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 2019, at 12.6%. Oldham County had the lowest, at 4.3%. The median was 8.2% and the figure for Kentucky was 7.6%. Source: the U.S. Census Bureau.

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Highest12.6Todd County
Lowest4.3Oldham County
Median8.2120 counties
Kentucky7.6History

Map of counties, 2019

Adair County: 8.5 %Allen County: 8.5 %Anderson County: 6.7 %Ballard County: 7.2 %Barren County: 8.1 %Bath County: 8.7 %Bell County: 8.9 %Boone County: 5.6 %Bourbon County: 9.4 %Boyd County: 7.1 %Boyle County: 6.6 %Bracken County: 7.4 %Breathitt County: 7.8 %Breckinridge County: 8.9 %Bullitt County: 6.1 %Butler County: 9.7 %Caldwell County: 7.9 %Calloway County: 9 %Campbell County: 5.7 %Carlisle County: 9.5 %Carroll County: 8.2 %Carter County: 8.9 %Casey County: 10.8 %Christian County: 8.5 %Clark County: 6.8 %Clay County: 9.3 %Clinton County: 9.1 %Crittenden County: 8.2 %Cumberland County: 8.1 %Daviess County: 7.4 %Edmonson County: 9.4 %Elliott County: 6.8 %Estill County: 8.4 %Fayette County: 8.8 %Fleming County: 10.3 %Floyd County: 8.7 %Franklin County: 7.8 %Fulton County: 6.8 %Gallatin County: 9.2 %Garrard County: 9.3 %Grant County: 6.7 %Graves County: 8.7 %Grayson County: 8.9 %Green County: 10.4 %Greenup County: 6.6 %Hancock County: 6.1 %Hardin County: 6.3 %Harlan County: 8.2 %Harrison County: 7.7 %Hart County: 8.9 %Henderson County: 7.1 %Henry County: 9.5 %Hickman County: 8.8 %Hopkins County: 6.8 %Jackson County: 8.4 %Jefferson County: 7.1 %Jessamine County: 8.2 %Johnson County: 7.8 %Kenton County: 6.5 %Knott County: 8.6 %Knox County: 8 %Larue County: 8.4 %Laurel County: 8.3 %Lawrence County: 8.7 %Lee County: 7.4 %Leslie County: 8.3 %Letcher County: 8 %Lewis County: 9 %Lincoln County: 9.5 %Livingston County: 7.8 %Logan County: 8.3 %Lyon County: 8.5 %McCracken County: 7 %McCreary County: 8.7 %McLean County: 7.4 %Madison County: 7 %Magoffin County: 10 %Marion County: 7.5 %Marshall County: 7.2 %Martin County: 7.9 %Mason County: 8.2 %Meade County: 6.4 %Menifee County: 8.1 %Mercer County: 7.9 %Metcalfe County: 8.2 %Monroe County: 10.3 %Montgomery County: 7.5 %Morgan County: 9.4 %Muhlenberg County: 8.3 %Nelson County: 6.3 %Nicholas County: 10.3 %Ohio County: 7.8 %Oldham County: 4.3 %Owen County: 8.5 %Owsley County: 7.3 %Pendleton County: 8 %Perry County: 8 %Pike County: 9 %Powell County: 7.5 %Pulaski County: 9.4 %Robertson County: 8.4 %Rockcastle County: 7.6 %Rowan County: 8 %Russell County: 9.9 %Scott County: 6.3 %Shelby County: 9.4 %Simpson County: 7.5 %Spencer County: 6.2 %Taylor County: 7.3 %Todd County: 12.6 %Trigg County: 8.5 %Trimble County: 7.2 %Union County: 8.4 %Warren County: 9 %Washington County: 8.7 %Wayne County: 8.4 %Webster County: 10.3 %Whitley County: 7.6 %Wolfe County: 7.9 %Woodford County: 7.8 %
  • Under 7
  • 7 to 7.8
  • 7.8 to 8.2
  • 8.2 to 8.5
  • 8.5 to 9.2
  • 9.2 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

Todd County: 12.6 %Todd County12.6Casey County: 10.8 %Casey County10.8Green County: 10.4 %Green County10.4Fleming County: 10.3 %Fleming County10.3Monroe County: 10.3 %Monroe County10.3Nicholas County: 10.3 %Nicholas County10.3Webster County: 10.3 %Webster County10.3Magoffin County: 10 %Magoffin County10Russell County: 9.9 %Russell County9.9Butler County: 9.7 %Butler County9.7Carlisle County: 9.5 %Carlisle County9.5Henry County: 9.5 %Henry County9.5Lincoln County: 9.5 %Lincoln County9.5Bourbon County: 9.4 %Bourbon County9.4Edmonson County: 9.4 %Edmonson County9.4Morgan County: 9.4 %Morgan County9.4Pulaski County: 9.4 %Pulaski County9.4Shelby County: 9.4 %Shelby County9.4Clay County: 9.3 %Clay County9.3Garrard County: 9.3 %Garrard County9.3Gallatin County: 9.2 %Gallatin County9.2Clinton County: 9.1 %Clinton County9.1Calloway County: 9 %Calloway County9Lewis County: 9 %Lewis County9Pike County: 9 %Pike County9Warren County: 9 %Warren County9Bell County: 8.9 %Bell County8.9Breckinridge County: 8.9 %Breckinridge County8.9Carter County: 8.9 %Carter County8.9Grayson County: 8.9 %Grayson County8.9Hart County: 8.9 %Hart County8.9Fayette County: 8.8 %Fayette County8.8Hickman County: 8.8 %Hickman County8.8Bath County: 8.7 %Bath County8.7Floyd County: 8.7 %Floyd County8.7Graves County: 8.7 %Graves County8.7Lawrence County: 8.7 %Lawrence County8.7McCreary County: 8.7 %McCreary County8.7Washington County: 8.7 %Washington County8.7Knott County: 8.6 %Knott County8.6Todd County: 12.6 %Todd County12.6Casey County: 10.8 %Casey County10.8Green County: 10.4 %Green County10.4Fleming County: 10.3 %Fleming County10.3Monroe County: 10.3 %Monroe County10.3Nicholas County: 10.3 %Nicholas County10.3Webster County: 10.3 %Webster County10.3Magoffin County: 10 %Magoffin County10Russell County: 9.9 %Russell County9.9Butler County: 9.7 %Butler County9.7Carlisle County: 9.5 %Carlisle County9.5Henry County: 9.5 %Henry County9.5Lincoln County: 9.5 %Lincoln County9.5Bourbon County: 9.4 %Bourbon County9.4Edmonson County: 9.4 %Edmonson County9.4Morgan County: 9.4 %Morgan County9.4Pulaski County: 9.4 %Pulaski County9.4Shelby County: 9.4 %Shelby County9.4Clay County: 9.3 %Clay County9.3Garrard County: 9.3 %Garrard County9.3Gallatin County: 9.2 %Gallatin County9.2Clinton County: 9.1 %Clinton County9.1Calloway County: 9 %Calloway County9Lewis County: 9 %Lewis County9Pike County: 9 %Pike County9Warren County: 9 %Warren County9Bell County: 8.9 %Bell County8.9Breckinridge County: 8.9 %Breckinridge County8.9Carter County: 8.9 %Carter County8.9Grayson County: 8.9 %Grayson County8.9Hart County: 8.9 %Hart County8.9Fayette County: 8.8 %Fayette County8.8Hickman County: 8.8 %Hickman County8.8Bath County: 8.7 %Bath County8.7Floyd County: 8.7 %Floyd County8.7Graves County: 8.7 %Graves County8.7Lawrence County: 8.7 %Lawrence County8.7McCreary County: 8.7 %McCreary County8.7Washington County: 8.7 %Washington County8.7Knott County: 8.6 %Knott County8.6
%. 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

RankCounties2019 (%)Change on 2018
1Todd County12.6+3 pts
2Casey County10.8+2.4 pts
3Green County10.4+2.1 pts
4Fleming County10.3+1.6 pts
4Monroe County10.3+2 pts
4Nicholas County10.3+2.4 pts
4Webster County10.3+1.2 pts
8Magoffin County10+1.7 pts
9Russell County9.9+2.1 pts
10Butler County9.7+1.3 pts
11Carlisle County9.5+1.7 pts
11Henry County9.5+2.4 pts
11Lincoln County9.5+1.4 pts
14Bourbon County9.4+0.9 pts
14Edmonson County9.4+1.6 pts
14Morgan County9.4+2 pts
14Pulaski County9.4+1.7 pts
14Shelby County9.4+1.5 pts
19Clay County9.3+1 pts
19Garrard County9.3+1.4 pts
21Gallatin County9.2+1.3 pts
22Clinton County9.1+0.6 pts
23Calloway County9+1.7 pts
23Lewis County9+1 pts
23Pike County9+1.4 pts
23Warren County9+1.1 pts
27Bell County8.9+1.6 pts
27Breckinridge County8.9+0.6 pts
27Carter County8.9+1.7 pts
27Grayson County8.9+1.7 pts
27Hart County8.9+1.3 pts
32Fayette County8.8+0.4 pts
32Hickman County8.8+1.6 pts
34Bath County8.7+0.7 pts
34Floyd County8.7+1.2 pts
34Graves County8.7+1.4 pts
34Lawrence County8.7+1.8 pts
34McCreary County8.7+1.4 pts
34Washington County8.7+0.6 pts
40Knott County8.6+1.2 pts
41Adair County8.5+0.7 pts
41Allen County8.5+1.4 pts
41Christian County8.5+1.9 pts
41Lyon County8.5+1.6 pts
41Owen County8.5+1.3 pts
41Trigg County8.5+1.3 pts
47Estill County8.4+1.2 pts
47Jackson County8.4+1.1 pts
47Larue County8.4+1.2 pts
47Robertson County8.4+1.1 pts
47Union County8.4+1.2 pts
47Wayne County8.4+0.8 pts
53Laurel County8.3+1.6 pts
53Leslie County8.3+1.2 pts
53Logan County8.3+1.6 pts
53Muhlenberg County8.3+0.6 pts
57Carroll County8.2+0.9 pts
57Crittenden County8.2+1 pts
57Harlan County8.2+1 pts
57Jessamine County8.2+0.6 pts
57Mason County8.2+2.3 pts
57Metcalfe County8.2+1.2 pts
63Barren County8.1-0.3 pts
63Cumberland County8.1+1.1 pts
63Menifee County8.1+1.4 pts
66Knox County8+0.4 pts
66Letcher County8+0.9 pts
66Pendleton County8+1 pts
66Perry County8+1.5 pts
66Rowan County8+0.8 pts
71Caldwell County7.9+2.1 pts
71Martin County7.9+0.9 pts
71Mercer County7.9+0.8 pts
71Wolfe County7.9+1.1 pts
75Breathitt County7.8+1.1 pts
75Franklin County7.8+1 pts
75Johnson County7.8+1.5 pts
75Livingston County7.8+1.6 pts
75Ohio County7.8+1.3 pts
75Woodford County7.8+1.2 pts
81Harrison County7.7+0.4 pts
82Rockcastle County7.6+1 pts
82Whitley County7.6+1.2 pts
84Marion County7.5+1.4 pts
84Montgomery County7.5+1.3 pts
84Powell County7.5+0.7 pts
84Simpson County7.5+1.1 pts
88Bracken County7.4+1.4 pts
88Daviess County7.4+1.6 pts
88Lee County7.4+1.1 pts
88McLean County7.4+0.5 pts
92Owsley County7.3+1.5 pts
92Taylor County7.3+0.6 pts
94Ballard County7.2+0.5 pts
94Marshall County7.2+0.6 pts
94Trimble County7.2+1.1 pts
97Boyd County7.1+1.4 pts
97Henderson County7.1+1.1 pts
97Jefferson County7.1+0.6 pts
100Madison County7+0.9 pts
100McCracken County7+0.7 pts
102Clark County6.8+1 pts
102Elliott County6.8+0.6 pts
102Fulton County6.8+0.8 pts
102Hopkins County6.8+0.9 pts
106Anderson County6.7+0.6 pts
106Grant County6.70 pts
108Boyle County6.6+1 pts
108Greenup County6.6+0.8 pts
110Kenton County6.5+0.3 pts
111Meade County6.4+0.5 pts
112Hardin County6.3+1 pts
112Nelson County6.3+1.1 pts
112Scott County6.3+1.1 pts
115Spencer County6.2+0.7 pts
116Bullitt County6.1+1 pts
116Hancock County6.1+0.8 pts
118Campbell County5.7+1.3 pts
119Boone County5.6+1.2 pts
120Oldham County4.3+0.5 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 Kentucky 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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_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 Kentucky 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/kentucky-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 Kentucky 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/kentucky-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-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  -
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Questions

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

Todd County, with 12.6% in 2019, 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 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 Kentucky: more rankings