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

Counties in Kentucky by uninsured rate, under 65 (US model-based estimate), 2024

Todd County had the highest uninsured rate, under 65 (US model-based estimate) of 120 counties in 2024, at 13.9%. Oldham County had the lowest, at 4.3%. The median was 8.6% and the figure for Kentucky was 8.1%. Source: the U.S. Census Bureau.

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Highest13.9Todd County
Lowest4.3Oldham County
Median8.6120 counties
Kentucky8.1History

Map of counties, 2024

Adair County: 9.8 %Allen County: 8.7 %Anderson County: 7 %Ballard County: 6 %Barren County: 9.6 %Bath County: 10.2 %Bell County: 8.4 %Boone County: 5.4 %Bourbon County: 9.5 %Boyd County: 7.1 %Boyle County: 7.2 %Bracken County: 8 %Breathitt County: 9 %Breckinridge County: 9.5 %Bullitt County: 5.8 %Butler County: 10.3 %Caldwell County: 8.5 %Calloway County: 9.1 %Campbell County: 5.5 %Carlisle County: 7.8 %Carroll County: 9 %Carter County: 8.6 %Casey County: 13.3 %Christian County: 10.6 %Clark County: 6.4 %Clay County: 10.5 %Clinton County: 9.1 %Crittenden County: 9.8 %Cumberland County: 9.1 %Daviess County: 7.7 %Edmonson County: 9 %Elliott County: 9.7 %Estill County: 9.5 %Fayette County: 9.1 %Fleming County: 11.2 %Floyd County: 9.2 %Franklin County: 7.9 %Fulton County: 7.2 %Gallatin County: 8.2 %Garrard County: 9.9 %Grant County: 7.7 %Graves County: 8.2 %Grayson County: 8.3 %Green County: 9.2 %Greenup County: 7.6 %Hancock County: 6.7 %Hardin County: 6.9 %Harlan County: 8.6 %Harrison County: 7.5 %Hart County: 10.4 %Henderson County: 7.2 %Henry County: 9 %Hickman County: 7.9 %Hopkins County: 8.2 %Jackson County: 10.3 %Jefferson County: 7.9 %Jessamine County: 8.3 %Johnson County: 9.4 %Kenton County: 6.6 %Knott County: 9.9 %Knox County: 10.7 %Larue County: 9.3 %Laurel County: 9.4 %Lawrence County: 9.1 %Lee County: 8.7 %Leslie County: 7.6 %Letcher County: 8.7 %Lewis County: 10.2 %Lincoln County: 10.3 %Livingston County: 6.5 %Logan County: 8.7 %Lyon County: 8.8 %McCracken County: 7 %McCreary County: 9.6 %McLean County: 6.7 %Madison County: 7.4 %Magoffin County: 10.1 %Marion County: 8.7 %Marshall County: 7.5 %Martin County: 8.5 %Mason County: 8.7 %Meade County: 7.4 %Menifee County: 9.3 %Mercer County: 7.9 %Metcalfe County: 8.8 %Monroe County: 10.8 %Montgomery County: 7.8 %Morgan County: 9.8 %Muhlenberg County: 7.6 %Nelson County: 7.3 %Nicholas County: 10.3 %Ohio County: 8.8 %Oldham County: 4.3 %Owen County: 9 %Owsley County: 7.6 %Pendleton County: 9.2 %Perry County: 8.2 %Pike County: 8.4 %Powell County: 8.5 %Pulaski County: 9.1 %Robertson County: 7.2 %Rockcastle County: 9.3 %Rowan County: 7.7 %Russell County: 9.6 %Scott County: 5.4 %Shelby County: 8.2 %Simpson County: 8 %Spencer County: 6.1 %Taylor County: 7.8 %Todd County: 13.9 %Trigg County: 9.8 %Trimble County: 7.2 %Union County: 8.4 %Warren County: 10.2 %Washington County: 7.6 %Wayne County: 9.1 %Webster County: 9.7 %Whitley County: 7.8 %Wolfe County: 11.2 %Woodford County: 8.4 %
  • Under 7.2
  • 7.2 to 7.9
  • 7.9 to 8.6
  • 8.6 to 9.1
  • 9.1 to 9.8
  • 9.8 and over
%, 2024. 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, 2024

Todd County: 13.9 %Todd County13.9Casey County: 13.3 %Casey County13.3Fleming County: 11.2 %Fleming County11.2Wolfe County: 11.2 %Wolfe County11.2Monroe County: 10.8 %Monroe County10.8Knox County: 10.7 %Knox County10.7Christian County: 10.6 %Christian County10.6Clay County: 10.5 %Clay County10.5Hart County: 10.4 %Hart County10.4Butler County: 10.3 %Butler County10.3Jackson County: 10.3 %Jackson County10.3Lincoln County: 10.3 %Lincoln County10.3Nicholas County: 10.3 %Nicholas County10.3Bath County: 10.2 %Bath County10.2Lewis County: 10.2 %Lewis County10.2Warren County: 10.2 %Warren County10.2Magoffin County: 10.1 %Magoffin County10.1Garrard County: 9.9 %Garrard County9.9Knott County: 9.9 %Knott County9.9Adair County: 9.8 %Adair County9.8Crittenden County: 9.8 %Crittenden County9.8Morgan County: 9.8 %Morgan County9.8Trigg County: 9.8 %Trigg County9.8Elliott County: 9.7 %Elliott County9.7Webster County: 9.7 %Webster County9.7Barren County: 9.6 %Barren County9.6McCreary County: 9.6 %McCreary County9.6Russell County: 9.6 %Russell County9.6Bourbon County: 9.5 %Bourbon County9.5Breckinridge County: 9.5 %Breckinridge County9.5Estill County: 9.5 %Estill County9.5Johnson County: 9.4 %Johnson County9.4Laurel County: 9.4 %Laurel County9.4Larue County: 9.3 %Larue County9.3Menifee County: 9.3 %Menifee County9.3Rockcastle County: 9.3 %Rockcastle County9.3Floyd County: 9.2 %Floyd County9.2Green County: 9.2 %Green County9.2Pendleton County: 9.2 %Pendleton County9.2Calloway County: 9.1 %Calloway County9.1Todd County: 13.9 %Todd County13.9Casey County: 13.3 %Casey County13.3Fleming County: 11.2 %Fleming County11.2Wolfe County: 11.2 %Wolfe County11.2Monroe County: 10.8 %Monroe County10.8Knox County: 10.7 %Knox County10.7Christian County: 10.6 %Christian County10.6Clay County: 10.5 %Clay County10.5Hart County: 10.4 %Hart County10.4Butler County: 10.3 %Butler County10.3Jackson County: 10.3 %Jackson County10.3Lincoln County: 10.3 %Lincoln County10.3Nicholas County: 10.3 %Nicholas County10.3Bath County: 10.2 %Bath County10.2Lewis County: 10.2 %Lewis County10.2Warren County: 10.2 %Warren County10.2Magoffin County: 10.1 %Magoffin County10.1Garrard County: 9.9 %Garrard County9.9Knott County: 9.9 %Knott County9.9Adair County: 9.8 %Adair County9.8Crittenden County: 9.8 %Crittenden County9.8Morgan County: 9.8 %Morgan County9.8Trigg County: 9.8 %Trigg County9.8Elliott County: 9.7 %Elliott County9.7Webster County: 9.7 %Webster County9.7Barren County: 9.6 %Barren County9.6McCreary County: 9.6 %McCreary County9.6Russell County: 9.6 %Russell County9.6Bourbon County: 9.5 %Bourbon County9.5Breckinridge County: 9.5 %Breckinridge County9.5Estill County: 9.5 %Estill County9.5Johnson County: 9.4 %Johnson County9.4Laurel County: 9.4 %Laurel County9.4Larue County: 9.3 %Larue County9.3Menifee County: 9.3 %Menifee County9.3Rockcastle County: 9.3 %Rockcastle County9.3Floyd County: 9.2 %Floyd County9.2Green County: 9.2 %Green County9.2Pendleton County: 9.2 %Pendleton County9.2Calloway County: 9.1 %Calloway County9.1
%. 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

RankCounties2024 (%)Change on 2023
1Todd County13.9+3.4 pts
2Casey County13.3+4.1 pts
3Fleming County11.2+2.9 pts
3Wolfe County11.2+2.7 pts
5Monroe County10.8+3.3 pts
6Knox County10.7+3.5 pts
7Christian County10.6+2.7 pts
8Clay County10.5+2.1 pts
9Hart County10.4+2.5 pts
10Butler County10.3+2.2 pts
10Jackson County10.3+2.3 pts
10Lincoln County10.3+2.5 pts
10Nicholas County10.3+2.6 pts
14Bath County10.2+3.5 pts
14Lewis County10.2+1.7 pts
14Warren County10.2+2.8 pts
17Magoffin County10.1+2.1 pts
18Garrard County9.9+0.9 pts
18Knott County9.9+2.1 pts
20Adair County9.8+2.7 pts
20Crittenden County9.8+2.7 pts
20Morgan County9.8+2.1 pts
20Trigg County9.8+1.7 pts
24Elliott County9.7+2.9 pts
24Webster County9.7+1.7 pts
26Barren County9.6+2.2 pts
26McCreary County9.6+1.7 pts
26Russell County9.6+2.8 pts
29Bourbon County9.5+2 pts
29Breckinridge County9.5+2.2 pts
29Estill County9.5+1 pts
32Johnson County9.4+2.4 pts
32Laurel County9.4+2.7 pts
34Larue County9.3+2.3 pts
34Menifee County9.3+2.6 pts
34Rockcastle County9.3+2.2 pts
37Floyd County9.2+1.6 pts
37Green County9.2+1.7 pts
37Pendleton County9.2+2.8 pts
40Calloway County9.1+2 pts
40Clinton County9.1+2.2 pts
40Cumberland County9.1+1.3 pts
40Fayette County9.1+1.9 pts
40Lawrence County9.1+2.1 pts
40Pulaski County9.1+1.6 pts
40Wayne County9.1+1.3 pts
47Breathitt County9+2.2 pts
47Carroll County9+2.3 pts
47Edmonson County9+2.1 pts
47Henry County9+1.7 pts
47Owen County9+2.1 pts
52Lyon County8.8+1.5 pts
52Metcalfe County8.8+2.2 pts
52Ohio County8.8+1.2 pts
55Allen County8.7+2.4 pts
55Lee County8.7+0.7 pts
55Letcher County8.7+1.3 pts
55Logan County8.7+2.3 pts
55Marion County8.7+2.4 pts
55Mason County8.7+2.6 pts
61Carter County8.6+1.8 pts
61Harlan County8.6+1.4 pts
63Caldwell County8.5+1.3 pts
63Martin County8.5+1.5 pts
63Powell County8.5+1.4 pts
66Bell County8.4+1 pts
66Pike County8.4+1.3 pts
66Union County8.4+2.1 pts
66Woodford County8.4+2.1 pts
70Grayson County8.3+1 pts
70Jessamine County8.3+1.2 pts
72Gallatin County8.2+1.7 pts
72Graves County8.2+1.5 pts
72Hopkins County8.2+1.5 pts
72Perry County8.2+2 pts
72Shelby County8.2+1.6 pts
77Bracken County8+1.8 pts
77Simpson County8+1.5 pts
79Franklin County7.9+2.3 pts
79Hickman County7.9+0.9 pts
79Jefferson County7.9+1.7 pts
79Mercer County7.9+1.5 pts
83Carlisle County7.8+0.8 pts
83Montgomery County7.8+1.4 pts
83Taylor County7.8+1.9 pts
83Whitley County7.8+0.8 pts
87Daviess County7.7+1.9 pts
87Grant County7.7+1.8 pts
87Rowan County7.7+1.6 pts
90Greenup County7.6+1.5 pts
90Leslie County7.6+1.5 pts
90Muhlenberg County7.6+1.1 pts
90Owsley County7.6+0.7 pts
90Washington County7.6+2 pts
95Harrison County7.5+1.4 pts
95Marshall County7.5+1.7 pts
97Madison County7.4+1.1 pts
97Meade County7.4+1.7 pts
99Nelson County7.3+2 pts
100Boyle County7.2+1.5 pts
100Fulton County7.2+1.1 pts
100Henderson County7.2+0.6 pts
100Robertson County7.2+0.5 pts
100Trimble County7.2+1 pts
105Boyd County7.1+1.5 pts
106Anderson County7+1.6 pts
106McCracken County7+1.2 pts
108Hardin County6.9+0.7 pts
109Hancock County6.7+1.1 pts
109McLean County6.7+0.7 pts
111Kenton County6.6+1.7 pts
112Livingston County6.5+0.9 pts
113Clark County6.4+1.1 pts
114Spencer County6.1+1.1 pts
115Ballard County6+1 pts
116Bullitt County5.8+1 pts
117Campbell County5.5+0.7 pts
118Boone County5.4+1 pts
118Scott County5.4+0.8 pts
120Oldham County4.3+1.2 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-2024-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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties. 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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties.

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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2024,
  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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties. 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-2024-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 Kentucky by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties.
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-2024-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)?

Todd County, with 13.9% in 2024, according to the U.S. Census Bureau.

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

Oldham County, with 4.3% in 2024.

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 Kentucky: more rankings