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

Counties in Virginia by uninsured rate, under 19 (US model-based estimate), 2024

Charlotte County had the highest uninsured rate, under 19 (US model-based estimate) of 133 counties in 2024, at 9.7%. Poquoson city had the lowest, at 2.6%. The median was 5.5% and the figure for Virginia was 4.9%. Source: the U.S. Census Bureau.

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Highest9.7Charlotte County
Lowest2.6Poquoson city
Median5.5133 counties
Virginia4.9History

Map of counties, 2024

Accomack County: 7.4 %Albemarle County: 4 %Alleghany County: 4.2 %Amelia County: 8.4 %Amherst County: 5.6 %Appomattox County: 5.2 %Arlington County: 3.1 %Augusta County: 4.3 %Bath County: 4.2 %Bedford County: 4.9 %Bland County: 4.1 %Botetourt County: 3.9 %Brunswick County: 6.7 %Buchanan County: 6.5 %Buckingham County: 7.3 %Campbell County: 4.7 %Caroline County: 6.3 %Carroll County: 6.2 %Charles City County: 5.1 %Charlotte County: 9.7 %Chesterfield County: 4.9 %Clarke County: 6.1 %Craig County: 6.2 %Culpeper County: 7.3 %Cumberland County: 4.6 %Dickenson County: 5.8 %Dinwiddie County: 5 %Essex County: 6.8 %Fairfax County: 4.7 %Fauquier County: 4.8 %Floyd County: 5.4 %Fluvanna County: 3.6 %Franklin County: 5.6 %Frederick County: 5.6 %Giles County: 5.6 %Gloucester County: 6.2 %Goochland County: 3.9 %Grayson County: 6.5 %Greene County: 7.2 %Greensville County: 5.8 %Halifax County: 6.2 %Hanover County: 4.7 %Henrico County: 4.1 %Henry County: 5.5 %Highland County: 7.6 %Isle of Wight County: 4.4 %James City County: 4.2 %King and Queen County: 6.7 %King George County: 5.1 %King William County: 4.6 %Lancaster County: 7.7 %Lee County: 6.1 %Loudoun County: 3.5 %Louisa County: 6.1 %Lunenburg County: 7.7 %Madison County: 7.5 %Mathews County: 6.2 %Mecklenburg County: 6.6 %Middlesex County: 6.6 %Montgomery County: 3.7 %Nelson County: 7.4 %New Kent County: 5.1 %Northampton County: 8.3 %Northumberland County: 7.6 %Nottoway County: 7 %Orange County: 5.1 %Page County: 7.2 %Patrick County: 6.3 %Pittsylvania County: 6.3 %Powhatan County: 5 %Prince Edward County: 5 %Prince George County: 4.9 %Prince William County: 5.6 %Pulaski County: 3.8 %Rappahannock County: 8 %Richmond County: 8.6 %Roanoke County: 3.8 %Rockbridge County: 5.5 %Rockingham County: 6.8 %Russell County: 5.7 %Scott County: 5.3 %Shenandoah County: 7 %Smyth County: 5.1 %Southampton County: 5.5 %Spotsylvania County: 5 %Stafford County: 3.9 %Surry County: 4.6 %Sussex County: 6.9 %Tazewell County: 6.5 %Warren County: 5.6 %Washington County: 4.8 %Westmoreland County: 7.6 %Wise County: 5.7 %Wythe County: 5.2 %York County: 3.7 %Alexandria city: 5.3 %Bristol city: 4.4 %Buena Vista city: 4.4 %Charlottesville city: 5.2 %Chesapeake city: 4 %Colonial Heights city: 5.1 %Covington city: 4.3 %Danville city: 4.9 %Emporia city: 6.3 %Fairfax city: 5.6 %Falls Church city: 2.6 %Franklin city: 5.6 %Fredericksburg city: 5.6 %Galax city: 5.9 %Hampton city: 4.4 %Harrisonburg city: 8.2 %Hopewell city: 5.7 %Lexington city: 4 %Lynchburg city: 5 %Manassas city: 7.2 %Manassas Park city: 6.8 %Martinsville city: 5.5 %Newport News city: 4.2 %Norfolk city: 5.3 %Norton city: 3.7 %Petersburg city: 4.9 %Poquoson city: 2.6 %Portsmouth city: 5.1 %Radford city: 4.1 %Richmond city: 6.5 %Roanoke city: 4.8 %Salem city: 3.6 %Staunton city: 4.2 %Suffolk city: 4.8 %Virginia Beach city: 5.1 %Waynesboro city: 6.2 %Williamsburg city: 6 %Winchester city: 6.9 %
  • Under 4.2
  • 4.2 to 4.9
  • 4.9 to 5.5
  • 5.5 to 6.1
  • 6.1 to 6.9
  • 6.9 and over
%, 2024. 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, 2024

Charlotte County: 9.7 %Charlotte County9.7Richmond County: 8.6 %Richmond County8.6Amelia County: 8.4 %Amelia County8.4Northampton County: 8.3 %Northampton County8.3Harrisonburg city: 8.2 %Harrisonburg city8.2Rappahannock County: 8 %Rappahannock County8Lancaster County: 7.7 %Lancaster County7.7Lunenburg County: 7.7 %Lunenburg County7.7Highland County: 7.6 %Highland County7.6Northumberland County: 7.6 %Northumberland County7.6Westmoreland County: 7.6 %Westmoreland County7.6Madison County: 7.5 %Madison County7.5Accomack County: 7.4 %Accomack County7.4Nelson County: 7.4 %Nelson County7.4Buckingham County: 7.3 %Buckingham County7.3Culpeper County: 7.3 %Culpeper County7.3Greene County: 7.2 %Greene County7.2Manassas city: 7.2 %Manassas city7.2Page County: 7.2 %Page County7.2Nottoway County: 7 %Nottoway County7Shenandoah County: 7 %Shenandoah County7Sussex County: 6.9 %Sussex County6.9Winchester city: 6.9 %Winchester city6.9Essex County: 6.8 %Essex County6.8Manassas Park city: 6.8 %Manassas Park city6.8Rockingham County: 6.8 %Rockingham County6.8Brunswick County: 6.7 %Brunswick County6.7King and Queen County: 6.7 %King and Queen County6.7Mecklenburg County: 6.6 %Mecklenburg County6.6Middlesex County: 6.6 %Middlesex County6.6Buchanan County: 6.5 %Buchanan County6.5Grayson County: 6.5 %Grayson County6.5Richmond city: 6.5 %Richmond city6.5Tazewell County: 6.5 %Tazewell County6.5Caroline County: 6.3 %Caroline County6.3Emporia city: 6.3 %Emporia city6.3Patrick County: 6.3 %Patrick County6.3Pittsylvania County: 6.3 %Pittsylvania County6.3Carroll County: 6.2 %Carroll County6.2Craig County: 6.2 %Craig County6.2Charlotte County: 9.7 %Charlotte County9.7Richmond County: 8.6 %Richmond County8.6Amelia County: 8.4 %Amelia County8.4Northampton County: 8.3 %Northampton County8.3Harrisonburg city: 8.2 %Harrisonburg city8.2Rappahannock County: 8 %Rappahannock County8Lancaster County: 7.7 %Lancaster County7.7Lunenburg County: 7.7 %Lunenburg County7.7Highland County: 7.6 %Highland County7.6Northumberland County: 7.6 %Northumberland County7.6Westmoreland County: 7.6 %Westmoreland County7.6Madison County: 7.5 %Madison County7.5Accomack County: 7.4 %Accomack County7.4Nelson County: 7.4 %Nelson County7.4Buckingham County: 7.3 %Buckingham County7.3Culpeper County: 7.3 %Culpeper County7.3Greene County: 7.2 %Greene County7.2Manassas city: 7.2 %Manassas city7.2Page County: 7.2 %Page County7.2Nottoway County: 7 %Nottoway County7Shenandoah County: 7 %Shenandoah County7Sussex County: 6.9 %Sussex County6.9Winchester city: 6.9 %Winchester city6.9Essex County: 6.8 %Essex County6.8Manassas Park city: 6.8 %Manassas Park city6.8Rockingham County: 6.8 %Rockingham County6.8Brunswick County: 6.7 %Brunswick County6.7King and Queen County: 6.7 %King and Queen County6.7Mecklenburg County: 6.6 %Mecklenburg County6.6Middlesex County: 6.6 %Middlesex County6.6Buchanan County: 6.5 %Buchanan County6.5Grayson County: 6.5 %Grayson County6.5Richmond city: 6.5 %Richmond city6.5Tazewell County: 6.5 %Tazewell County6.5Caroline County: 6.3 %Caroline County6.3Emporia city: 6.3 %Emporia city6.3Patrick County: 6.3 %Patrick County6.3Pittsylvania County: 6.3 %Pittsylvania County6.3Carroll County: 6.2 %Carroll County6.2Craig County: 6.2 %Craig County6.2
%. 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

RankCounties2024 (%)Change on 2023
1Charlotte County9.7+3 pts
2Richmond County8.6+0.2 pts
3Amelia County8.4+0.9 pts
4Northampton County8.3+1.7 pts
5Harrisonburg city8.2+1.9 pts
6Rappahannock County80 pts
7Lancaster County7.7-0.5 pts
7Lunenburg County7.7+0.7 pts
9Highland County7.6+2.6 pts
9Northumberland County7.6-0.1 pts
9Westmoreland County7.6+0.8 pts
12Madison County7.50 pts
13Accomack County7.4+1.2 pts
13Nelson County7.4-0.7 pts
15Buckingham County7.3+0.2 pts
15Culpeper County7.3+1.3 pts
17Greene County7.2+0.8 pts
17Manassas city7.2+0.6 pts
17Page County7.2+1 pts
20Nottoway County7+0.3 pts
20Shenandoah County7+1.5 pts
22Sussex County6.9+0.9 pts
22Winchester city6.9+0.9 pts
24Essex County6.8+0.1 pts
24Manassas Park city6.8-0.2 pts
24Rockingham County6.8-0.8 pts
27Brunswick County6.7-0.8 pts
27King and Queen County6.7-0.4 pts
29Mecklenburg County6.6+0.4 pts
29Middlesex County6.6-1.3 pts
31Buchanan County6.5-0.3 pts
31Grayson County6.5+0.8 pts
31Richmond city6.5+1.1 pts
31Tazewell County6.5+1.2 pts
35Caroline County6.3+1.2 pts
35Emporia city6.3+1.6 pts
35Patrick County6.3+0.6 pts
35Pittsylvania County6.3+1.3 pts
39Carroll County6.2+0.4 pts
39Craig County6.2+0.6 pts
39Gloucester County6.2+0.8 pts
39Halifax County6.2-0.5 pts
39Mathews County6.2+1 pts
39Waynesboro city6.2+0.5 pts
45Clarke County6.1+0.4 pts
45Lee County6.1+0.6 pts
45Louisa County6.1+0.6 pts
48Williamsburg city6+0.6 pts
49Galax city5.9+0.5 pts
50Dickenson County5.8+0.5 pts
50Greensville County5.8+0.9 pts
52Hopewell city5.7+1.2 pts
52Russell County5.7+0.4 pts
52Wise County5.7+0.4 pts
55Amherst County5.6+0.8 pts
55Fairfax city5.6+0.4 pts
55Franklin city5.6+0.6 pts
55Franklin County5.60 pts
55Frederick County5.6+1 pts
55Fredericksburg city5.6+0.2 pts
55Giles County5.6+0.1 pts
55Prince William County5.6+0.6 pts
55Warren County5.6-0.1 pts
64Henry County5.5+0.5 pts
64Martinsville city5.5+0.9 pts
64Rockbridge County5.5+0.5 pts
64Southampton County5.5+0.9 pts
68Floyd County5.4+0.6 pts
69Alexandria city5.3+1 pts
69Norfolk city5.3-0.4 pts
69Scott County5.3+0.7 pts
72Appomattox County5.2-0.4 pts
72Charlottesville city5.20 pts
72Wythe County5.2+0.8 pts
75Charles City County5.1-1.3 pts
75Colonial Heights city5.1+0.3 pts
75King George County5.1+0.1 pts
75New Kent County5.1+0.2 pts
75Orange County5.10 pts
75Portsmouth city5.1+1.1 pts
75Smyth County5.1+0.5 pts
75Virginia Beach city5.1+1.1 pts
83Dinwiddie County5+0.5 pts
83Lynchburg city5+1.3 pts
83Powhatan County5+0.2 pts
83Prince Edward County5+0.1 pts
83Spotsylvania County5+1 pts
88Bedford County4.9-0.7 pts
88Chesterfield County4.9+0.4 pts
88Danville city4.9+0.1 pts
88Petersburg city4.9+0.1 pts
88Prince George County4.9+0.6 pts
93Fauquier County4.8+0.5 pts
93Roanoke city4.8-0.8 pts
93Suffolk city4.8+0.7 pts
93Washington County4.8+0.1 pts
97Campbell County4.7+0.4 pts
97Fairfax County4.7+0.6 pts
97Hanover County4.7+0.8 pts
100Cumberland County4.6-0.2 pts
100King William County4.6-0.1 pts
100Surry County4.6-0.2 pts
103Bristol city4.4-0.3 pts
103Buena Vista city4.4+0.6 pts
103Hampton city4.4+0.3 pts
103Isle of Wight County4.4+0.1 pts
107Augusta County4.3-0.9 pts
107Covington city4.3+0.4 pts
109Alleghany County4.2-0.4 pts
109Bath County4.2-0.1 pts
109James City County4.2+0.8 pts
109Newport News city4.2-0.3 pts
109Staunton city4.2-0.1 pts
114Bland County4.1+0.4 pts
114Henrico County4.1-0.7 pts
114Radford city4.1-0.1 pts
117Albemarle County4-0.6 pts
117Chesapeake city4+0.2 pts
117Lexington city4+0.9 pts
120Botetourt County3.9+0.3 pts
120Goochland County3.9+0.6 pts
120Stafford County3.9-0.3 pts
123Pulaski County3.8-0.1 pts
123Roanoke County3.8+0.3 pts
125Montgomery County3.7-0.3 pts
125Norton city3.7+0.6 pts
125York County3.7+0.2 pts
128Fluvanna County3.6-0.2 pts
128Salem city3.6+0.4 pts
130Loudoun County3.5+0.6 pts
131Arlington County3.1+0.6 pts
132Falls Church city2.6-0.1 pts
132Poquoson city2.6-0.8 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-2024-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties. 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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties.

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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2024,
  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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties. 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-2024-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 Virginia by uninsured rate, under 19 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/virginia-counties.
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-2024-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)?

Charlotte County, with 9.7% in 2024, according to the U.S. Census Bureau.

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

Poquoson city, with 2.6% in 2024.

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 Virginia: more rankings