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 2018, at 18.8%. Shelby County had the lowest, at 8.1%. The median was 12.5% and the figure for Alabama was 11.9%. Source: the U.S. Census Bureau.

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Highest18.8DeKalb County
Lowest8.1Shelby County
Median12.567 counties
Alabama11.9History

Map of counties, 2018

Autauga County: 10 %Baldwin County: 13.2 %Barbour County: 13.5 %Bibb County: 10.6 %Blount County: 14.1 %Bullock County: 11.9 %Butler County: 11.9 %Calhoun County: 11.1 %Chambers County: 11.6 %Cherokee County: 13.5 %Chilton County: 16.3 %Choctaw County: 13.5 %Clarke County: 12.6 %Clay County: 15.9 %Cleburne County: 13.6 %Coffee County: 12.5 %Colbert County: 11.3 %Conecuh County: 12.5 %Coosa County: 12.6 %Covington County: 12.2 %Crenshaw County: 12.8 %Cullman County: 13.8 %Dale County: 11 %Dallas County: 11.4 %DeKalb County: 18.8 %Elmore County: 9.9 %Escambia County: 14.9 %Etowah County: 12.5 %Fayette County: 12.3 %Franklin County: 16.4 %Geneva County: 14.2 %Greene County: 11.7 %Hale County: 11.4 %Henry County: 13.9 %Houston County: 12.7 %Jackson County: 13.3 %Jefferson County: 11.1 %Lamar County: 11.9 %Lauderdale County: 11.7 %Lawrence County: 13.9 %Lee County: 10.5 %Limestone County: 10.9 %Lowndes County: 11.7 %Macon County: 11.6 %Madison County: 9.5 %Marengo County: 10.6 %Marion County: 13.1 %Marshall County: 14.4 %Mobile County: 13.1 %Monroe County: 13.7 %Montgomery County: 12.2 %Morgan County: 13.2 %Perry County: 11.7 %Pickens County: 12.2 %Pike County: 14 %Randolph County: 13.1 %Russell County: 12 %St. Clair County: 11.5 %Shelby County: 8.1 %Sumter County: 13.4 %Talladega County: 12 %Tallapoosa County: 11.8 %Tuscaloosa County: 10.1 %Walker County: 13 %Washington County: 13.8 %Wilcox County: 11.3 %Winston County: 14.7 %
  • Under 11
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%, 2018. 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, 2018

DeKalb County: 18.8 %DeKalb County18.8Franklin County: 16.4 %Franklin County16.4Chilton County: 16.3 %Chilton County16.3Clay County: 15.9 %Clay County15.9Escambia County: 14.9 %Escambia County14.9Winston County: 14.7 %Winston County14.7Marshall County: 14.4 %Marshall County14.4Geneva County: 14.2 %Geneva County14.2Blount County: 14.1 %Blount County14.1Pike County: 14 %Pike County14Henry County: 13.9 %Henry County13.9Lawrence County: 13.9 %Lawrence County13.9Cullman County: 13.8 %Cullman County13.8Washington County: 13.8 %Washington County13.8Monroe County: 13.7 %Monroe County13.7Cleburne County: 13.6 %Cleburne County13.6Barbour County: 13.5 %Barbour County13.5Cherokee County: 13.5 %Cherokee County13.5Choctaw County: 13.5 %Choctaw County13.5Sumter County: 13.4 %Sumter County13.4Jackson County: 13.3 %Jackson County13.3Baldwin County: 13.2 %Baldwin County13.2Morgan County: 13.2 %Morgan County13.2Marion County: 13.1 %Marion County13.1Mobile County: 13.1 %Mobile County13.1Randolph County: 13.1 %Randolph County13.1Walker County: 13 %Walker County13Crenshaw County: 12.8 %Crenshaw County12.8Houston County: 12.7 %Houston County12.7Clarke County: 12.6 %Clarke County12.6Coosa County: 12.6 %Coosa County12.6Coffee County: 12.5 %Coffee County12.5Conecuh County: 12.5 %Conecuh County12.5Etowah County: 12.5 %Etowah County12.5Fayette County: 12.3 %Fayette County12.3Covington County: 12.2 %Covington County12.2Montgomery County: 12.2 %Montgomery County12.2Pickens County: 12.2 %Pickens County12.2Russell County: 12 %Russell County12Talladega County: 12 %Talladega County12DeKalb County: 18.8 %DeKalb County18.8Franklin County: 16.4 %Franklin County16.4Chilton County: 16.3 %Chilton County16.3Clay County: 15.9 %Clay County15.9Escambia County: 14.9 %Escambia County14.9Winston County: 14.7 %Winston County14.7Marshall County: 14.4 %Marshall County14.4Geneva County: 14.2 %Geneva County14.2Blount County: 14.1 %Blount County14.1Pike County: 14 %Pike County14Henry County: 13.9 %Henry County13.9Lawrence County: 13.9 %Lawrence County13.9Cullman County: 13.8 %Cullman County13.8Washington County: 13.8 %Washington County13.8Monroe County: 13.7 %Monroe County13.7Cleburne County: 13.6 %Cleburne County13.6Barbour County: 13.5 %Barbour County13.5Cherokee County: 13.5 %Cherokee County13.5Choctaw County: 13.5 %Choctaw County13.5Sumter County: 13.4 %Sumter County13.4Jackson County: 13.3 %Jackson County13.3Baldwin County: 13.2 %Baldwin County13.2Morgan County: 13.2 %Morgan County13.2Marion County: 13.1 %Marion County13.1Mobile County: 13.1 %Mobile County13.1Randolph County: 13.1 %Randolph County13.1Walker County: 13 %Walker County13Crenshaw County: 12.8 %Crenshaw County12.8Houston County: 12.7 %Houston County12.7Clarke County: 12.6 %Clarke County12.6Coosa County: 12.6 %Coosa County12.6Coffee County: 12.5 %Coffee County12.5Conecuh County: 12.5 %Conecuh County12.5Etowah County: 12.5 %Etowah County12.5Fayette County: 12.3 %Fayette County12.3Covington County: 12.2 %Covington County12.2Montgomery County: 12.2 %Montgomery County12.2Pickens County: 12.2 %Pickens County12.2Russell County: 12 %Russell County12Talladega County: 12 %Talladega County12
%. 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

RankCounties2018 (%)Change on 2017
1DeKalb County18.8+1.5 pts
2Franklin County16.4+1.1 pts
3Chilton County16.3+2.5 pts
4Clay County15.9+2 pts
5Escambia County14.9+0.5 pts
6Winston County14.7+1.9 pts
7Marshall County14.4-1.2 pts
8Geneva County14.2+0.1 pts
9Blount County14.1+0.7 pts
10Pike County14+1.1 pts
11Henry County13.9+1.7 pts
11Lawrence County13.9-0.1 pts
13Cullman County13.8+1.1 pts
13Washington County13.8-0.1 pts
15Monroe County13.7+0.9 pts
16Cleburne County13.6+0.3 pts
17Barbour County13.5+1.3 pts
17Cherokee County13.5+2.3 pts
17Choctaw County13.5+2.2 pts
20Sumter County13.4+2 pts
21Jackson County13.3+0.2 pts
22Baldwin County13.2+1.9 pts
22Morgan County13.2+1.6 pts
24Marion County13.1+1.7 pts
24Mobile County13.1+1.4 pts
24Randolph County13.1-0.1 pts
27Walker County13+1.3 pts
28Crenshaw County12.8+0.5 pts
29Houston County12.7+1.6 pts
30Clarke County12.6+0.7 pts
30Coosa County12.6-0.4 pts
32Coffee County12.5+0.5 pts
32Conecuh County12.5+0.5 pts
32Etowah County12.50 pts
35Fayette County12.3+0.8 pts
36Covington County12.2+0.1 pts
36Montgomery County12.2+1.2 pts
36Pickens County12.2+0.6 pts
39Russell County12+0.7 pts
39Talladega County12+1.7 pts
41Bullock County11.9+0.5 pts
41Butler County11.9+0.7 pts
41Lamar County11.9+0.4 pts
44Tallapoosa County11.8-0.1 pts
45Greene County11.7+0.3 pts
45Lauderdale County11.7+0.4 pts
45Lowndes County11.7+0.9 pts
45Perry County11.7+0.2 pts
49Chambers County11.6-0.3 pts
49Macon County11.6+1 pts
51St. Clair County11.5+1.5 pts
52Dallas County11.4+1 pts
52Hale County11.4+0.8 pts
54Colbert County11.3+1.6 pts
54Wilcox County11.3+0.8 pts
56Calhoun County11.1-0.8 pts
56Jefferson County11.1+1.1 pts
58Dale County11+1.3 pts
59Limestone County10.9-0.1 pts
60Bibb County10.6+0.4 pts
60Marengo County10.6+0.8 pts
62Lee County10.5+0.1 pts
63Tuscaloosa County10.1+0.8 pts
64Autauga County10+1.3 pts
65Elmore County9.9+1.2 pts
66Madison County9.5+0.1 pts
67Shelby County8.1+0.2 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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2018.
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-2018-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 18.8% in 2018, according to the U.S. Census Bureau.

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

Shelby County, with 8.1% in 2018.

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