Counties in California by uninsured rate, under 65 (US model-based estimate)

Glenn County had the highest uninsured rate, under 65 (US model-based estimate) of 58 counties in 2018, at 11.9%. Placer County had the lowest, at 4.6%. The median was 8% and the figure for California was 8.3%. Source: the U.S. Census Bureau.

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Highest11.9Glenn County
Lowest4.6Placer County
Median858 counties
California8.3History

Map of counties, 2018

Alameda County: 5 %Alpine County: 7 %Amador County: 6 %Butte County: 7.7 %Calaveras County: 7.4 %Colusa County: 11.5 %Contra Costa County: 5.9 %Del Norte County: 7.3 %El Dorado County: 5.7 %Fresno County: 8.8 %Glenn County: 11.9 %Humboldt County: 8.2 %Imperial County: 8.2 %Inyo County: 7.8 %Kern County: 9 %Kings County: 8.5 %Lake County: 8.9 %Lassen County: 4.8 %Los Angeles County: 10.2 %Madera County: 10.7 %Marin County: 4.8 %Mariposa County: 8.3 %Mendocino County: 10 %Merced County: 9 %Modoc County: 9.4 %Mono County: 10.2 %Monterey County: 11.9 %Napa County: 8 %Nevada County: 6.8 %Orange County: 8.1 %Placer County: 4.6 %Plumas County: 6.5 %Riverside County: 9.1 %Sacramento County: 6.1 %San Benito County: 8 %San Bernardino County: 9.3 %San Diego County: 9.2 %San Francisco County: 4.8 %San Joaquin County: 7.8 %San Luis Obispo County: 7.4 %San Mateo County: 4.9 %Santa Barbara County: 11.5 %Santa Clara County: 5.1 %Santa Cruz County: 7.3 %Shasta County: 7 %Sierra County: 7.1 %Siskiyou County: 8.4 %Solano County: 5.8 %Sonoma County: 8.2 %Stanislaus County: 7.1 %Sutter County: 9 %Tehama County: 8.1 %Trinity County: 9 %Tulare County: 9 %Tuolumne County: 6.2 %Ventura County: 9.4 %Yolo County: 6.8 %Yuba County: 7.8 %
  • Under 6
  • 6 to 7.1
  • 7.1 to 8
  • 8 to 8.8
  • 8.8 to 9.4
  • 9.4 and over
%, 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.

All counties, 2018

Glenn County: 11.9 %Glenn County11.9Monterey County: 11.9 %Monterey County11.9Colusa County: 11.5 %Colusa County11.5Santa Barbara County: 11.5 %Santa Barbara County11.5Madera County: 10.7 %Madera County10.7Los Angeles County: 10.2 %Los Angeles County10.2Mono County: 10.2 %Mono County10.2Mendocino County: 10 %Mendocino County10Modoc County: 9.4 %Modoc County9.4Ventura County: 9.4 %Ventura County9.4San Bernardino County: 9.3 %San Bernardino County9.3San Diego County: 9.2 %San Diego County9.2Riverside County: 9.1 %Riverside County9.1Kern County: 9 %Kern County9Merced County: 9 %Merced County9Sutter County: 9 %Sutter County9Trinity County: 9 %Trinity County9Tulare County: 9 %Tulare County9Lake County: 8.9 %Lake County8.9Fresno County: 8.8 %Fresno County8.8Kings County: 8.5 %Kings County8.5Siskiyou County: 8.4 %Siskiyou County8.4Mariposa County: 8.3 %Mariposa County8.3Humboldt County: 8.2 %Humboldt County8.2Imperial County: 8.2 %Imperial County8.2Sonoma County: 8.2 %Sonoma County8.2Orange County: 8.1 %Orange County8.1Tehama County: 8.1 %Tehama County8.1Napa County: 8 %Napa County8San Benito County: 8 %San Benito County8Inyo County: 7.8 %Inyo County7.8San Joaquin County: 7.8 %San Joaquin County7.8Yuba County: 7.8 %Yuba County7.8Butte County: 7.7 %Butte County7.7Calaveras County: 7.4 %Calaveras County7.4San Luis Obispo County: 7.4 %San Luis Obispo County7.4Del Norte County: 7.3 %Del Norte County7.3Santa Cruz County: 7.3 %Santa Cruz County7.3Sierra County: 7.1 %Sierra County7.1Stanislaus County: 7.1 %Stanislaus County7.1Alpine County: 7 %Alpine County7Shasta County: 7 %Shasta County7Nevada County: 6.8 %Nevada County6.8Yolo County: 6.8 %Yolo County6.8Plumas County: 6.5 %Plumas County6.5Tuolumne County: 6.2 %Tuolumne County6.2Sacramento County: 6.1 %Sacramento County6.1Amador County: 6 %Amador County6Contra Costa County: 5.9 %Contra Costa County5.9Solano County: 5.8 %Solano County5.8El Dorado County: 5.7 %El Dorado County5.7Santa Clara County: 5.1 %Santa Clara County5.1Alameda County: 5 %Alameda County5San Mateo County: 4.9 %San Mateo County4.9Lassen County: 4.8 %Lassen County4.8Marin County: 4.8 %Marin County4.8San Francisco County: 4.8 %San Francisco County4.8Placer County: 4.6 %Placer County4.6Glenn County: 11.9 %Glenn County11.9Monterey County: 11.9 %Monterey County11.9Colusa County: 11.5 %Colusa County11.5Santa Barbara County: 11.5 %Santa Barbara County11.5Madera County: 10.7 %Madera County10.7Los Angeles County: 10.2 %Los Angeles County10.2Mono County: 10.2 %Mono County10.2Mendocino County: 10 %Mendocino County10Modoc County: 9.4 %Modoc County9.4Ventura County: 9.4 %Ventura County9.4San Bernardino County: 9.3 %San Bernardino County9.3San Diego County: 9.2 %San Diego County9.2Riverside County: 9.1 %Riverside County9.1Kern County: 9 %Kern County9Merced County: 9 %Merced County9Sutter County: 9 %Sutter County9Trinity County: 9 %Trinity County9Tulare County: 9 %Tulare County9Lake County: 8.9 %Lake County8.9Fresno County: 8.8 %Fresno County8.8Kings County: 8.5 %Kings County8.5Siskiyou County: 8.4 %Siskiyou County8.4Mariposa County: 8.3 %Mariposa County8.3Humboldt County: 8.2 %Humboldt County8.2Imperial County: 8.2 %Imperial County8.2Sonoma County: 8.2 %Sonoma County8.2Orange County: 8.1 %Orange County8.1Tehama County: 8.1 %Tehama County8.1Napa County: 8 %Napa County8San Benito County: 8 %San Benito County8Inyo County: 7.8 %Inyo County7.8San Joaquin County: 7.8 %San Joaquin County7.8Yuba County: 7.8 %Yuba County7.8Butte County: 7.7 %Butte County7.7Calaveras County: 7.4 %Calaveras County7.4San Luis Obispo County: 7.4 %San Luis Obispo County7.4Del Norte County: 7.3 %Del Norte County7.3Santa Cruz County: 7.3 %Santa Cruz County7.3Sierra County: 7.1 %Sierra County7.1Stanislaus County: 7.1 %Stanislaus County7.1Alpine County: 7 %Alpine County7Shasta County: 7 %Shasta County7Nevada County: 6.8 %Nevada County6.8Yolo County: 6.8 %Yolo County6.8Plumas County: 6.5 %Plumas County6.5Tuolumne County: 6.2 %Tuolumne County6.2Sacramento County: 6.1 %Sacramento County6.1Amador County: 6 %Amador County6Contra Costa County: 5.9 %Contra Costa County5.9Solano County: 5.8 %Solano County5.8El Dorado County: 5.7 %El Dorado County5.7Santa Clara County: 5.1 %Santa Clara County5.1Alameda County: 5 %Alameda County5San Mateo County: 4.9 %San Mateo County4.9Lassen County: 4.8 %Lassen County4.8Marin County: 4.8 %Marin County4.8San Francisco County: 4.8 %San Francisco County4.8Placer County: 4.6 %Placer County4.6
%. 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
1Glenn County11.9+0.9 pts
1Monterey County11.9+0.4 pts
3Colusa County11.5+0.8 pts
3Santa Barbara County11.5+1 pts
5Madera County10.7+0.3 pts
6Los Angeles County10.2+0.1 pts
6Mono County10.2+0.2 pts
8Mendocino County10-0.7 pts
9Modoc County9.4-1.1 pts
9Ventura County9.4+0.1 pts
11San Bernardino County9.3+1 pts
12San Diego County9.2+0.8 pts
13Riverside County9.1+0.2 pts
14Kern County9+0.4 pts
14Merced County9+0.3 pts
14Sutter County9+0.4 pts
14Trinity County9+0.3 pts
14Tulare County9+0.2 pts
19Lake County8.9-0.3 pts
20Fresno County8.8+0.1 pts
21Kings County8.5-0.5 pts
22Siskiyou County8.4-0.2 pts
23Mariposa County8.3+0.3 pts
24Humboldt County8.2-0.7 pts
24Imperial County8.2+0.3 pts
24Sonoma County8.2+0.6 pts
27Orange County8.1-0.2 pts
27Tehama County8.1+0.3 pts
29Napa County8-0.5 pts
29San Benito County8-0.1 pts
31Inyo County7.8-1.2 pts
31San Joaquin County7.8+0.2 pts
31Yuba County7.8+0.4 pts
34Butte County7.7+0.5 pts
35Calaveras County7.4+0.1 pts
35San Luis Obispo County7.4+0.1 pts
37Del Norte County7.3+1.1 pts
37Santa Cruz County7.3-0.1 pts
39Sierra County7.1-0.7 pts
39Stanislaus County7.1+0.1 pts
41Alpine County7-0.6 pts
41Shasta County7-0.1 pts
43Nevada County6.8-0.2 pts
43Yolo County6.8+0.8 pts
45Plumas County6.5-0.4 pts
46Tuolumne County6.2-0.2 pts
47Sacramento County6.1-0.3 pts
48Amador County6-0.2 pts
49Contra Costa County5.90 pts
50Solano County5.8+0.1 pts
51El Dorado County5.7+0.3 pts
52Santa Clara County5.10 pts
53Alameda County5-0.8 pts
54San Mateo County4.9-0.5 pts
55Lassen County4.80 pts
55Marin County4.8-0.6 pts
55San Francisco County4.8-0.2 pts
58Placer County4.6+0.3 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-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 California 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 California 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/california-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 California 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/california-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 California 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/california-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_california_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 California 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/california-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 California 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/california-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/california-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)?

Glenn County, with 11.9% in 2018, according to the U.S. Census Bureau.

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

Placer County, with 4.6% 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 California: more rankings