Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Alabama

Counties in Alabama by uninsured rate, under 19 (US model-based estimate)

Franklin County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2018, at 5.1%. Macon County had the lowest, at 2.4%. The median was 3.4% and the figure for Alabama was 3.2%. Source: the U.S. Census Bureau.

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Highest5.1Franklin County
Lowest2.4Macon County
Median3.467 counties
Alabama3.2History

Map of counties, 2018

Autauga County: 2.5 %Baldwin County: 3.8 %Barbour County: 3.4 %Bibb County: 2.9 %Blount County: 4.5 %Bullock County: 2.6 %Butler County: 2.9 %Calhoun County: 2.9 %Chambers County: 2.7 %Cherokee County: 3.6 %Chilton County: 4.5 %Choctaw County: 4.1 %Clarke County: 3.1 %Clay County: 4.6 %Cleburne County: 4.1 %Coffee County: 3.4 %Colbert County: 2.9 %Conecuh County: 3.4 %Coosa County: 4.4 %Covington County: 3.6 %Crenshaw County: 4.4 %Cullman County: 3.8 %Dale County: 2.8 %Dallas County: 2.5 %DeKalb County: 5 %Elmore County: 3 %Escambia County: 3.9 %Etowah County: 2.9 %Fayette County: 3.5 %Franklin County: 5.1 %Geneva County: 3.6 %Greene County: 3.2 %Hale County: 3.1 %Henry County: 4 %Houston County: 2.4 %Jackson County: 3.6 %Jefferson County: 2.9 %Lamar County: 4 %Lauderdale County: 3.2 %Lawrence County: 3.9 %Lee County: 3.3 %Limestone County: 3.5 %Lowndes County: 2.7 %Macon County: 2.4 %Madison County: 3.1 %Marengo County: 3.1 %Marion County: 3.4 %Marshall County: 3.9 %Mobile County: 2.9 %Monroe County: 3.2 %Montgomery County: 3.1 %Morgan County: 3.7 %Perry County: 2.7 %Pickens County: 3.9 %Pike County: 3.3 %Randolph County: 3.4 %Russell County: 2.7 %St. Clair County: 3 %Shelby County: 2.5 %Sumter County: 3.4 %Talladega County: 2.9 %Tallapoosa County: 3.6 %Tuscaloosa County: 3 %Walker County: 3.5 %Washington County: 4.6 %Wilcox County: 3.4 %Winston County: 4.1 %
  • Under 2.9
  • 2.9 to 3.1
  • 3.1 to 3.4
  • 3.4 to 3.6
  • 3.6 to 4
  • 4 and over
%, 2018. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2018

Franklin County: 5.1 %Franklin County5.1DeKalb County: 5 %DeKalb County5Clay County: 4.6 %Clay County4.6Washington County: 4.6 %Washington County4.6Blount County: 4.5 %Blount County4.5Chilton County: 4.5 %Chilton County4.5Coosa County: 4.4 %Coosa County4.4Crenshaw County: 4.4 %Crenshaw County4.4Choctaw County: 4.1 %Choctaw County4.1Cleburne County: 4.1 %Cleburne County4.1Winston County: 4.1 %Winston County4.1Henry County: 4 %Henry County4Lamar County: 4 %Lamar County4Escambia County: 3.9 %Escambia County3.9Lawrence County: 3.9 %Lawrence County3.9Marshall County: 3.9 %Marshall County3.9Pickens County: 3.9 %Pickens County3.9Baldwin County: 3.8 %Baldwin County3.8Cullman County: 3.8 %Cullman County3.8Morgan County: 3.7 %Morgan County3.7Cherokee County: 3.6 %Cherokee County3.6Covington County: 3.6 %Covington County3.6Geneva County: 3.6 %Geneva County3.6Jackson County: 3.6 %Jackson County3.6Tallapoosa County: 3.6 %Tallapoosa County3.6Fayette County: 3.5 %Fayette County3.5Limestone County: 3.5 %Limestone County3.5Walker County: 3.5 %Walker County3.5Barbour County: 3.4 %Barbour County3.4Coffee County: 3.4 %Coffee County3.4Conecuh County: 3.4 %Conecuh County3.4Marion County: 3.4 %Marion County3.4Randolph County: 3.4 %Randolph County3.4Sumter County: 3.4 %Sumter County3.4Wilcox County: 3.4 %Wilcox County3.4Lee County: 3.3 %Lee County3.3Pike County: 3.3 %Pike County3.3Greene County: 3.2 %Greene County3.2Lauderdale County: 3.2 %Lauderdale County3.2Monroe County: 3.2 %Monroe County3.2Franklin County: 5.1 %Franklin County5.1DeKalb County: 5 %DeKalb County5Clay County: 4.6 %Clay County4.6Washington County: 4.6 %Washington County4.6Blount County: 4.5 %Blount County4.5Chilton County: 4.5 %Chilton County4.5Coosa County: 4.4 %Coosa County4.4Crenshaw County: 4.4 %Crenshaw County4.4Choctaw County: 4.1 %Choctaw County4.1Cleburne County: 4.1 %Cleburne County4.1Winston County: 4.1 %Winston County4.1Henry County: 4 %Henry County4Lamar County: 4 %Lamar County4Escambia County: 3.9 %Escambia County3.9Lawrence County: 3.9 %Lawrence County3.9Marshall County: 3.9 %Marshall County3.9Pickens County: 3.9 %Pickens County3.9Baldwin County: 3.8 %Baldwin County3.8Cullman County: 3.8 %Cullman County3.8Morgan County: 3.7 %Morgan County3.7Cherokee County: 3.6 %Cherokee County3.6Covington County: 3.6 %Covington County3.6Geneva County: 3.6 %Geneva County3.6Jackson County: 3.6 %Jackson County3.6Tallapoosa County: 3.6 %Tallapoosa County3.6Fayette County: 3.5 %Fayette County3.5Limestone County: 3.5 %Limestone County3.5Walker County: 3.5 %Walker County3.5Barbour County: 3.4 %Barbour County3.4Coffee County: 3.4 %Coffee County3.4Conecuh County: 3.4 %Conecuh County3.4Marion County: 3.4 %Marion County3.4Randolph County: 3.4 %Randolph County3.4Sumter County: 3.4 %Sumter County3.4Wilcox County: 3.4 %Wilcox County3.4Lee County: 3.3 %Lee County3.3Pike County: 3.3 %Pike County3.3Greene County: 3.2 %Greene County3.2Lauderdale County: 3.2 %Lauderdale County3.2Monroe County: 3.2 %Monroe County3.2
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2018 (%)Change on 2017
1Franklin County5.1+0.8 pts
2DeKalb County5+0.8 pts
3Clay County4.6+0.3 pts
3Washington County4.6+0.3 pts
5Blount County4.5+0.4 pts
5Chilton County4.5+0.1 pts
7Coosa County4.4+0.5 pts
7Crenshaw County4.4+0.5 pts
9Choctaw County4.1+0.6 pts
9Cleburne County4.1-0.5 pts
9Winston County4.1+0.6 pts
12Henry County4+0.4 pts
12Lamar County4+0.1 pts
14Escambia County3.9+0.3 pts
14Lawrence County3.9-0.6 pts
14Marshall County3.9+0.3 pts
14Pickens County3.9+0.4 pts
18Baldwin County3.8+0.3 pts
18Cullman County3.8+0.4 pts
20Morgan County3.7+0.7 pts
21Cherokee County3.6+0.5 pts
21Covington County3.6-0.1 pts
21Geneva County3.6+0.2 pts
21Jackson County3.6+0.2 pts
21Tallapoosa County3.6+0.5 pts
26Fayette County3.5+0.4 pts
26Limestone County3.5+0.3 pts
26Walker County3.5+0.6 pts
29Barbour County3.4+0.5 pts
29Coffee County3.4-0.4 pts
29Conecuh County3.4+0.4 pts
29Marion County3.4+0.3 pts
29Randolph County3.4-0.2 pts
29Sumter County3.40 pts
29Wilcox County3.4+0.5 pts
36Lee County3.3+0.2 pts
36Pike County3.30 pts
38Greene County3.2+0.4 pts
38Lauderdale County3.2+0.1 pts
38Monroe County3.2-0.1 pts
41Clarke County3.1+0.2 pts
41Hale County3.1+0.4 pts
41Madison County3.1+0.2 pts
41Marengo County3.1+0.3 pts
41Montgomery County3.1+0.4 pts
46Elmore County3+0.3 pts
46St. Clair County3+0.4 pts
46Tuscaloosa County3+0.6 pts
49Bibb County2.9+0.3 pts
49Butler County2.9+0.2 pts
49Calhoun County2.9+0.5 pts
49Colbert County2.90 pts
49Etowah County2.90 pts
49Jefferson County2.9-0.2 pts
49Mobile County2.9+0.1 pts
49Talladega County2.9+0.5 pts
57Dale County2.8+0.3 pts
58Chambers County2.7+0.2 pts
58Lowndes County2.7-0.1 pts
58Perry County2.7+0.1 pts
58Russell County2.7+0.4 pts
62Bullock County2.6+0.3 pts
63Autauga County2.5-0.2 pts
63Dallas County2.5+0.3 pts
63Shelby County2.5-0.3 pts
66Houston County2.40 pts
66Macon County2.4+0.2 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

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. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2018,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 19 (US model-based estimate), 2018
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2018.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Retrieved 2026-10-12.
ER  -
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Franklin County, with 5.1% in 2018, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

Macon County, with 2.4% in 2018.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Alabama: more rankings