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 2021, at 28.9%. Delaware County had the lowest, at 4.4%. The median was 8% and the figure for Ohio was 7.8%. Source: the U.S. Census Bureau.

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Highest28.9Holmes County
Median888 counties
Ohio7.8History

Map of counties, 2021

Adams County: 9.5 %Allen County: 8.2 %Ashland County: 9.3 %Ashtabula County: 10.9 %Athens County: 9.8 %Auglaize County: 6.5 %Belmont County: 8 %Brown County: 9.1 %Butler County: 7.9 %Carroll County: 9.1 %Champaign County: 8 %Clark County: 8.3 %Clermont County: 7.6 %Clinton County: 7.7 %Columbiana County: 9.3 %Coshocton County: 11.9 %Crawford County: 8.7 %Cuyahoga County: 6.9 %Darke County: 8.8 %Defiance County: 7.6 %Delaware County: 4.4 %Erie County: 7.8 %Fairfield County: 7.2 %Fayette County: 9.2 %Franklin County: 9.2 %Fulton County: 7.6 %Gallia County: 8.8 %Geauga County: 10.6 %Greene County: 6.6 %Guernsey County: 9.9 %Hamilton County: 7.1 %Hancock County: 7.4 %Hardin County: 9.9 %Harrison County: 9.3 %Henry County: 6.6 %Highland County: 10.4 %Hocking County: 9 %Holmes County: 28.9 %Huron County: 8.8 %Jackson County: 8.2 %Jefferson County: 7.9 %Knox County: 8.3 %Lake County: 6.7 %Lawrence County: 8.6 %Licking County: 6.7 %Logan County: 7 %Lorain County: 7.2 %Lucas County: 7.5 %Madison County: 7.6 %Mahoning County: 7.3 %Marion County: 7 %Medina County: 5.3 %Meigs County: 10.3 %Mercer County: 7.3 %Miami County: 7.1 %Monroe County: 9.7 %Montgomery County: 7.9 %Morgan County: 9.3 %Morrow County: 9.9 %Muskingum County: 8.7 %Noble County: 9 %Ottawa County: 7.3 %Paulding County: 8.7 %Perry County: 9 %Pickaway County: 8.2 %Pike County: 8.6 %Portage County: 7.7 %Preble County: 7.2 %Putnam County: 6.4 %Richland County: 9.4 %Ross County: 7.2 %Sandusky County: 7.6 %Scioto County: 8 %Seneca County: 7.6 %Shelby County: 7 %Stark County: 7.6 %Summit County: 7.4 %Trumbull County: 9.1 %Tuscarawas County: 10.6 %Union County: 5 %Van Wert County: 7.2 %Vinton County: 11.2 %Warren County: 5.2 %Washington County: 8.3 %Wayne County: 14.2 %Williams County: 7.1 %Wood County: 5.8 %Wyandot County: 6.7 %
  • Under 7
  • 7 to 7.5
  • 7.5 to 8
  • 8 to 8.8
  • 8.8 to 9.4
  • 9.4 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

Holmes County: 28.9 %Holmes County28.9Wayne County: 14.2 %Wayne County14.2Coshocton County: 11.9 %Coshocton County11.9Vinton County: 11.2 %Vinton County11.2Ashtabula County: 10.9 %Ashtabula County10.9Geauga County: 10.6 %Geauga County10.6Tuscarawas County: 10.6 %Tuscarawas County10.6Highland County: 10.4 %Highland County10.4Meigs County: 10.3 %Meigs County10.3Guernsey County: 9.9 %Guernsey County9.9Hardin County: 9.9 %Hardin County9.9Morrow County: 9.9 %Morrow County9.9Athens County: 9.8 %Athens County9.8Monroe County: 9.7 %Monroe County9.7Adams County: 9.5 %Adams County9.5Richland County: 9.4 %Richland County9.4Ashland County: 9.3 %Ashland County9.3Columbiana County: 9.3 %Columbiana County9.3Harrison County: 9.3 %Harrison County9.3Morgan County: 9.3 %Morgan County9.3Fayette County: 9.2 %Fayette County9.2Franklin County: 9.2 %Franklin County9.2Brown County: 9.1 %Brown County9.1Carroll County: 9.1 %Carroll County9.1Trumbull County: 9.1 %Trumbull County9.1Hocking County: 9 %Hocking County9Noble County: 9 %Noble County9Perry County: 9 %Perry County9Darke County: 8.8 %Darke County8.8Gallia County: 8.8 %Gallia County8.8Huron County: 8.8 %Huron County8.8Crawford County: 8.7 %Crawford County8.7Muskingum County: 8.7 %Muskingum County8.7Paulding County: 8.7 %Paulding County8.7Lawrence County: 8.6 %Lawrence County8.6Pike County: 8.6 %Pike County8.6Clark County: 8.3 %Clark County8.3Knox County: 8.3 %Knox County8.3Washington County: 8.3 %Washington County8.3Allen County: 8.2 %Allen County8.2Holmes County: 28.9 %Holmes County28.9Wayne County: 14.2 %Wayne County14.2Coshocton County: 11.9 %Coshocton County11.9Vinton County: 11.2 %Vinton County11.2Ashtabula County: 10.9 %Ashtabula County10.9Geauga County: 10.6 %Geauga County10.6Tuscarawas County: 10.6 %Tuscarawas County10.6Highland County: 10.4 %Highland County10.4Meigs County: 10.3 %Meigs County10.3Guernsey County: 9.9 %Guernsey County9.9Hardin County: 9.9 %Hardin County9.9Morrow County: 9.9 %Morrow County9.9Athens County: 9.8 %Athens County9.8Monroe County: 9.7 %Monroe County9.7Adams County: 9.5 %Adams County9.5Richland County: 9.4 %Richland County9.4Ashland County: 9.3 %Ashland County9.3Columbiana County: 9.3 %Columbiana County9.3Harrison County: 9.3 %Harrison County9.3Morgan County: 9.3 %Morgan County9.3Fayette County: 9.2 %Fayette County9.2Franklin County: 9.2 %Franklin County9.2Brown County: 9.1 %Brown County9.1Carroll County: 9.1 %Carroll County9.1Trumbull County: 9.1 %Trumbull County9.1Hocking County: 9 %Hocking County9Noble County: 9 %Noble County9Perry County: 9 %Perry County9Darke County: 8.8 %Darke County8.8Gallia County: 8.8 %Gallia County8.8Huron County: 8.8 %Huron County8.8Crawford County: 8.7 %Crawford County8.7Muskingum County: 8.7 %Muskingum County8.7Paulding County: 8.7 %Paulding County8.7Lawrence County: 8.6 %Lawrence County8.6Pike County: 8.6 %Pike County8.6Clark County: 8.3 %Clark County8.3Knox County: 8.3 %Knox County8.3Washington County: 8.3 %Washington County8.3Allen County: 8.2 %Allen County8.2
%. 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
1Holmes County28.9+0.5 pts
2Wayne County14.2+2.1 pts
3Coshocton County11.9+0.9 pts
4Vinton County11.2+1.9 pts
5Ashtabula County10.9+0.9 pts
6Geauga County10.6+0.6 pts
6Tuscarawas County10.6-0.5 pts
8Highland County10.4+0.1 pts
9Meigs County10.3+1 pts
10Guernsey County9.9-0.6 pts
10Hardin County9.9-0.7 pts
10Morrow County9.9+0.3 pts
13Athens County9.8+0.4 pts
14Monroe County9.7-0.4 pts
15Adams County9.5+0.1 pts
16Richland County9.4+0.5 pts
17Ashland County9.3+0.3 pts
17Columbiana County9.3-0.3 pts
17Harrison County9.3-0.7 pts
17Morgan County9.3-0.1 pts
21Fayette County9.2+0.1 pts
21Franklin County9.2-0.3 pts
23Brown County9.1+1 pts
23Carroll County9.1-2 pts
23Trumbull County9.1-0.1 pts
26Hocking County9+0.3 pts
26Noble County9-0.3 pts
26Perry County9+0.3 pts
29Darke County8.8-0.6 pts
29Gallia County8.8-0.2 pts
29Huron County8.8+0.3 pts
32Crawford County8.7-0.3 pts
32Muskingum County8.7+0.7 pts
32Paulding County8.7-0.2 pts
35Lawrence County8.6+0.6 pts
35Pike County8.60 pts
37Clark County8.3+0.2 pts
37Knox County8.3-0.7 pts
37Washington County8.3+0.5 pts
40Allen County8.2-0.2 pts
40Jackson County8.2-0.5 pts
40Pickaway County8.2+1.3 pts
43Belmont County8+0.2 pts
43Champaign County80 pts
43Scioto County8+0.1 pts
46Butler County7.9+0.2 pts
46Jefferson County7.9+0.6 pts
46Montgomery County7.9-0.4 pts
49Erie County7.8+0.1 pts
50Clinton County7.7-0.8 pts
50Portage County7.7-0.6 pts
52Clermont County7.6-0.9 pts
52Defiance County7.6-0.7 pts
52Fulton County7.6-1 pts
52Madison County7.6+0.2 pts
52Sandusky County7.6-1.1 pts
52Seneca County7.6-0.5 pts
52Stark County7.60 pts
59Lucas County7.5-0.1 pts
60Hancock County7.4-0.6 pts
60Summit County7.4+0.3 pts
62Mahoning County7.3-1.2 pts
62Mercer County7.3-0.2 pts
62Ottawa County7.3-1.1 pts
65Fairfield County7.2-0.8 pts
65Lorain County7.2-0.3 pts
65Preble County7.2-0.2 pts
65Ross County7.2-0.9 pts
65Van Wert County7.2-0.9 pts
70Hamilton County7.1+0.4 pts
70Miami County7.1+0.2 pts
70Williams County7.1-1.2 pts
73Logan County7-0.6 pts
73Marion County7-0.6 pts
73Shelby County7-0.3 pts
76Cuyahoga County6.9-0.6 pts
77Lake County6.7-1.2 pts
77Licking County6.7-0.8 pts
77Wyandot County6.7-1.4 pts
80Greene County6.6-0.1 pts
80Henry County6.6-1.7 pts
82Auglaize County6.5-0.9 pts
83Putnam County6.4-1.5 pts
84Wood County5.8-1.3 pts
85Medina County5.3-0.9 pts
86Warren County5.20 pts
87Union County5-0.5 pts
88Delaware County4.4-0.6 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 Ohio 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 Ohio 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/ohio-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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_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 Ohio 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/ohio-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 Ohio 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/ohio-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-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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Rank Counties in Ohio by uninsured rate, under 65 (US model-based estimate) using official data, and cite the source.
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Questions

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

Holmes County, with 28.9% in 2021, according to the U.S. Census Bureau.

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

Delaware County, with 4.4% 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 Ohio: more rankings