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 2021, at 11.4%. Oldham County had the lowest, at 3.7%. The median was 7.2% and the figure for Kentucky was 6.8%. Source: the U.S. Census Bureau.

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Highest11.4Todd County
Lowest3.7Oldham County
Median7.2120 counties
Kentucky6.8History

Map of counties, 2021

Adair County: 7.9 %Allen County: 7 %Anderson County: 6.2 %Ballard County: 6.8 %Barren County: 7.9 %Bath County: 7.1 %Bell County: 7.7 %Boone County: 4.5 %Bourbon County: 8.2 %Boyd County: 5.9 %Boyle County: 6 %Bracken County: 7.1 %Breathitt County: 6.9 %Breckinridge County: 7.2 %Bullitt County: 5.4 %Butler County: 9.7 %Caldwell County: 6.8 %Calloway County: 7.8 %Campbell County: 4.8 %Carlisle County: 8.3 %Carroll County: 7.2 %Carter County: 7.4 %Casey County: 8.7 %Christian County: 7.2 %Clark County: 5.8 %Clay County: 8.5 %Clinton County: 8.6 %Crittenden County: 7 %Cumberland County: 7 %Daviess County: 6.3 %Edmonson County: 8.8 %Elliott County: 5.8 %Estill County: 8 %Fayette County: 7.8 %Fleming County: 8.2 %Floyd County: 7.6 %Franklin County: 7.1 %Fulton County: 6.9 %Gallatin County: 8.4 %Garrard County: 8.3 %Grant County: 6.8 %Graves County: 7.2 %Grayson County: 7 %Green County: 9 %Greenup County: 6 %Hancock County: 6.5 %Hardin County: 6.2 %Harlan County: 7.1 %Harrison County: 6.5 %Hart County: 7.9 %Henderson County: 6.2 %Henry County: 8.9 %Hickman County: 9.1 %Hopkins County: 6.3 %Jackson County: 8.1 %Jefferson County: 6.5 %Jessamine County: 7.4 %Johnson County: 6.9 %Kenton County: 5.8 %Knott County: 8.1 %Knox County: 7.2 %Larue County: 8.2 %Laurel County: 7.9 %Lawrence County: 7.5 %Lee County: 6.6 %Leslie County: 6.8 %Letcher County: 7.3 %Lewis County: 7.9 %Lincoln County: 7.8 %Livingston County: 6.7 %Logan County: 7.7 %Lyon County: 7.6 %McCracken County: 5.7 %McCreary County: 8 %McLean County: 7.4 %Madison County: 6.8 %Magoffin County: 8.7 %Marion County: 6.5 %Marshall County: 6.2 %Martin County: 6.7 %Mason County: 6.6 %Meade County: 5.9 %Menifee County: 7.9 %Mercer County: 6.8 %Metcalfe County: 6.7 %Monroe County: 7.8 %Montgomery County: 6.5 %Morgan County: 6.9 %Muhlenberg County: 7.2 %Nelson County: 5.5 %Nicholas County: 7.8 %Ohio County: 7.2 %Oldham County: 3.7 %Owen County: 8 %Owsley County: 7.6 %Pendleton County: 7.3 %Perry County: 6.4 %Pike County: 7.6 %Powell County: 6.3 %Pulaski County: 7.3 %Robertson County: 7.4 %Rockcastle County: 7.4 %Rowan County: 6.8 %Russell County: 7.5 %Scott County: 5.2 %Shelby County: 8.1 %Simpson County: 5.9 %Spencer County: 5.6 %Taylor County: 6.2 %Todd County: 11.4 %Trigg County: 6.8 %Trimble County: 7.1 %Union County: 6.7 %Warren County: 8.3 %Washington County: 7.1 %Wayne County: 7.3 %Webster County: 9.2 %Whitley County: 6.7 %Wolfe County: 8.4 %Woodford County: 6.3 %
  • Under 6.2
  • 6.2 to 6.8
  • 6.8 to 7.2
  • 7.2 to 7.6
  • 7.6 to 8.1
  • 8.1 and over
%, 2021. 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, 2021

Todd County: 11.4 %Todd County11.4Butler County: 9.7 %Butler County9.7Webster County: 9.2 %Webster County9.2Hickman County: 9.1 %Hickman County9.1Green County: 9 %Green County9Henry County: 8.9 %Henry County8.9Edmonson County: 8.8 %Edmonson County8.8Casey County: 8.7 %Casey County8.7Magoffin County: 8.7 %Magoffin County8.7Clinton County: 8.6 %Clinton County8.6Clay County: 8.5 %Clay County8.5Gallatin County: 8.4 %Gallatin County8.4Wolfe County: 8.4 %Wolfe County8.4Carlisle County: 8.3 %Carlisle County8.3Garrard County: 8.3 %Garrard County8.3Warren County: 8.3 %Warren County8.3Bourbon County: 8.2 %Bourbon County8.2Fleming County: 8.2 %Fleming County8.2Larue County: 8.2 %Larue County8.2Jackson County: 8.1 %Jackson County8.1Knott County: 8.1 %Knott County8.1Shelby County: 8.1 %Shelby County8.1Estill County: 8 %Estill County8McCreary County: 8 %McCreary County8Owen County: 8 %Owen County8Adair County: 7.9 %Adair County7.9Barren County: 7.9 %Barren County7.9Hart County: 7.9 %Hart County7.9Laurel County: 7.9 %Laurel County7.9Lewis County: 7.9 %Lewis County7.9Menifee County: 7.9 %Menifee County7.9Calloway County: 7.8 %Calloway County7.8Fayette County: 7.8 %Fayette County7.8Lincoln County: 7.8 %Lincoln County7.8Monroe County: 7.8 %Monroe County7.8Nicholas County: 7.8 %Nicholas County7.8Bell County: 7.7 %Bell County7.7Logan County: 7.7 %Logan County7.7Floyd County: 7.6 %Floyd County7.6Lyon County: 7.6 %Lyon County7.6Todd County: 11.4 %Todd County11.4Butler County: 9.7 %Butler County9.7Webster County: 9.2 %Webster County9.2Hickman County: 9.1 %Hickman County9.1Green County: 9 %Green County9Henry County: 8.9 %Henry County8.9Edmonson County: 8.8 %Edmonson County8.8Casey County: 8.7 %Casey County8.7Magoffin County: 8.7 %Magoffin County8.7Clinton County: 8.6 %Clinton County8.6Clay County: 8.5 %Clay County8.5Gallatin County: 8.4 %Gallatin County8.4Wolfe County: 8.4 %Wolfe County8.4Carlisle County: 8.3 %Carlisle County8.3Garrard County: 8.3 %Garrard County8.3Warren County: 8.3 %Warren County8.3Bourbon County: 8.2 %Bourbon County8.2Fleming County: 8.2 %Fleming County8.2Larue County: 8.2 %Larue County8.2Jackson County: 8.1 %Jackson County8.1Knott County: 8.1 %Knott County8.1Shelby County: 8.1 %Shelby County8.1Estill County: 8 %Estill County8McCreary County: 8 %McCreary County8Owen County: 8 %Owen County8Adair County: 7.9 %Adair County7.9Barren County: 7.9 %Barren County7.9Hart County: 7.9 %Hart County7.9Laurel County: 7.9 %Laurel County7.9Lewis County: 7.9 %Lewis County7.9Menifee County: 7.9 %Menifee County7.9Calloway County: 7.8 %Calloway County7.8Fayette County: 7.8 %Fayette County7.8Lincoln County: 7.8 %Lincoln County7.8Monroe County: 7.8 %Monroe County7.8Nicholas County: 7.8 %Nicholas County7.8Bell County: 7.7 %Bell County7.7Logan County: 7.7 %Logan County7.7Floyd County: 7.6 %Floyd County7.6Lyon County: 7.6 %Lyon County7.6
%. 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

RankCounties2021 (%)Change on 2020
1Todd County11.4-1.7 pts
2Butler County9.7+0.1 pts
3Webster County9.2-1.1 pts
4Hickman County9.1-0.8 pts
5Green County9-1.6 pts
6Henry County8.9+0.1 pts
7Edmonson County8.8-0.9 pts
8Casey County8.7-0.3 pts
8Magoffin County8.7+0.3 pts
10Clinton County8.6-1 pts
11Clay County8.5+1.3 pts
12Gallatin County8.4-1.1 pts
12Wolfe County8.4+1.5 pts
14Carlisle County8.3-1.4 pts
14Garrard County8.3-0.6 pts
14Warren County8.3+0.1 pts
17Bourbon County8.2-0.1 pts
17Fleming County8.2+0.7 pts
17Larue County8.2+0.5 pts
20Jackson County8.1+0.5 pts
20Knott County8.1+1.2 pts
20Shelby County8.10 pts
23Estill County8+0.5 pts
23McCreary County8+1.1 pts
23Owen County8-1.2 pts
26Adair County7.9+0.3 pts
26Barren County7.9-0.6 pts
26Hart County7.9-1 pts
26Laurel County7.9+0.4 pts
26Lewis County7.9+0.2 pts
26Menifee County7.9+0.4 pts
32Calloway County7.8-1.9 pts
32Fayette County7.8+0.2 pts
32Lincoln County7.80 pts
32Monroe County7.8-1.4 pts
32Nicholas County7.8-0.3 pts
37Bell County7.7+0.7 pts
37Logan County7.7-0.5 pts
39Floyd County7.6+1.1 pts
39Lyon County7.6+0.5 pts
39Owsley County7.6+1.6 pts
39Pike County7.6+0.3 pts
43Lawrence County7.5-0.3 pts
43Russell County7.5-1 pts
45Carter County7.4-1.1 pts
45Jessamine County7.4-0.4 pts
45McLean County7.4-0.8 pts
45Robertson County7.40 pts
45Rockcastle County7.4+1.5 pts
50Letcher County7.3+0.1 pts
50Pendleton County7.3-0.7 pts
50Pulaski County7.3+0.6 pts
50Wayne County7.3-0.3 pts
54Breckinridge County7.2-0.3 pts
54Carroll County7.2-1 pts
54Christian County7.2-0.4 pts
54Graves County7.2-1.1 pts
54Knox County7.2+0.4 pts
54Muhlenberg County7.2-0.2 pts
54Ohio County7.2-0.4 pts
61Bath County7.10 pts
61Bracken County7.1+0.1 pts
61Franklin County7.1-0.9 pts
61Harlan County7.1+1.2 pts
61Trimble County7.1-0.2 pts
61Washington County7.1-2.6 pts
67Allen County7-0.4 pts
67Crittenden County7-1.6 pts
67Cumberland County7-0.5 pts
67Grayson County7-0.6 pts
71Breathitt County6.9+1.1 pts
71Fulton County6.9-0.9 pts
71Johnson County6.9+0.4 pts
71Morgan County6.9-0.5 pts
75Ballard County6.8-1.4 pts
75Caldwell County6.8-0.5 pts
75Grant County6.8-1 pts
75Leslie County6.8+0.4 pts
75Madison County6.8-0.1 pts
75Mercer County6.8-0.5 pts
75Rowan County6.8-0.5 pts
75Trigg County6.8-0.5 pts
83Livingston County6.7-0.7 pts
83Martin County6.7+0.6 pts
83Metcalfe County6.7-0.8 pts
83Union County6.7-1.1 pts
83Whitley County6.7-0.1 pts
88Lee County6.60 pts
88Mason County6.6-1 pts
90Hancock County6.5-0.5 pts
90Harrison County6.5-0.7 pts
90Jefferson County6.5+0.8 pts
90Marion County6.5-0.5 pts
90Montgomery County6.5-1 pts
95Perry County6.4+0.7 pts
96Daviess County6.3-0.8 pts
96Hopkins County6.3-0.6 pts
96Powell County6.3-0.4 pts
96Woodford County6.3-1.2 pts
100Anderson County6.2-1 pts
100Hardin County6.2-0.8 pts
100Henderson County6.2-0.4 pts
100Marshall County6.2-1.6 pts
100Taylor County6.2-0.4 pts
105Boyle County6-0.6 pts
105Greenup County6+0.1 pts
107Boyd County5.9-0.3 pts
107Meade County5.9-1.2 pts
107Simpson County5.9-2.2 pts
110Clark County5.8-1 pts
110Elliott County5.8+0.3 pts
110Kenton County5.8-0.2 pts
113McCracken County5.7-0.8 pts
114Spencer County5.6-1.2 pts
115Nelson County5.5-1.1 pts
116Bullitt County5.4-0.1 pts
117Scott County5.2-0.7 pts
118Campbell County4.8-0.8 pts
119Boone County4.5-1.4 pts
120Oldham County3.7-0.7 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2021.
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-2021-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 11.4% in 2021, according to the U.S. Census Bureau.

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

Oldham County, with 3.7% in 2021.

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