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)

DeKalb County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2013, at 22.9%. Shelby County had the lowest, at 12.1%. The median was 16.5% and the figure for Alabama was 15.9%. Source: the U.S. Census Bureau.

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Highest22.9DeKalb County
Lowest12.1Shelby County
Median16.567 counties
Alabama15.9History

Map of counties, 2013

Autauga County: 13.4 %Baldwin County: 17.4 %Barbour County: 17.5 %Bibb County: 15.1 %Blount County: 17.6 %Bullock County: 18.8 %Butler County: 15.7 %Calhoun County: 16 %Chambers County: 16.8 %Cherokee County: 16.5 %Chilton County: 19.2 %Choctaw County: 16 %Clarke County: 15.8 %Clay County: 19.3 %Cleburne County: 16.7 %Coffee County: 16.7 %Colbert County: 14.5 %Conecuh County: 18.4 %Coosa County: 17.4 %Covington County: 17 %Crenshaw County: 16.7 %Cullman County: 18.8 %Dale County: 14.9 %Dallas County: 14.4 %DeKalb County: 22.9 %Elmore County: 12.3 %Escambia County: 18.7 %Etowah County: 16.1 %Fayette County: 15.5 %Franklin County: 20.4 %Geneva County: 19.4 %Greene County: 17.1 %Hale County: 16.2 %Henry County: 17.1 %Houston County: 15.9 %Jackson County: 17.9 %Jefferson County: 14.6 %Lamar County: 16 %Lauderdale County: 15 %Lawrence County: 18.1 %Lee County: 16.1 %Limestone County: 16 %Lowndes County: 15.5 %Macon County: 15.9 %Madison County: 13.6 %Marengo County: 15.6 %Marion County: 16.2 %Marshall County: 21.8 %Mobile County: 16.5 %Monroe County: 18.4 %Montgomery County: 15.3 %Morgan County: 17.3 %Perry County: 15.9 %Pickens County: 17 %Pike County: 17.5 %Randolph County: 18.8 %Russell County: 17.1 %St. Clair County: 14.4 %Shelby County: 12.1 %Sumter County: 17.3 %Talladega County: 14.6 %Tallapoosa County: 16.1 %Tuscaloosa County: 15.2 %Walker County: 16 %Washington County: 16.1 %Wilcox County: 17.5 %Winston County: 16.8 %
  • Under 15
  • 15 to 16
  • 16 to 17
  • 17 to 18
  • 18 and over
%, 2013. 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, 2013

DeKalb County: 22.9 %DeKalb County22.9Marshall County: 21.8 %Marshall County21.8Franklin County: 20.4 %Franklin County20.4Geneva County: 19.4 %Geneva County19.4Clay County: 19.3 %Clay County19.3Chilton County: 19.2 %Chilton County19.2Bullock County: 18.8 %Bullock County18.8Cullman County: 18.8 %Cullman County18.8Randolph County: 18.8 %Randolph County18.8Escambia County: 18.7 %Escambia County18.7Conecuh County: 18.4 %Conecuh County18.4Monroe County: 18.4 %Monroe County18.4Lawrence County: 18.1 %Lawrence County18.1Jackson County: 17.9 %Jackson County17.9Blount County: 17.6 %Blount County17.6Barbour County: 17.5 %Barbour County17.5Pike County: 17.5 %Pike County17.5Wilcox County: 17.5 %Wilcox County17.5Baldwin County: 17.4 %Baldwin County17.4Coosa County: 17.4 %Coosa County17.4Morgan County: 17.3 %Morgan County17.3Sumter County: 17.3 %Sumter County17.3Greene County: 17.1 %Greene County17.1Henry County: 17.1 %Henry County17.1Russell County: 17.1 %Russell County17.1Covington County: 17 %Covington County17Pickens County: 17 %Pickens County17Chambers County: 16.8 %Chambers County16.8Winston County: 16.8 %Winston County16.8Cleburne County: 16.7 %Cleburne County16.7Coffee County: 16.7 %Coffee County16.7Crenshaw County: 16.7 %Crenshaw County16.7Cherokee County: 16.5 %Cherokee County16.5Mobile County: 16.5 %Mobile County16.5Hale County: 16.2 %Hale County16.2Marion County: 16.2 %Marion County16.2Etowah County: 16.1 %Etowah County16.1Lee County: 16.1 %Lee County16.1Tallapoosa County: 16.1 %Tallapoosa County16.1Washington County: 16.1 %Washington County16.1DeKalb County: 22.9 %DeKalb County22.9Marshall County: 21.8 %Marshall County21.8Franklin County: 20.4 %Franklin County20.4Geneva County: 19.4 %Geneva County19.4Clay County: 19.3 %Clay County19.3Chilton County: 19.2 %Chilton County19.2Bullock County: 18.8 %Bullock County18.8Cullman County: 18.8 %Cullman County18.8Randolph County: 18.8 %Randolph County18.8Escambia County: 18.7 %Escambia County18.7Conecuh County: 18.4 %Conecuh County18.4Monroe County: 18.4 %Monroe County18.4Lawrence County: 18.1 %Lawrence County18.1Jackson County: 17.9 %Jackson County17.9Blount County: 17.6 %Blount County17.6Barbour County: 17.5 %Barbour County17.5Pike County: 17.5 %Pike County17.5Wilcox County: 17.5 %Wilcox County17.5Baldwin County: 17.4 %Baldwin County17.4Coosa County: 17.4 %Coosa County17.4Morgan County: 17.3 %Morgan County17.3Sumter County: 17.3 %Sumter County17.3Greene County: 17.1 %Greene County17.1Henry County: 17.1 %Henry County17.1Russell County: 17.1 %Russell County17.1Covington County: 17 %Covington County17Pickens County: 17 %Pickens County17Chambers County: 16.8 %Chambers County16.8Winston County: 16.8 %Winston County16.8Cleburne County: 16.7 %Cleburne County16.7Coffee County: 16.7 %Coffee County16.7Crenshaw County: 16.7 %Crenshaw County16.7Cherokee County: 16.5 %Cherokee County16.5Mobile County: 16.5 %Mobile County16.5Hale County: 16.2 %Hale County16.2Marion County: 16.2 %Marion County16.2Etowah County: 16.1 %Etowah County16.1Lee County: 16.1 %Lee County16.1Tallapoosa County: 16.1 %Tallapoosa County16.1Washington County: 16.1 %Washington County16.1
%. 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

RankCounties2013 (%)Change on 2012
1DeKalb County22.9+1.2 pts
2Marshall County21.8+3.2 pts
3Franklin County20.4+0.3 pts
4Geneva County19.4+0.4 pts
5Clay County19.3+0.5 pts
6Chilton County19.20 pts
7Bullock County18.8+1.3 pts
7Cullman County18.8+0.7 pts
7Randolph County18.8+0.6 pts
10Escambia County18.7-0.9 pts
11Conecuh County18.4+0.2 pts
11Monroe County18.4+1.9 pts
13Lawrence County18.1-0.1 pts
14Jackson County17.9+0.8 pts
15Blount County17.6-0.7 pts
16Barbour County17.50 pts
16Pike County17.5-0.5 pts
16Wilcox County17.5-0.5 pts
19Baldwin County17.4+1.6 pts
19Coosa County17.4+0.7 pts
21Morgan County17.3+0.4 pts
21Sumter County17.3+0.1 pts
23Greene County17.1+1.1 pts
23Henry County17.1+0.4 pts
23Russell County17.1+0.5 pts
26Covington County17-0.3 pts
26Pickens County17+0.5 pts
28Chambers County16.8+0.8 pts
28Winston County16.8-0.9 pts
30Cleburne County16.7+0.7 pts
30Coffee County16.7+0.7 pts
30Crenshaw County16.7+0.3 pts
33Cherokee County16.5-0.2 pts
33Mobile County16.5-1.2 pts
35Hale County16.2+0.1 pts
35Marion County16.2+0.4 pts
37Etowah County16.1-0.6 pts
37Lee County16.1+0.8 pts
37Tallapoosa County16.1+0.1 pts
37Washington County16.1-1.6 pts
41Calhoun County16+0.7 pts
41Choctaw County16-0.1 pts
41Lamar County16-0.9 pts
41Limestone County160 pts
41Walker County16+0.2 pts
46Houston County15.9-0.5 pts
46Macon County15.9+0.6 pts
46Perry County15.9-0.3 pts
49Clarke County15.8-1.2 pts
50Butler County15.7-0.9 pts
51Marengo County15.6+0.4 pts
52Fayette County15.5+0.1 pts
52Lowndes County15.50 pts
54Montgomery County15.3-0.1 pts
55Tuscaloosa County15.20 pts
56Bibb County15.10 pts
57Lauderdale County15-1.3 pts
58Dale County14.9+0.2 pts
59Jefferson County14.6+0.1 pts
59Talladega County14.6-0.1 pts
61Colbert County14.5+0.2 pts
62Dallas County14.4-0.1 pts
62St. Clair County14.4-0.9 pts
64Madison County13.6-0.1 pts
65Autauga County13.4+0.6 pts
66Elmore County12.3-0.9 pts
67Shelby County12.1+0.8 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2013.
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-2013-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 22.9% in 2013, according to the U.S. Census Bureau.

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

Shelby County, with 12.1% in 2013.

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