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 2017, at 17.3%. Shelby County had the lowest, at 7.9%. The median was 11.5% and the figure for Alabama was 11%. Source: the U.S. Census Bureau.

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Highest17.3DeKalb County
Lowest7.9Shelby County
Median11.567 counties
Alabama11History

Map of counties, 2017

Autauga County: 8.7 %Baldwin County: 11.3 %Barbour County: 12.2 %Bibb County: 10.2 %Blount County: 13.4 %Bullock County: 11.4 %Butler County: 11.2 %Calhoun County: 11.9 %Chambers County: 11.9 %Cherokee County: 11.2 %Chilton County: 13.8 %Choctaw County: 11.3 %Clarke County: 11.9 %Clay County: 13.9 %Cleburne County: 13.3 %Coffee County: 12 %Colbert County: 9.7 %Conecuh County: 12 %Coosa County: 13 %Covington County: 12.1 %Crenshaw County: 12.3 %Cullman County: 12.7 %Dale County: 9.7 %Dallas County: 10.4 %DeKalb County: 17.3 %Elmore County: 8.7 %Escambia County: 14.4 %Etowah County: 12.5 %Fayette County: 11.5 %Franklin County: 15.3 %Geneva County: 14.1 %Greene County: 11.4 %Hale County: 10.6 %Henry County: 12.2 %Houston County: 11.1 %Jackson County: 13.1 %Jefferson County: 10 %Lamar County: 11.5 %Lauderdale County: 11.3 %Lawrence County: 14 %Lee County: 10.4 %Limestone County: 11 %Lowndes County: 10.8 %Macon County: 10.6 %Madison County: 9.4 %Marengo County: 9.8 %Marion County: 11.4 %Marshall County: 15.6 %Mobile County: 11.7 %Monroe County: 12.8 %Montgomery County: 11 %Morgan County: 11.6 %Perry County: 11.5 %Pickens County: 11.6 %Pike County: 12.9 %Randolph County: 13.2 %Russell County: 11.3 %St. Clair County: 10 %Shelby County: 7.9 %Sumter County: 11.4 %Talladega County: 10.3 %Tallapoosa County: 11.9 %Tuscaloosa County: 9.3 %Walker County: 11.7 %Washington County: 13.9 %Wilcox County: 10.5 %Winston County: 12.8 %
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%, 2017. 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, 2017

DeKalb County: 17.3 %DeKalb County17.3Marshall County: 15.6 %Marshall County15.6Franklin County: 15.3 %Franklin County15.3Escambia County: 14.4 %Escambia County14.4Geneva County: 14.1 %Geneva County14.1Lawrence County: 14 %Lawrence County14Clay County: 13.9 %Clay County13.9Washington County: 13.9 %Washington County13.9Chilton County: 13.8 %Chilton County13.8Blount County: 13.4 %Blount County13.4Cleburne County: 13.3 %Cleburne County13.3Randolph County: 13.2 %Randolph County13.2Jackson County: 13.1 %Jackson County13.1Coosa County: 13 %Coosa County13Pike County: 12.9 %Pike County12.9Monroe County: 12.8 %Monroe County12.8Winston County: 12.8 %Winston County12.8Cullman County: 12.7 %Cullman County12.7Etowah County: 12.5 %Etowah County12.5Crenshaw County: 12.3 %Crenshaw County12.3Barbour County: 12.2 %Barbour County12.2Henry County: 12.2 %Henry County12.2Covington County: 12.1 %Covington County12.1Coffee County: 12 %Coffee County12Conecuh County: 12 %Conecuh County12Calhoun County: 11.9 %Calhoun County11.9Chambers County: 11.9 %Chambers County11.9Clarke County: 11.9 %Clarke County11.9Tallapoosa County: 11.9 %Tallapoosa County11.9Mobile County: 11.7 %Mobile County11.7Walker County: 11.7 %Walker County11.7Morgan County: 11.6 %Morgan County11.6Pickens County: 11.6 %Pickens County11.6Fayette County: 11.5 %Fayette County11.5Lamar County: 11.5 %Lamar County11.5Perry County: 11.5 %Perry County11.5Bullock County: 11.4 %Bullock County11.4Greene County: 11.4 %Greene County11.4Marion County: 11.4 %Marion County11.4Sumter County: 11.4 %Sumter County11.4DeKalb County: 17.3 %DeKalb County17.3Marshall County: 15.6 %Marshall County15.6Franklin County: 15.3 %Franklin County15.3Escambia County: 14.4 %Escambia County14.4Geneva County: 14.1 %Geneva County14.1Lawrence County: 14 %Lawrence County14Clay County: 13.9 %Clay County13.9Washington County: 13.9 %Washington County13.9Chilton County: 13.8 %Chilton County13.8Blount County: 13.4 %Blount County13.4Cleburne County: 13.3 %Cleburne County13.3Randolph County: 13.2 %Randolph County13.2Jackson County: 13.1 %Jackson County13.1Coosa County: 13 %Coosa County13Pike County: 12.9 %Pike County12.9Monroe County: 12.8 %Monroe County12.8Winston County: 12.8 %Winston County12.8Cullman County: 12.7 %Cullman County12.7Etowah County: 12.5 %Etowah County12.5Crenshaw County: 12.3 %Crenshaw County12.3Barbour County: 12.2 %Barbour County12.2Henry County: 12.2 %Henry County12.2Covington County: 12.1 %Covington County12.1Coffee County: 12 %Coffee County12Conecuh County: 12 %Conecuh County12Calhoun County: 11.9 %Calhoun County11.9Chambers County: 11.9 %Chambers County11.9Clarke County: 11.9 %Clarke County11.9Tallapoosa County: 11.9 %Tallapoosa County11.9Mobile County: 11.7 %Mobile County11.7Walker County: 11.7 %Walker County11.7Morgan County: 11.6 %Morgan County11.6Pickens County: 11.6 %Pickens County11.6Fayette County: 11.5 %Fayette County11.5Lamar County: 11.5 %Lamar County11.5Perry County: 11.5 %Perry County11.5Bullock County: 11.4 %Bullock County11.4Greene County: 11.4 %Greene County11.4Marion County: 11.4 %Marion County11.4Sumter County: 11.4 %Sumter County11.4
%. 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

RankCounties2017 (%)Change on 2016
1DeKalb County17.3+0.7 pts
2Marshall County15.6+1.9 pts
3Franklin County15.3+2.2 pts
4Escambia County14.4+1.2 pts
5Geneva County14.10 pts
6Lawrence County140 pts
7Clay County13.9+0.5 pts
7Washington County13.9+0.8 pts
9Chilton County13.8-0.4 pts
10Blount County13.4+1.3 pts
11Cleburne County13.3+1.4 pts
12Randolph County13.2+1.2 pts
13Jackson County13.1+0.5 pts
14Coosa County13-0.3 pts
15Pike County12.9+0.1 pts
16Monroe County12.8+0.5 pts
16Winston County12.8-0.1 pts
18Cullman County12.7-0.1 pts
19Etowah County12.5+1 pts
20Crenshaw County12.3+0.8 pts
21Barbour County12.2-0.3 pts
21Henry County12.2+0.5 pts
23Covington County12.1-0.2 pts
24Coffee County12+1.2 pts
24Conecuh County12-0.8 pts
26Calhoun County11.9+0.7 pts
26Chambers County11.9+1.2 pts
26Clarke County11.9+0.5 pts
26Tallapoosa County11.9+1.2 pts
30Mobile County11.7-0.7 pts
30Walker County11.7+0.2 pts
32Morgan County11.6+0.4 pts
32Pickens County11.6-0.1 pts
34Fayette County11.5+0.7 pts
34Lamar County11.5+0.4 pts
34Perry County11.5+0.2 pts
37Bullock County11.4-1.8 pts
37Greene County11.4+0.3 pts
37Marion County11.40 pts
37Sumter County11.4-1.5 pts
41Baldwin County11.3+0.6 pts
41Choctaw County11.30 pts
41Lauderdale County11.3+1.4 pts
41Russell County11.3+0.5 pts
45Butler County11.2+0.5 pts
45Cherokee County11.2-0.7 pts
47Houston County11.10 pts
48Limestone County11-0.1 pts
48Montgomery County11-0.1 pts
50Lowndes County10.8-0.6 pts
51Hale County10.6-0.6 pts
51Macon County10.6+0.2 pts
53Wilcox County10.50 pts
54Dallas County10.40 pts
54Lee County10.4-0.1 pts
56Talladega County10.3+0.5 pts
57Bibb County10.2+0.5 pts
58Jefferson County10+0.1 pts
58St. Clair County10+0.6 pts
60Marengo County9.8-0.3 pts
61Colbert County9.70 pts
61Dale County9.7-1.3 pts
63Madison County9.4+0.6 pts
64Tuscaloosa County9.3+0.1 pts
65Autauga County8.7+0.2 pts
65Elmore County8.7+0.2 pts
67Shelby County7.9+0.5 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2017.
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-2017-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 17.3% in 2017, according to the U.S. Census Bureau.

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

Shelby County, with 7.9% in 2017.

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