Data / Rankings / Uninsured rate, under 19 (US model-based estimate) / Counties in Tennessee

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

Pickett County had the highest uninsured rate, under 19 (US model-based estimate) of 95 counties in 2019, at 6.9%. Lake County had the lowest, at 3.8%. The median was 4.9% and the figure for Tennessee was 4.9%. Source: the U.S. Census Bureau.

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Highest6.9Pickett County
Lowest3.8Lake County
Median4.995 counties
Tennessee4.9History

Map of counties, 2019

Anderson County: 4.8 %Bedford County: 5.8 %Benton County: 5 %Bledsoe County: 6.7 %Blount County: 5.3 %Bradley County: 4.8 %Campbell County: 4.8 %Cannon County: 5.1 %Carroll County: 4.6 %Carter County: 4 %Cheatham County: 5.5 %Chester County: 4.7 %Claiborne County: 4.4 %Clay County: 5.7 %Cocke County: 4 %Coffee County: 5.4 %Crockett County: 6.1 %Cumberland County: 5.7 %Davidson County: 6.4 %Decatur County: 6 %DeKalb County: 5.9 %Dickson County: 4.9 %Dyer County: 4.3 %Fayette County: 5.1 %Fentress County: 5.4 %Franklin County: 5.4 %Gibson County: 4.4 %Giles County: 5.4 %Grainger County: 5.6 %Greene County: 4.4 %Grundy County: 5.4 %Hamblen County: 5.6 %Hamilton County: 5 %Hancock County: 4.4 %Hardeman County: 4.4 %Hardin County: 4.9 %Hawkins County: 4 %Haywood County: 4.5 %Henderson County: 4.9 %Henry County: 5 %Hickman County: 6 %Houston County: 5.6 %Humphreys County: 4.8 %Jackson County: 5.6 %Jefferson County: 5 %Johnson County: 4.8 %Knox County: 4.7 %Lake County: 3.8 %Lauderdale County: 4.3 %Lawrence County: 5 %Lewis County: 4.8 %Lincoln County: 5.2 %Loudon County: 6.7 %McMinn County: 4.9 %McNairy County: 4.7 %Macon County: 5.2 %Madison County: 4.5 %Marion County: 4.6 %Marshall County: 5.2 %Maury County: 4.8 %Meigs County: 5.7 %Monroe County: 4.9 %Montgomery County: 4.1 %Moore County: 5.7 %Morgan County: 5.6 %Obion County: 4.6 %Overton County: 5.5 %Perry County: 6.3 %Pickett County: 6.9 %Polk County: 5.8 %Putnam County: 4.9 %Rhea County: 5.4 %Roane County: 4 %Robertson County: 4.6 %Rutherford County: 4.8 %Scott County: 4.2 %Sequatchie County: 5.6 %Sevier County: 6 %Shelby County: 4.8 %Smith County: 4.9 %Stewart County: 5.8 %Sullivan County: 3.9 %Sumner County: 4.8 %Tipton County: 4.4 %Trousdale County: 5.9 %Unicoi County: 4.7 %Union County: 5.4 %Van Buren County: 5.4 %Warren County: 5.9 %Washington County: 4.5 %Wayne County: 5.9 %Weakley County: 4.5 %White County: 4.8 %Williamson County: 3.9 %Wilson County: 4.8 %
  • Under 4.4
  • 4.4 to 4.8
  • 4.8 to 4.9
  • 4.9 to 5.4
  • 5.4 to 5.7
  • 5.7 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

Pickett County: 6.9 %Pickett County6.9Bledsoe County: 6.7 %Bledsoe County6.7Loudon County: 6.7 %Loudon County6.7Davidson County: 6.4 %Davidson County6.4Perry County: 6.3 %Perry County6.3Crockett County: 6.1 %Crockett County6.1Decatur County: 6 %Decatur County6Hickman County: 6 %Hickman County6Sevier County: 6 %Sevier County6DeKalb County: 5.9 %DeKalb County5.9Trousdale County: 5.9 %Trousdale County5.9Warren County: 5.9 %Warren County5.9Wayne County: 5.9 %Wayne County5.9Bedford County: 5.8 %Bedford County5.8Polk County: 5.8 %Polk County5.8Stewart County: 5.8 %Stewart County5.8Clay County: 5.7 %Clay County5.7Cumberland County: 5.7 %Cumberland County5.7Meigs County: 5.7 %Meigs County5.7Moore County: 5.7 %Moore County5.7Grainger County: 5.6 %Grainger County5.6Hamblen County: 5.6 %Hamblen County5.6Houston County: 5.6 %Houston County5.6Jackson County: 5.6 %Jackson County5.6Morgan County: 5.6 %Morgan County5.6Sequatchie County: 5.6 %Sequatchie County5.6Cheatham County: 5.5 %Cheatham County5.5Overton County: 5.5 %Overton County5.5Coffee County: 5.4 %Coffee County5.4Fentress County: 5.4 %Fentress County5.4Franklin County: 5.4 %Franklin County5.4Giles County: 5.4 %Giles County5.4Grundy County: 5.4 %Grundy County5.4Rhea County: 5.4 %Rhea County5.4Union County: 5.4 %Union County5.4Van Buren County: 5.4 %Van Buren County5.4Blount County: 5.3 %Blount County5.3Lincoln County: 5.2 %Lincoln County5.2Macon County: 5.2 %Macon County5.2Marshall County: 5.2 %Marshall County5.2Pickett County: 6.9 %Pickett County6.9Bledsoe County: 6.7 %Bledsoe County6.7Loudon County: 6.7 %Loudon County6.7Davidson County: 6.4 %Davidson County6.4Perry County: 6.3 %Perry County6.3Crockett County: 6.1 %Crockett County6.1Decatur County: 6 %Decatur County6Hickman County: 6 %Hickman County6Sevier County: 6 %Sevier County6DeKalb County: 5.9 %DeKalb County5.9Trousdale County: 5.9 %Trousdale County5.9Warren County: 5.9 %Warren County5.9Wayne County: 5.9 %Wayne County5.9Bedford County: 5.8 %Bedford County5.8Polk County: 5.8 %Polk County5.8Stewart County: 5.8 %Stewart County5.8Clay County: 5.7 %Clay County5.7Cumberland County: 5.7 %Cumberland County5.7Meigs County: 5.7 %Meigs County5.7Moore County: 5.7 %Moore County5.7Grainger County: 5.6 %Grainger County5.6Hamblen County: 5.6 %Hamblen County5.6Houston County: 5.6 %Houston County5.6Jackson County: 5.6 %Jackson County5.6Morgan County: 5.6 %Morgan County5.6Sequatchie County: 5.6 %Sequatchie County5.6Cheatham County: 5.5 %Cheatham County5.5Overton County: 5.5 %Overton County5.5Coffee County: 5.4 %Coffee County5.4Fentress County: 5.4 %Fentress County5.4Franklin County: 5.4 %Franklin County5.4Giles County: 5.4 %Giles County5.4Grundy County: 5.4 %Grundy County5.4Rhea County: 5.4 %Rhea County5.4Union County: 5.4 %Union County5.4Van Buren County: 5.4 %Van Buren County5.4Blount County: 5.3 %Blount County5.3Lincoln County: 5.2 %Lincoln County5.2Macon County: 5.2 %Macon County5.2Marshall County: 5.2 %Marshall 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
1Pickett County6.9+0.8 pts
2Bledsoe County6.7-0.8 pts
2Loudon County6.7+0.5 pts
4Davidson County6.4+0.4 pts
5Perry County6.3+0.7 pts
6Crockett County6.1-0.4 pts
7Decatur County6-0.1 pts
7Hickman County6+0.1 pts
7Sevier County6-0.6 pts
10DeKalb County5.9-0.5 pts
10Trousdale County5.9+0.5 pts
10Warren County5.9-2 pts
10Wayne County5.9+0.2 pts
14Bedford County5.8-0.1 pts
14Polk County5.80 pts
14Stewart County5.8-0.7 pts
17Clay County5.7+0.1 pts
17Cumberland County5.7+0.7 pts
17Meigs County5.7-0.2 pts
17Moore County5.7+0.6 pts
21Grainger County5.6-0.4 pts
21Hamblen County5.6+0.3 pts
21Houston County5.6+0.3 pts
21Jackson County5.6-0.2 pts
21Morgan County5.6-0.2 pts
21Sequatchie County5.6+0.6 pts
27Cheatham County5.50 pts
27Overton County5.5+0.4 pts
29Coffee County5.4+0.2 pts
29Fentress County5.4-0.2 pts
29Franklin County5.4+0.2 pts
29Giles County5.4+0.1 pts
29Grundy County5.4+0.2 pts
29Rhea County5.4-0.1 pts
29Union County5.4-0.1 pts
29Van Buren County5.4-0.1 pts
37Blount County5.3+0.6 pts
38Lincoln County5.2-0.2 pts
38Macon County5.2-0.5 pts
38Marshall County5.2+0.3 pts
41Cannon County5.1-0.5 pts
41Fayette County5.1+0.2 pts
43Benton County5-0.1 pts
43Hamilton County5+0.4 pts
43Henry County5-0.1 pts
43Jefferson County5-0.4 pts
43Lawrence County5-0.8 pts
48Dickson County4.9+0.1 pts
48Hardin County4.9-1 pts
48Henderson County4.9+0.1 pts
48McMinn County4.90 pts
48Monroe County4.9-0.6 pts
48Putnam County4.9-0.6 pts
48Smith County4.90 pts
55Anderson County4.8+0.4 pts
55Bradley County4.8-0.7 pts
55Campbell County4.8-0.2 pts
55Humphreys County4.8-0.6 pts
55Johnson County4.8-0.5 pts
55Lewis County4.80 pts
55Maury County4.8-0.2 pts
55Rutherford County4.8-0.2 pts
55Shelby County4.8-0.8 pts
55Sumner County4.8+0.1 pts
55White County4.8-1 pts
55Wilson County4.8+0.3 pts
67Chester County4.7-0.7 pts
67Knox County4.7+0.4 pts
67McNairy County4.7-0.6 pts
67Unicoi County4.7-0.2 pts
71Carroll County4.6-0.2 pts
71Marion County4.60 pts
71Obion County4.6-0.5 pts
71Robertson County4.6-1.3 pts
75Haywood County4.5+0.2 pts
75Madison County4.50 pts
75Washington County4.5+0.2 pts
75Weakley County4.5-0.7 pts
79Claiborne County4.4-0.3 pts
79Gibson County4.4-0.3 pts
79Greene County4.4-0.6 pts
79Hancock County4.4-0.4 pts
79Hardeman County4.4-0.7 pts
79Tipton County4.4-0.4 pts
85Dyer County4.3-0.3 pts
85Lauderdale County4.30 pts
87Scott County4.2-0.4 pts
88Montgomery County4.1+0.4 pts
89Carter County4-0.9 pts
89Cocke County40 pts
89Hawkins County4-0.1 pts
89Roane County4-0.2 pts
93Sullivan County3.9-0.2 pts
93Williamson County3.90 pts
95Lake County3.8-0.8 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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/tennessee-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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Questions

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

Pickett County, with 6.9% in 2019, according to the U.S. Census Bureau.

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

Lake 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 Tennessee: more rankings