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

Roosevelt County had the highest uninsured rate, under 65 (US model-based estimate) of 56 counties in 2018, at 20.4%. Stillwater County had the lowest, at 7.6%. The median was 11.8% and the figure for Montana was 10.2%. Source: the U.S. Census Bureau.

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Highest20.4Roosevelt County
Median11.856 counties
Montana10.2History

Map of counties, 2018

Beaverhead County: 11.8 %Big Horn County: 15.8 %Blaine County: 16.2 %Broadwater County: 10.4 %Carbon County: 12 %Carter County: 14.7 %Cascade County: 9.3 %Chouteau County: 15.6 %Custer County: 9.3 %Daniels County: 10.5 %Dawson County: 7.6 %Deer Lodge County: 9.6 %Fallon County: 9.2 %Fergus County: 12.7 %Flathead County: 9.8 %Gallatin County: 8.6 %Garfield County: 17.7 %Glacier County: 17.9 %Golden Valley County: 12.5 %Granite County: 13.4 %Hill County: 12.1 %Jefferson County: 8.7 %Judith Basin County: 8.8 %Lake County: 16.1 %Lewis and Clark County: 7.9 %Liberty County: 15.7 %Lincoln County: 12.7 %McCone County: 15.3 %Madison County: 13.4 %Meagher County: 10.6 %Mineral County: 10.9 %Missoula County: 9 %Musselshell County: 11.7 %Park County: 10.3 %Petroleum County: 9.5 %Phillips County: 14.9 %Pondera County: 12.5 %Powder River County: 13.3 %Powell County: 10.9 %Prairie County: 10.4 %Ravalli County: 14.2 %Richland County: 10.1 %Roosevelt County: 20.4 %Rosebud County: 13 %Sanders County: 15.9 %Sheridan County: 11.1 %Silver Bow County: 9.4 %Stillwater County: 7.6 %Sweet Grass County: 10.8 %Teton County: 12.7 %Toole County: 11.9 %Treasure County: 10.5 %Valley County: 9.9 %Wheatland County: 18.3 %Wibaux County: 15.8 %Yellowstone County: 8.1 %
  • Under 9.3
  • 9.3 to 10
  • 10 to 12
  • 12 to 13
  • 13 to 16
  • 16 and over
%, 2018. 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.

All counties, 2018

Roosevelt County: 20.4 %Roosevelt County20.4Wheatland County: 18.3 %Wheatland County18.3Glacier County: 17.9 %Glacier County17.9Garfield County: 17.7 %Garfield County17.7Blaine County: 16.2 %Blaine County16.2Lake County: 16.1 %Lake County16.1Sanders County: 15.9 %Sanders County15.9Big Horn County: 15.8 %Big Horn County15.8Wibaux County: 15.8 %Wibaux County15.8Liberty County: 15.7 %Liberty County15.7Chouteau County: 15.6 %Chouteau County15.6McCone County: 15.3 %McCone County15.3Phillips County: 14.9 %Phillips County14.9Carter County: 14.7 %Carter County14.7Ravalli County: 14.2 %Ravalli County14.2Granite County: 13.4 %Granite County13.4Madison County: 13.4 %Madison County13.4Powder River County: 13.3 %Powder River County13.3Rosebud County: 13 %Rosebud County13Fergus County: 12.7 %Fergus County12.7Lincoln County: 12.7 %Lincoln County12.7Teton County: 12.7 %Teton County12.7Golden Valley County: 12.5 %Golden Valley County12.5Pondera County: 12.5 %Pondera County12.5Hill County: 12.1 %Hill County12.1Carbon County: 12 %Carbon County12Toole County: 11.9 %Toole County11.9Beaverhead County: 11.8 %Beaverhead County11.8Musselshell County: 11.7 %Musselshell County11.7Sheridan County: 11.1 %Sheridan County11.1Mineral County: 10.9 %Mineral County10.9Powell County: 10.9 %Powell County10.9Sweet Grass County: 10.8 %Sweet Grass County10.8Meagher County: 10.6 %Meagher County10.6Daniels County: 10.5 %Daniels County10.5Treasure County: 10.5 %Treasure County10.5Broadwater County: 10.4 %Broadwater County10.4Prairie County: 10.4 %Prairie County10.4Park County: 10.3 %Park County10.3Richland County: 10.1 %Richland County10.1Valley County: 9.9 %Valley County9.9Flathead County: 9.8 %Flathead County9.8Deer Lodge County: 9.6 %Deer Lodge County9.6Petroleum County: 9.5 %Petroleum County9.5Silver Bow County: 9.4 %Silver Bow County9.4Cascade County: 9.3 %Cascade County9.3Custer County: 9.3 %Custer County9.3Fallon County: 9.2 %Fallon County9.2Missoula County: 9 %Missoula County9Judith Basin County: 8.8 %Judith Basin County8.8Jefferson County: 8.7 %Jefferson County8.7Gallatin County: 8.6 %Gallatin County8.6Yellowstone County: 8.1 %Yellowstone County8.1Lewis and Clark County: 7.9 %Lewis and Clark County7.9Dawson County: 7.6 %Dawson County7.6Stillwater County: 7.6 %Stillwater County7.6Roosevelt County: 20.4 %Roosevelt County20.4Wheatland County: 18.3 %Wheatland County18.3Glacier County: 17.9 %Glacier County17.9Garfield County: 17.7 %Garfield County17.7Blaine County: 16.2 %Blaine County16.2Lake County: 16.1 %Lake County16.1Sanders County: 15.9 %Sanders County15.9Big Horn County: 15.8 %Big Horn County15.8Wibaux County: 15.8 %Wibaux County15.8Liberty County: 15.7 %Liberty County15.7Chouteau County: 15.6 %Chouteau County15.6McCone County: 15.3 %McCone County15.3Phillips County: 14.9 %Phillips County14.9Carter County: 14.7 %Carter County14.7Ravalli County: 14.2 %Ravalli County14.2Granite County: 13.4 %Granite County13.4Madison County: 13.4 %Madison County13.4Powder River County: 13.3 %Powder River County13.3Rosebud County: 13 %Rosebud County13Fergus County: 12.7 %Fergus County12.7Lincoln County: 12.7 %Lincoln County12.7Teton County: 12.7 %Teton County12.7Golden Valley County: 12.5 %Golden Valley County12.5Pondera County: 12.5 %Pondera County12.5Hill County: 12.1 %Hill County12.1Carbon County: 12 %Carbon County12Toole County: 11.9 %Toole County11.9Beaverhead County: 11.8 %Beaverhead County11.8Musselshell County: 11.7 %Musselshell County11.7Sheridan County: 11.1 %Sheridan County11.1Mineral County: 10.9 %Mineral County10.9Powell County: 10.9 %Powell County10.9Sweet Grass County: 10.8 %Sweet Grass County10.8Meagher County: 10.6 %Meagher County10.6Daniels County: 10.5 %Daniels County10.5Treasure County: 10.5 %Treasure County10.5Broadwater County: 10.4 %Broadwater County10.4Prairie County: 10.4 %Prairie County10.4Park County: 10.3 %Park County10.3Richland County: 10.1 %Richland County10.1Valley County: 9.9 %Valley County9.9Flathead County: 9.8 %Flathead County9.8Deer Lodge County: 9.6 %Deer Lodge County9.6Petroleum County: 9.5 %Petroleum County9.5Silver Bow County: 9.4 %Silver Bow County9.4Cascade County: 9.3 %Cascade County9.3Custer County: 9.3 %Custer County9.3Fallon County: 9.2 %Fallon County9.2Missoula County: 9 %Missoula County9Judith Basin County: 8.8 %Judith Basin County8.8Jefferson County: 8.7 %Jefferson County8.7Gallatin County: 8.6 %Gallatin County8.6Yellowstone County: 8.1 %Yellowstone County8.1Lewis and Clark County: 7.9 %Lewis and Clark County7.9Dawson County: 7.6 %Dawson County7.6Stillwater County: 7.6 %Stillwater 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

RankCounties2018 (%)Change on 2017
1Roosevelt County20.4+0.8 pts
2Wheatland County18.3+1.1 pts
3Glacier County17.9-2 pts
4Garfield County17.7+2.6 pts
5Blaine County16.2-1.3 pts
6Lake County16.1+0.8 pts
7Sanders County15.9+0.3 pts
8Big Horn County15.8-3.6 pts
8Wibaux County15.8+4.3 pts
10Liberty County15.7-3.7 pts
11Chouteau County15.6+0.7 pts
12McCone County15.3-1.3 pts
13Phillips County14.9+0.7 pts
14Carter County14.7+2 pts
15Ravalli County14.2+1.5 pts
16Granite County13.4-0.3 pts
16Madison County13.4-0.3 pts
18Powder River County13.3-1.4 pts
19Rosebud County13-0.8 pts
20Fergus County12.7+1.2 pts
20Lincoln County12.7-0.2 pts
20Teton County12.7+0.7 pts
23Golden Valley County12.5-1.9 pts
23Pondera County12.5-1.1 pts
25Hill County12.1-0.7 pts
26Carbon County12+0.3 pts
27Toole County11.9-1.5 pts
28Beaverhead County11.8+0.1 pts
29Musselshell County11.7-0.7 pts
30Sheridan County11.1+0.3 pts
31Mineral County10.9+0.3 pts
31Powell County10.9+0.1 pts
33Sweet Grass County10.8+0.9 pts
34Meagher County10.6-1 pts
35Daniels County10.5+0.3 pts
35Treasure County10.5-3.7 pts
37Broadwater County10.4-0.9 pts
37Prairie County10.4-1 pts
39Park County10.3+0.2 pts
40Richland County10.1-0.6 pts
41Valley County9.9-2.5 pts
42Flathead County9.8-0.5 pts
43Deer Lodge County9.6-0.5 pts
44Petroleum County9.5-2.3 pts
45Silver Bow County9.4-0.2 pts
46Cascade County9.3-0.8 pts
46Custer County9.3+0.3 pts
48Fallon County9.2+0.1 pts
49Missoula County9+0.4 pts
50Judith Basin County8.8-3 pts
51Jefferson County8.7+0.4 pts
52Gallatin County8.6+0.4 pts
53Yellowstone County8.1-0.9 pts
54Lewis and Clark County7.9+0.2 pts
55Dawson County7.6-0.4 pts
55Stillwater County7.6-0.7 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-2018-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 Montana by uninsured rate, under 65 (US model-based estimate), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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 Montana by uninsured rate, under 65 (US model-based estimate), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018. 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 Montana by uninsured rate, under 65 (US model-based estimate), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018.

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 Montana by uninsured rate, under 65 (US model-based estimate), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_by_2018,
  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 Montana by uninsured rate, under 65 (US model-based estimate), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018. 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-2018-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 Montana by uninsured rate, under 65 (US model-based estimate), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2018.
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-2018-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)?

Roosevelt County, with 20.4% in 2018, according to the U.S. Census Bureau.

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

Stillwater County, with 7.6% in 2018.

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 Montana: more rankings