Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2024

Holmes County had the highest uninsured rate, under 19 (US model-based estimate) of 88 counties in 2024, at 38.8%. Union County had the lowest, at 3.1%. The median was 5.3% and the figure for Ohio was 5.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest38.8Holmes County
Lowest3.1Union County
Median5.388 counties
Ohio5.5History

Map of counties, 2024

Adams County: 6.3 %Allen County: 4.8 %Ashland County: 6.1 %Ashtabula County: 8.1 %Athens County: 5.6 %Auglaize County: 3.7 %Belmont County: 4.8 %Brown County: 5.7 %Butler County: 5.7 %Carroll County: 7.7 %Champaign County: 4.9 %Clark County: 5.4 %Clermont County: 4.6 %Clinton County: 5.2 %Columbiana County: 5.9 %Coshocton County: 8.7 %Crawford County: 5.2 %Cuyahoga County: 4.8 %Darke County: 6 %Defiance County: 6.1 %Delaware County: 3.1 %Erie County: 4.5 %Fairfield County: 3.9 %Fayette County: 6.4 %Franklin County: 6.4 %Fulton County: 4.6 %Gallia County: 5.5 %Geauga County: 9.7 %Greene County: 3.6 %Guernsey County: 8.2 %Hamilton County: 5.1 %Hancock County: 4.5 %Hardin County: 5.3 %Harrison County: 8.7 %Henry County: 5.3 %Highland County: 6.4 %Hocking County: 5.5 %Holmes County: 38.8 %Huron County: 5.8 %Jackson County: 7.3 %Jefferson County: 4.1 %Knox County: 8.4 %Lake County: 3.9 %Lawrence County: 5 %Licking County: 4.3 %Logan County: 4.9 %Lorain County: 5.1 %Lucas County: 4.8 %Madison County: 6 %Mahoning County: 4.4 %Marion County: 4.3 %Medina County: 4.4 %Meigs County: 6 %Mercer County: 3.9 %Miami County: 4.8 %Monroe County: 6.2 %Montgomery County: 6 %Morgan County: 7.3 %Morrow County: 9 %Muskingum County: 6 %Noble County: 5.9 %Ottawa County: 5.2 %Paulding County: 6.2 %Perry County: 6 %Pickaway County: 5.3 %Pike County: 6.4 %Portage County: 4.2 %Preble County: 5 %Putnam County: 4.7 %Richland County: 7.6 %Ross County: 5.6 %Sandusky County: 4.6 %Scioto County: 5.4 %Seneca County: 4.6 %Shelby County: 5.2 %Stark County: 4.5 %Summit County: 4 %Trumbull County: 7.3 %Tuscarawas County: 8 %Union County: 3.1 %Van Wert County: 4.7 %Vinton County: 7.4 %Warren County: 3.8 %Washington County: 4.7 %Wayne County: 13.9 %Williams County: 5.2 %Wood County: 3.5 %Wyandot County: 4.3 %
  • Under 4.3
  • 4.3 to 4.8
  • 4.8 to 5.3
  • 5.3 to 6
  • 6 to 7.3
  • 7.3 and over
%, 2024. 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, 2024

Holmes County: 38.8 %Holmes County38.8Wayne County: 13.9 %Wayne County13.9Geauga County: 9.7 %Geauga County9.7Morrow County: 9 %Morrow County9Coshocton County: 8.7 %Coshocton County8.7Harrison County: 8.7 %Harrison County8.7Knox County: 8.4 %Knox County8.4Guernsey County: 8.2 %Guernsey County8.2Ashtabula County: 8.1 %Ashtabula County8.1Tuscarawas County: 8 %Tuscarawas County8Carroll County: 7.7 %Carroll County7.7Richland County: 7.6 %Richland County7.6Vinton County: 7.4 %Vinton County7.4Jackson County: 7.3 %Jackson County7.3Morgan County: 7.3 %Morgan County7.3Trumbull County: 7.3 %Trumbull County7.3Fayette County: 6.4 %Fayette County6.4Franklin County: 6.4 %Franklin County6.4Highland County: 6.4 %Highland County6.4Pike County: 6.4 %Pike County6.4Adams County: 6.3 %Adams County6.3Monroe County: 6.2 %Monroe County6.2Paulding County: 6.2 %Paulding County6.2Ashland County: 6.1 %Ashland County6.1Defiance County: 6.1 %Defiance County6.1Darke County: 6 %Darke County6Madison County: 6 %Madison County6Meigs County: 6 %Meigs County6Montgomery County: 6 %Montgomery County6Muskingum County: 6 %Muskingum County6Perry County: 6 %Perry County6Columbiana County: 5.9 %Columbiana County5.9Noble County: 5.9 %Noble County5.9Huron County: 5.8 %Huron County5.8Brown County: 5.7 %Brown County5.7Butler County: 5.7 %Butler County5.7Athens County: 5.6 %Athens County5.6Ross County: 5.6 %Ross County5.6Gallia County: 5.5 %Gallia County5.5Hocking County: 5.5 %Hocking County5.5Holmes County: 38.8 %Holmes County38.8Wayne County: 13.9 %Wayne County13.9Geauga County: 9.7 %Geauga County9.7Morrow County: 9 %Morrow County9Coshocton County: 8.7 %Coshocton County8.7Harrison County: 8.7 %Harrison County8.7Knox County: 8.4 %Knox County8.4Guernsey County: 8.2 %Guernsey County8.2Ashtabula County: 8.1 %Ashtabula County8.1Tuscarawas County: 8 %Tuscarawas County8Carroll County: 7.7 %Carroll County7.7Richland County: 7.6 %Richland County7.6Vinton County: 7.4 %Vinton County7.4Jackson County: 7.3 %Jackson County7.3Morgan County: 7.3 %Morgan County7.3Trumbull County: 7.3 %Trumbull County7.3Fayette County: 6.4 %Fayette County6.4Franklin County: 6.4 %Franklin County6.4Highland County: 6.4 %Highland County6.4Pike County: 6.4 %Pike County6.4Adams County: 6.3 %Adams County6.3Monroe County: 6.2 %Monroe County6.2Paulding County: 6.2 %Paulding County6.2Ashland County: 6.1 %Ashland County6.1Defiance County: 6.1 %Defiance County6.1Darke County: 6 %Darke County6Madison County: 6 %Madison County6Meigs County: 6 %Meigs County6Montgomery County: 6 %Montgomery County6Muskingum County: 6 %Muskingum County6Perry County: 6 %Perry County6Columbiana County: 5.9 %Columbiana County5.9Noble County: 5.9 %Noble County5.9Huron County: 5.8 %Huron County5.8Brown County: 5.7 %Brown County5.7Butler County: 5.7 %Butler County5.7Athens County: 5.6 %Athens County5.6Ross County: 5.6 %Ross County5.6Gallia County: 5.5 %Gallia County5.5Hocking County: 5.5 %Hocking County5.5
%. 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

RankCounties2024 (%)Change on 2023
1Holmes County38.8+2.4 pts
2Wayne County13.9+1.8 pts
3Geauga County9.7-1.1 pts
4Morrow County9+3.4 pts
5Coshocton County8.7+0.2 pts
5Harrison County8.7+2.4 pts
7Knox County8.4+0.5 pts
8Guernsey County8.2+1.1 pts
9Ashtabula County8.1+0.8 pts
10Tuscarawas County8+0.5 pts
11Carroll County7.7+1 pts
12Richland County7.6+2.3 pts
13Vinton County7.4+0.9 pts
14Jackson County7.3+1.9 pts
14Morgan County7.3+1 pts
14Trumbull County7.3+0.9 pts
17Fayette County6.4-0.1 pts
17Franklin County6.4+1 pts
17Highland County6.4-0.9 pts
17Pike County6.4+0.6 pts
21Adams County6.3-0.1 pts
22Monroe County6.2-1 pts
22Paulding County6.2+0.4 pts
24Ashland County6.1-0.3 pts
24Defiance County6.1+0.9 pts
26Darke County6+0.4 pts
26Madison County6+0.8 pts
26Meigs County6-0.4 pts
26Montgomery County6+1.3 pts
26Muskingum County6+1.4 pts
26Perry County6+1 pts
32Columbiana County5.9+0.8 pts
32Noble County5.9-2.5 pts
34Huron County5.8+0.4 pts
35Brown County5.7+0.1 pts
35Butler County5.7+1.5 pts
37Athens County5.6+0.2 pts
37Ross County5.6+0.9 pts
39Gallia County5.5-0.6 pts
39Hocking County5.5-0.1 pts
41Clark County5.4+0.1 pts
41Scioto County5.4+0.6 pts
43Hardin County5.3-0.5 pts
43Henry County5.3+0.3 pts
43Pickaway County5.3+0.4 pts
46Clinton County5.2+1.1 pts
46Crawford County5.2+0.4 pts
46Ottawa County5.2+0.4 pts
46Shelby County5.20 pts
46Williams County5.2-0.8 pts
51Hamilton County5.1+1.1 pts
51Lorain County5.1+1.1 pts
53Lawrence County5+0.5 pts
53Preble County50 pts
55Champaign County4.90 pts
55Logan County4.9-0.3 pts
57Allen County4.8+0.7 pts
57Belmont County4.8-0.6 pts
57Cuyahoga County4.8+0.7 pts
57Lucas County4.8+0.8 pts
57Miami County4.8-0.4 pts
62Putnam County4.70 pts
62Van Wert County4.7-0.1 pts
62Washington County4.7-0.2 pts
65Clermont County4.60 pts
65Fulton County4.6+0.3 pts
65Sandusky County4.6+0.2 pts
65Seneca County4.60 pts
69Erie County4.5+0.3 pts
69Hancock County4.5+1 pts
69Stark County4.5-0.2 pts
72Mahoning County4.4-0.4 pts
72Medina County4.4+0.6 pts
74Licking County4.3+0.8 pts
74Marion County4.3-0.6 pts
74Wyandot County4.3+0.2 pts
77Portage County4.2-0.1 pts
78Jefferson County4.1-0.4 pts
79Summit County4+0.3 pts
80Fairfield County3.9+0.4 pts
80Lake County3.9+0.1 pts
80Mercer County3.9-0.6 pts
83Warren County3.8+0.6 pts
84Auglaize County3.7-0.1 pts
85Greene County3.6-0.6 pts
86Wood County3.5-0.8 pts
87Delaware County3.1+0.6 pts
87Union County3.10 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-2024-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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties. 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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties.

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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2024,
  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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties. 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-2024-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 Ohio by uninsured rate, under 19 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties.
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-2024-csv.zip. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Ohio by uninsured rate, under 19 (US model-based estimate) using official data, and cite the source.
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Questions

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

Holmes County, with 38.8% in 2024, according to the U.S. Census Bureau.

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

Union County, with 3.1% in 2024.

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 Ohio: more rankings