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 2019, at 23.2%. Summit County had the lowest, at 3.8%. The median was 5.1% and the figure for Ohio was 4.9%. Source: the U.S. Census Bureau.

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Highest23.2Holmes County
Lowest3.8Summit County
Median5.188 counties
Ohio4.9History

Map of counties, 2019

Adams County: 5.8 %Allen County: 4.6 %Ashland County: 9.6 %Ashtabula County: 6.5 %Athens County: 5.9 %Auglaize County: 4.4 %Belmont County: 4.9 %Brown County: 5.1 %Butler County: 4.3 %Carroll County: 5.7 %Champaign County: 5.1 %Clark County: 4.7 %Clermont County: 4.4 %Clinton County: 4.7 %Columbiana County: 4.5 %Coshocton County: 6.9 %Crawford County: 4.4 %Cuyahoga County: 3.9 %Darke County: 5.7 %Defiance County: 4.8 %Delaware County: 4 %Erie County: 4.6 %Fairfield County: 4.4 %Fayette County: 5.3 %Franklin County: 4.7 %Fulton County: 5.6 %Gallia County: 6.6 %Geauga County: 9.2 %Greene County: 4.5 %Guernsey County: 5.4 %Hamilton County: 4.8 %Hancock County: 4.5 %Hardin County: 5.4 %Harrison County: 6.9 %Henry County: 5.4 %Highland County: 6.2 %Hocking County: 5 %Holmes County: 23.2 %Huron County: 5.8 %Jackson County: 5.2 %Jefferson County: 4.7 %Knox County: 6.8 %Lake County: 4.5 %Lawrence County: 4.5 %Licking County: 4.8 %Logan County: 5.2 %Lorain County: 4.4 %Lucas County: 4.3 %Madison County: 5.7 %Mahoning County: 3.8 %Marion County: 4.5 %Medina County: 4.3 %Meigs County: 5.5 %Mercer County: 5.2 %Miami County: 5 %Monroe County: 6.7 %Montgomery County: 5.5 %Morgan County: 6.5 %Morrow County: 6 %Muskingum County: 5.4 %Noble County: 6 %Ottawa County: 5.3 %Paulding County: 5.7 %Perry County: 5 %Pickaway County: 5 %Pike County: 5.3 %Portage County: 4.9 %Preble County: 5.1 %Putnam County: 5.8 %Richland County: 5.2 %Ross County: 5 %Sandusky County: 5 %Scioto County: 4.8 %Seneca County: 4.4 %Shelby County: 5.1 %Stark County: 4.1 %Summit County: 3.8 %Trumbull County: 5.3 %Tuscarawas County: 7.1 %Union County: 4.3 %Van Wert County: 5.1 %Vinton County: 6.5 %Warren County: 4 %Washington County: 5.4 %Wayne County: 11.2 %Williams County: 5.3 %Wood County: 4 %Wyandot County: 5.3 %
  • Under 4.4
  • 4.4 to 4.8
  • 4.8 to 5.1
  • 5.1 to 5.4
  • 5.4 to 6
  • 6 and over
%, 2019. 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, 2019

Holmes County: 23.2 %Holmes County23.2Wayne County: 11.2 %Wayne County11.2Ashland County: 9.6 %Ashland County9.6Geauga County: 9.2 %Geauga County9.2Tuscarawas County: 7.1 %Tuscarawas County7.1Coshocton County: 6.9 %Coshocton County6.9Harrison County: 6.9 %Harrison County6.9Knox County: 6.8 %Knox County6.8Monroe County: 6.7 %Monroe County6.7Gallia County: 6.6 %Gallia County6.6Ashtabula County: 6.5 %Ashtabula County6.5Morgan County: 6.5 %Morgan County6.5Vinton County: 6.5 %Vinton County6.5Highland County: 6.2 %Highland County6.2Morrow County: 6 %Morrow County6Noble County: 6 %Noble County6Athens County: 5.9 %Athens County5.9Adams County: 5.8 %Adams County5.8Huron County: 5.8 %Huron County5.8Putnam County: 5.8 %Putnam County5.8Carroll County: 5.7 %Carroll County5.7Darke County: 5.7 %Darke County5.7Madison County: 5.7 %Madison County5.7Paulding County: 5.7 %Paulding County5.7Fulton County: 5.6 %Fulton County5.6Meigs County: 5.5 %Meigs County5.5Montgomery County: 5.5 %Montgomery County5.5Guernsey County: 5.4 %Guernsey County5.4Hardin County: 5.4 %Hardin County5.4Henry County: 5.4 %Henry County5.4Muskingum County: 5.4 %Muskingum County5.4Washington County: 5.4 %Washington County5.4Fayette County: 5.3 %Fayette County5.3Ottawa County: 5.3 %Ottawa County5.3Pike County: 5.3 %Pike County5.3Trumbull County: 5.3 %Trumbull County5.3Williams County: 5.3 %Williams County5.3Wyandot County: 5.3 %Wyandot County5.3Jackson County: 5.2 %Jackson County5.2Logan County: 5.2 %Logan County5.2Holmes County: 23.2 %Holmes County23.2Wayne County: 11.2 %Wayne County11.2Ashland County: 9.6 %Ashland County9.6Geauga County: 9.2 %Geauga County9.2Tuscarawas County: 7.1 %Tuscarawas County7.1Coshocton County: 6.9 %Coshocton County6.9Harrison County: 6.9 %Harrison County6.9Knox County: 6.8 %Knox County6.8Monroe County: 6.7 %Monroe County6.7Gallia County: 6.6 %Gallia County6.6Ashtabula County: 6.5 %Ashtabula County6.5Morgan County: 6.5 %Morgan County6.5Vinton County: 6.5 %Vinton County6.5Highland County: 6.2 %Highland County6.2Morrow County: 6 %Morrow County6Noble County: 6 %Noble County6Athens County: 5.9 %Athens County5.9Adams County: 5.8 %Adams County5.8Huron County: 5.8 %Huron County5.8Putnam County: 5.8 %Putnam County5.8Carroll County: 5.7 %Carroll County5.7Darke County: 5.7 %Darke County5.7Madison County: 5.7 %Madison County5.7Paulding County: 5.7 %Paulding County5.7Fulton County: 5.6 %Fulton County5.6Meigs County: 5.5 %Meigs County5.5Montgomery County: 5.5 %Montgomery County5.5Guernsey County: 5.4 %Guernsey County5.4Hardin County: 5.4 %Hardin County5.4Henry County: 5.4 %Henry County5.4Muskingum County: 5.4 %Muskingum County5.4Washington County: 5.4 %Washington County5.4Fayette County: 5.3 %Fayette County5.3Ottawa County: 5.3 %Ottawa County5.3Pike County: 5.3 %Pike County5.3Trumbull County: 5.3 %Trumbull County5.3Williams County: 5.3 %Williams County5.3Wyandot County: 5.3 %Wyandot County5.3Jackson County: 5.2 %Jackson County5.2Logan County: 5.2 %Logan County5.2
%. 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

RankCounties2019 (%)Change on 2018
1Holmes County23.2+0.2 pts
2Wayne County11.2-0.1 pts
3Ashland County9.6+3.1 pts
4Geauga County9.2-0.2 pts
5Tuscarawas County7.1+0.9 pts
6Coshocton County6.9-0.4 pts
6Harrison County6.9+0.9 pts
8Knox County6.8-0.4 pts
9Monroe County6.7-0.4 pts
10Gallia County6.6+0.2 pts
11Ashtabula County6.5-0.2 pts
11Morgan County6.5+0.8 pts
11Vinton County6.5+0.3 pts
14Highland County6.2-0.4 pts
15Morrow County6-0.8 pts
15Noble County6-0.8 pts
17Athens County5.9+0.6 pts
18Adams County5.8-0.1 pts
18Huron County5.8+0.1 pts
18Putnam County5.8+1.3 pts
21Carroll County5.7-0.8 pts
21Darke County5.7-0.2 pts
21Madison County5.7+0.8 pts
21Paulding County5.7+0.2 pts
25Fulton County5.6+0.9 pts
26Meigs County5.5+0.1 pts
26Montgomery County5.50 pts
28Guernsey County5.4-0.4 pts
28Hardin County5.4-0.4 pts
28Henry County5.4+1 pts
28Muskingum County5.4+0.7 pts
28Washington County5.4+0.5 pts
33Fayette County5.3+0.5 pts
33Ottawa County5.3+0.3 pts
33Pike County5.3+0.3 pts
33Trumbull County5.3-0.1 pts
33Williams County5.3-0.3 pts
33Wyandot County5.3+0.1 pts
39Jackson County5.2-0.2 pts
39Logan County5.2+0.5 pts
39Mercer County5.2+0.9 pts
39Richland County5.2-1.3 pts
43Brown County5.1-0.1 pts
43Champaign County5.1+0.1 pts
43Preble County5.1-0.4 pts
43Shelby County5.1+1 pts
43Van Wert County5.1+0.6 pts
48Hocking County5+0.2 pts
48Miami County5+0.1 pts
48Perry County5+0.4 pts
48Pickaway County5+0.3 pts
48Ross County50 pts
48Sandusky County5+0.7 pts
54Belmont County4.9+0.4 pts
54Portage County4.90 pts
56Defiance County4.80 pts
56Hamilton County4.8+0.9 pts
56Licking County4.8+0.4 pts
56Scioto County4.8+0.1 pts
60Clark County4.7-0.4 pts
60Clinton County4.7-0.3 pts
60Franklin County4.7+0.1 pts
60Jefferson County4.7+0.3 pts
64Allen County4.6-0.5 pts
64Erie County4.6+0.4 pts
66Columbiana County4.5-1 pts
66Greene County4.5+0.4 pts
66Hancock County4.5-0.3 pts
66Lake County4.5-0.2 pts
66Lawrence County4.5-0.5 pts
66Marion County4.5-0.3 pts
72Auglaize County4.4+0.4 pts
72Clermont County4.4-0.2 pts
72Crawford County4.4-0.4 pts
72Fairfield County4.4+0.3 pts
72Lorain County4.40 pts
72Seneca County4.4-0.1 pts
78Butler County4.3+0.8 pts
78Lucas County4.3-0.3 pts
78Medina County4.3+0.8 pts
78Union County4.3+0.5 pts
82Stark County4.1-0.6 pts
83Delaware County4+0.8 pts
83Warren County4+0.4 pts
83Wood County4-0.3 pts
86Cuyahoga County3.9-0.2 pts
87Mahoning County3.8-0.7 pts
87Summit County3.80 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2019.
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-2019-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 23.2% in 2019, according to the U.S. Census Bureau.

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

Summit County, with 3.8% in 2019.

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