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

Mackinac County had the highest uninsured rate, under 65 (US model-based estimate) of 83 counties in 2021, at 11.6%. Livingston County had the lowest, at 4.1%. The median was 6.8% and the figure for Michigan was 6%. Source: the U.S. Census Bureau.

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Highest11.6Mackinac County
Median6.883 counties
Michigan6History

Map of counties, 2021

Alcona County: 8.4 %Alger County: 5.8 %Allegan County: 6.2 %Alpena County: 6.4 %Antrim County: 7.6 %Arenac County: 7.6 %Baraga County: 8 %Barry County: 5.7 %Bay County: 6 %Benzie County: 6.7 %Berrien County: 7.4 %Branch County: 8.1 %Calhoun County: 6.6 %Cass County: 7.2 %Charlevoix County: 6.4 %Cheboygan County: 8.5 %Chippewa County: 7.8 %Clare County: 8.2 %Clinton County: 4.4 %Crawford County: 6.8 %Delta County: 7.3 %Dickinson County: 5 %Eaton County: 5.4 %Emmet County: 7.4 %Genesee County: 6.4 %Gladwin County: 7.6 %Gogebic County: 6.8 %Grand Traverse County: 5.4 %Gratiot County: 5.8 %Hillsdale County: 7.6 %Houghton County: 7.6 %Huron County: 6.6 %Ingham County: 6 %Ionia County: 6.1 %Iosco County: 7.2 %Iron County: 7.7 %Isabella County: 7.8 %Jackson County: 6.1 %Kalamazoo County: 5.1 %Kalkaska County: 7 %Kent County: 6.4 %Keweenaw County: 4.6 %Lake County: 8 %Lapeer County: 6.5 %Leelanau County: 7.2 %Lenawee County: 6.2 %Livingston County: 4.1 %Luce County: 7.1 %Mackinac County: 11.6 %Macomb County: 6.1 %Manistee County: 6.9 %Marquette County: 5.5 %Mason County: 6.5 %Mecosta County: 6.5 %Menominee County: 6.3 %Midland County: 4.9 %Missaukee County: 8.5 %Monroe County: 4.8 %Montcalm County: 7.3 %Montmorency County: 7.8 %Muskegon County: 5.7 %Newaygo County: 7.4 %Oakland County: 4.6 %Oceana County: 9.3 %Ogemaw County: 8 %Ontonagon County: 8.7 %Osceola County: 8.5 %Oscoda County: 10.1 %Otsego County: 6.5 %Ottawa County: 4.7 %Presque Isle County: 7.1 %Roscommon County: 7.2 %Saginaw County: 5.9 %St. Clair County: 6 %St. Joseph County: 9 %Sanilac County: 7.2 %Schoolcraft County: 8.5 %Shiawassee County: 5.5 %Tuscola County: 6.1 %Van Buren County: 8.7 %Washtenaw County: 5.1 %Wayne County: 6.6 %Wexford County: 7 %
  • Under 5.6
  • 5.6 to 6.2
  • 6.2 to 6.8
  • 6.8 to 7.4
  • 7.4 to 8
  • 8 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

Mackinac County: 11.6 %Mackinac County11.6Oscoda County: 10.1 %Oscoda County10.1Oceana County: 9.3 %Oceana County9.3St. Joseph County: 9 %St. Joseph County9Ontonagon County: 8.7 %Ontonagon County8.7Van Buren County: 8.7 %Van Buren County8.7Cheboygan County: 8.5 %Cheboygan County8.5Missaukee County: 8.5 %Missaukee County8.5Osceola County: 8.5 %Osceola County8.5Schoolcraft County: 8.5 %Schoolcraft County8.5Alcona County: 8.4 %Alcona County8.4Clare County: 8.2 %Clare County8.2Branch County: 8.1 %Branch County8.1Baraga County: 8 %Baraga County8Lake County: 8 %Lake County8Ogemaw County: 8 %Ogemaw County8Chippewa County: 7.8 %Chippewa County7.8Isabella County: 7.8 %Isabella County7.8Montmorency County: 7.8 %Montmorency County7.8Iron County: 7.7 %Iron County7.7Antrim County: 7.6 %Antrim County7.6Arenac County: 7.6 %Arenac County7.6Gladwin County: 7.6 %Gladwin County7.6Hillsdale County: 7.6 %Hillsdale County7.6Houghton County: 7.6 %Houghton County7.6Berrien County: 7.4 %Berrien County7.4Emmet County: 7.4 %Emmet County7.4Newaygo County: 7.4 %Newaygo County7.4Delta County: 7.3 %Delta County7.3Montcalm County: 7.3 %Montcalm County7.3Cass County: 7.2 %Cass County7.2Iosco County: 7.2 %Iosco County7.2Leelanau County: 7.2 %Leelanau County7.2Roscommon County: 7.2 %Roscommon County7.2Sanilac County: 7.2 %Sanilac County7.2Luce County: 7.1 %Luce County7.1Presque Isle County: 7.1 %Presque Isle County7.1Kalkaska County: 7 %Kalkaska County7Wexford County: 7 %Wexford County7Manistee County: 6.9 %Manistee County6.9Mackinac County: 11.6 %Mackinac County11.6Oscoda County: 10.1 %Oscoda County10.1Oceana County: 9.3 %Oceana County9.3St. Joseph County: 9 %St. Joseph County9Ontonagon County: 8.7 %Ontonagon County8.7Van Buren County: 8.7 %Van Buren County8.7Cheboygan County: 8.5 %Cheboygan County8.5Missaukee County: 8.5 %Missaukee County8.5Osceola County: 8.5 %Osceola County8.5Schoolcraft County: 8.5 %Schoolcraft County8.5Alcona County: 8.4 %Alcona County8.4Clare County: 8.2 %Clare County8.2Branch County: 8.1 %Branch County8.1Baraga County: 8 %Baraga County8Lake County: 8 %Lake County8Ogemaw County: 8 %Ogemaw County8Chippewa County: 7.8 %Chippewa County7.8Isabella County: 7.8 %Isabella County7.8Montmorency County: 7.8 %Montmorency County7.8Iron County: 7.7 %Iron County7.7Antrim County: 7.6 %Antrim County7.6Arenac County: 7.6 %Arenac County7.6Gladwin County: 7.6 %Gladwin County7.6Hillsdale County: 7.6 %Hillsdale County7.6Houghton County: 7.6 %Houghton County7.6Berrien County: 7.4 %Berrien County7.4Emmet County: 7.4 %Emmet County7.4Newaygo County: 7.4 %Newaygo County7.4Delta County: 7.3 %Delta County7.3Montcalm County: 7.3 %Montcalm County7.3Cass County: 7.2 %Cass County7.2Iosco County: 7.2 %Iosco County7.2Leelanau County: 7.2 %Leelanau County7.2Roscommon County: 7.2 %Roscommon County7.2Sanilac County: 7.2 %Sanilac County7.2Luce County: 7.1 %Luce County7.1Presque Isle County: 7.1 %Presque Isle County7.1Kalkaska County: 7 %Kalkaska County7Wexford County: 7 %Wexford County7Manistee County: 6.9 %Manistee County6.9
%. 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
1Mackinac County11.6-0.9 pts
2Oscoda County10.1-0.2 pts
3Oceana County9.3-1.3 pts
4St. Joseph County9-1.4 pts
5Ontonagon County8.7-0.6 pts
5Van Buren County8.70 pts
7Cheboygan County8.5-0.2 pts
7Missaukee County8.5-0.4 pts
7Osceola County8.5-0.5 pts
7Schoolcraft County8.5-1.9 pts
11Alcona County8.4-0.3 pts
12Clare County8.2-1 pts
13Branch County8.1-1.2 pts
14Baraga County8-1.6 pts
14Lake County8-0.6 pts
14Ogemaw County8-0.9 pts
17Chippewa County7.8-2.8 pts
17Isabella County7.8-1.9 pts
17Montmorency County7.8-0.1 pts
20Iron County7.7-0.7 pts
21Antrim County7.6-0.8 pts
21Arenac County7.6-0.7 pts
21Gladwin County7.6-0.8 pts
21Hillsdale County7.6+0.3 pts
21Houghton County7.6-1.6 pts
26Berrien County7.4-0.2 pts
26Emmet County7.4-1.1 pts
26Newaygo County7.4-0.3 pts
29Delta County7.3-0.6 pts
29Montcalm County7.30 pts
31Cass County7.2-0.1 pts
31Iosco County7.2-0.7 pts
31Leelanau County7.2-1.8 pts
31Roscommon County7.2+0.2 pts
31Sanilac County7.2-1 pts
36Luce County7.1-2.2 pts
36Presque Isle County7.1-1.2 pts
38Kalkaska County7-1.6 pts
38Wexford County7-0.4 pts
40Manistee County6.9-1.7 pts
41Crawford County6.80 pts
41Gogebic County6.8-1.3 pts
43Benzie County6.7-1.6 pts
44Calhoun County6.6+0.1 pts
44Huron County6.6-0.3 pts
44Wayne County6.6+0.1 pts
47Lapeer County6.5-0.5 pts
47Mason County6.5-1.2 pts
47Mecosta County6.5-1.8 pts
47Otsego County6.5-1.4 pts
51Alpena County6.4+0.1 pts
51Charlevoix County6.4-1 pts
51Genesee County6.4+0.2 pts
51Kent County6.4-0.7 pts
55Menominee County6.3-1.4 pts
56Allegan County6.2-0.8 pts
56Lenawee County6.2-0.7 pts
58Ionia County6.1-0.6 pts
58Jackson County6.1-0.1 pts
58Macomb County6.1-0.5 pts
58Tuscola County6.1-0.7 pts
62Bay County6-0.9 pts
62Ingham County6-0.3 pts
62St. Clair County6-0.7 pts
65Saginaw County5.9-0.3 pts
66Alger County5.8-2.4 pts
66Gratiot County5.8-0.7 pts
68Barry County5.7-1 pts
68Muskegon County5.7-0.2 pts
70Marquette County5.5-1.1 pts
70Shiawassee County5.5+0.1 pts
72Eaton County5.4-0.4 pts
72Grand Traverse County5.4-1.7 pts
74Kalamazoo County5.1-1.7 pts
74Washtenaw County5.10 pts
76Dickinson County5-0.7 pts
77Midland County4.9-0.5 pts
78Monroe County4.8-0.4 pts
79Ottawa County4.7-0.5 pts
80Keweenaw County4.6-1.5 pts
80Oakland County4.6-0.2 pts
82Clinton County4.4-1 pts
83Livingston County4.10 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 Michigan 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 Michigan 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/michigan-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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_michigan_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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/michigan-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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Rank Counties in Michigan by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"Michigan","limit":10}
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Questions

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

Mackinac County, with 11.6% in 2021, according to the U.S. Census Bureau.

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

Livingston County, with 4.1% 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 Michigan: more rankings