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

Yates County had the highest uninsured rate, under 65 (US model-based estimate) of 62 counties in 2021, at 10.6%. Erie County had the lowest, at 4%. 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.
Highest10.6Yates County
Median5.362 counties
New York6.1History

Map of counties, 2021

Albany County: 4.7 %Allegany County: 5.1 %Bronx County: 8.3 %Broome County: 5.3 %Cattaraugus County: 6.5 %Cayuga County: 5.1 %Chautauqua County: 5.5 %Chemung County: 5 %Chenango County: 5.1 %Clinton County: 5.3 %Columbia County: 5.6 %Cortland County: 5.1 %Delaware County: 5.6 %Dutchess County: 5 %Erie County: 4 %Essex County: 6 %Franklin County: 5.9 %Fulton County: 5.5 %Genesee County: 5.1 %Greene County: 5.9 %Hamilton County: 8.4 %Herkimer County: 5.4 %Jefferson County: 5.1 %Kings County: 7.1 %Lewis County: 5.1 %Livingston County: 4.6 %Madison County: 4.2 %Monroe County: 4.6 %Montgomery County: 5.5 %Nassau County: 4.2 %New York County: 5.4 %Niagara County: 4.5 %Oneida County: 5.3 %Onondaga County: 4.8 %Ontario County: 4.5 %Orange County: 5.4 %Orleans County: 6.1 %Oswego County: 5.5 %Otsego County: 5.4 %Putnam County: 4.7 %Queens County: 9.6 %Rensselaer County: 4.6 %Richmond County: 4.9 %Rockland County: 5.2 %St. Lawrence County: 5.7 %Saratoga County: 4.1 %Schenectady County: 5 %Schoharie County: 5 %Schuyler County: 5.2 %Seneca County: 6.5 %Steuben County: 5.7 %Suffolk County: 5.4 %Sullivan County: 6.4 %Tioga County: 4.5 %Tompkins County: 4.9 %Ulster County: 6.3 %Warren County: 4.8 %Washington County: 5.8 %Wayne County: 5.7 %Westchester County: 6 %Wyoming County: 4.6 %Yates County: 10.6 %
  • Under 4.6
  • 4.6 to 5
  • 5 to 5.3
  • 5.3 to 5.5
  • 5.5 to 6
  • 6 and over
%, 2021. 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, 2021

Yates County: 10.6 %Yates County10.6Queens County: 9.6 %Queens County9.6Hamilton County: 8.4 %Hamilton County8.4Bronx County: 8.3 %Bronx County8.3Kings County: 7.1 %Kings County7.1Cattaraugus County: 6.5 %Cattaraugus County6.5Seneca County: 6.5 %Seneca County6.5Sullivan County: 6.4 %Sullivan County6.4Ulster County: 6.3 %Ulster County6.3Orleans County: 6.1 %Orleans County6.1Essex County: 6 %Essex County6Westchester County: 6 %Westchester County6Franklin County: 5.9 %Franklin County5.9Greene County: 5.9 %Greene County5.9Washington County: 5.8 %Washington County5.8St. Lawrence County: 5.7 %St. Lawrence County5.7Steuben County: 5.7 %Steuben County5.7Wayne County: 5.7 %Wayne County5.7Columbia County: 5.6 %Columbia County5.6Delaware County: 5.6 %Delaware County5.6Chautauqua County: 5.5 %Chautauqua County5.5Fulton County: 5.5 %Fulton County5.5Montgomery County: 5.5 %Montgomery County5.5Oswego County: 5.5 %Oswego County5.5Herkimer County: 5.4 %Herkimer County5.4New York County: 5.4 %New York County5.4Orange County: 5.4 %Orange County5.4Otsego County: 5.4 %Otsego County5.4Suffolk County: 5.4 %Suffolk County5.4Broome County: 5.3 %Broome County5.3Clinton County: 5.3 %Clinton County5.3Oneida County: 5.3 %Oneida County5.3Rockland County: 5.2 %Rockland County5.2Schuyler County: 5.2 %Schuyler County5.2Allegany County: 5.1 %Allegany County5.1Cayuga County: 5.1 %Cayuga County5.1Chenango County: 5.1 %Chenango County5.1Cortland County: 5.1 %Cortland County5.1Genesee County: 5.1 %Genesee County5.1Jefferson County: 5.1 %Jefferson County5.1Yates County: 10.6 %Yates County10.6Queens County: 9.6 %Queens County9.6Hamilton County: 8.4 %Hamilton County8.4Bronx County: 8.3 %Bronx County8.3Kings County: 7.1 %Kings County7.1Cattaraugus County: 6.5 %Cattaraugus County6.5Seneca County: 6.5 %Seneca County6.5Sullivan County: 6.4 %Sullivan County6.4Ulster County: 6.3 %Ulster County6.3Orleans County: 6.1 %Orleans County6.1Essex County: 6 %Essex County6Westchester County: 6 %Westchester County6Franklin County: 5.9 %Franklin County5.9Greene County: 5.9 %Greene County5.9Washington County: 5.8 %Washington County5.8St. Lawrence County: 5.7 %St. Lawrence County5.7Steuben County: 5.7 %Steuben County5.7Wayne County: 5.7 %Wayne County5.7Columbia County: 5.6 %Columbia County5.6Delaware County: 5.6 %Delaware County5.6Chautauqua County: 5.5 %Chautauqua County5.5Fulton County: 5.5 %Fulton County5.5Montgomery County: 5.5 %Montgomery County5.5Oswego County: 5.5 %Oswego County5.5Herkimer County: 5.4 %Herkimer County5.4New York County: 5.4 %New York County5.4Orange County: 5.4 %Orange County5.4Otsego County: 5.4 %Otsego County5.4Suffolk County: 5.4 %Suffolk County5.4Broome County: 5.3 %Broome County5.3Clinton County: 5.3 %Clinton County5.3Oneida County: 5.3 %Oneida County5.3Rockland County: 5.2 %Rockland County5.2Schuyler County: 5.2 %Schuyler County5.2Allegany County: 5.1 %Allegany County5.1Cayuga County: 5.1 %Cayuga County5.1Chenango County: 5.1 %Chenango County5.1Cortland County: 5.1 %Cortland County5.1Genesee County: 5.1 %Genesee County5.1Jefferson County: 5.1 %Jefferson County5.1
%. 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

RankCounties2021 (%)Change on 2020
1Yates County10.6+2.6 pts
2Queens County9.6-0.1 pts
3Hamilton County8.4-1 pts
4Bronx County8.3-0.5 pts
5Kings County7.1-0.5 pts
6Cattaraugus County6.5-0.3 pts
6Seneca County6.5+0.2 pts
8Sullivan County6.4-0.1 pts
9Ulster County6.3+0.1 pts
10Orleans County6.1+1 pts
11Essex County6+0.7 pts
11Westchester County6+0.4 pts
13Franklin County5.9-0.9 pts
13Greene County5.9+0.3 pts
15Washington County5.8+0.5 pts
16St. Lawrence County5.7+0.2 pts
16Steuben County5.7-0.4 pts
16Wayne County5.7-0.5 pts
19Columbia County5.6-0.5 pts
19Delaware County5.6-0.4 pts
21Chautauqua County5.5-0.5 pts
21Fulton County5.5-0.1 pts
21Montgomery County5.5-0.1 pts
21Oswego County5.5+0.4 pts
25Herkimer County5.4-0.3 pts
25New York County5.4+0.7 pts
25Orange County5.40 pts
25Otsego County5.4-0.1 pts
25Suffolk County5.4+0.5 pts
30Broome County5.3+0.1 pts
30Clinton County5.30 pts
30Oneida County5.30 pts
33Rockland County5.20 pts
33Schuyler County5.2+0.3 pts
35Allegany County5.1-0.1 pts
35Cayuga County5.1-0.6 pts
35Chenango County5.1+0.1 pts
35Cortland County5.1+0.1 pts
35Genesee County5.1+0.2 pts
35Jefferson County5.1-0.2 pts
35Lewis County5.1-0.2 pts
42Chemung County50 pts
42Dutchess County5+0.3 pts
42Schenectady County5+0.6 pts
42Schoharie County5-0.2 pts
46Richmond County4.9+0.5 pts
46Tompkins County4.9+0.4 pts
48Onondaga County4.80 pts
48Warren County4.8-0.5 pts
50Albany County4.70 pts
50Putnam County4.7+0.4 pts
52Livingston County4.6-0.6 pts
52Monroe County4.60 pts
52Rensselaer County4.6+0.7 pts
52Wyoming County4.6-0.2 pts
56Niagara County4.5-0.1 pts
56Ontario County4.5-0.1 pts
56Tioga County4.50 pts
59Madison County4.2-0.4 pts
59Nassau County4.20 pts
61Saratoga County4.1+0.3 pts
62Erie County4-0.2 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_new_york_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/new-york-counties?period=2021.
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-2021-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)?

Yates County, with 10.6% in 2021, according to the U.S. Census Bureau.

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

Erie County, with 4% in 2021.

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