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)

Todd County had the highest uninsured rate, under 65 (US model-based estimate) of 120 counties in 2018, at 9.6%. Oldham County had the lowest, at 3.8%. The median was 7.1% and the figure for Kentucky was 6.7%. Source: the U.S. Census Bureau.

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Highest9.6Todd County
Lowest3.8Oldham County
Median7.1120 counties
Kentucky6.7History

Map of counties, 2018

Adair County: 7.8 %Allen County: 7.1 %Anderson County: 6.1 %Ballard County: 6.7 %Barren County: 8.4 %Bath County: 8 %Bell County: 7.3 %Boone County: 4.4 %Bourbon County: 8.5 %Boyd County: 5.7 %Boyle County: 5.6 %Bracken County: 6 %Breathitt County: 6.7 %Breckinridge County: 8.3 %Bullitt County: 5.1 %Butler County: 8.4 %Caldwell County: 5.8 %Calloway County: 7.3 %Campbell County: 4.4 %Carlisle County: 7.8 %Carroll County: 7.3 %Carter County: 7.2 %Casey County: 8.4 %Christian County: 6.6 %Clark County: 5.8 %Clay County: 8.3 %Clinton County: 8.5 %Crittenden County: 7.2 %Cumberland County: 7 %Daviess County: 5.8 %Edmonson County: 7.8 %Elliott County: 6.2 %Estill County: 7.2 %Fayette County: 8.4 %Fleming County: 8.7 %Floyd County: 7.5 %Franklin County: 6.8 %Fulton County: 6 %Gallatin County: 7.9 %Garrard County: 7.9 %Grant County: 6.7 %Graves County: 7.3 %Grayson County: 7.2 %Green County: 8.3 %Greenup County: 5.8 %Hancock County: 5.3 %Hardin County: 5.3 %Harlan County: 7.2 %Harrison County: 7.3 %Hart County: 7.6 %Henderson County: 6 %Henry County: 7.1 %Hickman County: 7.2 %Hopkins County: 5.9 %Jackson County: 7.3 %Jefferson County: 6.5 %Jessamine County: 7.6 %Johnson County: 6.3 %Kenton County: 6.2 %Knott County: 7.4 %Knox County: 7.6 %Larue County: 7.2 %Laurel County: 6.7 %Lawrence County: 6.9 %Lee County: 6.3 %Leslie County: 7.1 %Letcher County: 7.1 %Lewis County: 8 %Lincoln County: 8.1 %Livingston County: 6.2 %Logan County: 6.7 %Lyon County: 6.9 %McCracken County: 6.3 %McCreary County: 7.3 %McLean County: 6.9 %Madison County: 6.1 %Magoffin County: 8.3 %Marion County: 6.1 %Marshall County: 6.6 %Martin County: 7 %Mason County: 5.9 %Meade County: 5.9 %Menifee County: 6.7 %Mercer County: 7.1 %Metcalfe County: 7 %Monroe County: 8.3 %Montgomery County: 6.2 %Morgan County: 7.4 %Muhlenberg County: 7.7 %Nelson County: 5.2 %Nicholas County: 7.9 %Ohio County: 6.5 %Oldham County: 3.8 %Owen County: 7.2 %Owsley County: 5.8 %Pendleton County: 7 %Perry County: 6.5 %Pike County: 7.6 %Powell County: 6.8 %Pulaski County: 7.7 %Robertson County: 7.3 %Rockcastle County: 6.6 %Rowan County: 7.2 %Russell County: 7.8 %Scott County: 5.2 %Shelby County: 7.9 %Simpson County: 6.4 %Spencer County: 5.5 %Taylor County: 6.7 %Todd County: 9.6 %Trigg County: 7.2 %Trimble County: 6.1 %Union County: 7.2 %Warren County: 7.9 %Washington County: 8.1 %Wayne County: 7.6 %Webster County: 9.1 %Whitley County: 6.4 %Wolfe County: 6.8 %Woodford County: 6.6 %
  • Under 6
  • 6 to 6.6
  • 6.6 to 7.1
  • 7.1 to 7.3
  • 7.3 to 7.9
  • 7.9 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

Todd County: 9.6 %Todd County9.6Webster County: 9.1 %Webster County9.1Fleming County: 8.7 %Fleming County8.7Bourbon County: 8.5 %Bourbon County8.5Clinton County: 8.5 %Clinton County8.5Barren County: 8.4 %Barren County8.4Butler County: 8.4 %Butler County8.4Casey County: 8.4 %Casey County8.4Fayette County: 8.4 %Fayette County8.4Breckinridge County: 8.3 %Breckinridge County8.3Clay County: 8.3 %Clay County8.3Green County: 8.3 %Green County8.3Magoffin County: 8.3 %Magoffin County8.3Monroe County: 8.3 %Monroe County8.3Lincoln County: 8.1 %Lincoln County8.1Washington County: 8.1 %Washington County8.1Bath County: 8 %Bath County8Lewis County: 8 %Lewis County8Gallatin County: 7.9 %Gallatin County7.9Garrard County: 7.9 %Garrard County7.9Nicholas County: 7.9 %Nicholas County7.9Shelby County: 7.9 %Shelby County7.9Warren County: 7.9 %Warren County7.9Adair County: 7.8 %Adair County7.8Carlisle County: 7.8 %Carlisle County7.8Edmonson County: 7.8 %Edmonson County7.8Russell County: 7.8 %Russell County7.8Muhlenberg County: 7.7 %Muhlenberg County7.7Pulaski County: 7.7 %Pulaski County7.7Hart County: 7.6 %Hart County7.6Jessamine County: 7.6 %Jessamine County7.6Knox County: 7.6 %Knox County7.6Pike County: 7.6 %Pike County7.6Wayne County: 7.6 %Wayne County7.6Floyd County: 7.5 %Floyd County7.5Knott County: 7.4 %Knott County7.4Morgan County: 7.4 %Morgan County7.4Bell County: 7.3 %Bell County7.3Calloway County: 7.3 %Calloway County7.3Carroll County: 7.3 %Carroll County7.3Todd County: 9.6 %Todd County9.6Webster County: 9.1 %Webster County9.1Fleming County: 8.7 %Fleming County8.7Bourbon County: 8.5 %Bourbon County8.5Clinton County: 8.5 %Clinton County8.5Barren County: 8.4 %Barren County8.4Butler County: 8.4 %Butler County8.4Casey County: 8.4 %Casey County8.4Fayette County: 8.4 %Fayette County8.4Breckinridge County: 8.3 %Breckinridge County8.3Clay County: 8.3 %Clay County8.3Green County: 8.3 %Green County8.3Magoffin County: 8.3 %Magoffin County8.3Monroe County: 8.3 %Monroe County8.3Lincoln County: 8.1 %Lincoln County8.1Washington County: 8.1 %Washington County8.1Bath County: 8 %Bath County8Lewis County: 8 %Lewis County8Gallatin County: 7.9 %Gallatin County7.9Garrard County: 7.9 %Garrard County7.9Nicholas County: 7.9 %Nicholas County7.9Shelby County: 7.9 %Shelby County7.9Warren County: 7.9 %Warren County7.9Adair County: 7.8 %Adair County7.8Carlisle County: 7.8 %Carlisle County7.8Edmonson County: 7.8 %Edmonson County7.8Russell County: 7.8 %Russell County7.8Muhlenberg County: 7.7 %Muhlenberg County7.7Pulaski County: 7.7 %Pulaski County7.7Hart County: 7.6 %Hart County7.6Jessamine County: 7.6 %Jessamine County7.6Knox County: 7.6 %Knox County7.6Pike County: 7.6 %Pike County7.6Wayne County: 7.6 %Wayne County7.6Floyd County: 7.5 %Floyd County7.5Knott County: 7.4 %Knott County7.4Morgan County: 7.4 %Morgan County7.4Bell County: 7.3 %Bell County7.3Calloway County: 7.3 %Calloway County7.3Carroll County: 7.3 %Carroll County7.3
%. 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
1Todd County9.6+0.7 pts
2Webster County9.1+0.8 pts
3Fleming County8.7+0.6 pts
4Bourbon County8.5+0.3 pts
4Clinton County8.5+0.4 pts
6Barren County8.4+1.4 pts
6Butler County8.4+0.5 pts
6Casey County8.4-0.1 pts
6Fayette County8.4+1 pts
10Breckinridge County8.3+0.5 pts
10Clay County8.3+0.3 pts
10Green County8.3-0.2 pts
10Magoffin County8.3+0.1 pts
10Monroe County8.3+0.1 pts
15Lincoln County8.1+0.2 pts
15Washington County8.1+0.7 pts
17Bath County8+0.7 pts
17Lewis County8+1 pts
19Gallatin County7.9-0.4 pts
19Garrard County7.9+0.7 pts
19Nicholas County7.9-0.2 pts
19Shelby County7.9-0.1 pts
19Warren County7.9+0.6 pts
24Adair County7.8+1.1 pts
24Carlisle County7.8+0.4 pts
24Edmonson County7.8+0.1 pts
24Russell County7.8-0.3 pts
28Muhlenberg County7.7+0.9 pts
28Pulaski County7.7+0.8 pts
30Hart County7.60 pts
30Jessamine County7.60 pts
30Knox County7.6+0.7 pts
30Pike County7.6+0.7 pts
30Wayne County7.6-0.2 pts
35Floyd County7.5+1.1 pts
36Knott County7.4-0.3 pts
36Morgan County7.4-0.4 pts
38Bell County7.3+0.5 pts
38Calloway County7.3+0.6 pts
38Carroll County7.3-0.3 pts
38Graves County7.30 pts
38Harrison County7.3+0.8 pts
38Jackson County7.3+0.2 pts
38McCreary County7.3-0.4 pts
38Robertson County7.3-0.3 pts
46Carter County7.2+0.9 pts
46Crittenden County7.2+0.6 pts
46Estill County7.2+0.1 pts
46Grayson County7.2+0.2 pts
46Harlan County7.2+0.3 pts
46Hickman County7.2+0.4 pts
46Larue County7.2+0.3 pts
46Owen County7.2+0.8 pts
46Rowan County7.2+0.1 pts
46Trigg County7.2-0.2 pts
46Union County7.2-0.1 pts
57Allen County7.10 pts
57Henry County7.1+0.1 pts
57Leslie County7.1-0.4 pts
57Letcher County7.1+0.8 pts
57Mercer County7.1+0.4 pts
62Cumberland County7-0.5 pts
62Martin County7-0.3 pts
62Metcalfe County7+0.4 pts
62Pendleton County7+0.9 pts
66Lawrence County6.9+0.1 pts
66Lyon County6.9+0.5 pts
66McLean County6.9+0.2 pts
69Franklin County6.8+0.8 pts
69Powell County6.8+0.4 pts
69Wolfe County6.8+0.1 pts
72Ballard County6.7+0.3 pts
72Breathitt County6.7+0.1 pts
72Grant County6.7+0.6 pts
72Laurel County6.7-0.2 pts
72Logan County6.7-0.2 pts
72Menifee County6.7-0.4 pts
72Taylor County6.7+0.4 pts
79Christian County6.6+0.4 pts
79Marshall County6.6+0.5 pts
79Rockcastle County6.6+0.2 pts
79Woodford County6.6-0.8 pts
83Jefferson County6.5+0.2 pts
83Ohio County6.5+0.3 pts
83Perry County6.5-0.2 pts
86Simpson County6.4+0.3 pts
86Whitley County6.4+0.2 pts
88Johnson County6.3-0.1 pts
88Lee County6.3-0.1 pts
88McCracken County6.3+0.4 pts
91Elliott County6.20 pts
91Kenton County6.2+0.4 pts
91Livingston County6.2+0.2 pts
91Montgomery County6.20 pts
95Anderson County6.1+0.8 pts
95Madison County6.1-0.1 pts
95Marion County6.1-0.2 pts
95Trimble County6.1-0.3 pts
99Bracken County6-0.3 pts
99Fulton County6+0.1 pts
99Henderson County6+0.4 pts
102Hopkins County5.9-0.7 pts
102Mason County5.9-0.7 pts
102Meade County5.9+0.1 pts
105Caldwell County5.80 pts
105Clark County5.8+0.4 pts
105Daviess County5.8+0.2 pts
105Greenup County5.8+0.5 pts
105Owsley County5.8-0.3 pts
110Boyd County5.7+0.3 pts
111Boyle County5.6+0.3 pts
112Spencer County5.5+0.4 pts
113Hancock County5.3+0.6 pts
113Hardin County5.3+0.2 pts
115Nelson County5.20 pts
115Scott County5.2-0.1 pts
117Bullitt County5.1+0.2 pts
118Boone County4.4+0.2 pts
118Campbell County4.4-0.1 pts
120Oldham County3.80 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 Kentucky 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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties?period=2018 (Accessed: 12 October 2026).

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

Todd County, with 9.6% in 2018, according to the U.S. Census Bureau.

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

Oldham County, with 3.8% 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 Kentucky: more rankings