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)

DeKalb County had the highest uninsured rate, under 19 (US model-based estimate) of 67 counties in 2020, at 5.7%. Mobile County had the lowest, at 2.8%. The median was 3.9% and the figure for Alabama was 3.6%. Source: the U.S. Census Bureau.

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Highest5.7DeKalb County
Lowest2.8Mobile County
Median3.967 counties
Alabama3.6History

Map of counties, 2020

Autauga County: 3.8 %Baldwin County: 3.8 %Barbour County: 3.7 %Bibb County: 3.9 %Blount County: 4.5 %Bullock County: 2.9 %Butler County: 3.7 %Calhoun County: 3.2 %Chambers County: 4 %Cherokee County: 4.1 %Chilton County: 4.8 %Choctaw County: 4.6 %Clarke County: 4.3 %Clay County: 5.4 %Cleburne County: 4.9 %Coffee County: 5.1 %Colbert County: 3.5 %Conecuh County: 3.2 %Coosa County: 4.5 %Covington County: 3.4 %Crenshaw County: 4.9 %Cullman County: 4.9 %Dale County: 3.6 %Dallas County: 2.8 %DeKalb County: 5.7 %Elmore County: 3.7 %Escambia County: 4 %Etowah County: 3.5 %Fayette County: 4 %Franklin County: 5.2 %Geneva County: 3.9 %Greene County: 3.9 %Hale County: 4.1 %Henry County: 4.4 %Houston County: 4 %Jackson County: 3.9 %Jefferson County: 3.1 %Lamar County: 4.6 %Lauderdale County: 3.8 %Lawrence County: 5.5 %Lee County: 3.3 %Limestone County: 4.3 %Lowndes County: 3.7 %Macon County: 3.1 %Madison County: 3.1 %Marengo County: 3.6 %Marion County: 3.6 %Marshall County: 4.1 %Mobile County: 2.8 %Monroe County: 3.8 %Montgomery County: 3.1 %Morgan County: 5.3 %Perry County: 4 %Pickens County: 4.4 %Pike County: 3.8 %Randolph County: 4 %Russell County: 3.2 %St. Clair County: 3.7 %Shelby County: 3.5 %Sumter County: 3.6 %Talladega County: 3.4 %Tallapoosa County: 4.2 %Tuscaloosa County: 3.3 %Walker County: 3.9 %Washington County: 5.5 %Wilcox County: 3.9 %Winston County: 4.3 %
  • Under 3.3
  • 3.3 to 3.7
  • 3.7 to 3.9
  • 3.9 to 4.1
  • 4.1 to 4.6
  • 4.6 and over
%, 2020. 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, 2020

DeKalb County: 5.7 %DeKalb County5.7Lawrence County: 5.5 %Lawrence County5.5Washington County: 5.5 %Washington County5.5Clay County: 5.4 %Clay County5.4Morgan County: 5.3 %Morgan County5.3Franklin County: 5.2 %Franklin County5.2Coffee County: 5.1 %Coffee County5.1Cleburne County: 4.9 %Cleburne County4.9Crenshaw County: 4.9 %Crenshaw County4.9Cullman County: 4.9 %Cullman County4.9Chilton County: 4.8 %Chilton County4.8Choctaw County: 4.6 %Choctaw County4.6Lamar County: 4.6 %Lamar County4.6Blount County: 4.5 %Blount County4.5Coosa County: 4.5 %Coosa County4.5Henry County: 4.4 %Henry County4.4Pickens County: 4.4 %Pickens County4.4Clarke County: 4.3 %Clarke County4.3Limestone County: 4.3 %Limestone County4.3Winston County: 4.3 %Winston County4.3Tallapoosa County: 4.2 %Tallapoosa County4.2Cherokee County: 4.1 %Cherokee County4.1Hale County: 4.1 %Hale County4.1Marshall County: 4.1 %Marshall County4.1Chambers County: 4 %Chambers County4Escambia County: 4 %Escambia County4Fayette County: 4 %Fayette County4Houston County: 4 %Houston County4Perry County: 4 %Perry County4Randolph County: 4 %Randolph County4Bibb County: 3.9 %Bibb County3.9Geneva County: 3.9 %Geneva County3.9Greene County: 3.9 %Greene County3.9Jackson County: 3.9 %Jackson County3.9Walker County: 3.9 %Walker County3.9Wilcox County: 3.9 %Wilcox County3.9Autauga County: 3.8 %Autauga County3.8Baldwin County: 3.8 %Baldwin County3.8Lauderdale County: 3.8 %Lauderdale County3.8Monroe County: 3.8 %Monroe County3.8DeKalb County: 5.7 %DeKalb County5.7Lawrence County: 5.5 %Lawrence County5.5Washington County: 5.5 %Washington County5.5Clay County: 5.4 %Clay County5.4Morgan County: 5.3 %Morgan County5.3Franklin County: 5.2 %Franklin County5.2Coffee County: 5.1 %Coffee County5.1Cleburne County: 4.9 %Cleburne County4.9Crenshaw County: 4.9 %Crenshaw County4.9Cullman County: 4.9 %Cullman County4.9Chilton County: 4.8 %Chilton County4.8Choctaw County: 4.6 %Choctaw County4.6Lamar County: 4.6 %Lamar County4.6Blount County: 4.5 %Blount County4.5Coosa County: 4.5 %Coosa County4.5Henry County: 4.4 %Henry County4.4Pickens County: 4.4 %Pickens County4.4Clarke County: 4.3 %Clarke County4.3Limestone County: 4.3 %Limestone County4.3Winston County: 4.3 %Winston County4.3Tallapoosa County: 4.2 %Tallapoosa County4.2Cherokee County: 4.1 %Cherokee County4.1Hale County: 4.1 %Hale County4.1Marshall County: 4.1 %Marshall County4.1Chambers County: 4 %Chambers County4Escambia County: 4 %Escambia County4Fayette County: 4 %Fayette County4Houston County: 4 %Houston County4Perry County: 4 %Perry County4Randolph County: 4 %Randolph County4Bibb County: 3.9 %Bibb County3.9Geneva County: 3.9 %Geneva County3.9Greene County: 3.9 %Greene County3.9Jackson County: 3.9 %Jackson County3.9Walker County: 3.9 %Walker County3.9Wilcox County: 3.9 %Wilcox County3.9Autauga County: 3.8 %Autauga County3.8Baldwin County: 3.8 %Baldwin County3.8Lauderdale County: 3.8 %Lauderdale County3.8Monroe County: 3.8 %Monroe County3.8
%. 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

RankCounties2020 (%)Change on 2019
1DeKalb County5.7+0.7 pts
2Lawrence County5.5+0.8 pts
2Washington County5.5+0.4 pts
4Clay County5.4+1 pts
5Morgan County5.3+1.2 pts
6Franklin County5.2+0.4 pts
7Coffee County5.1+1.3 pts
8Cleburne County4.9+0.2 pts
8Crenshaw County4.9+0.4 pts
8Cullman County4.9+1.5 pts
11Chilton County4.8+0.5 pts
12Choctaw County4.6+0.3 pts
12Lamar County4.6+0.7 pts
14Blount County4.5-0.2 pts
14Coosa County4.5+0.6 pts
16Henry County4.4+0.3 pts
16Pickens County4.4+0.3 pts
18Clarke County4.3+0.9 pts
18Limestone County4.3+0.6 pts
18Winston County4.3+0.6 pts
21Tallapoosa County4.2+0.7 pts
22Cherokee County4.1+0.4 pts
22Hale County4.1+0.8 pts
22Marshall County4.1+0.5 pts
25Chambers County4+1.2 pts
25Escambia County4+0.4 pts
25Fayette County4+0.3 pts
25Houston County4+0.9 pts
25Perry County4+0.8 pts
25Randolph County4+0.7 pts
31Bibb County3.9+0.8 pts
31Geneva County3.9+0.3 pts
31Greene County3.9+0.7 pts
31Jackson County3.9+0.5 pts
31Walker County3.9-0.6 pts
31Wilcox County3.9+0.5 pts
37Autauga County3.8+1.1 pts
37Baldwin County3.8+0.4 pts
37Lauderdale County3.8+0.4 pts
37Monroe County3.8+0.4 pts
37Pike County3.8-0.1 pts
42Barbour County3.7+0.1 pts
42Butler County3.7+0.3 pts
42Elmore County3.7+0.5 pts
42Lowndes County3.7+0.4 pts
42St. Clair County3.7+0.9 pts
47Dale County3.6+0.4 pts
47Marengo County3.6+0.3 pts
47Marion County3.6+0.3 pts
47Sumter County3.6-0.4 pts
51Colbert County3.5+0.4 pts
51Etowah County3.5-0.2 pts
51Shelby County3.5+0.5 pts
54Covington County3.4-0.3 pts
54Talladega County3.4+0.6 pts
56Lee County3.3-0.3 pts
56Tuscaloosa County3.3+0.1 pts
58Calhoun County3.2+0.2 pts
58Conecuh County3.2-0.3 pts
58Russell County3.2+0.7 pts
61Jefferson County3.1+0.4 pts
61Macon County3.1+0.6 pts
61Madison County3.1-0.1 pts
61Montgomery County3.10 pts
65Bullock County2.9+0.5 pts
66Dallas County2.8+0.1 pts
66Mobile County2.8+0.1 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2020.
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-2020-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)?

DeKalb County, with 5.7% in 2020, according to the U.S. Census Bureau.

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

Mobile County, with 2.8% in 2020.

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