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 2021, at 19.5%. Shelby County had the lowest, at 8%. The median was 12.2% and the figure for Alabama was 11.7%. Source: the U.S. Census Bureau.

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Highest19.5DeKalb County
Lowest8Shelby County
Median12.267 counties
Alabama11.7History

Map of counties, 2021

Autauga County: 10 %Baldwin County: 11 %Barbour County: 12.7 %Bibb County: 11.4 %Blount County: 12.8 %Bullock County: 12.2 %Butler County: 11.9 %Calhoun County: 13.2 %Chambers County: 12.6 %Cherokee County: 13 %Chilton County: 14.5 %Choctaw County: 12.7 %Clarke County: 12.3 %Clay County: 13.2 %Cleburne County: 12.3 %Coffee County: 12.5 %Colbert County: 10.7 %Conecuh County: 11.5 %Coosa County: 11.4 %Covington County: 13.2 %Crenshaw County: 13.6 %Cullman County: 12.1 %Dale County: 11.5 %Dallas County: 10.8 %DeKalb County: 19.5 %Elmore County: 11.8 %Escambia County: 13.5 %Etowah County: 13.1 %Fayette County: 12.1 %Franklin County: 14.8 %Geneva County: 13.7 %Greene County: 11.2 %Hale County: 12.4 %Henry County: 12 %Houston County: 12.4 %Jackson County: 13.8 %Jefferson County: 10.3 %Lamar County: 11.9 %Lauderdale County: 12.7 %Lawrence County: 14.9 %Lee County: 11.7 %Limestone County: 11.3 %Lowndes County: 10.8 %Macon County: 11.7 %Madison County: 9.3 %Marengo County: 11.2 %Marion County: 13.4 %Marshall County: 14.6 %Mobile County: 13.4 %Monroe County: 12.4 %Montgomery County: 12.2 %Morgan County: 13.9 %Perry County: 12.5 %Pickens County: 12 %Pike County: 12 %Randolph County: 12.6 %Russell County: 11.3 %St. Clair County: 10.6 %Shelby County: 8 %Sumter County: 12 %Talladega County: 11.5 %Tallapoosa County: 13.1 %Tuscaloosa County: 9.9 %Walker County: 12.4 %Washington County: 11.8 %Wilcox County: 11.7 %Winston County: 13.7 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2021. 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, 2021

DeKalb County: 19.5 %DeKalb County19.5Lawrence County: 14.9 %Lawrence County14.9Franklin County: 14.8 %Franklin County14.8Marshall County: 14.6 %Marshall County14.6Chilton County: 14.5 %Chilton County14.5Morgan County: 13.9 %Morgan County13.9Jackson County: 13.8 %Jackson County13.8Geneva County: 13.7 %Geneva County13.7Winston County: 13.7 %Winston County13.7Crenshaw County: 13.6 %Crenshaw County13.6Escambia County: 13.5 %Escambia County13.5Marion County: 13.4 %Marion County13.4Mobile County: 13.4 %Mobile County13.4Calhoun County: 13.2 %Calhoun County13.2Clay County: 13.2 %Clay County13.2Covington County: 13.2 %Covington County13.2Etowah County: 13.1 %Etowah County13.1Tallapoosa County: 13.1 %Tallapoosa County13.1Cherokee County: 13 %Cherokee County13Blount County: 12.8 %Blount County12.8Barbour County: 12.7 %Barbour County12.7Choctaw County: 12.7 %Choctaw County12.7Lauderdale County: 12.7 %Lauderdale County12.7Chambers County: 12.6 %Chambers County12.6Randolph County: 12.6 %Randolph County12.6Coffee County: 12.5 %Coffee County12.5Perry County: 12.5 %Perry County12.5Hale County: 12.4 %Hale County12.4Houston County: 12.4 %Houston County12.4Monroe County: 12.4 %Monroe County12.4Walker County: 12.4 %Walker County12.4Clarke County: 12.3 %Clarke County12.3Cleburne County: 12.3 %Cleburne County12.3Bullock County: 12.2 %Bullock County12.2Montgomery County: 12.2 %Montgomery County12.2Cullman County: 12.1 %Cullman County12.1Fayette County: 12.1 %Fayette County12.1Henry County: 12 %Henry County12Pickens County: 12 %Pickens County12Pike County: 12 %Pike County12DeKalb County: 19.5 %DeKalb County19.5Lawrence County: 14.9 %Lawrence County14.9Franklin County: 14.8 %Franklin County14.8Marshall County: 14.6 %Marshall County14.6Chilton County: 14.5 %Chilton County14.5Morgan County: 13.9 %Morgan County13.9Jackson County: 13.8 %Jackson County13.8Geneva County: 13.7 %Geneva County13.7Winston County: 13.7 %Winston County13.7Crenshaw County: 13.6 %Crenshaw County13.6Escambia County: 13.5 %Escambia County13.5Marion County: 13.4 %Marion County13.4Mobile County: 13.4 %Mobile County13.4Calhoun County: 13.2 %Calhoun County13.2Clay County: 13.2 %Clay County13.2Covington County: 13.2 %Covington County13.2Etowah County: 13.1 %Etowah County13.1Tallapoosa County: 13.1 %Tallapoosa County13.1Cherokee County: 13 %Cherokee County13Blount County: 12.8 %Blount County12.8Barbour County: 12.7 %Barbour County12.7Choctaw County: 12.7 %Choctaw County12.7Lauderdale County: 12.7 %Lauderdale County12.7Chambers County: 12.6 %Chambers County12.6Randolph County: 12.6 %Randolph County12.6Coffee County: 12.5 %Coffee County12.5Perry County: 12.5 %Perry County12.5Hale County: 12.4 %Hale County12.4Houston County: 12.4 %Houston County12.4Monroe County: 12.4 %Monroe County12.4Walker County: 12.4 %Walker County12.4Clarke County: 12.3 %Clarke County12.3Cleburne County: 12.3 %Cleburne County12.3Bullock County: 12.2 %Bullock County12.2Montgomery County: 12.2 %Montgomery County12.2Cullman County: 12.1 %Cullman County12.1Fayette County: 12.1 %Fayette County12.1Henry County: 12 %Henry County12Pickens County: 12 %Pickens County12Pike County: 12 %Pike 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

RankCounties2021 (%)Change on 2020
1DeKalb County19.5+0.5 pts
2Lawrence County14.9-0.2 pts
3Franklin County14.8-1.1 pts
4Marshall County14.6-0.6 pts
5Chilton County14.5-0.8 pts
6Morgan County13.9-0.8 pts
7Jackson County13.8+1.1 pts
8Geneva County13.7-1.3 pts
8Winston County13.7+0.1 pts
10Crenshaw County13.6+0.7 pts
11Escambia County13.5-0.9 pts
12Marion County13.4+1 pts
12Mobile County13.4+1.4 pts
14Calhoun County13.2+0.3 pts
14Clay County13.2-1.2 pts
14Covington County13.2+1.1 pts
17Etowah County13.1-0.7 pts
17Tallapoosa County13.1-0.5 pts
19Cherokee County13+0.2 pts
20Blount County12.8-0.5 pts
21Barbour County12.7-1.7 pts
21Choctaw County12.70 pts
21Lauderdale County12.7+0.9 pts
24Chambers County12.6-0.6 pts
24Randolph County12.6-0.4 pts
26Coffee County12.5-1.2 pts
26Perry County12.5+0.1 pts
28Hale County12.4+1 pts
28Houston County12.4-1.2 pts
28Monroe County12.4-1 pts
28Walker County12.4+0.8 pts
32Clarke County12.3-1.4 pts
32Cleburne County12.3-1.2 pts
34Bullock County12.2-0.2 pts
34Montgomery County12.20 pts
36Cullman County12.1-2 pts
36Fayette County12.1-1.7 pts
38Henry County120 pts
38Pickens County12-0.5 pts
38Pike County12-0.5 pts
38Sumter County12-0.1 pts
42Butler County11.9-1.6 pts
42Lamar County11.9-0.2 pts
44Elmore County11.8+0.9 pts
44Washington County11.8-2.5 pts
46Lee County11.7+1.2 pts
46Macon County11.7-1.5 pts
46Wilcox County11.7-0.5 pts
49Conecuh County11.5+0.1 pts
49Dale County11.5-2.3 pts
49Talladega County11.5-0.1 pts
52Bibb County11.4-1.6 pts
52Coosa County11.4-0.3 pts
54Limestone County11.3-0.8 pts
54Russell County11.3-0.8 pts
56Greene County11.2-0.4 pts
56Marengo County11.2+0.1 pts
58Baldwin County11+0.1 pts
59Dallas County10.8-0.7 pts
59Lowndes County10.8-0.9 pts
61Colbert County10.7+0.2 pts
62St. Clair County10.6-1 pts
63Jefferson County10.3+0.3 pts
64Autauga County10-0.6 pts
65Tuscaloosa County9.9-0.4 pts
66Madison County9.3-0.6 pts
67Shelby County8-1.3 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2021.
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-2021-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 19.5% in 2021, according to the U.S. Census Bureau.

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

Shelby County, with 8% in 2021.

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