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 2019, at 23.6%. Delaware County had the lowest, at 4.5%. The median was 7.8% and the figure for Ohio was 7.9%. Source: the U.S. Census Bureau.

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Highest23.6Holmes County
Median7.888 counties
Ohio7.9History

Map of counties, 2019

Adams County: 9.6 %Allen County: 7.6 %Ashland County: 10.7 %Ashtabula County: 9.8 %Athens County: 9.1 %Auglaize County: 5.9 %Belmont County: 7.5 %Brown County: 8.2 %Butler County: 7.7 %Carroll County: 8.4 %Champaign County: 6.8 %Clark County: 8.5 %Clermont County: 7 %Clinton County: 7.1 %Columbiana County: 8.1 %Coshocton County: 10.6 %Crawford County: 7.7 %Cuyahoga County: 7.3 %Darke County: 8.2 %Defiance County: 6.8 %Delaware County: 4.5 %Erie County: 7.5 %Fairfield County: 6.8 %Fayette County: 8.5 %Franklin County: 8.9 %Fulton County: 7.4 %Gallia County: 9.6 %Geauga County: 9.8 %Greene County: 7 %Guernsey County: 8.8 %Hamilton County: 7.7 %Hancock County: 6.4 %Hardin County: 7.8 %Harrison County: 8.7 %Henry County: 7 %Highland County: 9.8 %Hocking County: 7.6 %Holmes County: 23.6 %Huron County: 8.9 %Jackson County: 8.4 %Jefferson County: 7.9 %Knox County: 8.8 %Lake County: 7.4 %Lawrence County: 7.8 %Licking County: 7.2 %Logan County: 7.3 %Lorain County: 7.6 %Lucas County: 8.1 %Madison County: 7.9 %Mahoning County: 7.8 %Marion County: 7.6 %Medina County: 5.8 %Meigs County: 8.8 %Mercer County: 7.2 %Miami County: 7.5 %Monroe County: 9 %Montgomery County: 8.8 %Morgan County: 9.3 %Morrow County: 8.6 %Muskingum County: 7.9 %Noble County: 8 %Ottawa County: 7.1 %Paulding County: 7.9 %Perry County: 7.8 %Pickaway County: 7.2 %Pike County: 8.6 %Portage County: 7.6 %Preble County: 7.9 %Putnam County: 7 %Richland County: 8.7 %Ross County: 7.5 %Sandusky County: 7.3 %Scioto County: 8.3 %Seneca County: 7.2 %Shelby County: 6.7 %Stark County: 7.7 %Summit County: 8 %Trumbull County: 8.9 %Tuscarawas County: 10.3 %Union County: 5.8 %Van Wert County: 7.2 %Vinton County: 10.2 %Warren County: 5.3 %Washington County: 7.7 %Wayne County: 12 %Williams County: 7.8 %Wood County: 6.2 %Wyandot County: 6.9 %
  • Under 7
  • 7 to 7.5
  • 7.5 to 7.8
  • 7.8 to 8.3
  • 8.3 to 8.9
  • 8.9 and over
%, 2019. 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, 2019

Holmes County: 23.6 %Holmes County23.6Wayne County: 12 %Wayne County12Ashland County: 10.7 %Ashland County10.7Coshocton County: 10.6 %Coshocton County10.6Tuscarawas County: 10.3 %Tuscarawas County10.3Vinton County: 10.2 %Vinton County10.2Ashtabula County: 9.8 %Ashtabula County9.8Geauga County: 9.8 %Geauga County9.8Highland County: 9.8 %Highland County9.8Adams County: 9.6 %Adams County9.6Gallia County: 9.6 %Gallia County9.6Morgan County: 9.3 %Morgan County9.3Athens County: 9.1 %Athens County9.1Monroe County: 9 %Monroe County9Franklin County: 8.9 %Franklin County8.9Huron County: 8.9 %Huron County8.9Trumbull County: 8.9 %Trumbull County8.9Guernsey County: 8.8 %Guernsey County8.8Knox County: 8.8 %Knox County8.8Meigs County: 8.8 %Meigs County8.8Montgomery County: 8.8 %Montgomery County8.8Harrison County: 8.7 %Harrison County8.7Richland County: 8.7 %Richland County8.7Morrow County: 8.6 %Morrow County8.6Pike County: 8.6 %Pike County8.6Clark County: 8.5 %Clark County8.5Fayette County: 8.5 %Fayette County8.5Carroll County: 8.4 %Carroll County8.4Jackson County: 8.4 %Jackson County8.4Scioto County: 8.3 %Scioto County8.3Brown County: 8.2 %Brown County8.2Darke County: 8.2 %Darke County8.2Columbiana County: 8.1 %Columbiana County8.1Lucas County: 8.1 %Lucas County8.1Noble County: 8 %Noble County8Summit County: 8 %Summit County8Jefferson County: 7.9 %Jefferson County7.9Madison County: 7.9 %Madison County7.9Muskingum County: 7.9 %Muskingum County7.9Paulding County: 7.9 %Paulding County7.9Holmes County: 23.6 %Holmes County23.6Wayne County: 12 %Wayne County12Ashland County: 10.7 %Ashland County10.7Coshocton County: 10.6 %Coshocton County10.6Tuscarawas County: 10.3 %Tuscarawas County10.3Vinton County: 10.2 %Vinton County10.2Ashtabula County: 9.8 %Ashtabula County9.8Geauga County: 9.8 %Geauga County9.8Highland County: 9.8 %Highland County9.8Adams County: 9.6 %Adams County9.6Gallia County: 9.6 %Gallia County9.6Morgan County: 9.3 %Morgan County9.3Athens County: 9.1 %Athens County9.1Monroe County: 9 %Monroe County9Franklin County: 8.9 %Franklin County8.9Huron County: 8.9 %Huron County8.9Trumbull County: 8.9 %Trumbull County8.9Guernsey County: 8.8 %Guernsey County8.8Knox County: 8.8 %Knox County8.8Meigs County: 8.8 %Meigs County8.8Montgomery County: 8.8 %Montgomery County8.8Harrison County: 8.7 %Harrison County8.7Richland County: 8.7 %Richland County8.7Morrow County: 8.6 %Morrow County8.6Pike County: 8.6 %Pike County8.6Clark County: 8.5 %Clark County8.5Fayette County: 8.5 %Fayette County8.5Carroll County: 8.4 %Carroll County8.4Jackson County: 8.4 %Jackson County8.4Scioto County: 8.3 %Scioto County8.3Brown County: 8.2 %Brown County8.2Darke County: 8.2 %Darke County8.2Columbiana County: 8.1 %Columbiana County8.1Lucas County: 8.1 %Lucas County8.1Noble County: 8 %Noble County8Summit County: 8 %Summit County8Jefferson County: 7.9 %Jefferson County7.9Madison County: 7.9 %Madison County7.9Muskingum County: 7.9 %Muskingum County7.9Paulding County: 7.9 %Paulding 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

RankCounties2019 (%)Change on 2018
1Holmes County23.6-0.5 pts
2Wayne County12-0.2 pts
3Ashland County10.7+2 pts
4Coshocton County10.6+0.7 pts
5Tuscarawas County10.3+1 pts
6Vinton County10.2+0.9 pts
7Ashtabula County9.8+0.3 pts
7Geauga County9.8+0.8 pts
7Highland County9.8-0.2 pts
10Adams County9.6-0.2 pts
10Gallia County9.6+0.1 pts
12Morgan County9.3+0.9 pts
13Athens County9.1+0.1 pts
14Monroe County9-0.1 pts
15Franklin County8.90 pts
15Huron County8.9+0.4 pts
15Trumbull County8.9+0.6 pts
18Guernsey County8.8-0.4 pts
18Knox County8.8+0.1 pts
18Meigs County8.8+0.2 pts
18Montgomery County8.8+0.4 pts
22Harrison County8.7+0.6 pts
22Richland County8.70 pts
24Morrow County8.6-0.2 pts
24Pike County8.6+0.3 pts
26Clark County8.50 pts
26Fayette County8.5+0.9 pts
28Carroll County8.4-0.4 pts
28Jackson County8.4-0.2 pts
30Scioto County8.3+0.1 pts
31Brown County8.2+0.3 pts
31Darke County8.2-0.4 pts
33Columbiana County8.1-0.9 pts
33Lucas County8.1-0.7 pts
35Noble County8-0.5 pts
35Summit County8+0.7 pts
37Jefferson County7.9+1 pts
37Madison County7.9+0.7 pts
37Muskingum County7.9+0.1 pts
37Paulding County7.9+0.2 pts
37Preble County7.9-0.3 pts
42Hardin County7.8-0.2 pts
42Lawrence County7.8+0.1 pts
42Mahoning County7.8+0.7 pts
42Perry County7.8+0.2 pts
42Williams County7.8+0.4 pts
47Butler County7.7+0.9 pts
47Crawford County7.7+0.2 pts
47Hamilton County7.7+0.7 pts
47Stark County7.7-0.5 pts
47Washington County7.7-0.6 pts
52Allen County7.6+0.2 pts
52Hocking County7.6-0.4 pts
52Lorain County7.6+0.3 pts
52Marion County7.6+0.2 pts
52Portage County7.6+0.1 pts
57Belmont County7.5+0.2 pts
57Erie County7.5+1.1 pts
57Miami County7.5-0.1 pts
57Ross County7.5-0.4 pts
61Fulton County7.4+0.2 pts
61Lake County7.4+0.2 pts
63Cuyahoga County7.3-0.1 pts
63Logan County7.3+0.1 pts
63Sandusky County7.3+0.8 pts
66Licking County7.2+0.1 pts
66Mercer County7.2+0.9 pts
66Pickaway County7.2+0.3 pts
66Seneca County7.2+0.5 pts
66Van Wert County7.2+0.3 pts
71Clinton County7.1-0.3 pts
71Ottawa County7.10 pts
73Clermont County70 pts
73Greene County7+0.6 pts
73Henry County7+0.6 pts
73Putnam County7+1 pts
77Wyandot County6.9-0.4 pts
78Champaign County6.8-0.3 pts
78Defiance County6.80 pts
78Fairfield County6.8+0.4 pts
81Shelby County6.7-0.1 pts
82Hancock County6.4-0.4 pts
83Wood County6.2-0.2 pts
84Auglaize County5.9-0.1 pts
85Medina County5.8+0.7 pts
85Union County5.8+0.4 pts
87Warren County5.3-0.1 pts
88Delaware County4.5-0.1 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2019.
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-2019-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)?

Holmes County, with 23.6% in 2019, according to the U.S. Census Bureau.

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

Delaware County, with 4.5% in 2019.

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