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

Holmes County had the highest uninsured rate, under 19 (US model-based estimate) of 88 counties in 2018, at 23%. Delaware County had the lowest, at 3.2%. The median was 4.9% and the figure for Ohio was 4.8%. Source: the U.S. Census Bureau.

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Highest23Holmes County
Median4.988 counties
Ohio4.8History

Map of counties, 2018

Adams County: 5.9 %Allen County: 5.1 %Ashland County: 6.5 %Ashtabula County: 6.7 %Athens County: 5.3 %Auglaize County: 4 %Belmont County: 4.5 %Brown County: 5.2 %Butler County: 3.5 %Carroll County: 6.5 %Champaign County: 5 %Clark County: 5.1 %Clermont County: 4.6 %Clinton County: 5 %Columbiana County: 5.5 %Coshocton County: 7.3 %Crawford County: 4.8 %Cuyahoga County: 4.1 %Darke County: 5.9 %Defiance County: 4.8 %Delaware County: 3.2 %Erie County: 4.2 %Fairfield County: 4.1 %Fayette County: 4.8 %Franklin County: 4.6 %Fulton County: 4.7 %Gallia County: 6.4 %Geauga County: 9.4 %Greene County: 4.1 %Guernsey County: 5.8 %Hamilton County: 3.9 %Hancock County: 4.8 %Hardin County: 5.8 %Harrison County: 6 %Henry County: 4.4 %Highland County: 6.6 %Hocking County: 4.8 %Holmes County: 23 %Huron County: 5.7 %Jackson County: 5.4 %Jefferson County: 4.4 %Knox County: 7.2 %Lake County: 4.7 %Lawrence County: 5 %Licking County: 4.4 %Logan County: 4.7 %Lorain County: 4.4 %Lucas County: 4.6 %Madison County: 4.9 %Mahoning County: 4.5 %Marion County: 4.8 %Medina County: 3.5 %Meigs County: 5.4 %Mercer County: 4.3 %Miami County: 4.9 %Monroe County: 7.1 %Montgomery County: 5.5 %Morgan County: 5.7 %Morrow County: 6.8 %Muskingum County: 4.7 %Noble County: 6.8 %Ottawa County: 5 %Paulding County: 5.5 %Perry County: 4.6 %Pickaway County: 4.7 %Pike County: 5 %Portage County: 4.9 %Preble County: 5.5 %Putnam County: 4.5 %Richland County: 6.5 %Ross County: 5 %Sandusky County: 4.3 %Scioto County: 4.7 %Seneca County: 4.5 %Shelby County: 4.1 %Stark County: 4.7 %Summit County: 3.8 %Trumbull County: 5.4 %Tuscarawas County: 6.2 %Union County: 3.8 %Van Wert County: 4.5 %Vinton County: 6.2 %Warren County: 3.6 %Washington County: 4.9 %Wayne County: 11.3 %Williams County: 5.6 %Wood County: 4.3 %Wyandot County: 5.2 %
  • Under 4.3
  • 4.3 to 4.7
  • 4.7 to 4.9
  • 4.9 to 5.4
  • 5.4 to 6.2
  • 6.2 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

Holmes County: 23 %Holmes County23Wayne County: 11.3 %Wayne County11.3Geauga County: 9.4 %Geauga County9.4Coshocton County: 7.3 %Coshocton County7.3Knox County: 7.2 %Knox County7.2Monroe County: 7.1 %Monroe County7.1Morrow County: 6.8 %Morrow County6.8Noble County: 6.8 %Noble County6.8Ashtabula County: 6.7 %Ashtabula County6.7Highland County: 6.6 %Highland County6.6Ashland County: 6.5 %Ashland County6.5Carroll County: 6.5 %Carroll County6.5Richland County: 6.5 %Richland County6.5Gallia County: 6.4 %Gallia County6.4Tuscarawas County: 6.2 %Tuscarawas County6.2Vinton County: 6.2 %Vinton County6.2Harrison County: 6 %Harrison County6Adams County: 5.9 %Adams County5.9Darke County: 5.9 %Darke County5.9Guernsey County: 5.8 %Guernsey County5.8Hardin County: 5.8 %Hardin County5.8Huron County: 5.7 %Huron County5.7Morgan County: 5.7 %Morgan County5.7Williams County: 5.6 %Williams County5.6Columbiana County: 5.5 %Columbiana County5.5Montgomery County: 5.5 %Montgomery County5.5Paulding County: 5.5 %Paulding County5.5Preble County: 5.5 %Preble County5.5Jackson County: 5.4 %Jackson County5.4Meigs County: 5.4 %Meigs County5.4Trumbull County: 5.4 %Trumbull County5.4Athens County: 5.3 %Athens County5.3Brown County: 5.2 %Brown County5.2Wyandot County: 5.2 %Wyandot County5.2Allen County: 5.1 %Allen County5.1Clark County: 5.1 %Clark County5.1Champaign County: 5 %Champaign County5Clinton County: 5 %Clinton County5Lawrence County: 5 %Lawrence County5Ottawa County: 5 %Ottawa County5Holmes County: 23 %Holmes County23Wayne County: 11.3 %Wayne County11.3Geauga County: 9.4 %Geauga County9.4Coshocton County: 7.3 %Coshocton County7.3Knox County: 7.2 %Knox County7.2Monroe County: 7.1 %Monroe County7.1Morrow County: 6.8 %Morrow County6.8Noble County: 6.8 %Noble County6.8Ashtabula County: 6.7 %Ashtabula County6.7Highland County: 6.6 %Highland County6.6Ashland County: 6.5 %Ashland County6.5Carroll County: 6.5 %Carroll County6.5Richland County: 6.5 %Richland County6.5Gallia County: 6.4 %Gallia County6.4Tuscarawas County: 6.2 %Tuscarawas County6.2Vinton County: 6.2 %Vinton County6.2Harrison County: 6 %Harrison County6Adams County: 5.9 %Adams County5.9Darke County: 5.9 %Darke County5.9Guernsey County: 5.8 %Guernsey County5.8Hardin County: 5.8 %Hardin County5.8Huron County: 5.7 %Huron County5.7Morgan County: 5.7 %Morgan County5.7Williams County: 5.6 %Williams County5.6Columbiana County: 5.5 %Columbiana County5.5Montgomery County: 5.5 %Montgomery County5.5Paulding County: 5.5 %Paulding County5.5Preble County: 5.5 %Preble County5.5Jackson County: 5.4 %Jackson County5.4Meigs County: 5.4 %Meigs County5.4Trumbull County: 5.4 %Trumbull County5.4Athens County: 5.3 %Athens County5.3Brown County: 5.2 %Brown County5.2Wyandot County: 5.2 %Wyandot County5.2Allen County: 5.1 %Allen County5.1Clark County: 5.1 %Clark County5.1Champaign County: 5 %Champaign County5Clinton County: 5 %Clinton County5Lawrence County: 5 %Lawrence County5Ottawa County: 5 %Ottawa County5
%. 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
1Holmes County23-0.3 pts
2Wayne County11.3+0.9 pts
3Geauga County9.4+0.3 pts
4Coshocton County7.3+0.7 pts
5Knox County7.2+1.8 pts
6Monroe County7.1-0.2 pts
7Morrow County6.8+0.3 pts
7Noble County6.8+0.8 pts
9Ashtabula County6.7+0.9 pts
10Highland County6.60 pts
11Ashland County6.5+0.9 pts
11Carroll County6.5+0.8 pts
11Richland County6.5+0.4 pts
14Gallia County6.4+1.1 pts
15Tuscarawas County6.2+1.1 pts
15Vinton County6.2+0.6 pts
17Harrison County6+0.5 pts
18Adams County5.9-0.6 pts
18Darke County5.9+0.1 pts
20Guernsey County5.8-0.4 pts
20Hardin County5.8-0.2 pts
22Huron County5.7+0.5 pts
22Morgan County5.7+0.3 pts
24Williams County5.6+1.4 pts
25Columbiana County5.5+0.5 pts
25Montgomery County5.5+1.1 pts
25Paulding County5.5+0.6 pts
25Preble County5.5+0.6 pts
29Jackson County5.4+0.6 pts
29Meigs County5.4+0.5 pts
29Trumbull County5.4+0.3 pts
32Athens County5.3-0.1 pts
33Brown County5.2-0.1 pts
33Wyandot County5.2+0.4 pts
35Allen County5.1-0.2 pts
35Clark County5.1+1.3 pts
37Champaign County5+0.4 pts
37Clinton County5+0.1 pts
37Lawrence County5+1 pts
37Ottawa County5+0.5 pts
37Pike County5+0.1 pts
37Ross County5+1 pts
43Madison County4.9-0.1 pts
43Miami County4.9+0.6 pts
43Portage County4.9+0.8 pts
43Washington County4.90 pts
47Crawford County4.8+0.9 pts
47Defiance County4.8+0.4 pts
47Fayette County4.8-0.1 pts
47Hancock County4.80 pts
47Hocking County4.8-0.3 pts
47Marion County4.8+0.6 pts
53Fulton County4.7+0.2 pts
53Lake County4.7+0.6 pts
53Logan County4.7-0.3 pts
53Muskingum County4.7+0.1 pts
53Pickaway County4.7-1.1 pts
53Scioto County4.7+0.2 pts
53Stark County4.7+0.4 pts
60Clermont County4.6+0.6 pts
60Franklin County4.6-0.1 pts
60Lucas County4.6+0.7 pts
60Perry County4.6-0.2 pts
64Belmont County4.5+0.5 pts
64Mahoning County4.5+0.8 pts
64Putnam County4.5+0.4 pts
64Seneca County4.5+0.1 pts
64Van Wert County4.5+0.2 pts
69Henry County4.4-0.1 pts
69Jefferson County4.4+0.2 pts
69Licking County4.40 pts
69Lorain County4.4+0.8 pts
73Mercer County4.3-0.4 pts
73Sandusky County4.3-0.6 pts
73Wood County4.3+0.9 pts
76Erie County4.2-0.3 pts
77Cuyahoga County4.1+0.2 pts
77Fairfield County4.10 pts
77Greene County4.10 pts
77Shelby County4.1-0.4 pts
81Auglaize County40 pts
82Hamilton County3.9-0.4 pts
83Summit County3.8-0.3 pts
83Union County3.8-0.4 pts
85Warren County3.6+0.1 pts
86Butler County3.5-1 pts
86Medina County3.5-0.1 pts
88Delaware County3.20 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2018 (Accessed: 12 October 2026).

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

Holmes County, with 23% in 2018, according to the U.S. Census Bureau.

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

Delaware County, with 3.2% 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 Ohio: more rankings