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 2019, at 20.2%. Dawson County had the lowest, at 7.4%. The median was 11.7% and the figure for Montana was 10.2%. Source: the U.S. Census Bureau.

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Highest20.2Roosevelt County
Lowest7.4Dawson County
Median11.756 counties
Montana10.2History

Map of counties, 2019

Beaverhead County: 10.7 %Big Horn County: 14.8 %Blaine County: 15.4 %Broadwater County: 10.7 %Carbon County: 11.7 %Carter County: 13.3 %Cascade County: 9.7 %Chouteau County: 14.1 %Custer County: 9.5 %Daniels County: 11.1 %Dawson County: 7.4 %Deer Lodge County: 10.2 %Fallon County: 11.4 %Fergus County: 11.4 %Flathead County: 10.1 %Gallatin County: 8.3 %Garfield County: 16.6 %Glacier County: 19.2 %Golden Valley County: 13 %Granite County: 13.4 %Hill County: 12.7 %Jefferson County: 8.9 %Judith Basin County: 12.5 %Lake County: 15.6 %Lewis and Clark County: 7.9 %Liberty County: 14.6 %Lincoln County: 14 %McCone County: 17.2 %Madison County: 13.4 %Meagher County: 10 %Mineral County: 10.4 %Missoula County: 9.2 %Musselshell County: 13.4 %Park County: 10.1 %Petroleum County: 9.1 %Phillips County: 16.2 %Pondera County: 11.7 %Powder River County: 13 %Powell County: 11.5 %Prairie County: 12 %Ravalli County: 12.6 %Richland County: 10.7 %Roosevelt County: 20.2 %Rosebud County: 12.9 %Sanders County: 16 %Sheridan County: 11.7 %Silver Bow County: 9.2 %Stillwater County: 7.9 %Sweet Grass County: 10.9 %Teton County: 11.7 %Toole County: 13.3 %Treasure County: 10.4 %Valley County: 10.2 %Wheatland County: 19.1 %Wibaux County: 13.2 %Yellowstone County: 8.3 %
  • Under 9.5
  • 9.5 to 11
  • 11 to 12
  • 12 to 13
  • 13 to 15
  • 15 and over
%, 2019. 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, 2019

Roosevelt County: 20.2 %Roosevelt County20.2Glacier County: 19.2 %Glacier County19.2Wheatland County: 19.1 %Wheatland County19.1McCone County: 17.2 %McCone County17.2Garfield County: 16.6 %Garfield County16.6Phillips County: 16.2 %Phillips County16.2Sanders County: 16 %Sanders County16Lake County: 15.6 %Lake County15.6Blaine County: 15.4 %Blaine County15.4Big Horn County: 14.8 %Big Horn County14.8Liberty County: 14.6 %Liberty County14.6Chouteau County: 14.1 %Chouteau County14.1Lincoln County: 14 %Lincoln County14Granite County: 13.4 %Granite County13.4Madison County: 13.4 %Madison County13.4Musselshell County: 13.4 %Musselshell County13.4Carter County: 13.3 %Carter County13.3Toole County: 13.3 %Toole County13.3Wibaux County: 13.2 %Wibaux County13.2Golden Valley County: 13 %Golden Valley County13Powder River County: 13 %Powder River County13Rosebud County: 12.9 %Rosebud County12.9Hill County: 12.7 %Hill County12.7Ravalli County: 12.6 %Ravalli County12.6Judith Basin County: 12.5 %Judith Basin County12.5Prairie County: 12 %Prairie County12Carbon County: 11.7 %Carbon County11.7Pondera County: 11.7 %Pondera County11.7Sheridan County: 11.7 %Sheridan County11.7Teton County: 11.7 %Teton County11.7Powell County: 11.5 %Powell County11.5Fallon County: 11.4 %Fallon County11.4Fergus County: 11.4 %Fergus County11.4Daniels County: 11.1 %Daniels County11.1Sweet Grass County: 10.9 %Sweet Grass County10.9Beaverhead County: 10.7 %Beaverhead County10.7Broadwater County: 10.7 %Broadwater County10.7Richland County: 10.7 %Richland County10.7Mineral County: 10.4 %Mineral County10.4Treasure County: 10.4 %Treasure County10.4Deer Lodge County: 10.2 %Deer Lodge County10.2Valley County: 10.2 %Valley County10.2Flathead County: 10.1 %Flathead County10.1Park County: 10.1 %Park County10.1Meagher County: 10 %Meagher County10Cascade County: 9.7 %Cascade County9.7Custer County: 9.5 %Custer County9.5Missoula County: 9.2 %Missoula County9.2Silver Bow County: 9.2 %Silver Bow County9.2Petroleum County: 9.1 %Petroleum County9.1Jefferson County: 8.9 %Jefferson County8.9Gallatin County: 8.3 %Gallatin County8.3Yellowstone County: 8.3 %Yellowstone County8.3Lewis and Clark County: 7.9 %Lewis and Clark County7.9Stillwater County: 7.9 %Stillwater County7.9Dawson County: 7.4 %Dawson County7.4Roosevelt County: 20.2 %Roosevelt County20.2Glacier County: 19.2 %Glacier County19.2Wheatland County: 19.1 %Wheatland County19.1McCone County: 17.2 %McCone County17.2Garfield County: 16.6 %Garfield County16.6Phillips County: 16.2 %Phillips County16.2Sanders County: 16 %Sanders County16Lake County: 15.6 %Lake County15.6Blaine County: 15.4 %Blaine County15.4Big Horn County: 14.8 %Big Horn County14.8Liberty County: 14.6 %Liberty County14.6Chouteau County: 14.1 %Chouteau County14.1Lincoln County: 14 %Lincoln County14Granite County: 13.4 %Granite County13.4Madison County: 13.4 %Madison County13.4Musselshell County: 13.4 %Musselshell County13.4Carter County: 13.3 %Carter County13.3Toole County: 13.3 %Toole County13.3Wibaux County: 13.2 %Wibaux County13.2Golden Valley County: 13 %Golden Valley County13Powder River County: 13 %Powder River County13Rosebud County: 12.9 %Rosebud County12.9Hill County: 12.7 %Hill County12.7Ravalli County: 12.6 %Ravalli County12.6Judith Basin County: 12.5 %Judith Basin County12.5Prairie County: 12 %Prairie County12Carbon County: 11.7 %Carbon County11.7Pondera County: 11.7 %Pondera County11.7Sheridan County: 11.7 %Sheridan County11.7Teton County: 11.7 %Teton County11.7Powell County: 11.5 %Powell County11.5Fallon County: 11.4 %Fallon County11.4Fergus County: 11.4 %Fergus County11.4Daniels County: 11.1 %Daniels County11.1Sweet Grass County: 10.9 %Sweet Grass County10.9Beaverhead County: 10.7 %Beaverhead County10.7Broadwater County: 10.7 %Broadwater County10.7Richland County: 10.7 %Richland County10.7Mineral County: 10.4 %Mineral County10.4Treasure County: 10.4 %Treasure County10.4Deer Lodge County: 10.2 %Deer Lodge County10.2Valley County: 10.2 %Valley County10.2Flathead County: 10.1 %Flathead County10.1Park County: 10.1 %Park County10.1Meagher County: 10 %Meagher County10Cascade County: 9.7 %Cascade County9.7Custer County: 9.5 %Custer County9.5Missoula County: 9.2 %Missoula County9.2Silver Bow County: 9.2 %Silver Bow County9.2Petroleum County: 9.1 %Petroleum County9.1Jefferson County: 8.9 %Jefferson County8.9Gallatin County: 8.3 %Gallatin County8.3Yellowstone County: 8.3 %Yellowstone County8.3Lewis and Clark County: 7.9 %Lewis and Clark County7.9Stillwater County: 7.9 %Stillwater County7.9Dawson County: 7.4 %Dawson County7.4
%. 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

RankCounties2019 (%)Change on 2018
1Roosevelt County20.2-0.2 pts
2Glacier County19.2+1.3 pts
3Wheatland County19.1+0.8 pts
4McCone County17.2+1.9 pts
5Garfield County16.6-1.1 pts
6Phillips County16.2+1.3 pts
7Sanders County16+0.1 pts
8Lake County15.6-0.5 pts
9Blaine County15.4-0.8 pts
10Big Horn County14.8-1 pts
11Liberty County14.6-1.1 pts
12Chouteau County14.1-1.5 pts
13Lincoln County14+1.3 pts
14Granite County13.40 pts
14Madison County13.40 pts
14Musselshell County13.4+1.7 pts
17Carter County13.3-1.4 pts
17Toole County13.3+1.4 pts
19Wibaux County13.2-2.6 pts
20Golden Valley County13+0.5 pts
20Powder River County13-0.3 pts
22Rosebud County12.9-0.1 pts
23Hill County12.7+0.6 pts
24Ravalli County12.6-1.6 pts
25Judith Basin County12.5+3.7 pts
26Prairie County12+1.6 pts
27Carbon County11.7-0.3 pts
27Pondera County11.7-0.8 pts
27Sheridan County11.7+0.6 pts
27Teton County11.7-1 pts
31Powell County11.5+0.6 pts
32Fallon County11.4+2.2 pts
32Fergus County11.4-1.3 pts
34Daniels County11.1+0.6 pts
35Sweet Grass County10.9+0.1 pts
36Beaverhead County10.7-1.1 pts
36Broadwater County10.7+0.3 pts
36Richland County10.7+0.6 pts
39Mineral County10.4-0.5 pts
39Treasure County10.4-0.1 pts
41Deer Lodge County10.2+0.6 pts
41Valley County10.2+0.3 pts
43Flathead County10.1+0.3 pts
43Park County10.1-0.2 pts
45Meagher County10-0.6 pts
46Cascade County9.7+0.4 pts
47Custer County9.5+0.2 pts
48Missoula County9.2+0.2 pts
48Silver Bow County9.2-0.2 pts
50Petroleum County9.1-0.4 pts
51Jefferson County8.9+0.2 pts
52Gallatin County8.3-0.3 pts
52Yellowstone County8.3+0.2 pts
54Lewis and Clark County7.90 pts
54Stillwater County7.9+0.3 pts
56Dawson County7.4-0.2 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2019.
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-2019-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 20.2% in 2019, according to the U.S. Census Bureau.

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

Dawson County, with 7.4% in 2019.

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