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 2021, at 6.2%. Macon County had the lowest, at 3%. The median was 4.3% and the figure for Alabama was 4.1%. Source: the U.S. Census Bureau.

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Highest6.2Franklin County
Lowest3Macon County
Median4.367 counties
Alabama4.1History

Map of counties, 2021

Autauga County: 4 %Baldwin County: 4.9 %Barbour County: 3.9 %Bibb County: 3.9 %Blount County: 4.7 %Bullock County: 3 %Butler County: 3.9 %Calhoun County: 4.3 %Chambers County: 3.9 %Cherokee County: 4.5 %Chilton County: 5.4 %Choctaw County: 5.1 %Clarke County: 4.5 %Clay County: 5.4 %Cleburne County: 5.4 %Coffee County: 5.5 %Colbert County: 4.1 %Conecuh County: 4 %Coosa County: 4.5 %Covington County: 5.2 %Crenshaw County: 5.8 %Cullman County: 4.8 %Dale County: 3.8 %Dallas County: 3.3 %DeKalb County: 5.9 %Elmore County: 4.3 %Escambia County: 4.6 %Etowah County: 4.2 %Fayette County: 4.1 %Franklin County: 6.2 %Geneva County: 4.7 %Greene County: 3.2 %Hale County: 4.6 %Henry County: 5.3 %Houston County: 3.8 %Jackson County: 4.8 %Jefferson County: 3.6 %Lamar County: 4.8 %Lauderdale County: 4.3 %Lawrence County: 5.3 %Lee County: 3.9 %Limestone County: 4.5 %Lowndes County: 3.9 %Macon County: 3 %Madison County: 4.2 %Marengo County: 3.9 %Marion County: 4.1 %Marshall County: 4.4 %Mobile County: 3.5 %Monroe County: 3.6 %Montgomery County: 3.8 %Morgan County: 5.1 %Perry County: 3.8 %Pickens County: 4.7 %Pike County: 4.4 %Randolph County: 4.5 %Russell County: 3.4 %St. Clair County: 3.8 %Shelby County: 3.3 %Sumter County: 3.8 %Talladega County: 3.6 %Tallapoosa County: 5 %Tuscaloosa County: 3.4 %Walker County: 4.3 %Washington County: 4.1 %Wilcox County: 4.2 %Winston County: 5 %
  • Under 3.8
  • 3.8 to 3.9
  • 3.9 to 4.3
  • 4.3 to 4.6
  • 4.6 to 5.1
  • 5.1 and over
%, 2021. 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, 2021

Franklin County: 6.2 %Franklin County6.2DeKalb County: 5.9 %DeKalb County5.9Crenshaw County: 5.8 %Crenshaw County5.8Coffee County: 5.5 %Coffee County5.5Chilton County: 5.4 %Chilton County5.4Clay County: 5.4 %Clay County5.4Cleburne County: 5.4 %Cleburne County5.4Henry County: 5.3 %Henry County5.3Lawrence County: 5.3 %Lawrence County5.3Covington County: 5.2 %Covington County5.2Choctaw County: 5.1 %Choctaw County5.1Morgan County: 5.1 %Morgan County5.1Tallapoosa County: 5 %Tallapoosa County5Winston County: 5 %Winston County5Baldwin County: 4.9 %Baldwin County4.9Cullman County: 4.8 %Cullman County4.8Jackson County: 4.8 %Jackson County4.8Lamar County: 4.8 %Lamar County4.8Blount County: 4.7 %Blount County4.7Geneva County: 4.7 %Geneva County4.7Pickens County: 4.7 %Pickens County4.7Escambia County: 4.6 %Escambia County4.6Hale County: 4.6 %Hale County4.6Cherokee County: 4.5 %Cherokee County4.5Clarke County: 4.5 %Clarke County4.5Coosa County: 4.5 %Coosa County4.5Limestone County: 4.5 %Limestone County4.5Randolph County: 4.5 %Randolph County4.5Marshall County: 4.4 %Marshall County4.4Pike County: 4.4 %Pike County4.4Calhoun County: 4.3 %Calhoun County4.3Elmore County: 4.3 %Elmore County4.3Lauderdale County: 4.3 %Lauderdale County4.3Walker County: 4.3 %Walker County4.3Etowah County: 4.2 %Etowah County4.2Madison County: 4.2 %Madison County4.2Wilcox County: 4.2 %Wilcox County4.2Colbert County: 4.1 %Colbert County4.1Fayette County: 4.1 %Fayette County4.1Marion County: 4.1 %Marion County4.1Franklin County: 6.2 %Franklin County6.2DeKalb County: 5.9 %DeKalb County5.9Crenshaw County: 5.8 %Crenshaw County5.8Coffee County: 5.5 %Coffee County5.5Chilton County: 5.4 %Chilton County5.4Clay County: 5.4 %Clay County5.4Cleburne County: 5.4 %Cleburne County5.4Henry County: 5.3 %Henry County5.3Lawrence County: 5.3 %Lawrence County5.3Covington County: 5.2 %Covington County5.2Choctaw County: 5.1 %Choctaw County5.1Morgan County: 5.1 %Morgan County5.1Tallapoosa County: 5 %Tallapoosa County5Winston County: 5 %Winston County5Baldwin County: 4.9 %Baldwin County4.9Cullman County: 4.8 %Cullman County4.8Jackson County: 4.8 %Jackson County4.8Lamar County: 4.8 %Lamar County4.8Blount County: 4.7 %Blount County4.7Geneva County: 4.7 %Geneva County4.7Pickens County: 4.7 %Pickens County4.7Escambia County: 4.6 %Escambia County4.6Hale County: 4.6 %Hale County4.6Cherokee County: 4.5 %Cherokee County4.5Clarke County: 4.5 %Clarke County4.5Coosa County: 4.5 %Coosa County4.5Limestone County: 4.5 %Limestone County4.5Randolph County: 4.5 %Randolph County4.5Marshall County: 4.4 %Marshall County4.4Pike County: 4.4 %Pike County4.4Calhoun County: 4.3 %Calhoun County4.3Elmore County: 4.3 %Elmore County4.3Lauderdale County: 4.3 %Lauderdale County4.3Walker County: 4.3 %Walker County4.3Etowah County: 4.2 %Etowah County4.2Madison County: 4.2 %Madison County4.2Wilcox County: 4.2 %Wilcox County4.2Colbert County: 4.1 %Colbert County4.1Fayette County: 4.1 %Fayette County4.1Marion County: 4.1 %Marion County4.1
%. 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

RankCounties2021 (%)Change on 2020
1Franklin County6.2+1 pts
2DeKalb County5.9+0.2 pts
3Crenshaw County5.8+0.9 pts
4Coffee County5.5+0.4 pts
5Chilton County5.4+0.6 pts
5Clay County5.40 pts
5Cleburne County5.4+0.5 pts
8Henry County5.3+0.9 pts
8Lawrence County5.3-0.2 pts
10Covington County5.2+1.8 pts
11Choctaw County5.1+0.5 pts
11Morgan County5.1-0.2 pts
13Tallapoosa County5+0.8 pts
13Winston County5+0.7 pts
15Baldwin County4.9+1.1 pts
16Cullman County4.8-0.1 pts
16Jackson County4.8+0.9 pts
16Lamar County4.8+0.2 pts
19Blount County4.7+0.2 pts
19Geneva County4.7+0.8 pts
19Pickens County4.7+0.3 pts
22Escambia County4.6+0.6 pts
22Hale County4.6+0.5 pts
24Cherokee County4.5+0.4 pts
24Clarke County4.5+0.2 pts
24Coosa County4.50 pts
24Limestone County4.5+0.2 pts
24Randolph County4.5+0.5 pts
29Marshall County4.4+0.3 pts
29Pike County4.4+0.6 pts
31Calhoun County4.3+1.1 pts
31Elmore County4.3+0.6 pts
31Lauderdale County4.3+0.5 pts
31Walker County4.3+0.4 pts
35Etowah County4.2+0.7 pts
35Madison County4.2+1.1 pts
35Wilcox County4.2+0.3 pts
38Colbert County4.1+0.6 pts
38Fayette County4.1+0.1 pts
38Marion County4.1+0.5 pts
38Washington County4.1-1.4 pts
42Autauga County4+0.2 pts
42Conecuh County4+0.8 pts
44Barbour County3.9+0.2 pts
44Bibb County3.90 pts
44Butler County3.9+0.2 pts
44Chambers County3.9-0.1 pts
44Lee County3.9+0.6 pts
44Lowndes County3.9+0.2 pts
44Marengo County3.9+0.3 pts
51Dale County3.8+0.2 pts
51Houston County3.8-0.2 pts
51Montgomery County3.8+0.7 pts
51Perry County3.8-0.2 pts
51St. Clair County3.8+0.1 pts
51Sumter County3.8+0.2 pts
57Jefferson County3.6+0.5 pts
57Monroe County3.6-0.2 pts
57Talladega County3.6+0.2 pts
60Mobile County3.5+0.7 pts
61Russell County3.4+0.2 pts
61Tuscaloosa County3.4+0.1 pts
63Dallas County3.3+0.5 pts
63Shelby County3.3-0.2 pts
65Greene County3.2-0.7 pts
66Bullock County3+0.1 pts
66Macon County3-0.1 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/alabama-counties?period=2021.
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-2021-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 6.2% in 2021, according to the U.S. Census Bureau.

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

Macon County, with 3% 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, 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