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

Hendry County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2018, at 27.2%. St. Johns County had the lowest, at 10.8%. The median was 15.3% and the figure for Florida was 16.1%. Source: the U.S. Census Bureau.

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Highest27.2Hendry County
Median15.367 counties
Florida16.1History

Map of counties, 2018

Alachua County: 11.6 %Baker County: 11.5 %Bay County: 15 %Bradford County: 13.5 %Brevard County: 13.4 %Broward County: 16.8 %Calhoun County: 14.9 %Charlotte County: 15.9 %Citrus County: 15.3 %Clay County: 12.4 %Collier County: 22.6 %Columbia County: 13.2 %DeSoto County: 24.6 %Dixie County: 15.9 %Duval County: 14.2 %Escambia County: 12.9 %Flagler County: 15.2 %Franklin County: 17.1 %Gadsden County: 15.4 %Gilchrist County: 16.1 %Glades County: 25.9 %Gulf County: 12.7 %Hamilton County: 14.9 %Hardee County: 19 %Hendry County: 27.2 %Hernando County: 15.7 %Highlands County: 19.4 %Hillsborough County: 14.7 %Holmes County: 17.4 %Indian River County: 18.2 %Jackson County: 14.8 %Jefferson County: 14 %Lafayette County: 19.4 %Lake County: 15.3 %Lee County: 19.3 %Leon County: 11.7 %Levy County: 18.1 %Liberty County: 13.7 %Madison County: 15.3 %Manatee County: 17.1 %Marion County: 17.6 %Martin County: 16 %Miami-Dade County: 19.5 %Monroe County: 19.6 %Nassau County: 11.3 %Okaloosa County: 13.2 %Okeechobee County: 22.3 %Orange County: 14.8 %Osceola County: 15.1 %Palm Beach County: 17.9 %Pasco County: 14.8 %Pinellas County: 15.2 %Polk County: 15.4 %Putnam County: 18.1 %St. Johns County: 10.8 %St. Lucie County: 17.9 %Santa Rosa County: 11.9 %Sarasota County: 16.6 %Seminole County: 12.6 %Sumter County: 12.1 %Suwannee County: 18.1 %Taylor County: 14.2 %Union County: 13.6 %Volusia County: 15.6 %Wakulla County: 12.4 %Walton County: 16.9 %Washington County: 15.7 %
  • Under 13
  • 13 to 15
  • 15 to 17
  • 17 to 18
  • 18 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.

Top 40 counties, 2018

Hendry County: 27.2 %Hendry County27.2Glades County: 25.9 %Glades County25.9DeSoto County: 24.6 %DeSoto County24.6Collier County: 22.6 %Collier County22.6Okeechobee County: 22.3 %Okeechobee County22.3Monroe County: 19.6 %Monroe County19.6Miami-Dade County: 19.5 %Miami-Dade County19.5Highlands County: 19.4 %Highlands County19.4Lafayette County: 19.4 %Lafayette County19.4Lee County: 19.3 %Lee County19.3Hardee County: 19 %Hardee County19Indian River County: 18.2 %Indian River County18.2Levy County: 18.1 %Levy County18.1Putnam County: 18.1 %Putnam County18.1Suwannee County: 18.1 %Suwannee County18.1Palm Beach County: 17.9 %Palm Beach County17.9St. Lucie County: 17.9 %St. Lucie County17.9Marion County: 17.6 %Marion County17.6Holmes County: 17.4 %Holmes County17.4Franklin County: 17.1 %Franklin County17.1Manatee County: 17.1 %Manatee County17.1Walton County: 16.9 %Walton County16.9Broward County: 16.8 %Broward County16.8Sarasota County: 16.6 %Sarasota County16.6Gilchrist County: 16.1 %Gilchrist County16.1Martin County: 16 %Martin County16Charlotte County: 15.9 %Charlotte County15.9Dixie County: 15.9 %Dixie County15.9Hernando County: 15.7 %Hernando County15.7Washington County: 15.7 %Washington County15.7Volusia County: 15.6 %Volusia County15.6Gadsden County: 15.4 %Gadsden County15.4Polk County: 15.4 %Polk County15.4Citrus County: 15.3 %Citrus County15.3Lake County: 15.3 %Lake County15.3Madison County: 15.3 %Madison County15.3Flagler County: 15.2 %Flagler County15.2Pinellas County: 15.2 %Pinellas County15.2Osceola County: 15.1 %Osceola County15.1Bay County: 15 %Bay County15Hendry County: 27.2 %Hendry County27.2Glades County: 25.9 %Glades County25.9DeSoto County: 24.6 %DeSoto County24.6Collier County: 22.6 %Collier County22.6Okeechobee County: 22.3 %Okeechobee County22.3Monroe County: 19.6 %Monroe County19.6Miami-Dade County: 19.5 %Miami-Dade County19.5Highlands County: 19.4 %Highlands County19.4Lafayette County: 19.4 %Lafayette County19.4Lee County: 19.3 %Lee County19.3Hardee County: 19 %Hardee County19Indian River County: 18.2 %Indian River County18.2Levy County: 18.1 %Levy County18.1Putnam County: 18.1 %Putnam County18.1Suwannee County: 18.1 %Suwannee County18.1Palm Beach County: 17.9 %Palm Beach County17.9St. Lucie County: 17.9 %St. Lucie County17.9Marion County: 17.6 %Marion County17.6Holmes County: 17.4 %Holmes County17.4Franklin County: 17.1 %Franklin County17.1Manatee County: 17.1 %Manatee County17.1Walton County: 16.9 %Walton County16.9Broward County: 16.8 %Broward County16.8Sarasota County: 16.6 %Sarasota County16.6Gilchrist County: 16.1 %Gilchrist County16.1Martin County: 16 %Martin County16Charlotte County: 15.9 %Charlotte County15.9Dixie County: 15.9 %Dixie County15.9Hernando County: 15.7 %Hernando County15.7Washington County: 15.7 %Washington County15.7Volusia County: 15.6 %Volusia County15.6Gadsden County: 15.4 %Gadsden County15.4Polk County: 15.4 %Polk County15.4Citrus County: 15.3 %Citrus County15.3Lake County: 15.3 %Lake County15.3Madison County: 15.3 %Madison County15.3Flagler County: 15.2 %Flagler County15.2Pinellas County: 15.2 %Pinellas County15.2Osceola County: 15.1 %Osceola County15.1Bay County: 15 %Bay County15
%. 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
1Hendry County27.2+0.3 pts
2Glades County25.90 pts
3DeSoto County24.6+1.5 pts
4Collier County22.6-0.2 pts
5Okeechobee County22.3-0.2 pts
6Monroe County19.6-0.7 pts
7Miami-Dade County19.5-0.5 pts
8Highlands County19.4+0.9 pts
8Lafayette County19.4-0.4 pts
10Lee County19.3+0.7 pts
11Hardee County19-1 pts
12Indian River County18.2+1.3 pts
13Levy County18.1+0.1 pts
13Putnam County18.1+0.9 pts
13Suwannee County18.1+0.9 pts
16Palm Beach County17.9+0.5 pts
16St. Lucie County17.9+1 pts
18Marion County17.6+2.2 pts
19Holmes County17.4+1.7 pts
20Franklin County17.1-0.6 pts
20Manatee County17.1+1 pts
22Walton County16.9-0.7 pts
23Broward County16.8-0.1 pts
24Sarasota County16.6+0.3 pts
25Gilchrist County16.1+0.6 pts
26Martin County16-1 pts
27Charlotte County15.9-1.2 pts
27Dixie County15.9+0.1 pts
29Hernando County15.7-0.1 pts
29Washington County15.7-0.9 pts
31Volusia County15.6+1 pts
32Gadsden County15.4-0.9 pts
32Polk County15.4-0.4 pts
34Citrus County15.3-0.1 pts
34Lake County15.3-0.2 pts
34Madison County15.3+1.1 pts
37Flagler County15.2+0.5 pts
37Pinellas County15.2+0.9 pts
39Osceola County15.1-1.1 pts
40Bay County15+0.2 pts
41Calhoun County14.9-0.3 pts
41Hamilton County14.9-0.2 pts
43Jackson County14.8-0.4 pts
43Orange County14.8-0.9 pts
43Pasco County14.8-0.1 pts
46Hillsborough County14.7+0.4 pts
47Duval County14.2+1 pts
47Taylor County14.2-0.7 pts
49Jefferson County14+0.4 pts
50Liberty County13.7-1 pts
51Union County13.6+0.9 pts
52Bradford County13.5+0.2 pts
53Brevard County13.4+0.4 pts
54Columbia County13.2+0.8 pts
54Okaloosa County13.2-0.3 pts
56Escambia County12.9+1.5 pts
57Gulf County12.7-0.8 pts
58Seminole County12.6+2.5 pts
59Clay County12.4+1 pts
59Wakulla County12.40 pts
61Sumter County12.1+0.2 pts
62Santa Rosa County11.9-0.6 pts
63Leon County11.7+0.9 pts
64Alachua County11.6-0.3 pts
65Baker County11.5-0.5 pts
66Nassau County11.3-1.2 pts
67St. Johns County10.8+0.2 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 Florida 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 Florida 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/florida-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 Florida 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/florida-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 Florida 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/florida-counties?period=2018 (Accessed: 12 October 2026).

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

Hendry County, with 27.2% in 2018, according to the U.S. Census Bureau.

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

St. Johns County, with 10.8% 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 Florida: more rankings