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 2020, at 9.7%. Saratoga County had the lowest, at 3.8%. The median was 5.3% and the figure for New York was 6.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest9.7Queens County
Median5.362 counties
New York6.1History

Map of counties, 2020

Albany County: 4.7 %Allegany County: 5.2 %Bronx County: 8.8 %Broome County: 5.2 %Cattaraugus County: 6.8 %Cayuga County: 5.7 %Chautauqua County: 6 %Chemung County: 5 %Chenango County: 5 %Clinton County: 5.3 %Columbia County: 6.1 %Cortland County: 5 %Delaware County: 6 %Dutchess County: 4.7 %Erie County: 4.2 %Essex County: 5.3 %Franklin County: 6.8 %Fulton County: 5.6 %Genesee County: 4.9 %Greene County: 5.6 %Hamilton County: 9.4 %Herkimer County: 5.7 %Jefferson County: 5.3 %Kings County: 7.6 %Lewis County: 5.3 %Livingston County: 5.2 %Madison County: 4.6 %Monroe County: 4.6 %Montgomery County: 5.6 %Nassau County: 4.2 %New York County: 4.7 %Niagara County: 4.6 %Oneida County: 5.3 %Onondaga County: 4.8 %Ontario County: 4.6 %Orange County: 5.4 %Orleans County: 5.1 %Oswego County: 5.1 %Otsego County: 5.5 %Putnam County: 4.3 %Queens County: 9.7 %Rensselaer County: 3.9 %Richmond County: 4.4 %Rockland County: 5.2 %St. Lawrence County: 5.5 %Saratoga County: 3.8 %Schenectady County: 4.4 %Schoharie County: 5.2 %Schuyler County: 4.9 %Seneca County: 6.3 %Steuben County: 6.1 %Suffolk County: 4.9 %Sullivan County: 6.5 %Tioga County: 4.5 %Tompkins County: 4.5 %Ulster County: 6.2 %Warren County: 5.3 %Washington County: 5.3 %Wayne County: 6.2 %Westchester County: 5.6 %Wyoming County: 4.8 %Yates County: 8 %
  • Under 4.6
  • 4.6 to 4.9
  • 4.9 to 5.3
  • 5.3 to 5.6
  • 5.6 to 6.2
  • 6.2 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.

Top 40 counties, 2020

Queens County: 9.7 %Queens County9.7Hamilton County: 9.4 %Hamilton County9.4Bronx County: 8.8 %Bronx County8.8Yates County: 8 %Yates County8Kings County: 7.6 %Kings County7.6Cattaraugus County: 6.8 %Cattaraugus County6.8Franklin County: 6.8 %Franklin County6.8Sullivan County: 6.5 %Sullivan County6.5Seneca County: 6.3 %Seneca County6.3Ulster County: 6.2 %Ulster County6.2Wayne County: 6.2 %Wayne County6.2Columbia County: 6.1 %Columbia County6.1Steuben County: 6.1 %Steuben County6.1Chautauqua County: 6 %Chautauqua County6Delaware County: 6 %Delaware County6Cayuga County: 5.7 %Cayuga County5.7Herkimer County: 5.7 %Herkimer County5.7Fulton County: 5.6 %Fulton County5.6Greene County: 5.6 %Greene County5.6Montgomery County: 5.6 %Montgomery County5.6Westchester County: 5.6 %Westchester County5.6Otsego County: 5.5 %Otsego County5.5St. Lawrence County: 5.5 %St. Lawrence County5.5Orange County: 5.4 %Orange County5.4Clinton County: 5.3 %Clinton County5.3Essex County: 5.3 %Essex County5.3Jefferson County: 5.3 %Jefferson County5.3Lewis County: 5.3 %Lewis County5.3Oneida County: 5.3 %Oneida County5.3Warren County: 5.3 %Warren County5.3Washington County: 5.3 %Washington County5.3Allegany County: 5.2 %Allegany County5.2Broome County: 5.2 %Broome County5.2Livingston County: 5.2 %Livingston County5.2Rockland County: 5.2 %Rockland County5.2Schoharie County: 5.2 %Schoharie County5.2Orleans County: 5.1 %Orleans County5.1Oswego County: 5.1 %Oswego County5.1Chemung County: 5 %Chemung County5Chenango County: 5 %Chenango County5Queens County: 9.7 %Queens County9.7Hamilton County: 9.4 %Hamilton County9.4Bronx County: 8.8 %Bronx County8.8Yates County: 8 %Yates County8Kings County: 7.6 %Kings County7.6Cattaraugus County: 6.8 %Cattaraugus County6.8Franklin County: 6.8 %Franklin County6.8Sullivan County: 6.5 %Sullivan County6.5Seneca County: 6.3 %Seneca County6.3Ulster County: 6.2 %Ulster County6.2Wayne County: 6.2 %Wayne County6.2Columbia County: 6.1 %Columbia County6.1Steuben County: 6.1 %Steuben County6.1Chautauqua County: 6 %Chautauqua County6Delaware County: 6 %Delaware County6Cayuga County: 5.7 %Cayuga County5.7Herkimer County: 5.7 %Herkimer County5.7Fulton County: 5.6 %Fulton County5.6Greene County: 5.6 %Greene County5.6Montgomery County: 5.6 %Montgomery County5.6Westchester County: 5.6 %Westchester County5.6Otsego County: 5.5 %Otsego County5.5St. Lawrence County: 5.5 %St. Lawrence County5.5Orange County: 5.4 %Orange County5.4Clinton County: 5.3 %Clinton County5.3Essex County: 5.3 %Essex County5.3Jefferson County: 5.3 %Jefferson County5.3Lewis County: 5.3 %Lewis County5.3Oneida County: 5.3 %Oneida County5.3Warren County: 5.3 %Warren County5.3Washington County: 5.3 %Washington County5.3Allegany County: 5.2 %Allegany County5.2Broome County: 5.2 %Broome County5.2Livingston County: 5.2 %Livingston County5.2Rockland County: 5.2 %Rockland County5.2Schoharie County: 5.2 %Schoharie County5.2Orleans County: 5.1 %Orleans County5.1Oswego County: 5.1 %Oswego County5.1Chemung County: 5 %Chemung County5Chenango County: 5 %Chenango County5
%. 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
1Queens County9.7-0.6 pts
2Hamilton County9.4+2.1 pts
3Bronx County8.8+0.3 pts
4Yates County8-0.3 pts
5Kings County7.6+0.4 pts
6Cattaraugus County6.8-0.1 pts
6Franklin County6.8-0.2 pts
8Sullivan County6.5+0.2 pts
9Seneca County6.3+0.8 pts
10Ulster County6.2+0.3 pts
10Wayne County6.2+1.9 pts
12Columbia County6.1+0.4 pts
12Steuben County6.1+0.9 pts
14Chautauqua County6+0.6 pts
14Delaware County6+0.3 pts
16Cayuga County5.7+0.9 pts
16Herkimer County5.7+1 pts
18Fulton County5.6+0.8 pts
18Greene County5.6+0.6 pts
18Montgomery County5.6+0.4 pts
18Westchester County5.6-0.1 pts
22Otsego County5.5+0.4 pts
22St. Lawrence County5.5-0.2 pts
24Orange County5.4+0.5 pts
25Clinton County5.3+0.3 pts
25Essex County5.3+0.4 pts
25Jefferson County5.3+0.5 pts
25Lewis County5.3+0.3 pts
25Oneida County5.30 pts
25Warren County5.3+1 pts
25Washington County5.3+0.2 pts
32Allegany County5.2-0.3 pts
32Broome County5.20 pts
32Livingston County5.2+0.6 pts
32Rockland County5.2-0.4 pts
32Schoharie County5.2+0.1 pts
37Orleans County5.1-0.8 pts
37Oswego County5.1-0.2 pts
39Chemung County5+0.9 pts
39Chenango County5+0.4 pts
39Cortland County5+0.8 pts
42Genesee County4.9+0.5 pts
42Schuyler County4.9+0.1 pts
42Suffolk County4.9-0.3 pts
45Onondaga County4.80 pts
45Wyoming County4.8+0.4 pts
47Albany County4.7+0.7 pts
47Dutchess County4.7-0.6 pts
47New York County4.7-0.9 pts
50Madison County4.6+0.3 pts
50Monroe County4.6+0.4 pts
50Niagara County4.6+0.3 pts
50Ontario County4.6+0.5 pts
54Tioga County4.5+0.2 pts
54Tompkins County4.5-0.2 pts
56Richmond County4.4-0.5 pts
56Schenectady County4.4-0.4 pts
58Putnam County4.3+0.1 pts
59Erie County4.2+0.1 pts
59Nassau County4.2-0.6 pts
61Rensselaer County3.9-0.3 pts
62Saratoga County3.8+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-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 New York 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 New York 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/new-york-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 New York 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/new-york-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 New York 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/new-york-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_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 New York 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/new-york-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 New York 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/new-york-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-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)?

Queens County, with 9.7% in 2020, according to the U.S. Census Bureau.

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

Saratoga County, with 3.8% 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 New York: more rankings