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 2023, at 10.5%. Oldham County had the lowest, at 3.1%. The median was 6.8% and the figure for Kentucky was 6.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest10.5Todd County
Lowest3.1Oldham County
Median6.8120 counties
Kentucky6.4History

Map of counties, 2023

Adair County: 7.1 %Allen County: 6.3 %Anderson County: 5.4 %Ballard County: 5 %Barren County: 7.4 %Bath County: 6.7 %Bell County: 7.4 %Boone County: 4.4 %Bourbon County: 7.5 %Boyd County: 5.6 %Boyle County: 5.7 %Bracken County: 6.2 %Breathitt County: 6.8 %Breckinridge County: 7.3 %Bullitt County: 4.8 %Butler County: 8.1 %Caldwell County: 7.2 %Calloway County: 7.1 %Campbell County: 4.8 %Carlisle County: 7 %Carroll County: 6.7 %Carter County: 6.8 %Casey County: 9.2 %Christian County: 7.9 %Clark County: 5.3 %Clay County: 8.4 %Clinton County: 6.9 %Crittenden County: 7.1 %Cumberland County: 7.8 %Daviess County: 5.8 %Edmonson County: 6.9 %Elliott County: 6.8 %Estill County: 8.5 %Fayette County: 7.2 %Fleming County: 8.3 %Floyd County: 7.6 %Franklin County: 5.6 %Fulton County: 6.1 %Gallatin County: 6.5 %Garrard County: 9 %Grant County: 5.9 %Graves County: 6.7 %Grayson County: 7.3 %Green County: 7.5 %Greenup County: 6.1 %Hancock County: 5.6 %Hardin County: 6.2 %Harlan County: 7.2 %Harrison County: 6.1 %Hart County: 7.9 %Henderson County: 6.6 %Henry County: 7.3 %Hickman County: 7 %Hopkins County: 6.7 %Jackson County: 8 %Jefferson County: 6.2 %Jessamine County: 7.1 %Johnson County: 7 %Kenton County: 4.9 %Knott County: 7.8 %Knox County: 7.2 %Larue County: 7 %Laurel County: 6.7 %Lawrence County: 7 %Lee County: 8 %Leslie County: 6.1 %Letcher County: 7.4 %Lewis County: 8.5 %Lincoln County: 7.8 %Livingston County: 5.6 %Logan County: 6.4 %Lyon County: 7.3 %McCracken County: 5.8 %McCreary County: 7.9 %McLean County: 6 %Madison County: 6.3 %Magoffin County: 8 %Marion County: 6.3 %Marshall County: 5.8 %Martin County: 7 %Mason County: 6.1 %Meade County: 5.7 %Menifee County: 6.7 %Mercer County: 6.4 %Metcalfe County: 6.6 %Monroe County: 7.5 %Montgomery County: 6.4 %Morgan County: 7.7 %Muhlenberg County: 6.5 %Nelson County: 5.3 %Nicholas County: 7.7 %Ohio County: 7.6 %Oldham County: 3.1 %Owen County: 6.9 %Owsley County: 6.9 %Pendleton County: 6.4 %Perry County: 6.2 %Pike County: 7.1 %Powell County: 7.1 %Pulaski County: 7.5 %Robertson County: 6.7 %Rockcastle County: 7.1 %Rowan County: 6.1 %Russell County: 6.8 %Scott County: 4.6 %Shelby County: 6.6 %Simpson County: 6.5 %Spencer County: 5 %Taylor County: 5.9 %Todd County: 10.5 %Trigg County: 8.1 %Trimble County: 6.2 %Union County: 6.3 %Warren County: 7.4 %Washington County: 5.6 %Wayne County: 7.8 %Webster County: 8 %Whitley County: 7 %Wolfe County: 8.5 %Woodford County: 6.3 %
  • Under 5.8
  • 5.8 to 6.4
  • 6.4 to 6.8
  • 6.8 to 7.2
  • 7.2 to 7.8
  • 7.8 and over
%, 2023. 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, 2023

Todd County: 10.5 %Todd County10.5Casey County: 9.2 %Casey County9.2Garrard County: 9 %Garrard County9Estill County: 8.5 %Estill County8.5Lewis County: 8.5 %Lewis County8.5Wolfe County: 8.5 %Wolfe County8.5Clay County: 8.4 %Clay County8.4Fleming County: 8.3 %Fleming County8.3Butler County: 8.1 %Butler County8.1Trigg County: 8.1 %Trigg County8.1Jackson County: 8 %Jackson County8Lee County: 8 %Lee County8Magoffin County: 8 %Magoffin County8Webster County: 8 %Webster County8Christian County: 7.9 %Christian County7.9Hart County: 7.9 %Hart County7.9McCreary County: 7.9 %McCreary County7.9Cumberland County: 7.8 %Cumberland County7.8Knott County: 7.8 %Knott County7.8Lincoln County: 7.8 %Lincoln County7.8Wayne County: 7.8 %Wayne County7.8Morgan County: 7.7 %Morgan County7.7Nicholas County: 7.7 %Nicholas County7.7Floyd County: 7.6 %Floyd County7.6Ohio County: 7.6 %Ohio County7.6Bourbon County: 7.5 %Bourbon County7.5Green County: 7.5 %Green County7.5Monroe County: 7.5 %Monroe County7.5Pulaski County: 7.5 %Pulaski County7.5Barren County: 7.4 %Barren County7.4Bell County: 7.4 %Bell County7.4Letcher County: 7.4 %Letcher County7.4Warren County: 7.4 %Warren County7.4Breckinridge County: 7.3 %Breckinridge County7.3Grayson County: 7.3 %Grayson County7.3Henry County: 7.3 %Henry County7.3Lyon County: 7.3 %Lyon County7.3Caldwell County: 7.2 %Caldwell County7.2Fayette County: 7.2 %Fayette County7.2Harlan County: 7.2 %Harlan County7.2Todd County: 10.5 %Todd County10.5Casey County: 9.2 %Casey County9.2Garrard County: 9 %Garrard County9Estill County: 8.5 %Estill County8.5Lewis County: 8.5 %Lewis County8.5Wolfe County: 8.5 %Wolfe County8.5Clay County: 8.4 %Clay County8.4Fleming County: 8.3 %Fleming County8.3Butler County: 8.1 %Butler County8.1Trigg County: 8.1 %Trigg County8.1Jackson County: 8 %Jackson County8Lee County: 8 %Lee County8Magoffin County: 8 %Magoffin County8Webster County: 8 %Webster County8Christian County: 7.9 %Christian County7.9Hart County: 7.9 %Hart County7.9McCreary County: 7.9 %McCreary County7.9Cumberland County: 7.8 %Cumberland County7.8Knott County: 7.8 %Knott County7.8Lincoln County: 7.8 %Lincoln County7.8Wayne County: 7.8 %Wayne County7.8Morgan County: 7.7 %Morgan County7.7Nicholas County: 7.7 %Nicholas County7.7Floyd County: 7.6 %Floyd County7.6Ohio County: 7.6 %Ohio County7.6Bourbon County: 7.5 %Bourbon County7.5Green County: 7.5 %Green County7.5Monroe County: 7.5 %Monroe County7.5Pulaski County: 7.5 %Pulaski County7.5Barren County: 7.4 %Barren County7.4Bell County: 7.4 %Bell County7.4Letcher County: 7.4 %Letcher County7.4Warren County: 7.4 %Warren County7.4Breckinridge County: 7.3 %Breckinridge County7.3Grayson County: 7.3 %Grayson County7.3Henry County: 7.3 %Henry County7.3Lyon County: 7.3 %Lyon County7.3Caldwell County: 7.2 %Caldwell County7.2Fayette County: 7.2 %Fayette County7.2Harlan County: 7.2 %Harlan County7.2
%. 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

RankCounties2023 (%)Change on 2022
1Todd County10.5-2.1 pts
2Casey County9.20 pts
3Garrard County9+0.3 pts
4Estill County8.5+0.7 pts
4Lewis County8.5+0.9 pts
4Wolfe County8.5+0.9 pts
7Clay County8.4+0.1 pts
8Fleming County8.3+0.6 pts
9Butler County8.1-1.2 pts
9Trigg County8.1-0.2 pts
11Jackson County8+0.6 pts
11Lee County8+1.3 pts
11Magoffin County8+0.4 pts
11Webster County8-1.2 pts
15Christian County7.9+0.5 pts
15Hart County7.90 pts
15McCreary County7.9-0.1 pts
18Cumberland County7.8+0.4 pts
18Knott County7.8+0.6 pts
18Lincoln County7.8+0.2 pts
18Wayne County7.8-0.1 pts
22Morgan County7.7-0.9 pts
22Nicholas County7.7+0.6 pts
24Floyd County7.6+0.5 pts
24Ohio County7.6-0.3 pts
26Bourbon County7.50 pts
26Green County7.5-0.4 pts
26Monroe County7.5-0.6 pts
26Pulaski County7.5-0.4 pts
30Barren County7.4-0.3 pts
30Bell County7.4+0.4 pts
30Letcher County7.4+0.3 pts
30Warren County7.4-1.8 pts
34Breckinridge County7.3-0.9 pts
34Grayson County7.3-0.2 pts
34Henry County7.3-0.4 pts
34Lyon County7.3-1.2 pts
38Caldwell County7.2+0.4 pts
38Fayette County7.2-0.4 pts
38Harlan County7.2+0.6 pts
38Knox County7.2-0.1 pts
42Adair County7.1-0.3 pts
42Calloway County7.10 pts
42Crittenden County7.1-0.6 pts
42Jessamine County7.1-0.4 pts
42Pike County7.1+0.1 pts
42Powell County7.1+0.9 pts
42Rockcastle County7.1+0.3 pts
49Carlisle County7-1.3 pts
49Hickman County7-0.2 pts
49Johnson County7+0.3 pts
49Larue County7-2.1 pts
49Lawrence County7-0.7 pts
49Martin County7+0.4 pts
49Whitley County7+0.3 pts
56Clinton County6.9-1.3 pts
56Edmonson County6.9-1 pts
56Owen County6.9-0.7 pts
56Owsley County6.9+0.5 pts
60Breathitt County6.8+0.1 pts
60Carter County6.8-0.7 pts
60Elliott County6.8+1.7 pts
60Russell County6.8-0.7 pts
64Bath County6.7+0.4 pts
64Carroll County6.7-0.1 pts
64Graves County6.7-0.6 pts
64Hopkins County6.7-0.1 pts
64Laurel County6.7-0.5 pts
64Menifee County6.70 pts
64Robertson County6.70 pts
71Henderson County6.6-0.3 pts
71Metcalfe County6.6+0.2 pts
71Shelby County6.6-0.4 pts
74Gallatin County6.5-0.1 pts
74Muhlenberg County6.5-0.4 pts
74Simpson County6.5+0.6 pts
77Logan County6.4-0.2 pts
77Mercer County6.4-0.1 pts
77Montgomery County6.4-0.2 pts
77Pendleton County6.4-0.4 pts
81Allen County6.3-0.1 pts
81Madison County6.3+0.2 pts
81Marion County6.3+0.1 pts
81Union County6.3-0.6 pts
81Woodford County6.3+0.5 pts
86Bracken County6.20 pts
86Hardin County6.2+0.3 pts
86Jefferson County6.2-0.1 pts
86Perry County6.2-0.4 pts
86Trimble County6.2-0.5 pts
91Fulton County6.1-0.7 pts
91Greenup County6.10 pts
91Harrison County6.1-0.1 pts
91Leslie County6.1+0.7 pts
91Mason County6.1-1.2 pts
91Rowan County6.1-0.1 pts
97McLean County6-1 pts
98Grant County5.9-0.7 pts
98Taylor County5.9-0.5 pts
100Daviess County5.8-0.4 pts
100Marshall County5.8-0.4 pts
100McCracken County5.8-0.8 pts
103Boyle County5.7-0.3 pts
103Meade County5.7-0.6 pts
105Boyd County5.6-0.4 pts
105Franklin County5.6-0.8 pts
105Hancock County5.6-0.3 pts
105Livingston County5.6-0.1 pts
105Washington County5.6-1.1 pts
110Anderson County5.4-0.5 pts
111Clark County5.3-0.1 pts
111Nelson County5.3-0.1 pts
113Ballard County5-1.5 pts
113Spencer County5-0.4 pts
115Kenton County4.9-0.5 pts
116Bullitt County4.8-0.1 pts
116Campbell County4.80 pts
118Scott County4.6+0.1 pts
119Boone County4.4-0.3 pts
120Oldham County3.1-0.5 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_kentucky_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/kentucky-counties?period=2023.
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-2023-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 10.5% in 2023, according to the U.S. Census Bureau.

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

Oldham County, with 3.1% in 2023.

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