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 2023, at 36.4%. Delaware County had the lowest, at 2.5%. The median was 5% and the figure for Ohio was 4.9%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest36.4Holmes County
Median588 counties
Ohio4.9History

Map of counties, 2023

Adams County: 6.4 %Allen County: 4.1 %Ashland County: 6.4 %Ashtabula County: 7.3 %Athens County: 5.4 %Auglaize County: 3.8 %Belmont County: 5.4 %Brown County: 5.6 %Butler County: 4.2 %Carroll County: 6.7 %Champaign County: 4.9 %Clark County: 5.3 %Clermont County: 4.6 %Clinton County: 4.1 %Columbiana County: 5.1 %Coshocton County: 8.5 %Crawford County: 4.8 %Cuyahoga County: 4.1 %Darke County: 5.6 %Defiance County: 5.2 %Delaware County: 2.5 %Erie County: 4.2 %Fairfield County: 3.5 %Fayette County: 6.5 %Franklin County: 5.4 %Fulton County: 4.3 %Gallia County: 6.1 %Geauga County: 10.8 %Greene County: 4.2 %Guernsey County: 7.1 %Hamilton County: 4 %Hancock County: 3.5 %Hardin County: 5.8 %Harrison County: 6.3 %Henry County: 5 %Highland County: 7.3 %Hocking County: 5.6 %Holmes County: 36.4 %Huron County: 5.4 %Jackson County: 5.4 %Jefferson County: 4.5 %Knox County: 7.9 %Lake County: 3.8 %Lawrence County: 4.5 %Licking County: 3.5 %Logan County: 5.2 %Lorain County: 4 %Lucas County: 4 %Madison County: 5.2 %Mahoning County: 4.8 %Marion County: 4.9 %Medina County: 3.8 %Meigs County: 6.4 %Mercer County: 4.5 %Miami County: 5.2 %Monroe County: 7.2 %Montgomery County: 4.7 %Morgan County: 6.3 %Morrow County: 5.6 %Muskingum County: 4.6 %Noble County: 8.4 %Ottawa County: 4.8 %Paulding County: 5.8 %Perry County: 5 %Pickaway County: 4.9 %Pike County: 5.8 %Portage County: 4.3 %Preble County: 5 %Putnam County: 4.7 %Richland County: 5.3 %Ross County: 4.7 %Sandusky County: 4.4 %Scioto County: 4.8 %Seneca County: 4.6 %Shelby County: 5.2 %Stark County: 4.7 %Summit County: 3.7 %Trumbull County: 6.4 %Tuscarawas County: 7.5 %Union County: 3.1 %Van Wert County: 4.8 %Vinton County: 6.5 %Warren County: 3.2 %Washington County: 4.9 %Wayne County: 12.1 %Williams County: 6 %Wood County: 4.3 %Wyandot County: 4.1 %
  • Under 4.1
  • 4.1 to 4.6
  • 4.6 to 5
  • 5 to 5.4
  • 5.4 to 6.4
  • 6.4 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

Holmes County: 36.4 %Holmes County36.4Wayne County: 12.1 %Wayne County12.1Geauga County: 10.8 %Geauga County10.8Coshocton County: 8.5 %Coshocton County8.5Noble County: 8.4 %Noble County8.4Knox County: 7.9 %Knox County7.9Tuscarawas County: 7.5 %Tuscarawas County7.5Ashtabula County: 7.3 %Ashtabula County7.3Highland County: 7.3 %Highland County7.3Monroe County: 7.2 %Monroe County7.2Guernsey County: 7.1 %Guernsey County7.1Carroll County: 6.7 %Carroll County6.7Fayette County: 6.5 %Fayette County6.5Vinton County: 6.5 %Vinton County6.5Adams County: 6.4 %Adams County6.4Ashland County: 6.4 %Ashland County6.4Meigs County: 6.4 %Meigs County6.4Trumbull County: 6.4 %Trumbull County6.4Harrison County: 6.3 %Harrison County6.3Morgan County: 6.3 %Morgan County6.3Gallia County: 6.1 %Gallia County6.1Williams County: 6 %Williams County6Hardin County: 5.8 %Hardin County5.8Paulding County: 5.8 %Paulding County5.8Pike County: 5.8 %Pike County5.8Brown County: 5.6 %Brown County5.6Darke County: 5.6 %Darke County5.6Hocking County: 5.6 %Hocking County5.6Morrow County: 5.6 %Morrow County5.6Athens County: 5.4 %Athens County5.4Belmont County: 5.4 %Belmont County5.4Franklin County: 5.4 %Franklin County5.4Huron County: 5.4 %Huron County5.4Jackson County: 5.4 %Jackson County5.4Clark County: 5.3 %Clark County5.3Richland County: 5.3 %Richland County5.3Defiance County: 5.2 %Defiance County5.2Logan County: 5.2 %Logan County5.2Madison County: 5.2 %Madison County5.2Miami County: 5.2 %Miami County5.2Holmes County: 36.4 %Holmes County36.4Wayne County: 12.1 %Wayne County12.1Geauga County: 10.8 %Geauga County10.8Coshocton County: 8.5 %Coshocton County8.5Noble County: 8.4 %Noble County8.4Knox County: 7.9 %Knox County7.9Tuscarawas County: 7.5 %Tuscarawas County7.5Ashtabula County: 7.3 %Ashtabula County7.3Highland County: 7.3 %Highland County7.3Monroe County: 7.2 %Monroe County7.2Guernsey County: 7.1 %Guernsey County7.1Carroll County: 6.7 %Carroll County6.7Fayette County: 6.5 %Fayette County6.5Vinton County: 6.5 %Vinton County6.5Adams County: 6.4 %Adams County6.4Ashland County: 6.4 %Ashland County6.4Meigs County: 6.4 %Meigs County6.4Trumbull County: 6.4 %Trumbull County6.4Harrison County: 6.3 %Harrison County6.3Morgan County: 6.3 %Morgan County6.3Gallia County: 6.1 %Gallia County6.1Williams County: 6 %Williams County6Hardin County: 5.8 %Hardin County5.8Paulding County: 5.8 %Paulding County5.8Pike County: 5.8 %Pike County5.8Brown County: 5.6 %Brown County5.6Darke County: 5.6 %Darke County5.6Hocking County: 5.6 %Hocking County5.6Morrow County: 5.6 %Morrow County5.6Athens County: 5.4 %Athens County5.4Belmont County: 5.4 %Belmont County5.4Franklin County: 5.4 %Franklin County5.4Huron County: 5.4 %Huron County5.4Jackson County: 5.4 %Jackson County5.4Clark County: 5.3 %Clark County5.3Richland County: 5.3 %Richland County5.3Defiance County: 5.2 %Defiance County5.2Logan County: 5.2 %Logan County5.2Madison County: 5.2 %Madison County5.2Miami County: 5.2 %Miami 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

RankCounties2023 (%)Change on 2022
1Holmes County36.4-4.5 pts
2Wayne County12.1-0.1 pts
3Geauga County10.8+2.8 pts
4Coshocton County8.5+0.8 pts
5Noble County8.4+2.4 pts
6Knox County7.9+0.4 pts
7Tuscarawas County7.5+1.1 pts
8Ashtabula County7.3+1 pts
8Highland County7.3+1.3 pts
10Monroe County7.2+1.3 pts
11Guernsey County7.1+1.5 pts
12Carroll County6.7+0.3 pts
13Fayette County6.5+0.9 pts
13Vinton County6.5+0.9 pts
15Adams County6.4+0.4 pts
15Ashland County6.4+0.9 pts
15Meigs County6.4+1.2 pts
15Trumbull County6.4+0.6 pts
19Harrison County6.3+0.7 pts
19Morgan County6.3+0.7 pts
21Gallia County6.1+0.9 pts
22Williams County6+1.7 pts
23Hardin County5.8-0.7 pts
23Paulding County5.80 pts
23Pike County5.8+0.8 pts
26Brown County5.6+1.1 pts
26Darke County5.6+0.7 pts
26Hocking County5.6-0.2 pts
26Morrow County5.6+0.1 pts
30Athens County5.4+0.8 pts
30Belmont County5.4+1 pts
30Franklin County5.4+1.4 pts
30Huron County5.4-0.5 pts
30Jackson County5.4-1 pts
35Clark County5.3+0.9 pts
35Richland County5.3+1 pts
37Defiance County5.2+0.3 pts
37Logan County5.2+0.8 pts
37Madison County5.2+0.3 pts
37Miami County5.2+1.2 pts
37Shelby County5.2+0.3 pts
42Columbiana County5.1-0.2 pts
43Henry County5+0.9 pts
43Perry County5+0.7 pts
43Preble County5+1.2 pts
46Champaign County4.9+0.4 pts
46Marion County4.9+0.5 pts
46Pickaway County4.9+0.4 pts
46Washington County4.9+0.6 pts
50Crawford County4.8-0.2 pts
50Mahoning County4.8+1 pts
50Ottawa County4.8-0.1 pts
50Scioto County4.8-0.1 pts
50Van Wert County4.8+1.1 pts
55Montgomery County4.7+0.6 pts
55Putnam County4.7+0.6 pts
55Ross County4.7+0.4 pts
55Stark County4.7+1.6 pts
59Clermont County4.6+0.5 pts
59Muskingum County4.6+0.6 pts
59Seneca County4.6+0.4 pts
62Jefferson County4.5+0.4 pts
62Lawrence County4.5+0.3 pts
62Mercer County4.5-0.4 pts
65Sandusky County4.4+0.2 pts
66Fulton County4.3-0.1 pts
66Portage County4.3+0.9 pts
66Wood County4.3+0.5 pts
69Butler County4.2+0.1 pts
69Erie County4.2+0.1 pts
69Greene County4.2+0.7 pts
72Allen County4.1-1 pts
72Clinton County4.1+0.2 pts
72Cuyahoga County4.1-0.5 pts
72Wyandot County4.1-0.1 pts
76Hamilton County4+0.6 pts
76Lorain County4-0.4 pts
76Lucas County40 pts
79Auglaize County3.8+0.5 pts
79Lake County3.80 pts
79Medina County3.8+0.3 pts
82Summit County3.7+0.4 pts
83Fairfield County3.5-0.6 pts
83Hancock County3.5-0.2 pts
83Licking County3.5+0.1 pts
86Warren County3.2+0.2 pts
87Union County3.1+0.3 pts
88Delaware County2.5+0.1 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-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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Questions

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

Holmes County, with 36.4% in 2023, according to the U.S. Census Bureau.

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

Delaware County, with 2.5% 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 Ohio: more rankings