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 2019, at 18.7%. Shelby County had the lowest, at 8.7%. The median was 12.2% and the figure for Alabama was 11.6%. Source: the U.S. Census Bureau.

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Highest18.7DeKalb County
Lowest8.7Shelby County
Median12.267 counties
Alabama11.6History

Map of counties, 2019

Autauga County: 9.4 %Baldwin County: 10.9 %Barbour County: 13 %Bibb County: 11 %Blount County: 14.3 %Bullock County: 11.1 %Butler County: 11.6 %Calhoun County: 11.9 %Chambers County: 12.2 %Cherokee County: 13 %Chilton County: 13.7 %Choctaw County: 12.2 %Clarke County: 12 %Clay County: 14.4 %Cleburne County: 12.8 %Coffee County: 13 %Colbert County: 10.8 %Conecuh County: 12.2 %Coosa County: 11.3 %Covington County: 12.5 %Crenshaw County: 13.4 %Cullman County: 13.4 %Dale County: 12 %Dallas County: 11.1 %DeKalb County: 18.7 %Elmore County: 8.9 %Escambia County: 14.2 %Etowah County: 12.7 %Fayette County: 12 %Franklin County: 15.4 %Geneva County: 14.6 %Greene County: 11.6 %Hale County: 11.6 %Henry County: 12.5 %Houston County: 13.3 %Jackson County: 13.8 %Jefferson County: 10.7 %Lamar County: 11.9 %Lauderdale County: 11.9 %Lawrence County: 14.8 %Lee County: 10.7 %Limestone County: 11.6 %Lowndes County: 10.8 %Macon County: 10.7 %Madison County: 9.2 %Marengo County: 11.1 %Marion County: 12.3 %Marshall County: 15.4 %Mobile County: 12.7 %Monroe County: 12.9 %Montgomery County: 11.7 %Morgan County: 12.8 %Perry County: 12.1 %Pickens County: 12.4 %Pike County: 13.5 %Randolph County: 12.3 %Russell County: 11.3 %St. Clair County: 10.2 %Shelby County: 8.7 %Sumter County: 13.2 %Talladega County: 11.2 %Tallapoosa County: 12.1 %Tuscaloosa County: 10.1 %Walker County: 13.2 %Washington County: 13.8 %Wilcox County: 11.6 %Winston County: 13 %
  • Under 11
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%, 2019. 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, 2019

DeKalb County: 18.7 %DeKalb County18.7Franklin County: 15.4 %Franklin County15.4Marshall County: 15.4 %Marshall County15.4Lawrence County: 14.8 %Lawrence County14.8Geneva County: 14.6 %Geneva County14.6Clay County: 14.4 %Clay County14.4Blount County: 14.3 %Blount County14.3Escambia County: 14.2 %Escambia County14.2Jackson County: 13.8 %Jackson County13.8Washington County: 13.8 %Washington County13.8Chilton County: 13.7 %Chilton County13.7Pike County: 13.5 %Pike County13.5Crenshaw County: 13.4 %Crenshaw County13.4Cullman County: 13.4 %Cullman County13.4Houston County: 13.3 %Houston County13.3Sumter County: 13.2 %Sumter County13.2Walker County: 13.2 %Walker County13.2Barbour County: 13 %Barbour County13Cherokee County: 13 %Cherokee County13Coffee County: 13 %Coffee County13Winston County: 13 %Winston County13Monroe County: 12.9 %Monroe County12.9Cleburne County: 12.8 %Cleburne County12.8Morgan County: 12.8 %Morgan County12.8Etowah County: 12.7 %Etowah County12.7Mobile County: 12.7 %Mobile County12.7Covington County: 12.5 %Covington County12.5Henry County: 12.5 %Henry County12.5Pickens County: 12.4 %Pickens County12.4Marion County: 12.3 %Marion County12.3Randolph County: 12.3 %Randolph County12.3Chambers County: 12.2 %Chambers County12.2Choctaw County: 12.2 %Choctaw County12.2Conecuh County: 12.2 %Conecuh County12.2Perry County: 12.1 %Perry County12.1Tallapoosa County: 12.1 %Tallapoosa County12.1Clarke County: 12 %Clarke County12Dale County: 12 %Dale County12Fayette County: 12 %Fayette County12Calhoun County: 11.9 %Calhoun County11.9DeKalb County: 18.7 %DeKalb County18.7Franklin County: 15.4 %Franklin County15.4Marshall County: 15.4 %Marshall County15.4Lawrence County: 14.8 %Lawrence County14.8Geneva County: 14.6 %Geneva County14.6Clay County: 14.4 %Clay County14.4Blount County: 14.3 %Blount County14.3Escambia County: 14.2 %Escambia County14.2Jackson County: 13.8 %Jackson County13.8Washington County: 13.8 %Washington County13.8Chilton County: 13.7 %Chilton County13.7Pike County: 13.5 %Pike County13.5Crenshaw County: 13.4 %Crenshaw County13.4Cullman County: 13.4 %Cullman County13.4Houston County: 13.3 %Houston County13.3Sumter County: 13.2 %Sumter County13.2Walker County: 13.2 %Walker County13.2Barbour County: 13 %Barbour County13Cherokee County: 13 %Cherokee County13Coffee County: 13 %Coffee County13Winston County: 13 %Winston County13Monroe County: 12.9 %Monroe County12.9Cleburne County: 12.8 %Cleburne County12.8Morgan County: 12.8 %Morgan County12.8Etowah County: 12.7 %Etowah County12.7Mobile County: 12.7 %Mobile County12.7Covington County: 12.5 %Covington County12.5Henry County: 12.5 %Henry County12.5Pickens County: 12.4 %Pickens County12.4Marion County: 12.3 %Marion County12.3Randolph County: 12.3 %Randolph County12.3Chambers County: 12.2 %Chambers County12.2Choctaw County: 12.2 %Choctaw County12.2Conecuh County: 12.2 %Conecuh County12.2Perry County: 12.1 %Perry County12.1Tallapoosa County: 12.1 %Tallapoosa County12.1Clarke County: 12 %Clarke County12Dale County: 12 %Dale County12Fayette County: 12 %Fayette County12Calhoun County: 11.9 %Calhoun County11.9
%. 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

RankCounties2019 (%)Change on 2018
1DeKalb County18.7-0.1 pts
2Franklin County15.4-1 pts
2Marshall County15.4+1 pts
4Lawrence County14.8+0.9 pts
5Geneva County14.6+0.4 pts
6Clay County14.4-1.5 pts
7Blount County14.3+0.2 pts
8Escambia County14.2-0.7 pts
9Jackson County13.8+0.5 pts
9Washington County13.80 pts
11Chilton County13.7-2.6 pts
12Pike County13.5-0.5 pts
13Crenshaw County13.4+0.6 pts
13Cullman County13.4-0.4 pts
15Houston County13.3+0.6 pts
16Sumter County13.2-0.2 pts
16Walker County13.2+0.2 pts
18Barbour County13-0.5 pts
18Cherokee County13-0.5 pts
18Coffee County13+0.5 pts
18Winston County13-1.7 pts
22Monroe County12.9-0.8 pts
23Cleburne County12.8-0.8 pts
23Morgan County12.8-0.4 pts
25Etowah County12.7+0.2 pts
25Mobile County12.7-0.4 pts
27Covington County12.5+0.3 pts
27Henry County12.5-1.4 pts
29Pickens County12.4+0.2 pts
30Marion County12.3-0.8 pts
30Randolph County12.3-0.8 pts
32Chambers County12.2+0.6 pts
32Choctaw County12.2-1.3 pts
32Conecuh County12.2-0.3 pts
35Perry County12.1+0.4 pts
35Tallapoosa County12.1+0.3 pts
37Clarke County12-0.6 pts
37Dale County12+1 pts
37Fayette County12-0.3 pts
40Calhoun County11.9+0.8 pts
40Lamar County11.90 pts
40Lauderdale County11.9+0.2 pts
43Montgomery County11.7-0.5 pts
44Butler County11.6-0.3 pts
44Greene County11.6-0.1 pts
44Hale County11.6+0.2 pts
44Limestone County11.6+0.7 pts
44Wilcox County11.6+0.3 pts
49Coosa County11.3-1.3 pts
49Russell County11.3-0.7 pts
51Talladega County11.2-0.8 pts
52Bullock County11.1-0.8 pts
52Dallas County11.1-0.3 pts
52Marengo County11.1+0.5 pts
55Bibb County11+0.4 pts
56Baldwin County10.9-2.3 pts
57Colbert County10.8-0.5 pts
57Lowndes County10.8-0.9 pts
59Jefferson County10.7-0.4 pts
59Lee County10.7+0.2 pts
59Macon County10.7-0.9 pts
62St. Clair County10.2-1.3 pts
63Tuscaloosa County10.10 pts
64Autauga County9.4-0.6 pts
65Madison County9.2-0.3 pts
66Elmore County8.9-1 pts
67Shelby County8.7+0.6 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2019.
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-2019-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 18.7% in 2019, according to the U.S. Census Bureau.

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

Shelby County, with 8.7% in 2019.

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