Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Alabama

Counties in Alabama by uninsured rate, under 65 (US model-based estimate), 2024

DeKalb County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2024, at 14.6%. Shelby County had the lowest, at 7.1%. The median was 10.4% and the figure for Alabama was 10%. Source: the U.S. Census Bureau.

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Highest14.6DeKalb County
Lowest7.1Shelby County
Median10.467 counties
Alabama10History

Map of counties, 2024

Autauga County: 8.1 %Baldwin County: 9.5 %Barbour County: 11.5 %Bibb County: 11.4 %Blount County: 12.7 %Bullock County: 13.2 %Butler County: 9 %Calhoun County: 10.3 %Chambers County: 10.3 %Cherokee County: 11.2 %Chilton County: 11.9 %Choctaw County: 10.5 %Clarke County: 10 %Clay County: 10.9 %Cleburne County: 10.9 %Coffee County: 10.3 %Colbert County: 9.8 %Conecuh County: 10.2 %Coosa County: 10.2 %Covington County: 11.4 %Crenshaw County: 11.3 %Cullman County: 11.9 %Dale County: 11.3 %Dallas County: 8.8 %DeKalb County: 14.6 %Elmore County: 7.9 %Escambia County: 10.4 %Etowah County: 10.9 %Fayette County: 10.8 %Franklin County: 13.3 %Geneva County: 12.5 %Greene County: 9 %Hale County: 10.2 %Henry County: 11.8 %Houston County: 11.3 %Jackson County: 12.4 %Jefferson County: 10.4 %Lamar County: 10 %Lauderdale County: 9.8 %Lawrence County: 11 %Lee County: 9.7 %Limestone County: 8.4 %Lowndes County: 9.3 %Macon County: 9.5 %Madison County: 8.3 %Marengo County: 10 %Marion County: 11 %Marshall County: 12.7 %Mobile County: 9.8 %Monroe County: 10.5 %Montgomery County: 9.8 %Morgan County: 10.8 %Perry County: 8.9 %Pickens County: 9.8 %Pike County: 10 %Randolph County: 11.7 %Russell County: 10.5 %St. Clair County: 8.9 %Shelby County: 7.1 %Sumter County: 9.6 %Talladega County: 9.5 %Tallapoosa County: 11 %Tuscaloosa County: 8.6 %Walker County: 11.3 %Washington County: 7.9 %Wilcox County: 10.6 %Winston County: 13 %
  • Under 9
  • 9 to 9.8
  • 9.8 to 10
  • 10 to 11
  • 11 to 12
  • 12 and over
%, 2024. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2024

DeKalb County: 14.6 %DeKalb County14.6Franklin County: 13.3 %Franklin County13.3Bullock County: 13.2 %Bullock County13.2Winston County: 13 %Winston County13Blount County: 12.7 %Blount County12.7Marshall County: 12.7 %Marshall County12.7Geneva County: 12.5 %Geneva County12.5Jackson County: 12.4 %Jackson County12.4Chilton County: 11.9 %Chilton County11.9Cullman County: 11.9 %Cullman County11.9Henry County: 11.8 %Henry County11.8Randolph County: 11.7 %Randolph County11.7Barbour County: 11.5 %Barbour County11.5Bibb County: 11.4 %Bibb County11.4Covington County: 11.4 %Covington County11.4Crenshaw County: 11.3 %Crenshaw County11.3Dale County: 11.3 %Dale County11.3Houston County: 11.3 %Houston County11.3Walker County: 11.3 %Walker County11.3Cherokee County: 11.2 %Cherokee County11.2Lawrence County: 11 %Lawrence County11Marion County: 11 %Marion County11Tallapoosa County: 11 %Tallapoosa County11Clay County: 10.9 %Clay County10.9Cleburne County: 10.9 %Cleburne County10.9Etowah County: 10.9 %Etowah County10.9Fayette County: 10.8 %Fayette County10.8Morgan County: 10.8 %Morgan County10.8Wilcox County: 10.6 %Wilcox County10.6Choctaw County: 10.5 %Choctaw County10.5Monroe County: 10.5 %Monroe County10.5Russell County: 10.5 %Russell County10.5Escambia County: 10.4 %Escambia County10.4Jefferson County: 10.4 %Jefferson County10.4Calhoun County: 10.3 %Calhoun County10.3Chambers County: 10.3 %Chambers County10.3Coffee County: 10.3 %Coffee County10.3Conecuh County: 10.2 %Conecuh County10.2Coosa County: 10.2 %Coosa County10.2Hale County: 10.2 %Hale County10.2DeKalb County: 14.6 %DeKalb County14.6Franklin County: 13.3 %Franklin County13.3Bullock County: 13.2 %Bullock County13.2Winston County: 13 %Winston County13Blount County: 12.7 %Blount County12.7Marshall County: 12.7 %Marshall County12.7Geneva County: 12.5 %Geneva County12.5Jackson County: 12.4 %Jackson County12.4Chilton County: 11.9 %Chilton County11.9Cullman County: 11.9 %Cullman County11.9Henry County: 11.8 %Henry County11.8Randolph County: 11.7 %Randolph County11.7Barbour County: 11.5 %Barbour County11.5Bibb County: 11.4 %Bibb County11.4Covington County: 11.4 %Covington County11.4Crenshaw County: 11.3 %Crenshaw County11.3Dale County: 11.3 %Dale County11.3Houston County: 11.3 %Houston County11.3Walker County: 11.3 %Walker County11.3Cherokee County: 11.2 %Cherokee County11.2Lawrence County: 11 %Lawrence County11Marion County: 11 %Marion County11Tallapoosa County: 11 %Tallapoosa County11Clay County: 10.9 %Clay County10.9Cleburne County: 10.9 %Cleburne County10.9Etowah County: 10.9 %Etowah County10.9Fayette County: 10.8 %Fayette County10.8Morgan County: 10.8 %Morgan County10.8Wilcox County: 10.6 %Wilcox County10.6Choctaw County: 10.5 %Choctaw County10.5Monroe County: 10.5 %Monroe County10.5Russell County: 10.5 %Russell County10.5Escambia County: 10.4 %Escambia County10.4Jefferson County: 10.4 %Jefferson County10.4Calhoun County: 10.3 %Calhoun County10.3Chambers County: 10.3 %Chambers County10.3Coffee County: 10.3 %Coffee County10.3Conecuh County: 10.2 %Conecuh County10.2Coosa County: 10.2 %Coosa County10.2Hale County: 10.2 %Hale County10.2
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2024 (%)Change on 2023
1DeKalb County14.6-0.4 pts
2Franklin County13.3+1 pts
3Bullock County13.2-1.2 pts
4Winston County13+0.9 pts
5Blount County12.7-0.6 pts
5Marshall County12.7+1.2 pts
7Geneva County12.5-0.4 pts
8Jackson County12.4+0.5 pts
9Chilton County11.9-0.2 pts
9Cullman County11.9-0.1 pts
11Henry County11.8-0.1 pts
12Randolph County11.7-0.4 pts
13Barbour County11.5-1.1 pts
14Bibb County11.4-1 pts
14Covington County11.4+0.5 pts
16Crenshaw County11.3-0.9 pts
16Dale County11.3-0.4 pts
16Houston County11.3+0.1 pts
16Walker County11.30 pts
20Cherokee County11.2-0.5 pts
21Lawrence County11-0.8 pts
21Marion County11-0.8 pts
21Tallapoosa County11+0.3 pts
24Clay County10.9-0.3 pts
24Cleburne County10.9-1.1 pts
24Etowah County10.9-0.6 pts
27Fayette County10.8-0.1 pts
27Morgan County10.8-0.7 pts
29Wilcox County10.6-0.6 pts
30Choctaw County10.5-1 pts
30Monroe County10.5-0.1 pts
30Russell County10.5-0.4 pts
33Escambia County10.4-0.7 pts
33Jefferson County10.4+0.1 pts
35Calhoun County10.3-0.6 pts
35Chambers County10.3-0.3 pts
35Coffee County10.3-0.3 pts
38Conecuh County10.2-0.5 pts
38Coosa County10.2-0.1 pts
38Hale County10.2-0.7 pts
41Clarke County10-0.9 pts
41Lamar County10-0.3 pts
41Marengo County10+1.1 pts
41Pike County10-0.8 pts
45Colbert County9.8-0.4 pts
45Lauderdale County9.8+0.1 pts
45Mobile County9.8-1.2 pts
45Montgomery County9.8-1 pts
45Pickens County9.8-0.3 pts
50Lee County9.7-0.1 pts
51Sumter County9.6-0.8 pts
52Baldwin County9.5+0.2 pts
52Macon County9.5-1.2 pts
52Talladega County9.5-0.4 pts
55Lowndes County9.3-0.5 pts
56Butler County9-1.7 pts
56Greene County9-0.4 pts
58Perry County8.9-0.6 pts
58St. Clair County8.90 pts
60Dallas County8.8-0.7 pts
61Tuscaloosa County8.6-0.2 pts
62Limestone County8.4+0.2 pts
63Madison County8.30 pts
64Autauga County8.1-0.1 pts
65Elmore County7.9-1 pts
65Washington County7.9-0.2 pts
67Shelby County7.1-0.1 pts

Other periods

About this ranking

People under 65 without health insurance coverage of any kind, as a percentage of all people under 65. 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. People 65 and over are left out because nearly all of them have Medicare.

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 65, 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 65, all races, both sexes, all income levels, states and counties (Counties in Alabama by uninsured rate, under 65 (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 65, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 65 (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-65/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties. Counties in Alabama by uninsured rate, under 65 (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-65/alabama-counties.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties, Counties in Alabama by uninsured rate, under 65 (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-65/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2024,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 65 (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-65/alabama-counties. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, 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 65, all races, both sexes, all income levels, states and counties: Counties in Alabama by uninsured rate, under 65 (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-65/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 65, 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 65 (US model-based estimate)?

DeKalb County, with 14.6% in 2024, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 65 (US model-based estimate)?

Shelby County, with 7.1% 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 65, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 65 (US model-based estimate): other rankings

Counties in Alabama: more rankings