54.3-0.9 pts
2Wayne County20.7+0.1 pts
3Hardin County20.2-1 pts
4Carroll County16.1-1.1 pts
5Knox County15.9+0.6 pts
6Ashland County14.2+1.9 pts
7Harrison County13.8-0 pts
8Coshocton County13.7+1.5 pts
9Geauga County12.8+1.2 pts
10Gallia County12.1-1.6 pts
11Ashtabula County11.9-0.3 pts
12Defiance County10.7+4.1 pts
13Highland County10.3-0.5 pts
14Noble County10-3.2 pts
15Monroe County9.8+4 pts
16Tuscarawas County9.5+0.6 pts
17Morrow County8.2-3.2 pts
18Fayette County7.2+0.9 pts
19Trumbull County6.7+0.4 pts
20Huron County6.6+0.8 pts
21Guernsey County6.2+0.9 pts
22Jackson County6-1.4 pts
22Richland County6+0.5 pts
24Madison County5.8+0.1 pts
25Darke County5.8+0.2 pts
26Henry County5.7+1.4 pts
27Ross County5.6+0.1 pts
28Sandusky County5.3+1.3 pts
29Williams County5.1-0.2 pts
30Columbiana County5-1.4 pts
31Logan County5+1.6 pts
32Preble County4.9+0.5 pts
33Belmont County4.9+0.3 pts
34Franklin County4.8+0.4 pts
35Miami County4.7+1.1 pts
36Montgomery County4.6-0.5 pts
37Fulton County4.5-0 pts
38Washington County4.4-0.1 pts
39Pickaway County4.4+0.1 pts
40Clark County4.2+0.1 pts
41Adams County4.2+0.9 pts
42Allen County4.1-0.1 pts
43Hamilton County4.1+0.5 pts
44Perry County4+0.2 pts
45Pike County4+0.9 pts
46Butler County3.9+0.2 pts
46Delaware County3.9+0.5 pts
46Fairfield County3.9-0.1 pts
49Paulding County3.8+0.2 pts
50Morgan County3.8-0.1 pts
51Jefferson County3.8+0.2 pts
52Clermont County3.7+0.3 pts
53Crawford County3.5-1.5 pts
54Champaign County3.50 pts
55Hocking County3.3+0.8 pts
56Muskingum County3.3-0.9 pts
57Putnam County3.3+0.9 pts
58Clinton County3.2-0.2 pts
59Stark County3.2+0.4 pts
60Greene County3.2+0.5 pts
61Lucas County3.2-0.4 pts
62Cuyahoga County3.1-0.1 pts
63Lorain County3.1-0.6 pts
64Shelby County3.1+0.8 pts
65Licking County3.1-0.3 pts
65Union County3.1-0 pts
67Seneca County3.1+0.1 pts
68Lawrence County3-0.4 pts
68Portage County3-0.3 pts
70Wood County2.9-0.3 pts
71Warren County2.8+0.3 pts
72Brown County2.80 pts
73Athens County2.8+0.4 pts
74Summit County2.7+0.1 pts
75Lake County2.7-0.6 pts
76Ottawa County2.6-0.7 pts
77Medina County2.6+0.5 pts
78Meigs County2.5-0.2 pts
79Van Wert County2.3+0.7 pts
80Mahoning County2.3-0.1 pts
81Erie County2.2-0.4 pts
82Auglaize County2.2+0.1 pts
82Vinton County2.2-2.3 pts
84Marion County2-0.5 pts
85Wyandot County1.9-0.6 pts
86Hancock County1.7-0.7 pts
87Mercer County1.6-0.3 pts
88Scioto County1.6-0.4 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/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 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), 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 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), 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-under-19-acs/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 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), 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-under-19-acs/ohio-counties?period=2023.

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), 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-under-19-acs/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 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), 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-under-19-acs/ohio-counties?period=2023. 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/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 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), 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-under-19-acs/ohio-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/ohio-counties?period=2023.
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/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, 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 54.3% in 2023, according to the U.S. Census Bureau.

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

Scioto County, with 1.6% 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 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