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

Lake County had the highest uninsured rate, under 65 (US model-based estimate) of 83 counties in 2023, at 8.5%. Livingston County had the lowest, at 3.4%. The median was 5.8% and the figure for Michigan was 5.5%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest8.5Lake County
Median5.883 counties
Michigan5.5History

Map of counties, 2023

Alcona County: 6 %Alger County: 5.2 %Allegan County: 6 %Alpena County: 6.1 %Antrim County: 5.7 %Arenac County: 7 %Baraga County: 5.3 %Barry County: 5.1 %Bay County: 5.6 %Benzie County: 5.5 %Berrien County: 7 %Branch County: 7.6 %Calhoun County: 6.1 %Cass County: 7.2 %Charlevoix County: 5.4 %Cheboygan County: 7.4 %Chippewa County: 6.1 %Clare County: 7.6 %Clinton County: 3.6 %Crawford County: 6 %Delta County: 5.6 %Dickinson County: 4 %Eaton County: 4.5 %Emmet County: 5.3 %Genesee County: 5.9 %Gladwin County: 7.4 %Gogebic County: 5.5 %Grand Traverse County: 5.1 %Gratiot County: 4.7 %Hillsdale County: 6.6 %Houghton County: 6.5 %Huron County: 6.1 %Ingham County: 5.4 %Ionia County: 5.5 %Iosco County: 5.9 %Iron County: 5.9 %Isabella County: 6.4 %Jackson County: 4.8 %Kalamazoo County: 5 %Kalkaska County: 6.9 %Kent County: 5.8 %Keweenaw County: 3.8 %Lake County: 8.5 %Lapeer County: 6.1 %Leelanau County: 5.1 %Lenawee County: 5.8 %Livingston County: 3.4 %Luce County: 4.9 %Mackinac County: 8.1 %Macomb County: 5.5 %Manistee County: 6.4 %Marquette County: 4.8 %Mason County: 5.5 %Mecosta County: 6.3 %Menominee County: 5.7 %Midland County: 4.1 %Missaukee County: 7.9 %Monroe County: 4.5 %Montcalm County: 6.8 %Montmorency County: 6.6 %Muskegon County: 5.4 %Newaygo County: 5.8 %Oakland County: 4.3 %Oceana County: 7.4 %Ogemaw County: 7 %Ontonagon County: 5.9 %Osceola County: 7.1 %Oscoda County: 8.4 %Otsego County: 5.1 %Ottawa County: 4.3 %Presque Isle County: 6.7 %Roscommon County: 5.8 %Saginaw County: 5.3 %St. Clair County: 5.2 %St. Joseph County: 7.8 %Sanilac County: 8 %Schoolcraft County: 6.5 %Shiawassee County: 5.3 %Tuscola County: 5.1 %Van Buren County: 7.5 %Washtenaw County: 4.2 %Wayne County: 6.3 %Wexford County: 6 %
  • Under 5
  • 5 to 5.4
  • 5.4 to 5.8
  • 5.8 to 6.2
  • 6.2 to 7
  • 7 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

Lake County: 8.5 %Lake County8.5Oscoda County: 8.4 %Oscoda County8.4Mackinac County: 8.1 %Mackinac County8.1Sanilac County: 8 %Sanilac County8Missaukee County: 7.9 %Missaukee County7.9St. Joseph County: 7.8 %St. Joseph County7.8Branch County: 7.6 %Branch County7.6Clare County: 7.6 %Clare County7.6Van Buren County: 7.5 %Van Buren County7.5Cheboygan County: 7.4 %Cheboygan County7.4Gladwin County: 7.4 %Gladwin County7.4Oceana County: 7.4 %Oceana County7.4Cass County: 7.2 %Cass County7.2Osceola County: 7.1 %Osceola County7.1Arenac County: 7 %Arenac County7Berrien County: 7 %Berrien County7Ogemaw County: 7 %Ogemaw County7Kalkaska County: 6.9 %Kalkaska County6.9Montcalm County: 6.8 %Montcalm County6.8Presque Isle County: 6.7 %Presque Isle County6.7Hillsdale County: 6.6 %Hillsdale County6.6Montmorency County: 6.6 %Montmorency County6.6Houghton County: 6.5 %Houghton County6.5Schoolcraft County: 6.5 %Schoolcraft County6.5Isabella County: 6.4 %Isabella County6.4Manistee County: 6.4 %Manistee County6.4Mecosta County: 6.3 %Mecosta County6.3Wayne County: 6.3 %Wayne County6.3Alpena County: 6.1 %Alpena County6.1Calhoun County: 6.1 %Calhoun County6.1Chippewa County: 6.1 %Chippewa County6.1Huron County: 6.1 %Huron County6.1Lapeer County: 6.1 %Lapeer County6.1Alcona County: 6 %Alcona County6Allegan County: 6 %Allegan County6Crawford County: 6 %Crawford County6Wexford County: 6 %Wexford County6Genesee County: 5.9 %Genesee County5.9Iosco County: 5.9 %Iosco County5.9Iron County: 5.9 %Iron County5.9Lake County: 8.5 %Lake County8.5Oscoda County: 8.4 %Oscoda County8.4Mackinac County: 8.1 %Mackinac County8.1Sanilac County: 8 %Sanilac County8Missaukee County: 7.9 %Missaukee County7.9St. Joseph County: 7.8 %St. Joseph County7.8Branch County: 7.6 %Branch County7.6Clare County: 7.6 %Clare County7.6Van Buren County: 7.5 %Van Buren County7.5Cheboygan County: 7.4 %Cheboygan County7.4Gladwin County: 7.4 %Gladwin County7.4Oceana County: 7.4 %Oceana County7.4Cass County: 7.2 %Cass County7.2Osceola County: 7.1 %Osceola County7.1Arenac County: 7 %Arenac County7Berrien County: 7 %Berrien County7Ogemaw County: 7 %Ogemaw County7Kalkaska County: 6.9 %Kalkaska County6.9Montcalm County: 6.8 %Montcalm County6.8Presque Isle County: 6.7 %Presque Isle County6.7Hillsdale County: 6.6 %Hillsdale County6.6Montmorency County: 6.6 %Montmorency County6.6Houghton County: 6.5 %Houghton County6.5Schoolcraft County: 6.5 %Schoolcraft County6.5Isabella County: 6.4 %Isabella County6.4Manistee County: 6.4 %Manistee County6.4Mecosta County: 6.3 %Mecosta County6.3Wayne County: 6.3 %Wayne County6.3Alpena County: 6.1 %Alpena County6.1Calhoun County: 6.1 %Calhoun County6.1Chippewa County: 6.1 %Chippewa County6.1Huron County: 6.1 %Huron County6.1Lapeer County: 6.1 %Lapeer County6.1Alcona County: 6 %Alcona County6Allegan County: 6 %Allegan County6Crawford County: 6 %Crawford County6Wexford County: 6 %Wexford County6Genesee County: 5.9 %Genesee County5.9Iosco County: 5.9 %Iosco County5.9Iron County: 5.9 %Iron County5.9
%. 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

RankCounties2023 (%)Change on 2022
1Lake County8.5+0.9 pts
2Oscoda County8.4-1.3 pts
3Mackinac County8.1-2.7 pts
4Sanilac County8+1.3 pts
5Missaukee County7.9-0.2 pts
6St. Joseph County7.8+0.1 pts
7Branch County7.6-0.6 pts
7Clare County7.6-0.7 pts
9Van Buren County7.5+0.2 pts
10Cheboygan County7.4-0.1 pts
10Gladwin County7.4-0.3 pts
10Oceana County7.40 pts
13Cass County7.2+0.3 pts
14Osceola County7.1+0.4 pts
15Arenac County7+0.6 pts
15Berrien County7+0.1 pts
15Ogemaw County7-0.4 pts
18Kalkaska County6.9-0.4 pts
19Montcalm County6.8-0.5 pts
20Presque Isle County6.7+0.3 pts
21Hillsdale County6.60 pts
21Montmorency County6.6-1.1 pts
23Houghton County6.5+0.2 pts
23Schoolcraft County6.5-0.7 pts
25Isabella County6.4-0.2 pts
25Manistee County6.4-0.6 pts
27Mecosta County6.3-0.5 pts
27Wayne County6.3+0.6 pts
29Alpena County6.1-0.1 pts
29Calhoun County6.1-0.1 pts
29Chippewa County6.1-1.4 pts
29Huron County6.1-0.9 pts
29Lapeer County6.1+0.4 pts
34Alcona County6-1.1 pts
34Allegan County6+0.3 pts
34Crawford County6-0.1 pts
34Wexford County6-0.9 pts
38Genesee County5.9+0.7 pts
38Iosco County5.9-0.5 pts
38Iron County5.9-1.8 pts
38Ontonagon County5.9-1.2 pts
42Kent County5.8+0.3 pts
42Lenawee County5.8+0.4 pts
42Newaygo County5.8-1.2 pts
42Roscommon County5.8-0.9 pts
46Antrim County5.7-1.1 pts
46Menominee County5.7-0.6 pts
48Bay County5.6-0.1 pts
48Delta County5.6-0.7 pts
50Benzie County5.5-1.3 pts
50Gogebic County5.5-0.6 pts
50Ionia County5.5-0.3 pts
50Macomb County5.50 pts
50Mason County5.50 pts
55Charlevoix County5.4-0.8 pts
55Ingham County5.4-0.4 pts
55Muskegon County5.4+0.3 pts
58Baraga County5.3-1.3 pts
58Emmet County5.3-1.2 pts
58Saginaw County5.3-0.2 pts
58Shiawassee County5.3-0.2 pts
62Alger County5.2-0.8 pts
62St. Clair County5.2+0.3 pts
64Barry County5.1-0.4 pts
64Grand Traverse County5.1-0.6 pts
64Leelanau County5.1-1.5 pts
64Otsego County5.1-1.6 pts
64Tuscola County5.1-0.8 pts
69Kalamazoo County5-0.1 pts
70Luce County4.9-1.5 pts
71Jackson County4.8-0.8 pts
71Marquette County4.8-1.1 pts
73Gratiot County4.7-0.4 pts
74Eaton County4.5-0.3 pts
74Monroe County4.5-0.4 pts
76Oakland County4.3-0.4 pts
76Ottawa County4.3-0.3 pts
78Washtenaw County4.2-0.1 pts
79Midland County4.1-0.7 pts
80Dickinson County4-1.1 pts
81Keweenaw County3.8-1 pts
82Clinton County3.6-0.8 pts
83Livingston County3.4-0.4 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 Michigan 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 Michigan 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/michigan-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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_michigan_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 Michigan 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/michigan-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 Michigan 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/michigan-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/michigan-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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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)?

Lake County, with 8.5% in 2023, according to the U.S. Census Bureau.

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

Livingston County, with 3.4% 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 Michigan: more rankings