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 2020, at 28.4%. Delaware County had the lowest, at 5%. The median was 8.3% and the figure for Ohio was 8.1%. Source: the U.S. Census Bureau.

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Highest28.4Holmes County
Median8.388 counties
Ohio8.1History

Map of counties, 2020

Adams County: 9.4 %Allen County: 8.4 %Ashland County: 9 %Ashtabula County: 10 %Athens County: 9.4 %Auglaize County: 7.4 %Belmont County: 7.8 %Brown County: 8.1 %Butler County: 7.7 %Carroll County: 11.1 %Champaign County: 8 %Clark County: 8.1 %Clermont County: 8.5 %Clinton County: 8.5 %Columbiana County: 9.6 %Coshocton County: 11 %Crawford County: 9 %Cuyahoga County: 7.5 %Darke County: 9.4 %Defiance County: 8.3 %Delaware County: 5 %Erie County: 7.7 %Fairfield County: 8 %Fayette County: 9.1 %Franklin County: 9.5 %Fulton County: 8.6 %Gallia County: 9 %Geauga County: 10 %Greene County: 6.7 %Guernsey County: 10.5 %Hamilton County: 6.7 %Hancock County: 8 %Hardin County: 10.6 %Harrison County: 10 %Henry County: 8.3 %Highland County: 10.3 %Hocking County: 8.7 %Holmes County: 28.4 %Huron County: 8.5 %Jackson County: 8.7 %Jefferson County: 7.3 %Knox County: 9 %Lake County: 7.9 %Lawrence County: 8 %Licking County: 7.5 %Logan County: 7.6 %Lorain County: 7.5 %Lucas County: 7.6 %Madison County: 7.4 %Mahoning County: 8.5 %Marion County: 7.6 %Medina County: 6.2 %Meigs County: 9.3 %Mercer County: 7.5 %Miami County: 6.9 %Monroe County: 10.1 %Montgomery County: 8.3 %Morgan County: 9.4 %Morrow County: 9.6 %Muskingum County: 8 %Noble County: 9.3 %Ottawa County: 8.4 %Paulding County: 8.9 %Perry County: 8.7 %Pickaway County: 6.9 %Pike County: 8.6 %Portage County: 8.3 %Preble County: 7.4 %Putnam County: 7.9 %Richland County: 8.9 %Ross County: 8.1 %Sandusky County: 8.7 %Scioto County: 7.9 %Seneca County: 8.1 %Shelby County: 7.3 %Stark County: 7.6 %Summit County: 7.1 %Trumbull County: 9.2 %Tuscarawas County: 11.1 %Union County: 5.5 %Van Wert County: 8.1 %Vinton County: 9.3 %Warren County: 5.2 %Washington County: 7.8 %Wayne County: 12.1 %Williams County: 8.3 %Wood County: 7.1 %Wyandot County: 8.1 %
  • Under 7.5
  • 7.5 to 7.9
  • 7.9 to 8.3
  • 8.3 to 8.9
  • 8.9 to 9.4
  • 9.4 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

Holmes County: 28.4 %Holmes County28.4Wayne County: 12.1 %Wayne County12.1Carroll County: 11.1 %Carroll County11.1Tuscarawas County: 11.1 %Tuscarawas County11.1Coshocton County: 11 %Coshocton County11Hardin County: 10.6 %Hardin County10.6Guernsey County: 10.5 %Guernsey County10.5Highland County: 10.3 %Highland County10.3Monroe County: 10.1 %Monroe County10.1Ashtabula County: 10 %Ashtabula County10Geauga County: 10 %Geauga County10Harrison County: 10 %Harrison County10Columbiana County: 9.6 %Columbiana County9.6Morrow County: 9.6 %Morrow County9.6Franklin County: 9.5 %Franklin County9.5Adams County: 9.4 %Adams County9.4Athens County: 9.4 %Athens County9.4Darke County: 9.4 %Darke County9.4Morgan County: 9.4 %Morgan County9.4Meigs County: 9.3 %Meigs County9.3Noble County: 9.3 %Noble County9.3Vinton County: 9.3 %Vinton County9.3Trumbull County: 9.2 %Trumbull County9.2Fayette County: 9.1 %Fayette County9.1Ashland County: 9 %Ashland County9Crawford County: 9 %Crawford County9Gallia County: 9 %Gallia County9Knox County: 9 %Knox County9Paulding County: 8.9 %Paulding County8.9Richland County: 8.9 %Richland County8.9Hocking County: 8.7 %Hocking County8.7Jackson County: 8.7 %Jackson County8.7Perry County: 8.7 %Perry County8.7Sandusky County: 8.7 %Sandusky County8.7Fulton County: 8.6 %Fulton County8.6Pike County: 8.6 %Pike County8.6Clermont County: 8.5 %Clermont County8.5Clinton County: 8.5 %Clinton County8.5Huron County: 8.5 %Huron County8.5Mahoning County: 8.5 %Mahoning County8.5Holmes County: 28.4 %Holmes County28.4Wayne County: 12.1 %Wayne County12.1Carroll County: 11.1 %Carroll County11.1Tuscarawas County: 11.1 %Tuscarawas County11.1Coshocton County: 11 %Coshocton County11Hardin County: 10.6 %Hardin County10.6Guernsey County: 10.5 %Guernsey County10.5Highland County: 10.3 %Highland County10.3Monroe County: 10.1 %Monroe County10.1Ashtabula County: 10 %Ashtabula County10Geauga County: 10 %Geauga County10Harrison County: 10 %Harrison County10Columbiana County: 9.6 %Columbiana County9.6Morrow County: 9.6 %Morrow County9.6Franklin County: 9.5 %Franklin County9.5Adams County: 9.4 %Adams County9.4Athens County: 9.4 %Athens County9.4Darke County: 9.4 %Darke County9.4Morgan County: 9.4 %Morgan County9.4Meigs County: 9.3 %Meigs County9.3Noble County: 9.3 %Noble County9.3Vinton County: 9.3 %Vinton County9.3Trumbull County: 9.2 %Trumbull County9.2Fayette County: 9.1 %Fayette County9.1Ashland County: 9 %Ashland County9Crawford County: 9 %Crawford County9Gallia County: 9 %Gallia County9Knox County: 9 %Knox County9Paulding County: 8.9 %Paulding County8.9Richland County: 8.9 %Richland County8.9Hocking County: 8.7 %Hocking County8.7Jackson County: 8.7 %Jackson County8.7Perry County: 8.7 %Perry County8.7Sandusky County: 8.7 %Sandusky County8.7Fulton County: 8.6 %Fulton County8.6Pike County: 8.6 %Pike County8.6Clermont County: 8.5 %Clermont County8.5Clinton County: 8.5 %Clinton County8.5Huron County: 8.5 %Huron County8.5Mahoning County: 8.5 %Mahoning County8.5
%. 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
1Holmes County28.4+4.8 pts
2Wayne County12.1+0.1 pts
3Carroll County11.1+2.7 pts
3Tuscarawas County11.1+0.8 pts
5Coshocton County11+0.4 pts
6Hardin County10.6+2.8 pts
7Guernsey County10.5+1.7 pts
8Highland County10.3+0.5 pts
9Monroe County10.1+1.1 pts
10Ashtabula County10+0.2 pts
10Geauga County10+0.2 pts
10Harrison County10+1.3 pts
13Columbiana County9.6+1.5 pts
13Morrow County9.6+1 pts
15Franklin County9.5+0.6 pts
16Adams County9.4-0.2 pts
16Athens County9.4+0.3 pts
16Darke County9.4+1.2 pts
16Morgan County9.4+0.1 pts
20Meigs County9.3+0.5 pts
20Noble County9.3+1.3 pts
20Vinton County9.3-0.9 pts
23Trumbull County9.2+0.3 pts
24Fayette County9.1+0.6 pts
25Ashland County9-1.7 pts
25Crawford County9+1.3 pts
25Gallia County9-0.6 pts
25Knox County9+0.2 pts
29Paulding County8.9+1 pts
29Richland County8.9+0.2 pts
31Hocking County8.7+1.1 pts
31Jackson County8.7+0.3 pts
31Perry County8.7+0.9 pts
31Sandusky County8.7+1.4 pts
35Fulton County8.6+1.2 pts
35Pike County8.60 pts
37Clermont County8.5+1.5 pts
37Clinton County8.5+1.4 pts
37Huron County8.5-0.4 pts
37Mahoning County8.5+0.7 pts
41Allen County8.4+0.8 pts
41Ottawa County8.4+1.3 pts
43Defiance County8.3+1.5 pts
43Henry County8.3+1.3 pts
43Montgomery County8.3-0.5 pts
43Portage County8.3+0.7 pts
43Williams County8.3+0.5 pts
48Brown County8.1-0.1 pts
48Clark County8.1-0.4 pts
48Ross County8.1+0.6 pts
48Seneca County8.1+0.9 pts
48Van Wert County8.1+0.9 pts
48Wyandot County8.1+1.2 pts
54Champaign County8+1.2 pts
54Fairfield County8+1.2 pts
54Hancock County8+1.6 pts
54Lawrence County8+0.2 pts
54Muskingum County8+0.1 pts
59Lake County7.9+0.5 pts
59Putnam County7.9+0.9 pts
59Scioto County7.9-0.4 pts
62Belmont County7.8+0.3 pts
62Washington County7.8+0.1 pts
64Butler County7.70 pts
64Erie County7.7+0.2 pts
66Logan County7.6+0.3 pts
66Lucas County7.6-0.5 pts
66Marion County7.60 pts
66Stark County7.6-0.1 pts
70Cuyahoga County7.5+0.2 pts
70Licking County7.5+0.3 pts
70Lorain County7.5-0.1 pts
70Mercer County7.5+0.3 pts
74Auglaize County7.4+1.5 pts
74Madison County7.4-0.5 pts
74Preble County7.4-0.5 pts
77Jefferson County7.3-0.6 pts
77Shelby County7.3+0.6 pts
79Summit County7.1-0.9 pts
79Wood County7.1+0.9 pts
81Miami County6.9-0.6 pts
81Pickaway County6.9-0.3 pts
83Greene County6.7-0.3 pts
83Hamilton County6.7-1 pts
85Medina County6.2+0.4 pts
86Union County5.5-0.3 pts
87Warren County5.2-0.1 pts
88Delaware County5+0.5 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-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)?

Holmes County, with 28.4% in 2020, according to the U.S. Census Bureau.

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

Delaware County, with 5% 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 Ohio: more rankings