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

Wheatland County had the highest uninsured rate, under 65 (US model-based estimate) of 56 counties in 2020, at 22.7%. Petroleum County had the lowest, at 7.7%. The median was 11.9% and the figure for Montana was 10.8%. Source: the U.S. Census Bureau.

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Highest22.7Wheatland County
Median11.956 counties
Montana10.8History

Map of counties, 2020

Beaverhead County: 11.5 %Big Horn County: 16.4 %Blaine County: 16.1 %Broadwater County: 12.4 %Carbon County: 10.5 %Carter County: 9.6 %Cascade County: 10.5 %Chouteau County: 14.3 %Custer County: 11 %Daniels County: 10 %Dawson County: 9.5 %Deer Lodge County: 10.3 %Fallon County: 13.3 %Fergus County: 13 %Flathead County: 10.2 %Gallatin County: 9.1 %Garfield County: 9 %Glacier County: 17.1 %Golden Valley County: 11.2 %Granite County: 13 %Hill County: 12.7 %Jefferson County: 9.3 %Judith Basin County: 10.9 %Lake County: 18.6 %Lewis and Clark County: 8.4 %Liberty County: 18.3 %Lincoln County: 14.4 %McCone County: 8.6 %Madison County: 13.3 %Meagher County: 14.9 %Mineral County: 12.5 %Missoula County: 9.5 %Musselshell County: 10.9 %Park County: 11.6 %Petroleum County: 7.7 %Phillips County: 14.6 %Pondera County: 13.4 %Powder River County: 13.2 %Powell County: 13.1 %Prairie County: 15 %Ravalli County: 12.8 %Richland County: 10.8 %Roosevelt County: 15.6 %Rosebud County: 14.6 %Sanders County: 15.2 %Sheridan County: 11.9 %Silver Bow County: 9.7 %Stillwater County: 8.5 %Sweet Grass County: 11.9 %Teton County: 13.5 %Toole County: 11.8 %Treasure County: 14.2 %Valley County: 10.6 %Wheatland County: 22.7 %Wibaux County: 11.7 %Yellowstone County: 9.2 %
  • Under 9.5
  • 9.5 to 11
  • 11 to 12
  • 12 to 13
  • 13 to 15
  • 15 and over
%, 2020. 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, 2020

Wheatland County: 22.7 %Wheatland County22.7Lake County: 18.6 %Lake County18.6Liberty County: 18.3 %Liberty County18.3Glacier County: 17.1 %Glacier County17.1Big Horn County: 16.4 %Big Horn County16.4Blaine County: 16.1 %Blaine County16.1Roosevelt County: 15.6 %Roosevelt County15.6Sanders County: 15.2 %Sanders County15.2Prairie County: 15 %Prairie County15Meagher County: 14.9 %Meagher County14.9Phillips County: 14.6 %Phillips County14.6Rosebud County: 14.6 %Rosebud County14.6Lincoln County: 14.4 %Lincoln County14.4Chouteau County: 14.3 %Chouteau County14.3Treasure County: 14.2 %Treasure County14.2Teton County: 13.5 %Teton County13.5Pondera County: 13.4 %Pondera County13.4Fallon County: 13.3 %Fallon County13.3Madison County: 13.3 %Madison County13.3Powder River County: 13.2 %Powder River County13.2Powell County: 13.1 %Powell County13.1Fergus County: 13 %Fergus County13Granite County: 13 %Granite County13Ravalli County: 12.8 %Ravalli County12.8Hill County: 12.7 %Hill County12.7Mineral County: 12.5 %Mineral County12.5Broadwater County: 12.4 %Broadwater County12.4Sheridan County: 11.9 %Sheridan County11.9Sweet Grass County: 11.9 %Sweet Grass County11.9Toole County: 11.8 %Toole County11.8Wibaux County: 11.7 %Wibaux County11.7Park County: 11.6 %Park County11.6Beaverhead County: 11.5 %Beaverhead County11.5Golden Valley County: 11.2 %Golden Valley County11.2Custer County: 11 %Custer County11Judith Basin County: 10.9 %Judith Basin County10.9Musselshell County: 10.9 %Musselshell County10.9Richland County: 10.8 %Richland County10.8Valley County: 10.6 %Valley County10.6Carbon County: 10.5 %Carbon County10.5Cascade County: 10.5 %Cascade County10.5Deer Lodge County: 10.3 %Deer Lodge County10.3Flathead County: 10.2 %Flathead County10.2Daniels County: 10 %Daniels County10Silver Bow County: 9.7 %Silver Bow County9.7Carter County: 9.6 %Carter County9.6Dawson County: 9.5 %Dawson County9.5Missoula County: 9.5 %Missoula County9.5Jefferson County: 9.3 %Jefferson County9.3Yellowstone County: 9.2 %Yellowstone County9.2Gallatin County: 9.1 %Gallatin County9.1Garfield County: 9 %Garfield County9McCone County: 8.6 %McCone County8.6Stillwater County: 8.5 %Stillwater County8.5Lewis and Clark County: 8.4 %Lewis and Clark County8.4Petroleum County: 7.7 %Petroleum County7.7Wheatland County: 22.7 %Wheatland County22.7Lake County: 18.6 %Lake County18.6Liberty County: 18.3 %Liberty County18.3Glacier County: 17.1 %Glacier County17.1Big Horn County: 16.4 %Big Horn County16.4Blaine County: 16.1 %Blaine County16.1Roosevelt County: 15.6 %Roosevelt County15.6Sanders County: 15.2 %Sanders County15.2Prairie County: 15 %Prairie County15Meagher County: 14.9 %Meagher County14.9Phillips County: 14.6 %Phillips County14.6Rosebud County: 14.6 %Rosebud County14.6Lincoln County: 14.4 %Lincoln County14.4Chouteau County: 14.3 %Chouteau County14.3Treasure County: 14.2 %Treasure County14.2Teton County: 13.5 %Teton County13.5Pondera County: 13.4 %Pondera County13.4Fallon County: 13.3 %Fallon County13.3Madison County: 13.3 %Madison County13.3Powder River County: 13.2 %Powder River County13.2Powell County: 13.1 %Powell County13.1Fergus County: 13 %Fergus County13Granite County: 13 %Granite County13Ravalli County: 12.8 %Ravalli County12.8Hill County: 12.7 %Hill County12.7Mineral County: 12.5 %Mineral County12.5Broadwater County: 12.4 %Broadwater County12.4Sheridan County: 11.9 %Sheridan County11.9Sweet Grass County: 11.9 %Sweet Grass County11.9Toole County: 11.8 %Toole County11.8Wibaux County: 11.7 %Wibaux County11.7Park County: 11.6 %Park County11.6Beaverhead County: 11.5 %Beaverhead County11.5Golden Valley County: 11.2 %Golden Valley County11.2Custer County: 11 %Custer County11Judith Basin County: 10.9 %Judith Basin County10.9Musselshell County: 10.9 %Musselshell County10.9Richland County: 10.8 %Richland County10.8Valley County: 10.6 %Valley County10.6Carbon County: 10.5 %Carbon County10.5Cascade County: 10.5 %Cascade County10.5Deer Lodge County: 10.3 %Deer Lodge County10.3Flathead County: 10.2 %Flathead County10.2Daniels County: 10 %Daniels County10Silver Bow County: 9.7 %Silver Bow County9.7Carter County: 9.6 %Carter County9.6Dawson County: 9.5 %Dawson County9.5Missoula County: 9.5 %Missoula County9.5Jefferson County: 9.3 %Jefferson County9.3Yellowstone County: 9.2 %Yellowstone County9.2Gallatin County: 9.1 %Gallatin County9.1Garfield County: 9 %Garfield County9McCone County: 8.6 %McCone County8.6Stillwater County: 8.5 %Stillwater County8.5Lewis and Clark County: 8.4 %Lewis and Clark County8.4Petroleum County: 7.7 %Petroleum County7.7
%. 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

RankCounties2020 (%)Change on 2019
1Wheatland County22.7+3.6 pts
2Lake County18.6+3 pts
3Liberty County18.3+3.7 pts
4Glacier County17.1-2.1 pts
5Big Horn County16.4+1.6 pts
6Blaine County16.1+0.7 pts
7Roosevelt County15.6-4.6 pts
8Sanders County15.2-0.8 pts
9Prairie County15+3 pts
10Meagher County14.9+4.9 pts
11Phillips County14.6-1.6 pts
11Rosebud County14.6+1.7 pts
13Lincoln County14.4+0.4 pts
14Chouteau County14.3+0.2 pts
15Treasure County14.2+3.8 pts
16Teton County13.5+1.8 pts
17Pondera County13.4+1.7 pts
18Fallon County13.3+1.9 pts
18Madison County13.3-0.1 pts
20Powder River County13.2+0.2 pts
21Powell County13.1+1.6 pts
22Fergus County13+1.6 pts
22Granite County13-0.4 pts
24Ravalli County12.8+0.2 pts
25Hill County12.70 pts
26Mineral County12.5+2.1 pts
27Broadwater County12.4+1.7 pts
28Sheridan County11.9+0.2 pts
28Sweet Grass County11.9+1 pts
30Toole County11.8-1.5 pts
31Wibaux County11.7-1.5 pts
32Park County11.6+1.5 pts
33Beaverhead County11.5+0.8 pts
34Golden Valley County11.2-1.8 pts
35Custer County11+1.5 pts
36Judith Basin County10.9-1.6 pts
36Musselshell County10.9-2.5 pts
38Richland County10.8+0.1 pts
39Valley County10.6+0.4 pts
40Carbon County10.5-1.2 pts
40Cascade County10.5+0.8 pts
42Deer Lodge County10.3+0.1 pts
43Flathead County10.2+0.1 pts
44Daniels County10-1.1 pts
45Silver Bow County9.7+0.5 pts
46Carter County9.6-3.7 pts
47Dawson County9.5+2.1 pts
47Missoula County9.5+0.3 pts
49Jefferson County9.3+0.4 pts
50Yellowstone County9.2+0.9 pts
51Gallatin County9.1+0.8 pts
52Garfield County9-7.6 pts
53McCone County8.6-8.6 pts
54Stillwater County8.5+0.6 pts
55Lewis and Clark County8.4+0.5 pts
56Petroleum County7.7-1.4 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_montana_by_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/montana-counties?period=2020.
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-2020-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)?

Wheatland County, with 22.7% in 2020, according to the U.S. Census Bureau.

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

Petroleum County, with 7.7% in 2020.

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