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 2023, at 15%. Shelby County had the lowest, at 7.2%. The median was 10.9% and the figure for Alabama was 10.2%. Source: the U.S. Census Bureau.

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Highest15DeKalb County
Lowest7.2Shelby County
Median10.967 counties
Alabama10.2History

Map of counties, 2023

Autauga County: 8.2 %Baldwin County: 9.3 %Barbour County: 12.6 %Bibb County: 12.4 %Blount County: 13.3 %Bullock County: 14.4 %Butler County: 10.7 %Calhoun County: 10.9 %Chambers County: 10.6 %Cherokee County: 11.7 %Chilton County: 12.1 %Choctaw County: 11.5 %Clarke County: 10.9 %Clay County: 11.2 %Cleburne County: 12 %Coffee County: 10.6 %Colbert County: 10.2 %Conecuh County: 10.7 %Coosa County: 10.3 %Covington County: 10.9 %Crenshaw County: 12.2 %Cullman County: 12 %Dale County: 11.7 %Dallas County: 9.5 %DeKalb County: 15 %Elmore County: 8.9 %Escambia County: 11.1 %Etowah County: 11.5 %Fayette County: 10.9 %Franklin County: 12.3 %Geneva County: 12.9 %Greene County: 9.4 %Hale County: 10.9 %Henry County: 11.9 %Houston County: 11.2 %Jackson County: 11.9 %Jefferson County: 10.3 %Lamar County: 10.3 %Lauderdale County: 9.7 %Lawrence County: 11.8 %Lee County: 9.8 %Limestone County: 8.2 %Lowndes County: 9.8 %Macon County: 10.7 %Madison County: 8.3 %Marengo County: 8.9 %Marion County: 11.8 %Marshall County: 11.5 %Mobile County: 11 %Monroe County: 10.6 %Montgomery County: 10.8 %Morgan County: 11.5 %Perry County: 9.5 %Pickens County: 10.1 %Pike County: 10.8 %Randolph County: 12.1 %Russell County: 10.9 %St. Clair County: 8.9 %Shelby County: 7.2 %Sumter County: 10.4 %Talladega County: 9.9 %Tallapoosa County: 10.7 %Tuscaloosa County: 8.8 %Walker County: 11.3 %Washington County: 8.1 %Wilcox County: 11.2 %Winston County: 12.1 %
  • Under 9.5
  • 9.5 to 10
  • 10 to 11
  • 11 to 12
  • 12 and over
%, 2023. 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, 2023

DeKalb County: 15 %DeKalb County15Bullock County: 14.4 %Bullock County14.4Blount County: 13.3 %Blount County13.3Geneva County: 12.9 %Geneva County12.9Barbour County: 12.6 %Barbour County12.6Bibb County: 12.4 %Bibb County12.4Franklin County: 12.3 %Franklin County12.3Crenshaw County: 12.2 %Crenshaw County12.2Chilton County: 12.1 %Chilton County12.1Randolph County: 12.1 %Randolph County12.1Winston County: 12.1 %Winston County12.1Cleburne County: 12 %Cleburne County12Cullman County: 12 %Cullman County12Henry County: 11.9 %Henry County11.9Jackson County: 11.9 %Jackson County11.9Lawrence County: 11.8 %Lawrence County11.8Marion County: 11.8 %Marion County11.8Cherokee County: 11.7 %Cherokee County11.7Dale County: 11.7 %Dale County11.7Choctaw County: 11.5 %Choctaw County11.5Etowah County: 11.5 %Etowah County11.5Marshall County: 11.5 %Marshall County11.5Morgan County: 11.5 %Morgan County11.5Walker County: 11.3 %Walker County11.3Clay County: 11.2 %Clay County11.2Houston County: 11.2 %Houston County11.2Wilcox County: 11.2 %Wilcox County11.2Escambia County: 11.1 %Escambia County11.1Mobile County: 11 %Mobile County11Calhoun County: 10.9 %Calhoun County10.9Clarke County: 10.9 %Clarke County10.9Covington County: 10.9 %Covington County10.9Fayette County: 10.9 %Fayette County10.9Hale County: 10.9 %Hale County10.9Russell County: 10.9 %Russell County10.9Montgomery County: 10.8 %Montgomery County10.8Pike County: 10.8 %Pike County10.8Butler County: 10.7 %Butler County10.7Conecuh County: 10.7 %Conecuh County10.7Macon County: 10.7 %Macon County10.7DeKalb County: 15 %DeKalb County15Bullock County: 14.4 %Bullock County14.4Blount County: 13.3 %Blount County13.3Geneva County: 12.9 %Geneva County12.9Barbour County: 12.6 %Barbour County12.6Bibb County: 12.4 %Bibb County12.4Franklin County: 12.3 %Franklin County12.3Crenshaw County: 12.2 %Crenshaw County12.2Chilton County: 12.1 %Chilton County12.1Randolph County: 12.1 %Randolph County12.1Winston County: 12.1 %Winston County12.1Cleburne County: 12 %Cleburne County12Cullman County: 12 %Cullman County12Henry County: 11.9 %Henry County11.9Jackson County: 11.9 %Jackson County11.9Lawrence County: 11.8 %Lawrence County11.8Marion County: 11.8 %Marion County11.8Cherokee County: 11.7 %Cherokee County11.7Dale County: 11.7 %Dale County11.7Choctaw County: 11.5 %Choctaw County11.5Etowah County: 11.5 %Etowah County11.5Marshall County: 11.5 %Marshall County11.5Morgan County: 11.5 %Morgan County11.5Walker County: 11.3 %Walker County11.3Clay County: 11.2 %Clay County11.2Houston County: 11.2 %Houston County11.2Wilcox County: 11.2 %Wilcox County11.2Escambia County: 11.1 %Escambia County11.1Mobile County: 11 %Mobile County11Calhoun County: 10.9 %Calhoun County10.9Clarke County: 10.9 %Clarke County10.9Covington County: 10.9 %Covington County10.9Fayette County: 10.9 %Fayette County10.9Hale County: 10.9 %Hale County10.9Russell County: 10.9 %Russell County10.9Montgomery County: 10.8 %Montgomery County10.8Pike County: 10.8 %Pike County10.8Butler County: 10.7 %Butler County10.7Conecuh County: 10.7 %Conecuh County10.7Macon County: 10.7 %Macon 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

RankCounties2023 (%)Change on 2022
1DeKalb County15-0.2 pts
2Bullock County14.4+3 pts
3Blount County13.3+0.8 pts
4Geneva County12.9+0.8 pts
5Barbour County12.6+0.5 pts
6Bibb County12.4+1.6 pts
7Franklin County12.3-1.4 pts
8Crenshaw County12.2-0.9 pts
9Chilton County12.1-1.1 pts
9Randolph County12.1-0.6 pts
9Winston County12.1+0.4 pts
12Cleburne County12-0.4 pts
12Cullman County12+0.4 pts
14Henry County11.9+0.6 pts
14Jackson County11.9-1.1 pts
16Lawrence County11.8-0.4 pts
16Marion County11.8+0.6 pts
18Cherokee County11.7-1.6 pts
18Dale County11.7+1.2 pts
20Choctaw County11.5+0.3 pts
20Etowah County11.5+0.2 pts
20Marshall County11.5-0.9 pts
20Morgan County11.5-0.8 pts
24Walker County11.3-1 pts
25Clay County11.2+0.6 pts
25Houston County11.2-0.5 pts
25Wilcox County11.2-0.9 pts
28Escambia County11.1-1.3 pts
29Mobile County11-0.8 pts
30Calhoun County10.9-0.9 pts
30Clarke County10.9-0.6 pts
30Covington County10.9-0.1 pts
30Fayette County10.9-0.7 pts
30Hale County10.9-0.5 pts
30Russell County10.9-0.8 pts
36Montgomery County10.8-0.5 pts
36Pike County10.8+0.2 pts
38Butler County10.7+0.3 pts
38Conecuh County10.7+0.1 pts
38Macon County10.7+1.1 pts
38Tallapoosa County10.7-1.6 pts
42Chambers County10.6-2.1 pts
42Coffee County10.6-0.9 pts
42Monroe County10.6-0.9 pts
45Sumter County10.4+1 pts
46Coosa County10.3+0.8 pts
46Jefferson County10.3+0.7 pts
46Lamar County10.3-0.8 pts
49Colbert County10.2-0.5 pts
50Pickens County10.1-0.4 pts
51Talladega County9.9-0.6 pts
52Lee County9.8-0.2 pts
52Lowndes County9.8+0.7 pts
54Lauderdale County9.7-0.9 pts
55Dallas County9.5-0.2 pts
55Perry County9.5-0.6 pts
57Greene County9.4+0.1 pts
58Baldwin County9.3-0.9 pts
59Elmore County8.9-0.1 pts
59Marengo County8.9-1.3 pts
59St. Clair County8.9-0.7 pts
62Tuscaloosa County8.80 pts
63Madison County8.3+0.2 pts
64Autauga County8.20 pts
64Limestone County8.2-1 pts
66Washington County8.1-1.8 pts
67Shelby County7.2-0.4 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_alabama_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/alabama-counties?period=2023.
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-2023-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% in 2023, according to the U.S. Census Bureau.

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

Shelby County, with 7.2% in 2023.

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