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 2022, at 15.2%. Shelby County had the lowest, at 7.6%. The median was 11.3% and the figure for Alabama was 10.5%. Source: the U.S. Census Bureau.

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Highest15.2DeKalb County
Lowest7.6Shelby County
Median11.367 counties
Alabama10.5History

Map of counties, 2022

Autauga County: 8.2 %Baldwin County: 10.2 %Barbour County: 12.1 %Bibb County: 10.8 %Blount County: 12.5 %Bullock County: 11.4 %Butler County: 10.4 %Calhoun County: 11.8 %Chambers County: 12.7 %Cherokee County: 13.3 %Chilton County: 13.2 %Choctaw County: 11.2 %Clarke County: 11.5 %Clay County: 10.6 %Cleburne County: 12.4 %Coffee County: 11.5 %Colbert County: 10.7 %Conecuh County: 10.6 %Coosa County: 9.5 %Covington County: 11 %Crenshaw County: 13.1 %Cullman County: 11.6 %Dale County: 10.5 %Dallas County: 9.7 %DeKalb County: 15.2 %Elmore County: 9 %Escambia County: 12.4 %Etowah County: 11.3 %Fayette County: 11.6 %Franklin County: 13.7 %Geneva County: 12.1 %Greene County: 9.3 %Hale County: 11.4 %Henry County: 11.3 %Houston County: 11.7 %Jackson County: 13 %Jefferson County: 9.6 %Lamar County: 11.1 %Lauderdale County: 10.6 %Lawrence County: 12.2 %Lee County: 10 %Limestone County: 9.2 %Lowndes County: 9.1 %Macon County: 9.6 %Madison County: 8.1 %Marengo County: 10.2 %Marion County: 11.2 %Marshall County: 12.4 %Mobile County: 11.8 %Monroe County: 11.5 %Montgomery County: 11.3 %Morgan County: 12.3 %Perry County: 10.1 %Pickens County: 10.5 %Pike County: 10.6 %Randolph County: 12.7 %Russell County: 11.7 %St. Clair County: 9.6 %Shelby County: 7.6 %Sumter County: 9.4 %Talladega County: 10.5 %Tallapoosa County: 12.3 %Tuscaloosa County: 8.8 %Walker County: 12.3 %Washington County: 9.9 %Wilcox County: 12.1 %Winston County: 11.7 %
  • Under 9.6
  • 9.6 to 11
  • 11 to 12
  • 12 and over
%, 2022. 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, 2022

DeKalb County: 15.2 %DeKalb County15.2Franklin County: 13.7 %Franklin County13.7Cherokee County: 13.3 %Cherokee County13.3Chilton County: 13.2 %Chilton County13.2Crenshaw County: 13.1 %Crenshaw County13.1Jackson County: 13 %Jackson County13Chambers County: 12.7 %Chambers County12.7Randolph County: 12.7 %Randolph County12.7Blount County: 12.5 %Blount County12.5Cleburne County: 12.4 %Cleburne County12.4Escambia County: 12.4 %Escambia County12.4Marshall County: 12.4 %Marshall County12.4Morgan County: 12.3 %Morgan County12.3Tallapoosa County: 12.3 %Tallapoosa County12.3Walker County: 12.3 %Walker County12.3Lawrence County: 12.2 %Lawrence County12.2Barbour County: 12.1 %Barbour County12.1Geneva County: 12.1 %Geneva County12.1Wilcox County: 12.1 %Wilcox County12.1Calhoun County: 11.8 %Calhoun County11.8Mobile County: 11.8 %Mobile County11.8Houston County: 11.7 %Houston County11.7Russell County: 11.7 %Russell County11.7Winston County: 11.7 %Winston County11.7Cullman County: 11.6 %Cullman County11.6Fayette County: 11.6 %Fayette County11.6Clarke County: 11.5 %Clarke County11.5Coffee County: 11.5 %Coffee County11.5Monroe County: 11.5 %Monroe County11.5Bullock County: 11.4 %Bullock County11.4Hale County: 11.4 %Hale County11.4Etowah County: 11.3 %Etowah County11.3Henry County: 11.3 %Henry County11.3Montgomery County: 11.3 %Montgomery County11.3Choctaw County: 11.2 %Choctaw County11.2Marion County: 11.2 %Marion County11.2Lamar County: 11.1 %Lamar County11.1Covington County: 11 %Covington County11Bibb County: 10.8 %Bibb County10.8Colbert County: 10.7 %Colbert County10.7DeKalb County: 15.2 %DeKalb County15.2Franklin County: 13.7 %Franklin County13.7Cherokee County: 13.3 %Cherokee County13.3Chilton County: 13.2 %Chilton County13.2Crenshaw County: 13.1 %Crenshaw County13.1Jackson County: 13 %Jackson County13Chambers County: 12.7 %Chambers County12.7Randolph County: 12.7 %Randolph County12.7Blount County: 12.5 %Blount County12.5Cleburne County: 12.4 %Cleburne County12.4Escambia County: 12.4 %Escambia County12.4Marshall County: 12.4 %Marshall County12.4Morgan County: 12.3 %Morgan County12.3Tallapoosa County: 12.3 %Tallapoosa County12.3Walker County: 12.3 %Walker County12.3Lawrence County: 12.2 %Lawrence County12.2Barbour County: 12.1 %Barbour County12.1Geneva County: 12.1 %Geneva County12.1Wilcox County: 12.1 %Wilcox County12.1Calhoun County: 11.8 %Calhoun County11.8Mobile County: 11.8 %Mobile County11.8Houston County: 11.7 %Houston County11.7Russell County: 11.7 %Russell County11.7Winston County: 11.7 %Winston County11.7Cullman County: 11.6 %Cullman County11.6Fayette County: 11.6 %Fayette County11.6Clarke County: 11.5 %Clarke County11.5Coffee County: 11.5 %Coffee County11.5Monroe County: 11.5 %Monroe County11.5Bullock County: 11.4 %Bullock County11.4Hale County: 11.4 %Hale County11.4Etowah County: 11.3 %Etowah County11.3Henry County: 11.3 %Henry County11.3Montgomery County: 11.3 %Montgomery County11.3Choctaw County: 11.2 %Choctaw County11.2Marion County: 11.2 %Marion County11.2Lamar County: 11.1 %Lamar County11.1Covington County: 11 %Covington County11Bibb County: 10.8 %Bibb County10.8Colbert County: 10.7 %Colbert County10.7
%. 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

RankCounties2022 (%)Change on 2021
1DeKalb County15.2-4.3 pts
2Franklin County13.7-1.1 pts
3Cherokee County13.3+0.3 pts
4Chilton County13.2-1.3 pts
5Crenshaw County13.1-0.5 pts
6Jackson County13-0.8 pts
7Chambers County12.7+0.1 pts
7Randolph County12.7+0.1 pts
9Blount County12.5-0.3 pts
10Cleburne County12.4+0.1 pts
10Escambia County12.4-1.1 pts
10Marshall County12.4-2.2 pts
13Morgan County12.3-1.6 pts
13Tallapoosa County12.3-0.8 pts
13Walker County12.3-0.1 pts
16Lawrence County12.2-2.7 pts
17Barbour County12.1-0.6 pts
17Geneva County12.1-1.6 pts
17Wilcox County12.1+0.4 pts
20Calhoun County11.8-1.4 pts
20Mobile County11.8-1.6 pts
22Houston County11.7-0.7 pts
22Russell County11.7+0.4 pts
22Winston County11.7-2 pts
25Cullman County11.6-0.5 pts
25Fayette County11.6-0.5 pts
27Clarke County11.5-0.8 pts
27Coffee County11.5-1 pts
27Monroe County11.5-0.9 pts
30Bullock County11.4-0.8 pts
30Hale County11.4-1 pts
32Etowah County11.3-1.8 pts
32Henry County11.3-0.7 pts
32Montgomery County11.3-0.9 pts
35Choctaw County11.2-1.5 pts
35Marion County11.2-2.2 pts
37Lamar County11.1-0.8 pts
38Covington County11-2.2 pts
39Bibb County10.8-0.6 pts
40Colbert County10.70 pts
41Clay County10.6-2.6 pts
41Conecuh County10.6-0.9 pts
41Lauderdale County10.6-2.1 pts
41Pike County10.6-1.4 pts
45Dale County10.5-1 pts
45Pickens County10.5-1.5 pts
45Talladega County10.5-1 pts
48Butler County10.4-1.5 pts
49Baldwin County10.2-0.8 pts
49Marengo County10.2-1 pts
51Perry County10.1-2.4 pts
52Lee County10-1.7 pts
53Washington County9.9-1.9 pts
54Dallas County9.7-1.1 pts
55Jefferson County9.6-0.7 pts
55Macon County9.6-2.1 pts
55St. Clair County9.6-1 pts
58Coosa County9.5-1.9 pts
59Sumter County9.4-2.6 pts
60Greene County9.3-1.9 pts
61Limestone County9.2-2.1 pts
62Lowndes County9.1-1.7 pts
63Elmore County9-2.8 pts
64Tuscaloosa County8.8-1.1 pts
65Autauga County8.2-1.8 pts
66Madison County8.1-1.2 pts
67Shelby County7.6-0.4 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2022.
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-2022-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 15.2% in 2022, according to the U.S. Census Bureau.

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

Shelby County, with 7.6% in 2022.

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