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 2015, at 17.6%. Shelby County had the lowest, at 8.4%. The median was 12.2% and the figure for Alabama was 11.9%. Source: the U.S. Census Bureau.

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Highest17.6DeKalb County
Lowest8.4Shelby County
Median12.267 counties
Alabama11.9History

Map of counties, 2015

Autauga County: 9.4 %Baldwin County: 11.5 %Barbour County: 13.3 %Bibb County: 11.9 %Blount County: 14 %Bullock County: 14.5 %Butler County: 12.2 %Calhoun County: 11.4 %Chambers County: 13.3 %Cherokee County: 11.7 %Chilton County: 15.2 %Choctaw County: 11.8 %Clarke County: 12.6 %Clay County: 14.4 %Cleburne County: 12.1 %Coffee County: 11.9 %Colbert County: 10.6 %Conecuh County: 14.7 %Coosa County: 13.5 %Covington County: 12.3 %Crenshaw County: 12.8 %Cullman County: 14.1 %Dale County: 11.5 %Dallas County: 12.1 %DeKalb County: 17.6 %Elmore County: 9.3 %Escambia County: 15.5 %Etowah County: 12 %Fayette County: 11.9 %Franklin County: 16.4 %Geneva County: 15.7 %Greene County: 12.1 %Hale County: 12.1 %Henry County: 13.5 %Houston County: 11.7 %Jackson County: 13.8 %Jefferson County: 11.3 %Lamar County: 12.6 %Lauderdale County: 11.2 %Lawrence County: 13.6 %Lee County: 11.5 %Limestone County: 12.1 %Lowndes County: 12 %Macon County: 10.8 %Madison County: 10.3 %Marengo County: 10.8 %Marion County: 13 %Marshall County: 15.5 %Mobile County: 13 %Monroe County: 14.2 %Montgomery County: 12.2 %Morgan County: 13.7 %Perry County: 12.7 %Pickens County: 12.5 %Pike County: 13.8 %Randolph County: 13.7 %Russell County: 11.3 %St. Clair County: 11.5 %Shelby County: 8.4 %Sumter County: 12.5 %Talladega County: 11.2 %Tallapoosa County: 12 %Tuscaloosa County: 9.8 %Walker County: 12.8 %Washington County: 12.1 %Wilcox County: 12.3 %Winston County: 12.6 %
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%, 2015. 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, 2015

DeKalb County: 17.6 %DeKalb County17.6Franklin County: 16.4 %Franklin County16.4Geneva County: 15.7 %Geneva County15.7Escambia County: 15.5 %Escambia County15.5Marshall County: 15.5 %Marshall County15.5Chilton County: 15.2 %Chilton County15.2Conecuh County: 14.7 %Conecuh County14.7Bullock County: 14.5 %Bullock County14.5Clay County: 14.4 %Clay County14.4Monroe County: 14.2 %Monroe County14.2Cullman County: 14.1 %Cullman County14.1Blount County: 14 %Blount County14Jackson County: 13.8 %Jackson County13.8Pike County: 13.8 %Pike County13.8Morgan County: 13.7 %Morgan County13.7Randolph County: 13.7 %Randolph County13.7Lawrence County: 13.6 %Lawrence County13.6Coosa County: 13.5 %Coosa County13.5Henry County: 13.5 %Henry County13.5Barbour County: 13.3 %Barbour County13.3Chambers County: 13.3 %Chambers County13.3Marion County: 13 %Marion County13Mobile County: 13 %Mobile County13Crenshaw County: 12.8 %Crenshaw County12.8Walker County: 12.8 %Walker County12.8Perry County: 12.7 %Perry County12.7Clarke County: 12.6 %Clarke County12.6Lamar County: 12.6 %Lamar County12.6Winston County: 12.6 %Winston County12.6Pickens County: 12.5 %Pickens County12.5Sumter County: 12.5 %Sumter County12.5Covington County: 12.3 %Covington County12.3Wilcox County: 12.3 %Wilcox County12.3Butler County: 12.2 %Butler County12.2Montgomery County: 12.2 %Montgomery County12.2Cleburne County: 12.1 %Cleburne County12.1Dallas County: 12.1 %Dallas County12.1Greene County: 12.1 %Greene County12.1Hale County: 12.1 %Hale County12.1Limestone County: 12.1 %Limestone County12.1DeKalb County: 17.6 %DeKalb County17.6Franklin County: 16.4 %Franklin County16.4Geneva County: 15.7 %Geneva County15.7Escambia County: 15.5 %Escambia County15.5Marshall County: 15.5 %Marshall County15.5Chilton County: 15.2 %Chilton County15.2Conecuh County: 14.7 %Conecuh County14.7Bullock County: 14.5 %Bullock County14.5Clay County: 14.4 %Clay County14.4Monroe County: 14.2 %Monroe County14.2Cullman County: 14.1 %Cullman County14.1Blount County: 14 %Blount County14Jackson County: 13.8 %Jackson County13.8Pike County: 13.8 %Pike County13.8Morgan County: 13.7 %Morgan County13.7Randolph County: 13.7 %Randolph County13.7Lawrence County: 13.6 %Lawrence County13.6Coosa County: 13.5 %Coosa County13.5Henry County: 13.5 %Henry County13.5Barbour County: 13.3 %Barbour County13.3Chambers County: 13.3 %Chambers County13.3Marion County: 13 %Marion County13Mobile County: 13 %Mobile County13Crenshaw County: 12.8 %Crenshaw County12.8Walker County: 12.8 %Walker County12.8Perry County: 12.7 %Perry County12.7Clarke County: 12.6 %Clarke County12.6Lamar County: 12.6 %Lamar County12.6Winston County: 12.6 %Winston County12.6Pickens County: 12.5 %Pickens County12.5Sumter County: 12.5 %Sumter County12.5Covington County: 12.3 %Covington County12.3Wilcox County: 12.3 %Wilcox County12.3Butler County: 12.2 %Butler County12.2Montgomery County: 12.2 %Montgomery County12.2Cleburne County: 12.1 %Cleburne County12.1Dallas County: 12.1 %Dallas County12.1Greene County: 12.1 %Greene County12.1Hale County: 12.1 %Hale County12.1Limestone County: 12.1 %Limestone County12.1
%. 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

RankCounties2015 (%)Change on 2014
1DeKalb County17.6-3.3 pts
2Franklin County16.4-3.5 pts
3Geneva County15.7-1.5 pts
4Escambia County15.5-1.5 pts
4Marshall County15.5-3.3 pts
6Chilton County15.2-2.5 pts
7Conecuh County14.7-1.9 pts
8Bullock County14.5-2.8 pts
9Clay County14.4-3.4 pts
10Monroe County14.2-3.5 pts
11Cullman County14.1-2.3 pts
12Blount County14-2.5 pts
13Jackson County13.8-1.9 pts
13Pike County13.8-1.4 pts
15Morgan County13.7-2.4 pts
15Randolph County13.7-3.1 pts
17Lawrence County13.6-2.5 pts
18Coosa County13.5-2 pts
18Henry County13.5-1.6 pts
20Barbour County13.3-2 pts
20Chambers County13.3-1.6 pts
22Marion County13-2.4 pts
22Mobile County13-1.9 pts
24Crenshaw County12.8-3.5 pts
24Walker County12.8-2.4 pts
26Perry County12.7-2.6 pts
27Clarke County12.6-2.5 pts
27Lamar County12.6-1.4 pts
27Winston County12.6-3.7 pts
30Pickens County12.5-1.8 pts
30Sumter County12.5-4.2 pts
32Covington County12.3-3.1 pts
32Wilcox County12.3-4 pts
34Butler County12.2-2.2 pts
34Montgomery County12.2-1.7 pts
36Cleburne County12.1-2.2 pts
36Dallas County12.1-2.2 pts
36Greene County12.1-3 pts
36Hale County12.1-1.9 pts
36Limestone County12.1-2.3 pts
36Washington County12.1-3 pts
42Etowah County12-2.6 pts
42Lowndes County12-2.4 pts
42Tallapoosa County12-2.3 pts
45Bibb County11.9-1.7 pts
45Coffee County11.9-3.1 pts
45Fayette County11.9-2.7 pts
48Choctaw County11.8-2.5 pts
49Cherokee County11.7-2.9 pts
49Houston County11.7-1.8 pts
51Baldwin County11.5-4.6 pts
51Dale County11.5-2.3 pts
51Lee County11.5-1.9 pts
51St. Clair County11.5-1.9 pts
55Calhoun County11.4-2.8 pts
56Jefferson County11.3-1.3 pts
56Russell County11.3-3.5 pts
58Lauderdale County11.2-2.5 pts
58Talladega County11.2-2.3 pts
60Macon County10.8-2.2 pts
60Marengo County10.8-2.5 pts
62Colbert County10.6-2.4 pts
63Madison County10.3-2.2 pts
64Tuscaloosa County9.8-2.4 pts
65Autauga County9.4-1.6 pts
66Elmore County9.3-2.2 pts
67Shelby County8.4-2.2 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2015.
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-2015-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 17.6% in 2015, according to the U.S. Census Bureau.

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

Shelby County, with 8.4% in 2015.

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