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 2021, at 31.2%. Delaware County had the lowest, at 2.9%. The median was 5.2% and the figure for Ohio was 5%. Source: the U.S. Census Bureau.

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Highest31.2Holmes County
Median5.288 counties
Ohio5History

Map of counties, 2021

Adams County: 5.7 %Allen County: 5.3 %Ashland County: 7.3 %Ashtabula County: 7.9 %Athens County: 5.2 %Auglaize County: 4.7 %Belmont County: 5.2 %Brown County: 5.8 %Butler County: 5.2 %Carroll County: 6.8 %Champaign County: 5.6 %Clark County: 4.4 %Clermont County: 4.9 %Clinton County: 5.1 %Columbiana County: 5.8 %Coshocton County: 9.9 %Crawford County: 5.5 %Cuyahoga County: 3.6 %Darke County: 6.6 %Defiance County: 5.2 %Delaware County: 2.9 %Erie County: 4.7 %Fairfield County: 4.2 %Fayette County: 6.3 %Franklin County: 4.9 %Fulton County: 5.9 %Gallia County: 6.3 %Geauga County: 10.7 %Greene County: 4.6 %Guernsey County: 6.6 %Hamilton County: 4.8 %Hancock County: 4.9 %Hardin County: 8.5 %Harrison County: 6.8 %Henry County: 4.9 %Highland County: 6.4 %Hocking County: 6 %Holmes County: 31.2 %Huron County: 5.9 %Jackson County: 5.6 %Jefferson County: 5 %Knox County: 5.4 %Lake County: 4.5 %Lawrence County: 5.2 %Licking County: 4.7 %Logan County: 4.9 %Lorain County: 4.8 %Lucas County: 4.3 %Madison County: 4.9 %Mahoning County: 3.6 %Marion County: 3.9 %Medina County: 4 %Meigs County: 6.7 %Mercer County: 5.1 %Miami County: 4.8 %Monroe County: 6.8 %Montgomery County: 4.8 %Morgan County: 5.8 %Morrow County: 7.8 %Muskingum County: 5.1 %Noble County: 6.6 %Ottawa County: 5.2 %Paulding County: 6.2 %Perry County: 5.5 %Pickaway County: 6.1 %Pike County: 5.2 %Portage County: 5.2 %Preble County: 5 %Putnam County: 4.8 %Richland County: 6.2 %Ross County: 4.4 %Sandusky County: 5.2 %Scioto County: 4.6 %Seneca County: 4.9 %Shelby County: 5 %Stark County: 4.2 %Summit County: 4.2 %Trumbull County: 6.1 %Tuscarawas County: 7.8 %Union County: 3.9 %Van Wert County: 4.8 %Vinton County: 7.8 %Warren County: 3.5 %Washington County: 6.1 %Wayne County: 15.3 %Williams County: 4.7 %Wood County: 3.8 %Wyandot County: 4.9 %
  • Under 4.5
  • 4.5 to 4.9
  • 4.9 to 5.2
  • 5.2 to 5.8
  • 5.8 to 6.6
  • 6.6 and over
%, 2021. 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, 2021

Holmes County: 31.2 %Holmes County31.2Wayne County: 15.3 %Wayne County15.3Geauga County: 10.7 %Geauga County10.7Coshocton County: 9.9 %Coshocton County9.9Hardin County: 8.5 %Hardin County8.5Ashtabula County: 7.9 %Ashtabula County7.9Morrow County: 7.8 %Morrow County7.8Tuscarawas County: 7.8 %Tuscarawas County7.8Vinton County: 7.8 %Vinton County7.8Ashland County: 7.3 %Ashland County7.3Carroll County: 6.8 %Carroll County6.8Harrison County: 6.8 %Harrison County6.8Monroe County: 6.8 %Monroe County6.8Meigs County: 6.7 %Meigs County6.7Darke County: 6.6 %Darke County6.6Guernsey County: 6.6 %Guernsey County6.6Noble County: 6.6 %Noble County6.6Highland County: 6.4 %Highland County6.4Fayette County: 6.3 %Fayette County6.3Gallia County: 6.3 %Gallia County6.3Paulding County: 6.2 %Paulding County6.2Richland County: 6.2 %Richland County6.2Pickaway County: 6.1 %Pickaway County6.1Trumbull County: 6.1 %Trumbull County6.1Washington County: 6.1 %Washington County6.1Hocking County: 6 %Hocking County6Fulton County: 5.9 %Fulton County5.9Huron County: 5.9 %Huron County5.9Brown County: 5.8 %Brown County5.8Columbiana County: 5.8 %Columbiana County5.8Morgan County: 5.8 %Morgan County5.8Adams County: 5.7 %Adams County5.7Champaign County: 5.6 %Champaign County5.6Jackson County: 5.6 %Jackson County5.6Crawford County: 5.5 %Crawford County5.5Perry County: 5.5 %Perry County5.5Knox County: 5.4 %Knox County5.4Allen County: 5.3 %Allen County5.3Athens County: 5.2 %Athens County5.2Belmont County: 5.2 %Belmont County5.2Holmes County: 31.2 %Holmes County31.2Wayne County: 15.3 %Wayne County15.3Geauga County: 10.7 %Geauga County10.7Coshocton County: 9.9 %Coshocton County9.9Hardin County: 8.5 %Hardin County8.5Ashtabula County: 7.9 %Ashtabula County7.9Morrow County: 7.8 %Morrow County7.8Tuscarawas County: 7.8 %Tuscarawas County7.8Vinton County: 7.8 %Vinton County7.8Ashland County: 7.3 %Ashland County7.3Carroll County: 6.8 %Carroll County6.8Harrison County: 6.8 %Harrison County6.8Monroe County: 6.8 %Monroe County6.8Meigs County: 6.7 %Meigs County6.7Darke County: 6.6 %Darke County6.6Guernsey County: 6.6 %Guernsey County6.6Noble County: 6.6 %Noble County6.6Highland County: 6.4 %Highland County6.4Fayette County: 6.3 %Fayette County6.3Gallia County: 6.3 %Gallia County6.3Paulding County: 6.2 %Paulding County6.2Richland County: 6.2 %Richland County6.2Pickaway County: 6.1 %Pickaway County6.1Trumbull County: 6.1 %Trumbull County6.1Washington County: 6.1 %Washington County6.1Hocking County: 6 %Hocking County6Fulton County: 5.9 %Fulton County5.9Huron County: 5.9 %Huron County5.9Brown County: 5.8 %Brown County5.8Columbiana County: 5.8 %Columbiana County5.8Morgan County: 5.8 %Morgan County5.8Adams County: 5.7 %Adams County5.7Champaign County: 5.6 %Champaign County5.6Jackson County: 5.6 %Jackson County5.6Crawford County: 5.5 %Crawford County5.5Perry County: 5.5 %Perry County5.5Knox County: 5.4 %Knox County5.4Allen County: 5.3 %Allen County5.3Athens County: 5.2 %Athens County5.2Belmont County: 5.2 %Belmont 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

RankCounties2021 (%)Change on 2020
1Holmes County31.2+6.5 pts
2Wayne County15.3+4.7 pts
3Geauga County10.7+1 pts
4Coshocton County9.9+3.2 pts
5Hardin County8.5+0.5 pts
6Ashtabula County7.9+2.3 pts
7Morrow County7.8+0.1 pts
7Tuscarawas County7.8-0.6 pts
7Vinton County7.8+1.4 pts
10Ashland County7.3+0.9 pts
11Carroll County6.8-3.4 pts
11Harrison County6.8-0.6 pts
11Monroe County6.8-1.1 pts
14Meigs County6.7+1.2 pts
15Darke County6.6-0.6 pts
15Guernsey County6.60 pts
15Noble County6.6-0.3 pts
18Highland County6.4-0.3 pts
19Fayette County6.30 pts
19Gallia County6.30 pts
21Paulding County6.2-0.2 pts
21Richland County6.2+0.6 pts
23Pickaway County6.1+1.4 pts
23Trumbull County6.1+0.5 pts
23Washington County6.1+1 pts
26Hocking County6+0.7 pts
27Fulton County5.9+0.6 pts
27Huron County5.9+0.3 pts
29Brown County5.8+0.8 pts
29Columbiana County5.8-0.8 pts
29Morgan County5.8-0.5 pts
32Adams County5.7-0.3 pts
33Champaign County5.6-0.4 pts
33Jackson County5.6+0.4 pts
35Crawford County5.5-0.2 pts
35Perry County5.5-0.3 pts
37Knox County5.4-2.5 pts
38Allen County5.3+0.7 pts
39Athens County5.2+0.1 pts
39Belmont County5.2+0.4 pts
39Butler County5.2+1.4 pts
39Defiance County5.2-0.9 pts
39Lawrence County5.2+0.6 pts
39Ottawa County5.2-1 pts
39Pike County5.2+0.1 pts
39Portage County5.2+0.1 pts
39Sandusky County5.2-0.3 pts
48Clinton County5.1-1.2 pts
48Mercer County5.1-0.4 pts
48Muskingum County5.1+0.7 pts
51Jefferson County5+0.8 pts
51Preble County5-0.3 pts
51Shelby County5-0.1 pts
54Clermont County4.9-1 pts
54Franklin County4.9+0.6 pts
54Hancock County4.9+0.1 pts
54Henry County4.9-1.4 pts
54Logan County4.9-0.2 pts
54Madison County4.9-0.7 pts
54Seneca County4.9-0.6 pts
54Wyandot County4.9-1.3 pts
62Hamilton County4.8+1.3 pts
62Lorain County4.8+0.3 pts
62Miami County4.8+0.1 pts
62Montgomery County4.8+0.8 pts
62Putnam County4.8-1.2 pts
62Van Wert County4.8-1.1 pts
68Auglaize County4.7-0.1 pts
68Erie County4.7-0.8 pts
68Licking County4.7-0.3 pts
68Williams County4.7-1.3 pts
72Greene County4.6+0.3 pts
72Scioto County4.6+0.4 pts
74Lake County4.50 pts
75Clark County4.4-0.5 pts
75Ross County4.4-0.6 pts
77Lucas County4.3+0.1 pts
78Fairfield County4.2-1.3 pts
78Stark County4.2+0.4 pts
78Summit County4.2+0.4 pts
81Medina County4-0.2 pts
82Marion County3.9-0.5 pts
82Union County3.9-0.1 pts
84Wood County3.8-0.7 pts
85Cuyahoga County3.6+0.3 pts
85Mahoning County3.6-0.4 pts
87Warren County3.5+0.1 pts
88Delaware County2.9-1.2 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2021.
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-2021-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 31.2% in 2021, according to the U.S. Census Bureau.

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

Delaware County, with 2.9% in 2021.

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