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

Queens County had the highest uninsured rate, under 65 (US model-based estimate) of 62 counties in 2018, at 10.1%. Saratoga County had the lowest, at 4.1%. The median was 5.1% and the figure for New York was 6.3%. Source: the U.S. Census Bureau.

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Highest10.1Queens County
Median5.162 counties
New York6.3History

Map of counties, 2018

Albany County: 4.2 %Allegany County: 5.7 %Bronx County: 8.7 %Broome County: 5.2 %Cattaraugus County: 6.5 %Cayuga County: 4.8 %Chautauqua County: 5.5 %Chemung County: 4.1 %Chenango County: 4.9 %Clinton County: 5 %Columbia County: 5.8 %Cortland County: 4.4 %Delaware County: 5.8 %Dutchess County: 5.1 %Erie County: 4.4 %Essex County: 4.5 %Franklin County: 6.8 %Fulton County: 5.1 %Genesee County: 4.5 %Greene County: 5.6 %Hamilton County: 6.3 %Herkimer County: 4.9 %Jefferson County: 4.8 %Kings County: 7.8 %Lewis County: 5.1 %Livingston County: 4.5 %Madison County: 4.8 %Monroe County: 4.3 %Montgomery County: 5.3 %Nassau County: 4.6 %New York County: 6.1 %Niagara County: 4.4 %Oneida County: 5 %Onondaga County: 4.7 %Ontario County: 4.3 %Orange County: 5.4 %Orleans County: 5.3 %Oswego County: 5.3 %Otsego County: 5.5 %Putnam County: 4.2 %Queens County: 10.1 %Rensselaer County: 4.2 %Richmond County: 5.3 %Rockland County: 5.3 %St. Lawrence County: 5.5 %Saratoga County: 4.1 %Schenectady County: 4.8 %Schoharie County: 5.2 %Schuyler County: 5.1 %Seneca County: 5.6 %Steuben County: 5.2 %Suffolk County: 4.9 %Sullivan County: 6.2 %Tioga County: 4.6 %Tompkins County: 4.8 %Ulster County: 6 %Warren County: 4.9 %Washington County: 5.4 %Wayne County: 4.8 %Westchester County: 5.8 %Wyoming County: 4.6 %Yates County: 8.4 %
  • Under 4.5
  • 4.5 to 4.8
  • 4.8 to 5.1
  • 5.1 to 5.4
  • 5.4 to 5.8
  • 5.8 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.

Top 40 counties, 2018

Queens County: 10.1 %Queens County10.1Bronx County: 8.7 %Bronx County8.7Yates County: 8.4 %Yates County8.4Kings County: 7.8 %Kings County7.8Franklin County: 6.8 %Franklin County6.8Cattaraugus County: 6.5 %Cattaraugus County6.5Hamilton County: 6.3 %Hamilton County6.3Sullivan County: 6.2 %Sullivan County6.2New York County: 6.1 %New York County6.1Ulster County: 6 %Ulster County6Columbia County: 5.8 %Columbia County5.8Delaware County: 5.8 %Delaware County5.8Westchester County: 5.8 %Westchester County5.8Allegany County: 5.7 %Allegany County5.7Greene County: 5.6 %Greene County5.6Seneca County: 5.6 %Seneca County5.6Chautauqua County: 5.5 %Chautauqua County5.5Otsego County: 5.5 %Otsego County5.5St. Lawrence County: 5.5 %St. Lawrence County5.5Orange County: 5.4 %Orange County5.4Washington County: 5.4 %Washington County5.4Montgomery County: 5.3 %Montgomery County5.3Orleans County: 5.3 %Orleans County5.3Oswego County: 5.3 %Oswego County5.3Richmond County: 5.3 %Richmond County5.3Rockland County: 5.3 %Rockland County5.3Broome County: 5.2 %Broome County5.2Schoharie County: 5.2 %Schoharie County5.2Steuben County: 5.2 %Steuben County5.2Dutchess County: 5.1 %Dutchess County5.1Fulton County: 5.1 %Fulton County5.1Lewis County: 5.1 %Lewis County5.1Schuyler County: 5.1 %Schuyler County5.1Clinton County: 5 %Clinton County5Oneida County: 5 %Oneida County5Chenango County: 4.9 %Chenango County4.9Herkimer County: 4.9 %Herkimer County4.9Suffolk County: 4.9 %Suffolk County4.9Warren County: 4.9 %Warren County4.9Cayuga County: 4.8 %Cayuga County4.8Queens County: 10.1 %Queens County10.1Bronx County: 8.7 %Bronx County8.7Yates County: 8.4 %Yates County8.4Kings County: 7.8 %Kings County7.8Franklin County: 6.8 %Franklin County6.8Cattaraugus County: 6.5 %Cattaraugus County6.5Hamilton County: 6.3 %Hamilton County6.3Sullivan County: 6.2 %Sullivan County6.2New York County: 6.1 %New York County6.1Ulster County: 6 %Ulster County6Columbia County: 5.8 %Columbia County5.8Delaware County: 5.8 %Delaware County5.8Westchester County: 5.8 %Westchester County5.8Allegany County: 5.7 %Allegany County5.7Greene County: 5.6 %Greene County5.6Seneca County: 5.6 %Seneca County5.6Chautauqua County: 5.5 %Chautauqua County5.5Otsego County: 5.5 %Otsego County5.5St. Lawrence County: 5.5 %St. Lawrence County5.5Orange County: 5.4 %Orange County5.4Washington County: 5.4 %Washington County5.4Montgomery County: 5.3 %Montgomery County5.3Orleans County: 5.3 %Orleans County5.3Oswego County: 5.3 %Oswego County5.3Richmond County: 5.3 %Richmond County5.3Rockland County: 5.3 %Rockland County5.3Broome County: 5.2 %Broome County5.2Schoharie County: 5.2 %Schoharie County5.2Steuben County: 5.2 %Steuben County5.2Dutchess County: 5.1 %Dutchess County5.1Fulton County: 5.1 %Fulton County5.1Lewis County: 5.1 %Lewis County5.1Schuyler County: 5.1 %Schuyler County5.1Clinton County: 5 %Clinton County5Oneida County: 5 %Oneida County5Chenango County: 4.9 %Chenango County4.9Herkimer County: 4.9 %Herkimer County4.9Suffolk County: 4.9 %Suffolk County4.9Warren County: 4.9 %Warren County4.9Cayuga County: 4.8 %Cayuga County4.8
%. 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
1Queens County10.1-0.1 pts
2Bronx County8.7-0.2 pts
3Yates County8.40 pts
4Kings County7.8-0.2 pts
5Franklin County6.8-0.6 pts
6Cattaraugus County6.50 pts
7Hamilton County6.3-0.4 pts
8Sullivan County6.2-0.3 pts
9New York County6.1-0.1 pts
10Ulster County6-0.8 pts
11Columbia County5.8-0.2 pts
11Delaware County5.8-0.8 pts
11Westchester County5.8-1.1 pts
14Allegany County5.7-0.2 pts
15Greene County5.60 pts
15Seneca County5.6-0.7 pts
17Chautauqua County5.5+0.2 pts
17Otsego County5.5+0.3 pts
17St. Lawrence County5.5-0.8 pts
20Orange County5.4-0.3 pts
20Washington County5.4-0.1 pts
22Montgomery County5.3-0.9 pts
22Orleans County5.3-0.3 pts
22Oswego County5.30 pts
22Richmond County5.3+0.4 pts
22Rockland County5.3-0.7 pts
27Broome County5.2-0.1 pts
27Schoharie County5.20 pts
27Steuben County5.2-0.9 pts
30Dutchess County5.1-0.2 pts
30Fulton County5.1-0.6 pts
30Lewis County5.1-0.7 pts
30Schuyler County5.1-0.2 pts
34Clinton County5-0.4 pts
34Oneida County5-0.7 pts
36Chenango County4.9-0.2 pts
36Herkimer County4.90 pts
36Suffolk County4.9-0.5 pts
36Warren County4.9-0.3 pts
40Cayuga County4.8-0.3 pts
40Jefferson County4.8+0.1 pts
40Madison County4.8-0.2 pts
40Schenectady County4.80 pts
40Tompkins County4.8-0.5 pts
40Wayne County4.80 pts
46Onondaga County4.7-0.3 pts
47Nassau County4.6-0.7 pts
47Tioga County4.6-0.1 pts
47Wyoming County4.6+0.1 pts
50Essex County4.5-0.8 pts
50Genesee County4.5-0.3 pts
50Livingston County4.5+0.1 pts
53Cortland County4.4+0.2 pts
53Erie County4.4-0.1 pts
53Niagara County4.4-0.7 pts
56Monroe County4.3-0.4 pts
56Ontario County4.3-0.1 pts
58Albany County4.2-0.2 pts
58Putnam County4.2-0.7 pts
58Rensselaer County4.2-0.3 pts
61Chemung County4.1-0.1 pts
61Saratoga County4.1+0.3 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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-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)?

Queens County, with 10.1% in 2018, according to the U.S. Census Bureau.

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

Saratoga County, with 4.1% 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 New York: more rankings