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

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

Sanilac County had the highest uninsured rate, under 19 (US model-based estimate) of 83 counties in 2023, at 5.5%. Livingston County had the lowest, at 1.8%. The median was 3.3% and the figure for Michigan was 2.8%. Source: the U.S. Census Bureau.

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Highest5.5Sanilac County
Lowest1.8Livingston County
Median3.383 counties
Michigan2.8History

Map of counties, 2023

Alcona County: 3.9 %Alger County: 2.9 %Allegan County: 3.3 %Alpena County: 3.3 %Antrim County: 3.3 %Arenac County: 4.2 %Baraga County: 2.8 %Barry County: 3.3 %Bay County: 3 %Benzie County: 3.4 %Berrien County: 3.9 %Branch County: 4.4 %Calhoun County: 3.4 %Cass County: 4.7 %Charlevoix County: 3.1 %Cheboygan County: 3.6 %Chippewa County: 2.6 %Clare County: 4.7 %Clinton County: 2.4 %Crawford County: 3.5 %Delta County: 3.6 %Dickinson County: 2.2 %Eaton County: 2.7 %Emmet County: 3 %Genesee County: 3 %Gladwin County: 5.4 %Gogebic County: 2.7 %Grand Traverse County: 3 %Gratiot County: 2.9 %Hillsdale County: 4 %Houghton County: 3.7 %Huron County: 3.7 %Ingham County: 2.6 %Ionia County: 3 %Iosco County: 3.5 %Iron County: 3.5 %Isabella County: 3.3 %Jackson County: 2.5 %Kalamazoo County: 2.6 %Kalkaska County: 4 %Kent County: 2.5 %Keweenaw County: 2.6 %Lake County: 4.8 %Lapeer County: 3.1 %Leelanau County: 3.4 %Lenawee County: 3.3 %Livingston County: 1.8 %Luce County: 2.6 %Mackinac County: 3.5 %Macomb County: 2.8 %Manistee County: 3.9 %Marquette County: 2.5 %Mason County: 3.1 %Mecosta County: 5 %Menominee County: 3 %Midland County: 2.3 %Missaukee County: 4.7 %Monroe County: 2.3 %Montcalm County: 3.9 %Montmorency County: 4 %Muskegon County: 2.7 %Newaygo County: 3.5 %Oakland County: 2.2 %Oceana County: 3.8 %Ogemaw County: 4.2 %Ontonagon County: 3.5 %Osceola County: 4.7 %Oscoda County: 4.9 %Otsego County: 3 %Ottawa County: 2.3 %Presque Isle County: 4.2 %Roscommon County: 3.6 %Saginaw County: 2.5 %St. Clair County: 2.8 %St. Joseph County: 4.7 %Sanilac County: 5.5 %Schoolcraft County: 4 %Shiawassee County: 2.7 %Tuscola County: 3 %Van Buren County: 4.2 %Washtenaw County: 2.5 %Wayne County: 2.7 %Wexford County: 3.4 %
  • Under 2.6
  • 2.6 to 3
  • 3 to 3.3
  • 3.3 to 3.6
  • 3.6 to 4.2
  • 4.2 and over
%, 2023. 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, 2023

Sanilac County: 5.5 %Sanilac County5.5Gladwin County: 5.4 %Gladwin County5.4Mecosta County: 5 %Mecosta County5Oscoda County: 4.9 %Oscoda County4.9Lake County: 4.8 %Lake County4.8Cass County: 4.7 %Cass County4.7Clare County: 4.7 %Clare County4.7Missaukee County: 4.7 %Missaukee County4.7Osceola County: 4.7 %Osceola County4.7St. Joseph County: 4.7 %St. Joseph County4.7Branch County: 4.4 %Branch County4.4Arenac County: 4.2 %Arenac County4.2Ogemaw County: 4.2 %Ogemaw County4.2Presque Isle County: 4.2 %Presque Isle County4.2Van Buren County: 4.2 %Van Buren County4.2Hillsdale County: 4 %Hillsdale County4Kalkaska County: 4 %Kalkaska County4Montmorency County: 4 %Montmorency County4Schoolcraft County: 4 %Schoolcraft County4Alcona County: 3.9 %Alcona County3.9Berrien County: 3.9 %Berrien County3.9Manistee County: 3.9 %Manistee County3.9Montcalm County: 3.9 %Montcalm County3.9Oceana County: 3.8 %Oceana County3.8Houghton County: 3.7 %Houghton County3.7Huron County: 3.7 %Huron County3.7Cheboygan County: 3.6 %Cheboygan County3.6Delta County: 3.6 %Delta County3.6Roscommon County: 3.6 %Roscommon County3.6Crawford County: 3.5 %Crawford County3.5Iosco County: 3.5 %Iosco County3.5Iron County: 3.5 %Iron County3.5Mackinac County: 3.5 %Mackinac County3.5Newaygo County: 3.5 %Newaygo County3.5Ontonagon County: 3.5 %Ontonagon County3.5Benzie County: 3.4 %Benzie County3.4Calhoun County: 3.4 %Calhoun County3.4Leelanau County: 3.4 %Leelanau County3.4Wexford County: 3.4 %Wexford County3.4Allegan County: 3.3 %Allegan County3.3Sanilac County: 5.5 %Sanilac County5.5Gladwin County: 5.4 %Gladwin County5.4Mecosta County: 5 %Mecosta County5Oscoda County: 4.9 %Oscoda County4.9Lake County: 4.8 %Lake County4.8Cass County: 4.7 %Cass County4.7Clare County: 4.7 %Clare County4.7Missaukee County: 4.7 %Missaukee County4.7Osceola County: 4.7 %Osceola County4.7St. Joseph County: 4.7 %St. Joseph County4.7Branch County: 4.4 %Branch County4.4Arenac County: 4.2 %Arenac County4.2Ogemaw County: 4.2 %Ogemaw County4.2Presque Isle County: 4.2 %Presque Isle County4.2Van Buren County: 4.2 %Van Buren County4.2Hillsdale County: 4 %Hillsdale County4Kalkaska County: 4 %Kalkaska County4Montmorency County: 4 %Montmorency County4Schoolcraft County: 4 %Schoolcraft County4Alcona County: 3.9 %Alcona County3.9Berrien County: 3.9 %Berrien County3.9Manistee County: 3.9 %Manistee County3.9Montcalm County: 3.9 %Montcalm County3.9Oceana County: 3.8 %Oceana County3.8Houghton County: 3.7 %Houghton County3.7Huron County: 3.7 %Huron County3.7Cheboygan County: 3.6 %Cheboygan County3.6Delta County: 3.6 %Delta County3.6Roscommon County: 3.6 %Roscommon County3.6Crawford County: 3.5 %Crawford County3.5Iosco County: 3.5 %Iosco County3.5Iron County: 3.5 %Iron County3.5Mackinac County: 3.5 %Mackinac County3.5Newaygo County: 3.5 %Newaygo County3.5Ontonagon County: 3.5 %Ontonagon County3.5Benzie County: 3.4 %Benzie County3.4Calhoun County: 3.4 %Calhoun County3.4Leelanau County: 3.4 %Leelanau County3.4Wexford County: 3.4 %Wexford County3.4Allegan County: 3.3 %Allegan County3.3
%. 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

RankCounties2023 (%)Change on 2022
1Sanilac County5.5+2 pts
2Gladwin County5.4+0.4 pts
3Mecosta County5+0.7 pts
4Oscoda County4.9-1.2 pts
5Lake County4.8+0.4 pts
6Cass County4.7+1.3 pts
6Clare County4.70 pts
6Missaukee County4.7+0.8 pts
6Osceola County4.7+1 pts
6St. Joseph County4.7+0.8 pts
11Branch County4.4-0.4 pts
12Arenac County4.2+0.7 pts
12Ogemaw County4.2+0.6 pts
12Presque Isle County4.2+0.8 pts
12Van Buren County4.2+1 pts
16Hillsdale County40 pts
16Kalkaska County4+0.1 pts
16Montmorency County4+0.3 pts
16Schoolcraft County4+0.4 pts
20Alcona County3.9+0.6 pts
20Berrien County3.9+0.6 pts
20Manistee County3.9+0.8 pts
20Montcalm County3.9+0.1 pts
24Oceana County3.8+0.6 pts
25Houghton County3.7+0.7 pts
25Huron County3.7+0.1 pts
27Cheboygan County3.6+0.4 pts
27Delta County3.6+0.7 pts
27Roscommon County3.6+0.7 pts
30Crawford County3.5+0.4 pts
30Iosco County3.5+0.5 pts
30Iron County3.5-0.5 pts
30Mackinac County3.5-1.9 pts
30Newaygo County3.5-0.2 pts
30Ontonagon County3.5+0.4 pts
36Benzie County3.4+0.1 pts
36Calhoun County3.4+0.3 pts
36Leelanau County3.4-0.1 pts
36Wexford County3.4+0.4 pts
40Allegan County3.3+0.2 pts
40Alpena County3.3+0.3 pts
40Antrim County3.3-0.7 pts
40Barry County3.3+0.5 pts
40Isabella County3.3+0.7 pts
40Lenawee County3.3+0.5 pts
46Charlevoix County3.1-0.2 pts
46Lapeer County3.1+0.2 pts
46Mason County3.1+0.4 pts
49Bay County3+0.3 pts
49Emmet County3-0.3 pts
49Genesee County3+0.8 pts
49Grand Traverse County30 pts
49Ionia County3+0.1 pts
49Menominee County3+0.1 pts
49Otsego County3-0.4 pts
49Tuscola County30 pts
57Alger County2.9+0.2 pts
57Gratiot County2.9+0.6 pts
59Baraga County2.8-0.1 pts
59Macomb County2.8+0.2 pts
59St. Clair County2.80 pts
62Eaton County2.7+0.3 pts
62Gogebic County2.7+0.2 pts
62Muskegon County2.7+0.4 pts
62Shiawassee County2.7-0.3 pts
62Wayne County2.7+0.3 pts
67Chippewa County2.6-0.9 pts
67Ingham County2.6+0.1 pts
67Kalamazoo County2.6+0.2 pts
67Keweenaw County2.6+0.9 pts
67Luce County2.6+0.1 pts
72Jackson County2.5-0.1 pts
72Kent County2.5+0.2 pts
72Marquette County2.5-0.1 pts
72Saginaw County2.5+0.1 pts
72Washtenaw County2.5+0.2 pts
77Clinton County2.4-0.1 pts
78Midland County2.3-0.2 pts
78Monroe County2.3-0.1 pts
78Ottawa County2.3-0.2 pts
81Dickinson County2.2-0.2 pts
81Oakland County2.2+0.2 pts
83Livingston County1.8-0.7 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-2023-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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023. 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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023.

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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_michigan_by_2023,
  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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023. 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-2023-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 Michigan by uninsured rate, under 19 (US model-based estimate), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/michigan-counties?period=2023.
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-2023-csv.zip. Retrieved 2026-10-12.
ER  -
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Rank Counties in Michigan by uninsured rate, under 19 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_19","level":"province","within":"Michigan","limit":10}
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Questions

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

Sanilac County, with 5.5% in 2023, according to the U.S. Census Bureau.

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

Livingston County, with 1.8% 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, 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 Michigan: more rankings