Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Iowa

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

Crawford County had the highest uninsured rate, under 65 (US model-based estimate) of 99 counties in 2019, at 11.5%. Bremer County had the lowest, at 3.7%. The median was 5.7% and the figure for Iowa was 5.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest11.5Crawford County
Lowest3.7Bremer County
Median5.799 counties
Iowa5.7History

Map of counties, 2019

Adair County: 5.1 %Adams County: 6 %Allamakee County: 8.7 %Appanoose County: 6.3 %Audubon County: 6.9 %Benton County: 4.5 %Black Hawk County: 5.7 %Boone County: 4.5 %Bremer County: 3.7 %Buchanan County: 4.8 %Buena Vista County: 10.2 %Butler County: 5.3 %Calhoun County: 5.2 %Carroll County: 4.5 %Cass County: 7.3 %Cedar County: 4.2 %Cerro Gordo County: 4.8 %Cherokee County: 5.4 %Chickasaw County: 6.7 %Clarke County: 7.2 %Clay County: 5.9 %Clayton County: 7.3 %Clinton County: 5.2 %Crawford County: 11.5 %Dallas County: 3.9 %Davis County: 10.2 %Decatur County: 7.1 %Delaware County: 5.5 %Des Moines County: 5.1 %Dickinson County: 4.6 %Dubuque County: 4.9 %Emmet County: 7.1 %Fayette County: 5.7 %Floyd County: 6.3 %Franklin County: 7.1 %Fremont County: 5.2 %Greene County: 5.1 %Grundy County: 4.1 %Guthrie County: 6.4 %Hamilton County: 5.4 %Hancock County: 5.2 %Hardin County: 5.9 %Harrison County: 5.2 %Henry County: 5.2 %Howard County: 6.1 %Humboldt County: 5.7 %Ida County: 5.2 %Iowa County: 4.1 %Jackson County: 5.4 %Jasper County: 4.4 %Jefferson County: 9.1 %Johnson County: 5.9 %Jones County: 5.5 %Keokuk County: 6.1 %Kossuth County: 4.8 %Lee County: 5.3 %Linn County: 4.8 %Louisa County: 8.9 %Lucas County: 5.6 %Lyon County: 6.5 %Madison County: 4.9 %Mahaska County: 5.5 %Marion County: 4.2 %Marshall County: 7.6 %Mills County: 4.8 %Mitchell County: 7.6 %Monona County: 5.9 %Monroe County: 5.9 %Montgomery County: 6.1 %Muscatine County: 6.1 %O'Brien County: 6.2 %Osceola County: 7.6 %Page County: 5.9 %Palo Alto County: 5.7 %Plymouth County: 5.3 %Pocahontas County: 7 %Polk County: 5.8 %Pottawattamie County: 6 %Poweshiek County: 5.2 %Ringgold County: 7.2 %Sac County: 5.6 %Scott County: 5.5 %Shelby County: 5.6 %Sioux County: 6.5 %Story County: 6.4 %Tama County: 8.4 %Taylor County: 8.3 %Union County: 6.3 %Van Buren County: 7.6 %Wapello County: 8.1 %Warren County: 3.8 %Washington County: 6.5 %Wayne County: 7.8 %Webster County: 6.5 %Winnebago County: 5 %Winneshiek County: 4.8 %Woodbury County: 7.6 %Worth County: 5.2 %Wright County: 6.7 %
  • Under 4.8
  • 4.8 to 5.3
  • 5.3 to 5.7
  • 5.7 to 6.3
  • 6.3 to 7.3
  • 7.3 and over
%, 2019. 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, 2019

Crawford County: 11.5 %Crawford County11.5Buena Vista County: 10.2 %Buena Vista County10.2Davis County: 10.2 %Davis County10.2Jefferson County: 9.1 %Jefferson County9.1Louisa County: 8.9 %Louisa County8.9Allamakee County: 8.7 %Allamakee County8.7Tama County: 8.4 %Tama County8.4Taylor County: 8.3 %Taylor County8.3Wapello County: 8.1 %Wapello County8.1Wayne County: 7.8 %Wayne County7.8Marshall County: 7.6 %Marshall County7.6Mitchell County: 7.6 %Mitchell County7.6Osceola County: 7.6 %Osceola County7.6Van Buren County: 7.6 %Van Buren County7.6Woodbury County: 7.6 %Woodbury County7.6Cass County: 7.3 %Cass County7.3Clayton County: 7.3 %Clayton County7.3Clarke County: 7.2 %Clarke County7.2Ringgold County: 7.2 %Ringgold County7.2Decatur County: 7.1 %Decatur County7.1Emmet County: 7.1 %Emmet County7.1Franklin County: 7.1 %Franklin County7.1Pocahontas County: 7 %Pocahontas County7Audubon County: 6.9 %Audubon County6.9Chickasaw County: 6.7 %Chickasaw County6.7Wright County: 6.7 %Wright County6.7Lyon County: 6.5 %Lyon County6.5Sioux County: 6.5 %Sioux County6.5Washington County: 6.5 %Washington County6.5Webster County: 6.5 %Webster County6.5Guthrie County: 6.4 %Guthrie County6.4Story County: 6.4 %Story County6.4Appanoose County: 6.3 %Appanoose County6.3Floyd County: 6.3 %Floyd County6.3Union County: 6.3 %Union County6.3O'Brien County: 6.2 %O'Brien County6.2Howard County: 6.1 %Howard County6.1Keokuk County: 6.1 %Keokuk County6.1Montgomery County: 6.1 %Montgomery County6.1Muscatine County: 6.1 %Muscatine County6.1Crawford County: 11.5 %Crawford County11.5Buena Vista County: 10.2 %Buena Vista County10.2Davis County: 10.2 %Davis County10.2Jefferson County: 9.1 %Jefferson County9.1Louisa County: 8.9 %Louisa County8.9Allamakee County: 8.7 %Allamakee County8.7Tama County: 8.4 %Tama County8.4Taylor County: 8.3 %Taylor County8.3Wapello County: 8.1 %Wapello County8.1Wayne County: 7.8 %Wayne County7.8Marshall County: 7.6 %Marshall County7.6Mitchell County: 7.6 %Mitchell County7.6Osceola County: 7.6 %Osceola County7.6Van Buren County: 7.6 %Van Buren County7.6Woodbury County: 7.6 %Woodbury County7.6Cass County: 7.3 %Cass County7.3Clayton County: 7.3 %Clayton County7.3Clarke County: 7.2 %Clarke County7.2Ringgold County: 7.2 %Ringgold County7.2Decatur County: 7.1 %Decatur County7.1Emmet County: 7.1 %Emmet County7.1Franklin County: 7.1 %Franklin County7.1Pocahontas County: 7 %Pocahontas County7Audubon County: 6.9 %Audubon County6.9Chickasaw County: 6.7 %Chickasaw County6.7Wright County: 6.7 %Wright County6.7Lyon County: 6.5 %Lyon County6.5Sioux County: 6.5 %Sioux County6.5Washington County: 6.5 %Washington County6.5Webster County: 6.5 %Webster County6.5Guthrie County: 6.4 %Guthrie County6.4Story County: 6.4 %Story County6.4Appanoose County: 6.3 %Appanoose County6.3Floyd County: 6.3 %Floyd County6.3Union County: 6.3 %Union County6.3O'Brien County: 6.2 %O'Brien County6.2Howard County: 6.1 %Howard County6.1Keokuk County: 6.1 %Keokuk County6.1Montgomery County: 6.1 %Montgomery County6.1Muscatine County: 6.1 %Muscatine County6.1
%. 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

RankCounties2019 (%)Change on 2018
1Crawford County11.5+0.5 pts
2Buena Vista County10.20 pts
2Davis County10.2-0.9 pts
4Jefferson County9.1+1.3 pts
5Louisa County8.9-0.4 pts
6Allamakee County8.7-0.5 pts
7Tama County8.4+0.5 pts
8Taylor County8.3+1.2 pts
9Wapello County8.1+0.8 pts
10Wayne County7.8+0.4 pts
11Marshall County7.60 pts
11Mitchell County7.6+0.5 pts
11Osceola County7.6+0.4 pts
11Van Buren County7.6-1.1 pts
11Woodbury County7.6-0.5 pts
16Cass County7.3+0.3 pts
16Clayton County7.3+0.9 pts
18Clarke County7.2+0.8 pts
18Ringgold County7.2+0.3 pts
20Decatur County7.1-0.6 pts
20Emmet County7.10 pts
20Franklin County7.1-0.3 pts
23Pocahontas County70 pts
24Audubon County6.90 pts
25Chickasaw County6.7+0.1 pts
25Wright County6.7-0.5 pts
27Lyon County6.50 pts
27Sioux County6.5-0.1 pts
27Washington County6.5-0.2 pts
27Webster County6.5+1.1 pts
31Guthrie County6.4+0.5 pts
31Story County6.4+0.8 pts
33Appanoose County6.3+0.2 pts
33Floyd County6.3-0.5 pts
33Union County6.3+0.2 pts
36O'Brien County6.2+0.5 pts
37Howard County6.1-0.4 pts
37Keokuk County6.1-0.2 pts
37Montgomery County6.1+0.1 pts
37Muscatine County6.1+0.5 pts
41Adams County6-0.6 pts
41Pottawattamie County6-0.1 pts
43Clay County5.9+0.6 pts
43Hardin County5.9+0.3 pts
43Johnson County5.9+0.2 pts
43Monona County5.9-0.3 pts
43Monroe County5.90 pts
43Page County5.9-0.1 pts
49Polk County5.80 pts
50Black Hawk County5.7+0.2 pts
50Fayette County5.7-0.5 pts
50Humboldt County5.7-0.7 pts
50Palo Alto County5.7+0.8 pts
54Lucas County5.6+0.4 pts
54Sac County5.6-0.3 pts
54Shelby County5.6-0.5 pts
57Delaware County5.5-0.2 pts
57Jones County5.5+0.1 pts
57Mahaska County5.5+0.2 pts
57Scott County5.5+0.3 pts
61Cherokee County5.4-0.6 pts
61Hamilton County5.4-0.1 pts
61Jackson County5.4-0.2 pts
64Butler County5.30 pts
64Lee County5.3+0.4 pts
64Plymouth County5.3+0.3 pts
67Calhoun County5.2-0.5 pts
67Clinton County5.20 pts
67Fremont County5.2+0.3 pts
67Hancock County5.20 pts
67Harrison County5.2-0.1 pts
67Henry County5.2-0.3 pts
67Ida County5.2+0.2 pts
67Poweshiek County5.2-0.2 pts
67Worth County5.2-0.4 pts
76Adair County5.1-0.1 pts
76Des Moines County5.1+0.2 pts
76Greene County5.1-0.4 pts
79Winnebago County5-0.2 pts
80Dubuque County4.9+0.4 pts
80Madison County4.9+0.2 pts
82Buchanan County4.8-0.5 pts
82Cerro Gordo County4.80 pts
82Kossuth County4.8-0.4 pts
82Linn County4.8+0.5 pts
82Mills County4.8-0.1 pts
82Winneshiek County4.8+0.4 pts
88Dickinson County4.6-0.3 pts
89Benton County4.5-0.1 pts
89Boone County4.50 pts
89Carroll County4.5-0.1 pts
92Jasper County4.4+0.1 pts
93Cedar County4.2-0.3 pts
93Marion County4.2+0.1 pts
95Grundy County4.1+0.2 pts
95Iowa County4.1-0.2 pts
97Dallas County3.9+0.2 pts
98Warren County3.80 pts
99Bremer County3.70 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-2019-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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019. 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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019.

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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_iowa_by_2019,
  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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019. 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-2019-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 Iowa by uninsured rate, under 65 (US model-based estimate), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/iowa-counties?period=2019.
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-2019-csv.zip. Retrieved 2026-10-12.
ER  -
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Iowa by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"Iowa","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=province&within=Iowa&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Crawford County, with 11.5% in 2019, according to the U.S. Census Bureau.

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

Bremer County, with 3.7% in 2019.

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 Iowa: more rankings