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 2016, at 16.6%. Shelby County had the lowest, at 7.4%. The median was 11.3% and the figure for Alabama was 10.8%. Source: the U.S. Census Bureau.

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Highest16.6DeKalb County
Lowest7.4Shelby County
Median11.367 counties
Alabama10.8History

Map of counties, 2016

Autauga County: 8.5 %Baldwin County: 10.7 %Barbour County: 12.5 %Bibb County: 9.7 %Blount County: 12.1 %Bullock County: 13.2 %Butler County: 10.7 %Calhoun County: 11.2 %Chambers County: 10.7 %Cherokee County: 11.9 %Chilton County: 14.2 %Choctaw County: 11.3 %Clarke County: 11.4 %Clay County: 13.4 %Cleburne County: 11.9 %Coffee County: 10.8 %Colbert County: 9.7 %Conecuh County: 12.8 %Coosa County: 13.3 %Covington County: 12.3 %Crenshaw County: 11.5 %Cullman County: 12.8 %Dale County: 11 %Dallas County: 10.4 %DeKalb County: 16.6 %Elmore County: 8.5 %Escambia County: 13.2 %Etowah County: 11.5 %Fayette County: 10.8 %Franklin County: 13.1 %Geneva County: 14.1 %Greene County: 11.1 %Hale County: 11.2 %Henry County: 11.7 %Houston County: 11.1 %Jackson County: 12.6 %Jefferson County: 9.9 %Lamar County: 11.1 %Lauderdale County: 9.9 %Lawrence County: 14 %Lee County: 10.5 %Limestone County: 11.1 %Lowndes County: 11.4 %Macon County: 10.4 %Madison County: 8.8 %Marengo County: 10.1 %Marion County: 11.4 %Marshall County: 13.7 %Mobile County: 12.4 %Monroe County: 12.3 %Montgomery County: 11.1 %Morgan County: 11.2 %Perry County: 11.3 %Pickens County: 11.7 %Pike County: 12.8 %Randolph County: 12 %Russell County: 10.8 %St. Clair County: 9.4 %Shelby County: 7.4 %Sumter County: 12.9 %Talladega County: 9.8 %Tallapoosa County: 10.7 %Tuscaloosa County: 9.2 %Walker County: 11.5 %Washington County: 13.1 %Wilcox County: 10.5 %Winston County: 12.9 %
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%, 2016. 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, 2016

DeKalb County: 16.6 %DeKalb County16.6Chilton County: 14.2 %Chilton County14.2Geneva County: 14.1 %Geneva County14.1Lawrence County: 14 %Lawrence County14Marshall County: 13.7 %Marshall County13.7Clay County: 13.4 %Clay County13.4Coosa County: 13.3 %Coosa County13.3Bullock County: 13.2 %Bullock County13.2Escambia County: 13.2 %Escambia County13.2Franklin County: 13.1 %Franklin County13.1Washington County: 13.1 %Washington County13.1Sumter County: 12.9 %Sumter County12.9Winston County: 12.9 %Winston County12.9Conecuh County: 12.8 %Conecuh County12.8Cullman County: 12.8 %Cullman County12.8Pike County: 12.8 %Pike County12.8Jackson County: 12.6 %Jackson County12.6Barbour County: 12.5 %Barbour County12.5Mobile County: 12.4 %Mobile County12.4Covington County: 12.3 %Covington County12.3Monroe County: 12.3 %Monroe County12.3Blount County: 12.1 %Blount County12.1Randolph County: 12 %Randolph County12Cherokee County: 11.9 %Cherokee County11.9Cleburne County: 11.9 %Cleburne County11.9Henry County: 11.7 %Henry County11.7Pickens County: 11.7 %Pickens County11.7Crenshaw County: 11.5 %Crenshaw County11.5Etowah County: 11.5 %Etowah County11.5Walker County: 11.5 %Walker County11.5Clarke County: 11.4 %Clarke County11.4Lowndes County: 11.4 %Lowndes County11.4Marion County: 11.4 %Marion County11.4Choctaw County: 11.3 %Choctaw County11.3Perry County: 11.3 %Perry County11.3Calhoun County: 11.2 %Calhoun County11.2Hale County: 11.2 %Hale County11.2Morgan County: 11.2 %Morgan County11.2Greene County: 11.1 %Greene County11.1Houston County: 11.1 %Houston County11.1DeKalb County: 16.6 %DeKalb County16.6Chilton County: 14.2 %Chilton County14.2Geneva County: 14.1 %Geneva County14.1Lawrence County: 14 %Lawrence County14Marshall County: 13.7 %Marshall County13.7Clay County: 13.4 %Clay County13.4Coosa County: 13.3 %Coosa County13.3Bullock County: 13.2 %Bullock County13.2Escambia County: 13.2 %Escambia County13.2Franklin County: 13.1 %Franklin County13.1Washington County: 13.1 %Washington County13.1Sumter County: 12.9 %Sumter County12.9Winston County: 12.9 %Winston County12.9Conecuh County: 12.8 %Conecuh County12.8Cullman County: 12.8 %Cullman County12.8Pike County: 12.8 %Pike County12.8Jackson County: 12.6 %Jackson County12.6Barbour County: 12.5 %Barbour County12.5Mobile County: 12.4 %Mobile County12.4Covington County: 12.3 %Covington County12.3Monroe County: 12.3 %Monroe County12.3Blount County: 12.1 %Blount County12.1Randolph County: 12 %Randolph County12Cherokee County: 11.9 %Cherokee County11.9Cleburne County: 11.9 %Cleburne County11.9Henry County: 11.7 %Henry County11.7Pickens County: 11.7 %Pickens County11.7Crenshaw County: 11.5 %Crenshaw County11.5Etowah County: 11.5 %Etowah County11.5Walker County: 11.5 %Walker County11.5Clarke County: 11.4 %Clarke County11.4Lowndes County: 11.4 %Lowndes County11.4Marion County: 11.4 %Marion County11.4Choctaw County: 11.3 %Choctaw County11.3Perry County: 11.3 %Perry County11.3Calhoun County: 11.2 %Calhoun County11.2Hale County: 11.2 %Hale County11.2Morgan County: 11.2 %Morgan County11.2Greene County: 11.1 %Greene County11.1Houston County: 11.1 %Houston County11.1
%. 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

RankCounties2016 (%)Change on 2015
1DeKalb County16.6-1 pts
2Chilton County14.2-1 pts
3Geneva County14.1-1.6 pts
4Lawrence County14+0.4 pts
5Marshall County13.7-1.8 pts
6Clay County13.4-1 pts
7Coosa County13.3-0.2 pts
8Bullock County13.2-1.3 pts
8Escambia County13.2-2.3 pts
10Franklin County13.1-3.3 pts
10Washington County13.1+1 pts
12Sumter County12.9+0.4 pts
12Winston County12.9+0.3 pts
14Conecuh County12.8-1.9 pts
14Cullman County12.8-1.3 pts
14Pike County12.8-1 pts
17Jackson County12.6-1.2 pts
18Barbour County12.5-0.8 pts
19Mobile County12.4-0.6 pts
20Covington County12.30 pts
20Monroe County12.3-1.9 pts
22Blount County12.1-1.9 pts
23Randolph County12-1.7 pts
24Cherokee County11.9+0.2 pts
24Cleburne County11.9-0.2 pts
26Henry County11.7-1.8 pts
26Pickens County11.7-0.8 pts
28Crenshaw County11.5-1.3 pts
28Etowah County11.5-0.5 pts
28Walker County11.5-1.3 pts
31Clarke County11.4-1.2 pts
31Lowndes County11.4-0.6 pts
31Marion County11.4-1.6 pts
34Choctaw County11.3-0.5 pts
34Perry County11.3-1.4 pts
36Calhoun County11.2-0.2 pts
36Hale County11.2-0.9 pts
36Morgan County11.2-2.5 pts
39Greene County11.1-1 pts
39Houston County11.1-0.6 pts
39Lamar County11.1-1.5 pts
39Limestone County11.1-1 pts
39Montgomery County11.1-1.1 pts
44Dale County11-0.5 pts
45Coffee County10.8-1.1 pts
45Fayette County10.8-1.1 pts
45Russell County10.8-0.5 pts
48Baldwin County10.7-0.8 pts
48Butler County10.7-1.5 pts
48Chambers County10.7-2.6 pts
48Tallapoosa County10.7-1.3 pts
52Lee County10.5-1 pts
52Wilcox County10.5-1.8 pts
54Dallas County10.4-1.7 pts
54Macon County10.4-0.4 pts
56Marengo County10.1-0.7 pts
57Jefferson County9.9-1.4 pts
57Lauderdale County9.9-1.3 pts
59Talladega County9.8-1.4 pts
60Bibb County9.7-2.2 pts
60Colbert County9.7-0.9 pts
62St. Clair County9.4-2.1 pts
63Tuscaloosa County9.2-0.6 pts
64Madison County8.8-1.5 pts
65Autauga County8.5-0.9 pts
65Elmore County8.5-0.8 pts
67Shelby County7.4-1 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2016.
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-2016-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 16.6% in 2016, according to the U.S. Census Bureau.

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

Shelby County, with 7.4% in 2016.

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