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

Ritchie County had the highest uninsured rate, under 19 (US model-based estimate) of 55 counties in 2021, at 5.1%. Pleasants County had the lowest, at 2.4%. The median was 3.4% and the figure for West Virginia was 3.3%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest5.1Ritchie County
Median3.455 counties
West Virginia3.3History

Map of counties, 2021

Barbour County: 3.3 %Berkeley County: 2.9 %Boone County: 3.2 %Braxton County: 4.1 %Brooke County: 3 %Cabell County: 2.9 %Calhoun County: 4 %Clay County: 4.2 %Doddridge County: 3.6 %Fayette County: 3 %Gilmer County: 3.1 %Grant County: 4.2 %Greenbrier County: 3.8 %Hampshire County: 3.7 %Hancock County: 3.7 %Hardy County: 4.8 %Harrison County: 3.8 %Jackson County: 3.2 %Jefferson County: 3.5 %Kanawha County: 3 %Lewis County: 3.6 %Lincoln County: 3.7 %Logan County: 3.3 %McDowell County: 2.9 %Marion County: 3.3 %Marshall County: 2.6 %Mason County: 2.9 %Mercer County: 3.4 %Mineral County: 2.6 %Mingo County: 3.6 %Monongalia County: 2.9 %Monroe County: 3.8 %Morgan County: 4.1 %Nicholas County: 3.3 %Ohio County: 3 %Pendleton County: 5 %Pleasants County: 2.4 %Pocahontas County: 4.7 %Preston County: 3.5 %Putnam County: 3 %Raleigh County: 3 %Randolph County: 3.3 %Ritchie County: 5.1 %Roane County: 3.6 %Summers County: 3.3 %Taylor County: 3.4 %Tucker County: 4.9 %Tyler County: 3.3 %Upshur County: 3.3 %Wayne County: 3.7 %Webster County: 3.7 %Wetzel County: 3.5 %Wirt County: 4 %Wood County: 3 %Wyoming County: 3.6 %
  • Under 3
  • 3 to 3.3
  • 3.3 to 3.4
  • 3.4 to 3.7
  • 3.7 to 4
  • 4 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.

All counties, 2021

Ritchie County: 5.1 %Ritchie County5.1Pendleton County: 5 %Pendleton County5Tucker County: 4.9 %Tucker County4.9Hardy County: 4.8 %Hardy County4.8Pocahontas County: 4.7 %Pocahontas County4.7Clay County: 4.2 %Clay County4.2Grant County: 4.2 %Grant County4.2Braxton County: 4.1 %Braxton County4.1Morgan County: 4.1 %Morgan County4.1Calhoun County: 4 %Calhoun County4Wirt County: 4 %Wirt County4Greenbrier County: 3.8 %Greenbrier County3.8Harrison County: 3.8 %Harrison County3.8Monroe County: 3.8 %Monroe County3.8Hampshire County: 3.7 %Hampshire County3.7Hancock County: 3.7 %Hancock County3.7Lincoln County: 3.7 %Lincoln County3.7Wayne County: 3.7 %Wayne County3.7Webster County: 3.7 %Webster County3.7Doddridge County: 3.6 %Doddridge County3.6Lewis County: 3.6 %Lewis County3.6Mingo County: 3.6 %Mingo County3.6Roane County: 3.6 %Roane County3.6Wyoming County: 3.6 %Wyoming County3.6Jefferson County: 3.5 %Jefferson County3.5Preston County: 3.5 %Preston County3.5Wetzel County: 3.5 %Wetzel County3.5Mercer County: 3.4 %Mercer County3.4Taylor County: 3.4 %Taylor County3.4Barbour County: 3.3 %Barbour County3.3Logan County: 3.3 %Logan County3.3Marion County: 3.3 %Marion County3.3Nicholas County: 3.3 %Nicholas County3.3Randolph County: 3.3 %Randolph County3.3Summers County: 3.3 %Summers County3.3Tyler County: 3.3 %Tyler County3.3Upshur County: 3.3 %Upshur County3.3Boone County: 3.2 %Boone County3.2Jackson County: 3.2 %Jackson County3.2Gilmer County: 3.1 %Gilmer County3.1Brooke County: 3 %Brooke County3Fayette County: 3 %Fayette County3Kanawha County: 3 %Kanawha County3Ohio County: 3 %Ohio County3Putnam County: 3 %Putnam County3Raleigh County: 3 %Raleigh County3Wood County: 3 %Wood County3Berkeley County: 2.9 %Berkeley County2.9Cabell County: 2.9 %Cabell County2.9Mason County: 2.9 %Mason County2.9McDowell County: 2.9 %McDowell County2.9Monongalia County: 2.9 %Monongalia County2.9Marshall County: 2.6 %Marshall County2.6Mineral County: 2.6 %Mineral County2.6Pleasants County: 2.4 %Pleasants County2.4Ritchie County: 5.1 %Ritchie County5.1Pendleton County: 5 %Pendleton County5Tucker County: 4.9 %Tucker County4.9Hardy County: 4.8 %Hardy County4.8Pocahontas County: 4.7 %Pocahontas County4.7Clay County: 4.2 %Clay County4.2Grant County: 4.2 %Grant County4.2Braxton County: 4.1 %Braxton County4.1Morgan County: 4.1 %Morgan County4.1Calhoun County: 4 %Calhoun County4Wirt County: 4 %Wirt County4Greenbrier County: 3.8 %Greenbrier County3.8Harrison County: 3.8 %Harrison County3.8Monroe County: 3.8 %Monroe County3.8Hampshire County: 3.7 %Hampshire County3.7Hancock County: 3.7 %Hancock County3.7Lincoln County: 3.7 %Lincoln County3.7Wayne County: 3.7 %Wayne County3.7Webster County: 3.7 %Webster County3.7Doddridge County: 3.6 %Doddridge County3.6Lewis County: 3.6 %Lewis County3.6Mingo County: 3.6 %Mingo County3.6Roane County: 3.6 %Roane County3.6Wyoming County: 3.6 %Wyoming County3.6Jefferson County: 3.5 %Jefferson County3.5Preston County: 3.5 %Preston County3.5Wetzel County: 3.5 %Wetzel County3.5Mercer County: 3.4 %Mercer County3.4Taylor County: 3.4 %Taylor County3.4Barbour County: 3.3 %Barbour County3.3Logan County: 3.3 %Logan County3.3Marion County: 3.3 %Marion County3.3Nicholas County: 3.3 %Nicholas County3.3Randolph County: 3.3 %Randolph County3.3Summers County: 3.3 %Summers County3.3Tyler County: 3.3 %Tyler County3.3Upshur County: 3.3 %Upshur County3.3Boone County: 3.2 %Boone County3.2Jackson County: 3.2 %Jackson County3.2Gilmer County: 3.1 %Gilmer County3.1Brooke County: 3 %Brooke County3Fayette County: 3 %Fayette County3Kanawha County: 3 %Kanawha County3Ohio County: 3 %Ohio County3Putnam County: 3 %Putnam County3Raleigh County: 3 %Raleigh County3Wood County: 3 %Wood County3Berkeley County: 2.9 %Berkeley County2.9Cabell County: 2.9 %Cabell County2.9Mason County: 2.9 %Mason County2.9McDowell County: 2.9 %McDowell County2.9Monongalia County: 2.9 %Monongalia County2.9Marshall County: 2.6 %Marshall County2.6Mineral County: 2.6 %Mineral County2.6Pleasants County: 2.4 %Pleasants County2.4
%. 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
1Ritchie County5.1+0.4 pts
2Pendleton County50 pts
3Tucker County4.9-0.3 pts
4Hardy County4.80 pts
5Pocahontas County4.7+0.1 pts
6Clay County4.2+0.6 pts
6Grant County4.20 pts
8Braxton County4.1+0.2 pts
8Morgan County4.1-0.6 pts
10Calhoun County4+0.1 pts
10Wirt County4-0.3 pts
12Greenbrier County3.8+0.1 pts
12Harrison County3.8+0.4 pts
12Monroe County3.8-0.2 pts
15Hampshire County3.7-0.5 pts
15Hancock County3.7+0.4 pts
15Lincoln County3.7+0.2 pts
15Wayne County3.7+0.4 pts
15Webster County3.7+0.4 pts
20Doddridge County3.6-0.8 pts
20Lewis County3.6-0.1 pts
20Mingo County3.6+0.4 pts
20Roane County3.6+0.2 pts
20Wyoming County3.6+0.1 pts
25Jefferson County3.5+0.1 pts
25Preston County3.5-0.1 pts
25Wetzel County3.5+0.1 pts
28Mercer County3.4+0.6 pts
28Taylor County3.4-0.4 pts
30Barbour County3.3-0.3 pts
30Logan County3.3+0.3 pts
30Marion County3.3-0.1 pts
30Nicholas County3.3+0.3 pts
30Randolph County3.3-0.3 pts
30Summers County3.3+0.1 pts
30Tyler County3.3-0.3 pts
30Upshur County3.3-0.1 pts
38Boone County3.2-0.1 pts
38Jackson County3.2+0.1 pts
40Gilmer County3.1-0.3 pts
41Brooke County3-0.1 pts
41Fayette County3-0.1 pts
41Kanawha County3+0.2 pts
41Ohio County3+0.3 pts
41Putnam County3+0.3 pts
41Raleigh County3+0.4 pts
41Wood County3-0.1 pts
48Berkeley County2.9-0.1 pts
48Cabell County2.9+0.6 pts
48Mason County2.9+0.2 pts
48McDowell County2.9+0.1 pts
48Monongalia County2.9-0.6 pts
53Marshall County2.6-0.4 pts
53Mineral County2.6-0.6 pts
55Pleasants County2.4-0.5 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 West Virginia 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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_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 West Virginia 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/west-virginia-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 West Virginia 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/west-virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/west-virginia-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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Questions

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

Ritchie County, with 5.1% in 2021, according to the U.S. Census Bureau.

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

Pleasants County, with 2.4% 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 West Virginia: more rankings