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

Holmes County had the highest uninsured rate, under 65 (US model-based estimate) of 88 counties in 2018, at 24.1%. Delaware County had the lowest, at 4.6%. The median was 7.6% and the figure for Ohio was 7.7%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest24.1Holmes County
Median7.688 counties
Ohio7.7History

Map of counties, 2018

Adams County: 9.8 %Allen County: 7.4 %Ashland County: 8.7 %Ashtabula County: 9.5 %Athens County: 9 %Auglaize County: 6 %Belmont County: 7.3 %Brown County: 7.9 %Butler County: 6.8 %Carroll County: 8.8 %Champaign County: 7.1 %Clark County: 8.5 %Clermont County: 7 %Clinton County: 7.4 %Columbiana County: 9 %Coshocton County: 9.9 %Crawford County: 7.5 %Cuyahoga County: 7.4 %Darke County: 8.6 %Defiance County: 6.8 %Delaware County: 4.6 %Erie County: 6.4 %Fairfield County: 6.4 %Fayette County: 7.6 %Franklin County: 8.9 %Fulton County: 7.2 %Gallia County: 9.5 %Geauga County: 9 %Greene County: 6.4 %Guernsey County: 9.2 %Hamilton County: 7 %Hancock County: 6.8 %Hardin County: 8 %Harrison County: 8.1 %Henry County: 6.4 %Highland County: 10 %Hocking County: 8 %Holmes County: 24.1 %Huron County: 8.5 %Jackson County: 8.6 %Jefferson County: 6.9 %Knox County: 8.7 %Lake County: 7.2 %Lawrence County: 7.7 %Licking County: 7.1 %Logan County: 7.2 %Lorain County: 7.3 %Lucas County: 8.8 %Madison County: 7.2 %Mahoning County: 7.1 %Marion County: 7.4 %Medina County: 5.1 %Meigs County: 8.6 %Mercer County: 6.3 %Miami County: 7.6 %Monroe County: 9.1 %Montgomery County: 8.4 %Morgan County: 8.4 %Morrow County: 8.8 %Muskingum County: 7.8 %Noble County: 8.5 %Ottawa County: 7.1 %Paulding County: 7.7 %Perry County: 7.6 %Pickaway County: 6.9 %Pike County: 8.3 %Portage County: 7.5 %Preble County: 8.2 %Putnam County: 6 %Richland County: 8.7 %Ross County: 7.9 %Sandusky County: 6.5 %Scioto County: 8.2 %Seneca County: 6.7 %Shelby County: 6.8 %Stark County: 8.2 %Summit County: 7.3 %Trumbull County: 8.3 %Tuscarawas County: 9.3 %Union County: 5.4 %Van Wert County: 6.9 %Vinton County: 9.3 %Warren County: 5.4 %Washington County: 8.3 %Wayne County: 12.2 %Williams County: 7.4 %Wood County: 6.4 %Wyandot County: 7.3 %
  • Under 6.8
  • 6.8 to 7.2
  • 7.2 to 7.6
  • 7.6 to 8.3
  • 8.3 to 8.9
  • 8.9 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

Holmes County: 24.1 %Holmes County24.1Wayne County: 12.2 %Wayne County12.2Highland County: 10 %Highland County10Coshocton County: 9.9 %Coshocton County9.9Adams County: 9.8 %Adams County9.8Ashtabula County: 9.5 %Ashtabula County9.5Gallia County: 9.5 %Gallia County9.5Tuscarawas County: 9.3 %Tuscarawas County9.3Vinton County: 9.3 %Vinton County9.3Guernsey County: 9.2 %Guernsey County9.2Monroe County: 9.1 %Monroe County9.1Athens County: 9 %Athens County9Columbiana County: 9 %Columbiana County9Geauga County: 9 %Geauga County9Franklin County: 8.9 %Franklin County8.9Carroll County: 8.8 %Carroll County8.8Lucas County: 8.8 %Lucas County8.8Morrow County: 8.8 %Morrow County8.8Ashland County: 8.7 %Ashland County8.7Knox County: 8.7 %Knox County8.7Richland County: 8.7 %Richland County8.7Darke County: 8.6 %Darke County8.6Jackson County: 8.6 %Jackson County8.6Meigs County: 8.6 %Meigs County8.6Clark County: 8.5 %Clark County8.5Huron County: 8.5 %Huron County8.5Noble County: 8.5 %Noble County8.5Montgomery County: 8.4 %Montgomery County8.4Morgan County: 8.4 %Morgan County8.4Pike County: 8.3 %Pike County8.3Trumbull County: 8.3 %Trumbull County8.3Washington County: 8.3 %Washington County8.3Preble County: 8.2 %Preble County8.2Scioto County: 8.2 %Scioto County8.2Stark County: 8.2 %Stark County8.2Harrison County: 8.1 %Harrison County8.1Hardin County: 8 %Hardin County8Hocking County: 8 %Hocking County8Brown County: 7.9 %Brown County7.9Ross County: 7.9 %Ross County7.9Holmes County: 24.1 %Holmes County24.1Wayne County: 12.2 %Wayne County12.2Highland County: 10 %Highland County10Coshocton County: 9.9 %Coshocton County9.9Adams County: 9.8 %Adams County9.8Ashtabula County: 9.5 %Ashtabula County9.5Gallia County: 9.5 %Gallia County9.5Tuscarawas County: 9.3 %Tuscarawas County9.3Vinton County: 9.3 %Vinton County9.3Guernsey County: 9.2 %Guernsey County9.2Monroe County: 9.1 %Monroe County9.1Athens County: 9 %Athens County9Columbiana County: 9 %Columbiana County9Geauga County: 9 %Geauga County9Franklin County: 8.9 %Franklin County8.9Carroll County: 8.8 %Carroll County8.8Lucas County: 8.8 %Lucas County8.8Morrow County: 8.8 %Morrow County8.8Ashland County: 8.7 %Ashland County8.7Knox County: 8.7 %Knox County8.7Richland County: 8.7 %Richland County8.7Darke County: 8.6 %Darke County8.6Jackson County: 8.6 %Jackson County8.6Meigs County: 8.6 %Meigs County8.6Clark County: 8.5 %Clark County8.5Huron County: 8.5 %Huron County8.5Noble County: 8.5 %Noble County8.5Montgomery County: 8.4 %Montgomery County8.4Morgan County: 8.4 %Morgan County8.4Pike County: 8.3 %Pike County8.3Trumbull County: 8.3 %Trumbull County8.3Washington County: 8.3 %Washington County8.3Preble County: 8.2 %Preble County8.2Scioto County: 8.2 %Scioto County8.2Stark County: 8.2 %Stark County8.2Harrison County: 8.1 %Harrison County8.1Hardin County: 8 %Hardin County8Hocking County: 8 %Hocking County8Brown County: 7.9 %Brown County7.9Ross County: 7.9 %Ross County7.9
%. 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
1Holmes County24.1+0.2 pts
2Wayne County12.2+0.9 pts
3Highland County10+0.8 pts
4Coshocton County9.9+1.1 pts
5Adams County9.8+0.7 pts
6Ashtabula County9.5+1.2 pts
6Gallia County9.5+1 pts
8Tuscarawas County9.3+1.5 pts
8Vinton County9.3+0.9 pts
10Guernsey County9.2+0.6 pts
11Monroe County9.1+0.2 pts
12Athens County9-0.3 pts
12Columbiana County9+1.3 pts
12Geauga County9+0.1 pts
15Franklin County8.9+0.7 pts
16Carroll County8.8+1 pts
16Lucas County8.8+1.3 pts
16Morrow County8.8+0.9 pts
19Ashland County8.7+0.5 pts
19Knox County8.7+1.1 pts
19Richland County8.7+0.4 pts
22Darke County8.6+1.2 pts
22Jackson County8.6+0.7 pts
22Meigs County8.6+0.7 pts
25Clark County8.5+1.3 pts
25Huron County8.5+0.9 pts
25Noble County8.5+0.7 pts
28Montgomery County8.4+0.9 pts
28Morgan County8.4+0.5 pts
30Pike County8.3+0.8 pts
30Trumbull County8.3+0.5 pts
30Washington County8.3+1 pts
33Preble County8.2+1.5 pts
33Scioto County8.2+1.2 pts
33Stark County8.2+0.9 pts
36Harrison County8.1+0.3 pts
37Hardin County8+0.5 pts
37Hocking County8+1 pts
39Brown County7.9+0.3 pts
39Ross County7.9+1 pts
41Muskingum County7.8+0.4 pts
42Lawrence County7.7+0.7 pts
42Paulding County7.7+0.6 pts
44Fayette County7.6+0.6 pts
44Miami County7.6+1.1 pts
44Perry County7.6+0.5 pts
47Crawford County7.5+0.5 pts
47Portage County7.5+0.7 pts
49Allen County7.4-0.3 pts
49Clinton County7.4+0.4 pts
49Cuyahoga County7.4+0.8 pts
49Marion County7.4+0.6 pts
49Williams County7.4+1 pts
54Belmont County7.3+0.8 pts
54Lorain County7.3+1.1 pts
54Summit County7.3+0.6 pts
54Wyandot County7.3+0.5 pts
58Fulton County7.2+0.7 pts
58Lake County7.2+0.9 pts
58Logan County7.2+0.2 pts
58Madison County7.2+0.5 pts
62Champaign County7.1+0.4 pts
62Licking County7.1+0.2 pts
62Mahoning County7.1+0.3 pts
62Ottawa County7.1+0.6 pts
66Clermont County7+1.1 pts
66Hamilton County7+0.2 pts
68Jefferson County6.9-0.3 pts
68Pickaway County6.90 pts
68Van Wert County6.9+0.5 pts
71Butler County6.8-0.1 pts
71Defiance County6.8+0.1 pts
71Hancock County6.8+0.5 pts
71Shelby County6.8+0.5 pts
75Seneca County6.7+0.1 pts
76Sandusky County6.5-0.3 pts
77Erie County6.4+0.1 pts
77Fairfield County6.4+0.6 pts
77Greene County6.4+0.4 pts
77Henry County6.4+0.1 pts
77Wood County6.4+0.9 pts
82Mercer County6.30 pts
83Auglaize County6+0.3 pts
83Putnam County6+0.5 pts
85Union County5.4+0.2 pts
85Warren County5.4+0.4 pts
87Medina County5.1-0.3 pts
88Delaware County4.6+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-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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-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  - 
Embed this chart

Paste this code into a web page or a blog post. The chart shows the latest figures as they are published, with the source and a link back to this page.

Sites that read oEmbed links, such as WordPress, can show the chart when you paste the link to this page.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank Counties in Ohio by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
rank_places {"indicator":"uninsured_rate_under_65","level":"province","within":"Ohio","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=uninsured_rate_under_65&level=province&within=Ohio&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

Holmes County, with 24.1% in 2018, according to the U.S. Census Bureau.

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

Delaware County, with 4.6% 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 Ohio: more rankings