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

Gilmer County had the highest uninsured rate, under 19 (US model-based estimate) of 55 counties in 2024, at 4.4%. Marshall County had the lowest, at 1.9%. The median was 3% and the figure for West Virginia was 2.8%. Source: the U.S. Census Bureau.

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Highest4.4Gilmer County
Median355 counties
West Virginia2.8History

Map of counties, 2024

Barbour County: 3 %Berkeley County: 2.6 %Boone County: 3 %Braxton County: 3.3 %Brooke County: 2.2 %Cabell County: 3.1 %Calhoun County: 3.1 %Clay County: 3.3 %Doddridge County: 3.3 %Fayette County: 2.6 %Gilmer County: 4.4 %Grant County: 2.9 %Greenbrier County: 3.3 %Hampshire County: 3.2 %Hancock County: 2.6 %Hardy County: 3.8 %Harrison County: 3.3 %Jackson County: 2.8 %Jefferson County: 2.5 %Kanawha County: 2.6 %Lewis County: 2.5 %Lincoln County: 3.4 %Logan County: 3 %McDowell County: 4.1 %Marion County: 2.1 %Marshall County: 1.9 %Mason County: 2.6 %Mercer County: 2.7 %Mineral County: 2.3 %Mingo County: 4.1 %Monongalia County: 2.1 %Monroe County: 3.3 %Morgan County: 3.4 %Nicholas County: 3.2 %Ohio County: 2.7 %Pendleton County: 3.7 %Pleasants County: 3 %Pocahontas County: 3.8 %Preston County: 3 %Putnam County: 2.1 %Raleigh County: 3.3 %Randolph County: 2.8 %Ritchie County: 3.2 %Roane County: 4.2 %Summers County: 3.3 %Taylor County: 3.4 %Tucker County: 3.1 %Tyler County: 2.3 %Upshur County: 2.9 %Wayne County: 2.7 %Webster County: 3 %Wetzel County: 2.4 %Wirt County: 3.2 %Wood County: 2.5 %Wyoming County: 3.4 %
  • Under 2.5
  • 2.5 to 2.7
  • 2.7 to 3
  • 3 to 3.3
  • 3.3 to 3.4
  • 3.4 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.

All counties, 2024

Gilmer County: 4.4 %Gilmer County4.4Roane County: 4.2 %Roane County4.2McDowell County: 4.1 %McDowell County4.1Mingo County: 4.1 %Mingo County4.1Hardy County: 3.8 %Hardy County3.8Pocahontas County: 3.8 %Pocahontas County3.8Pendleton County: 3.7 %Pendleton County3.7Lincoln County: 3.4 %Lincoln County3.4Morgan County: 3.4 %Morgan County3.4Taylor County: 3.4 %Taylor County3.4Wyoming County: 3.4 %Wyoming County3.4Braxton County: 3.3 %Braxton County3.3Clay County: 3.3 %Clay County3.3Doddridge County: 3.3 %Doddridge County3.3Greenbrier County: 3.3 %Greenbrier County3.3Harrison County: 3.3 %Harrison County3.3Monroe County: 3.3 %Monroe County3.3Raleigh County: 3.3 %Raleigh County3.3Summers County: 3.3 %Summers County3.3Hampshire County: 3.2 %Hampshire County3.2Nicholas County: 3.2 %Nicholas County3.2Ritchie County: 3.2 %Ritchie County3.2Wirt County: 3.2 %Wirt County3.2Cabell County: 3.1 %Cabell County3.1Calhoun County: 3.1 %Calhoun County3.1Tucker County: 3.1 %Tucker County3.1Barbour County: 3 %Barbour County3Boone County: 3 %Boone County3Logan County: 3 %Logan County3Pleasants County: 3 %Pleasants County3Preston County: 3 %Preston County3Webster County: 3 %Webster County3Grant County: 2.9 %Grant County2.9Upshur County: 2.9 %Upshur County2.9Jackson County: 2.8 %Jackson County2.8Randolph County: 2.8 %Randolph County2.8Mercer County: 2.7 %Mercer County2.7Ohio County: 2.7 %Ohio County2.7Wayne County: 2.7 %Wayne County2.7Berkeley County: 2.6 %Berkeley County2.6Fayette County: 2.6 %Fayette County2.6Hancock County: 2.6 %Hancock County2.6Kanawha County: 2.6 %Kanawha County2.6Mason County: 2.6 %Mason County2.6Jefferson County: 2.5 %Jefferson County2.5Lewis County: 2.5 %Lewis County2.5Wood County: 2.5 %Wood County2.5Wetzel County: 2.4 %Wetzel County2.4Mineral County: 2.3 %Mineral County2.3Tyler County: 2.3 %Tyler County2.3Brooke County: 2.2 %Brooke County2.2Marion County: 2.1 %Marion County2.1Monongalia County: 2.1 %Monongalia County2.1Putnam County: 2.1 %Putnam County2.1Marshall County: 1.9 %Marshall County1.9Gilmer County: 4.4 %Gilmer County4.4Roane County: 4.2 %Roane County4.2McDowell County: 4.1 %McDowell County4.1Mingo County: 4.1 %Mingo County4.1Hardy County: 3.8 %Hardy County3.8Pocahontas County: 3.8 %Pocahontas County3.8Pendleton County: 3.7 %Pendleton County3.7Lincoln County: 3.4 %Lincoln County3.4Morgan County: 3.4 %Morgan County3.4Taylor County: 3.4 %Taylor County3.4Wyoming County: 3.4 %Wyoming County3.4Braxton County: 3.3 %Braxton County3.3Clay County: 3.3 %Clay County3.3Doddridge County: 3.3 %Doddridge County3.3Greenbrier County: 3.3 %Greenbrier County3.3Harrison County: 3.3 %Harrison County3.3Monroe County: 3.3 %Monroe County3.3Raleigh County: 3.3 %Raleigh County3.3Summers County: 3.3 %Summers County3.3Hampshire County: 3.2 %Hampshire County3.2Nicholas County: 3.2 %Nicholas County3.2Ritchie County: 3.2 %Ritchie County3.2Wirt County: 3.2 %Wirt County3.2Cabell County: 3.1 %Cabell County3.1Calhoun County: 3.1 %Calhoun County3.1Tucker County: 3.1 %Tucker County3.1Barbour County: 3 %Barbour County3Boone County: 3 %Boone County3Logan County: 3 %Logan County3Pleasants County: 3 %Pleasants County3Preston County: 3 %Preston County3Webster County: 3 %Webster County3Grant County: 2.9 %Grant County2.9Upshur County: 2.9 %Upshur County2.9Jackson County: 2.8 %Jackson County2.8Randolph County: 2.8 %Randolph County2.8Mercer County: 2.7 %Mercer County2.7Ohio County: 2.7 %Ohio County2.7Wayne County: 2.7 %Wayne County2.7Berkeley County: 2.6 %Berkeley County2.6Fayette County: 2.6 %Fayette County2.6Hancock County: 2.6 %Hancock County2.6Kanawha County: 2.6 %Kanawha County2.6Mason County: 2.6 %Mason County2.6Jefferson County: 2.5 %Jefferson County2.5Lewis County: 2.5 %Lewis County2.5Wood County: 2.5 %Wood County2.5Wetzel County: 2.4 %Wetzel County2.4Mineral County: 2.3 %Mineral County2.3Tyler County: 2.3 %Tyler County2.3Brooke County: 2.2 %Brooke County2.2Marion County: 2.1 %Marion County2.1Monongalia County: 2.1 %Monongalia County2.1Putnam County: 2.1 %Putnam County2.1Marshall County: 1.9 %Marshall County1.9
%. 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
1Gilmer County4.4+0.4 pts
2Roane County4.2+0.1 pts
3McDowell County4.1+0.6 pts
3Mingo County4.1-0.2 pts
5Hardy County3.8+0.1 pts
5Pocahontas County3.8+0.2 pts
7Pendleton County3.7-0.2 pts
8Lincoln County3.4+0.3 pts
8Morgan County3.40 pts
8Taylor County3.40 pts
8Wyoming County3.4-0.2 pts
12Braxton County3.3-0.5 pts
12Clay County3.3+0.1 pts
12Doddridge County3.30 pts
12Greenbrier County3.3+0.1 pts
12Harrison County3.3+0.1 pts
12Monroe County3.3-0.4 pts
12Raleigh County3.3+0.6 pts
12Summers County3.3-0.5 pts
20Hampshire County3.2-0.6 pts
20Nicholas County3.2-0.2 pts
20Ritchie County3.2-0.4 pts
20Wirt County3.2-0.1 pts
24Cabell County3.1+0.7 pts
24Calhoun County3.1+0.1 pts
24Tucker County3.1-0.1 pts
27Barbour County3-0.3 pts
27Boone County3+0.1 pts
27Logan County3-0.3 pts
27Pleasants County30 pts
27Preston County3-0.1 pts
27Webster County30 pts
33Grant County2.9-0.6 pts
33Upshur County2.9-0.4 pts
35Jackson County2.8-0.3 pts
35Randolph County2.8-0.2 pts
37Mercer County2.7-0.2 pts
37Ohio County2.7-0.2 pts
37Wayne County2.70 pts
40Berkeley County2.6-0.4 pts
40Fayette County2.6-0.4 pts
40Hancock County2.60 pts
40Kanawha County2.6+0.1 pts
40Mason County2.6-0.6 pts
45Jefferson County2.5-0.4 pts
45Lewis County2.5-0.4 pts
45Wood County2.5-0.5 pts
48Wetzel County2.4-0.2 pts
49Mineral County2.30 pts
49Tyler County2.3-0.8 pts
51Brooke County2.2-0.8 pts
52Marion County2.1-0.8 pts
52Monongalia County2.1+0.1 pts
52Putnam County2.10 pts
55Marshall County1.9-0.2 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-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 West 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 West 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/west-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 West 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/west-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 West 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/west-virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_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 West 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/west-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 West 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/west-virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/west-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)?

Gilmer County, with 4.4% in 2024, according to the U.S. Census Bureau.

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

Marshall County, with 1.9% 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 West Virginia: more rankings