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

Todd County had the highest uninsured rate, under 19 (US model-based estimate) of 120 counties in 2018, at 6.4%. Oldham County had the lowest, at 2.4%. The median was 4% and the figure for Kentucky was 3.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest6.4Todd County
Lowest2.4Oldham County
Median4120 counties
Kentucky3.7History

Map of counties, 2018

Adair County: 4 %Allen County: 4.3 %Anderson County: 3.8 %Ballard County: 4.4 %Barren County: 5.7 %Bath County: 5.4 %Bell County: 3.6 %Boone County: 3 %Bourbon County: 5.5 %Boyd County: 3 %Boyle County: 3.5 %Bracken County: 3.9 %Breathitt County: 3.2 %Breckinridge County: 5.2 %Bullitt County: 3.3 %Butler County: 5.6 %Caldwell County: 3.8 %Calloway County: 4.3 %Campbell County: 2.5 %Carlisle County: 5 %Carroll County: 4.3 %Carter County: 4.3 %Casey County: 6.1 %Christian County: 3.8 %Clark County: 3.3 %Clay County: 3.8 %Clinton County: 4.7 %Crittenden County: 4.5 %Cumberland County: 4.5 %Daviess County: 3.3 %Edmonson County: 4.5 %Elliott County: 3.5 %Estill County: 3.9 %Fayette County: 4 %Fleming County: 5.5 %Floyd County: 3.7 %Franklin County: 3.9 %Fulton County: 3.1 %Gallatin County: 4.8 %Garrard County: 4.5 %Grant County: 4 %Graves County: 4.2 %Grayson County: 4.3 %Green County: 5.8 %Greenup County: 3.3 %Hancock County: 3.5 %Hardin County: 3.4 %Harlan County: 3.5 %Harrison County: 4.5 %Hart County: 4.4 %Henderson County: 3.4 %Henry County: 4.8 %Hickman County: 4.6 %Hopkins County: 3.4 %Jackson County: 4 %Jefferson County: 3.2 %Jessamine County: 4.2 %Johnson County: 3.6 %Kenton County: 3.1 %Knott County: 4.5 %Knox County: 3.1 %Larue County: 4.7 %Laurel County: 3.6 %Lawrence County: 3.8 %Lee County: 3.3 %Leslie County: 4 %Letcher County: 4 %Lewis County: 4.4 %Lincoln County: 5.5 %Livingston County: 4.2 %Logan County: 4.1 %Lyon County: 4.8 %McCracken County: 3.7 %McCreary County: 3.9 %McLean County: 4.3 %Madison County: 3.3 %Magoffin County: 4.7 %Marion County: 3.9 %Marshall County: 4.2 %Martin County: 4 %Mason County: 3.6 %Meade County: 3.8 %Menifee County: 3.9 %Mercer County: 4.8 %Metcalfe County: 4.5 %Monroe County: 5.2 %Montgomery County: 3.4 %Morgan County: 4.5 %Muhlenberg County: 3.8 %Nelson County: 3.3 %Nicholas County: 5.2 %Ohio County: 3.4 %Oldham County: 2.4 %Owen County: 4.8 %Owsley County: 3 %Pendleton County: 4.8 %Perry County: 3.4 %Pike County: 4.1 %Powell County: 3.6 %Pulaski County: 4.1 %Robertson County: 4.6 %Rockcastle County: 3.7 %Rowan County: 3.8 %Russell County: 5 %Scott County: 3.1 %Shelby County: 4.9 %Simpson County: 3.7 %Spencer County: 3.7 %Taylor County: 4.2 %Todd County: 6.4 %Trigg County: 5 %Trimble County: 3.7 %Union County: 4.2 %Warren County: 4.5 %Washington County: 5.8 %Wayne County: 3.8 %Webster County: 5.8 %Whitley County: 3.5 %Wolfe County: 3.6 %Woodford County: 5 %
  • Under 3.4
  • 3.4 to 3.7
  • 3.7 to 4
  • 4 to 4.4
  • 4.4 to 4.8
  • 4.8 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

Todd County: 6.4 %Todd County6.4Casey County: 6.1 %Casey County6.1Green County: 5.8 %Green County5.8Washington County: 5.8 %Washington County5.8Webster County: 5.8 %Webster County5.8Barren County: 5.7 %Barren County5.7Butler County: 5.6 %Butler County5.6Bourbon County: 5.5 %Bourbon County5.5Fleming County: 5.5 %Fleming County5.5Lincoln County: 5.5 %Lincoln County5.5Bath County: 5.4 %Bath County5.4Breckinridge County: 5.2 %Breckinridge County5.2Monroe County: 5.2 %Monroe County5.2Nicholas County: 5.2 %Nicholas County5.2Carlisle County: 5 %Carlisle County5Russell County: 5 %Russell County5Trigg County: 5 %Trigg County5Woodford County: 5 %Woodford County5Shelby County: 4.9 %Shelby County4.9Gallatin County: 4.8 %Gallatin County4.8Henry County: 4.8 %Henry County4.8Lyon County: 4.8 %Lyon County4.8Mercer County: 4.8 %Mercer County4.8Owen County: 4.8 %Owen County4.8Pendleton County: 4.8 %Pendleton County4.8Clinton County: 4.7 %Clinton County4.7Larue County: 4.7 %Larue County4.7Magoffin County: 4.7 %Magoffin County4.7Hickman County: 4.6 %Hickman County4.6Robertson County: 4.6 %Robertson County4.6Crittenden County: 4.5 %Crittenden County4.5Cumberland County: 4.5 %Cumberland County4.5Edmonson County: 4.5 %Edmonson County4.5Garrard County: 4.5 %Garrard County4.5Harrison County: 4.5 %Harrison County4.5Knott County: 4.5 %Knott County4.5Metcalfe County: 4.5 %Metcalfe County4.5Morgan County: 4.5 %Morgan County4.5Warren County: 4.5 %Warren County4.5Ballard County: 4.4 %Ballard County4.4Todd County: 6.4 %Todd County6.4Casey County: 6.1 %Casey County6.1Green County: 5.8 %Green County5.8Washington County: 5.8 %Washington County5.8Webster County: 5.8 %Webster County5.8Barren County: 5.7 %Barren County5.7Butler County: 5.6 %Butler County5.6Bourbon County: 5.5 %Bourbon County5.5Fleming County: 5.5 %Fleming County5.5Lincoln County: 5.5 %Lincoln County5.5Bath County: 5.4 %Bath County5.4Breckinridge County: 5.2 %Breckinridge County5.2Monroe County: 5.2 %Monroe County5.2Nicholas County: 5.2 %Nicholas County5.2Carlisle County: 5 %Carlisle County5Russell County: 5 %Russell County5Trigg County: 5 %Trigg County5Woodford County: 5 %Woodford County5Shelby County: 4.9 %Shelby County4.9Gallatin County: 4.8 %Gallatin County4.8Henry County: 4.8 %Henry County4.8Lyon County: 4.8 %Lyon County4.8Mercer County: 4.8 %Mercer County4.8Owen County: 4.8 %Owen County4.8Pendleton County: 4.8 %Pendleton County4.8Clinton County: 4.7 %Clinton County4.7Larue County: 4.7 %Larue County4.7Magoffin County: 4.7 %Magoffin County4.7Hickman County: 4.6 %Hickman County4.6Robertson County: 4.6 %Robertson County4.6Crittenden County: 4.5 %Crittenden County4.5Cumberland County: 4.5 %Cumberland County4.5Edmonson County: 4.5 %Edmonson County4.5Garrard County: 4.5 %Garrard County4.5Harrison County: 4.5 %Harrison County4.5Knott County: 4.5 %Knott County4.5Metcalfe County: 4.5 %Metcalfe County4.5Morgan County: 4.5 %Morgan County4.5Warren County: 4.5 %Warren County4.5Ballard County: 4.4 %Ballard County4.4
%. 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
1Todd County6.4-0.5 pts
2Casey County6.1+0.5 pts
3Green County5.80 pts
3Washington County5.8+0.2 pts
3Webster County5.8+0.3 pts
6Barren County5.7+1.4 pts
7Butler County5.60 pts
8Bourbon County5.50 pts
8Fleming County5.5+0.6 pts
8Lincoln County5.5+0.8 pts
11Bath County5.4+0.3 pts
12Breckinridge County5.2-0.6 pts
12Monroe County5.2-0.4 pts
12Nicholas County5.2-0.8 pts
15Carlisle County5-0.1 pts
15Russell County5-0.3 pts
15Trigg County5-1.7 pts
15Woodford County5-0.6 pts
19Shelby County4.9-0.2 pts
20Gallatin County4.8-0.7 pts
20Henry County4.8-0.3 pts
20Lyon County4.8-0.1 pts
20Mercer County4.8+0.3 pts
20Owen County4.8+0.2 pts
20Pendleton County4.8+0.5 pts
26Clinton County4.7-0.2 pts
26Larue County4.7+0.5 pts
26Magoffin County4.7+0.3 pts
29Hickman County4.6+0.2 pts
29Robertson County4.6-0.9 pts
31Crittenden County4.5+0.2 pts
31Cumberland County4.5-0.4 pts
31Edmonson County4.5-0.3 pts
31Garrard County4.5+0.1 pts
31Harrison County4.5+0.2 pts
31Knott County4.5+0.1 pts
31Metcalfe County4.5+0.3 pts
31Morgan County4.5-0.8 pts
31Warren County4.5+0.5 pts
40Ballard County4.4-0.1 pts
40Hart County4.4-0.3 pts
40Lewis County4.4+0.2 pts
43Allen County4.3-0.3 pts
43Calloway County4.3-1 pts
43Carroll County4.3-0.1 pts
43Carter County4.3+0.7 pts
43Grayson County4.3+0.1 pts
43McLean County4.3-0.8 pts
49Graves County4.20 pts
49Jessamine County4.2-0.6 pts
49Livingston County4.2+0.1 pts
49Marshall County4.2+0.2 pts
49Taylor County4.2+0.3 pts
49Union County4.2-0.4 pts
55Logan County4.1-0.2 pts
55Pike County4.1-0.2 pts
55Pulaski County4.1+0.2 pts
58Adair County40 pts
58Fayette County4-0.1 pts
58Grant County4+0.4 pts
58Jackson County4-0.8 pts
58Leslie County4-0.4 pts
58Letcher County4+0.3 pts
58Martin County4-0.6 pts
65Bracken County3.9-0.8 pts
65Estill County3.9-0.2 pts
65Franklin County3.9-0.1 pts
65Marion County3.9-0.1 pts
65McCreary County3.9+0.2 pts
65Menifee County3.9-0.6 pts
71Anderson County3.8+0.5 pts
71Caldwell County3.8-0.3 pts
71Christian County3.8+0.3 pts
71Clay County3.8-0.1 pts
71Lawrence County3.8+0.2 pts
71Meade County3.8+0.2 pts
71Muhlenberg County3.80 pts
71Rowan County3.8-0.3 pts
71Wayne County3.8-0.2 pts
80Floyd County3.7+0.2 pts
80McCracken County3.7+0.1 pts
80Rockcastle County3.7+0.1 pts
80Simpson County3.7+0.1 pts
80Spencer County3.7-0.4 pts
80Trimble County3.7-0.5 pts
86Bell County3.6+0.4 pts
86Johnson County3.6-0.2 pts
86Laurel County3.60 pts
86Mason County3.6-0.8 pts
86Powell County3.6+0.1 pts
86Wolfe County3.6-0.1 pts
92Boyle County3.5+0.1 pts
92Elliott County3.5-0.1 pts
92Hancock County3.5+0.4 pts
92Harlan County3.5+0.2 pts
92Whitley County3.5+0.1 pts
97Hardin County3.4-0.1 pts
97Henderson County3.4+0.2 pts
97Hopkins County3.4-0.1 pts
97Montgomery County3.4-0.6 pts
97Ohio County3.40 pts
97Perry County3.4-0.1 pts
103Bullitt County3.3+0.4 pts
103Clark County3.30 pts
103Daviess County3.3+0.1 pts
103Greenup County3.3+0.3 pts
103Lee County3.30 pts
103Madison County3.3-0.4 pts
103Nelson County3.3-0.2 pts
110Breathitt County3.2-0.1 pts
110Jefferson County3.2+0.3 pts
112Fulton County3.1+0.1 pts
112Kenton County3.1-0.3 pts
112Knox County3.1+0.1 pts
112Scott County3.1-0.4 pts
116Boone County3+0.3 pts
116Boyd County3-0.3 pts
116Owsley County3-0.2 pts
119Campbell County2.5-0.1 pts
120Oldham County2.4-0.1 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-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 Kentucky 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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/kentucky-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)?

Todd County, with 6.4% in 2018, according to the U.S. Census Bureau.

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

Oldham 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 Kentucky: more rankings