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 2022, at 34.8%. Delaware County had the lowest, at 4%. The median was 7% and the figure for Ohio was 7.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest34.8Holmes County
Median788 counties
Ohio7.1History

Map of counties, 2022

Adams County: 8.9 %Allen County: 6.8 %Ashland County: 7.7 %Ashtabula County: 9.4 %Athens County: 8.4 %Auglaize County: 5.4 %Belmont County: 7.3 %Brown County: 7.5 %Butler County: 6.6 %Carroll County: 8.6 %Champaign County: 6.6 %Clark County: 7.8 %Clermont County: 6.2 %Clinton County: 5.9 %Columbiana County: 9.1 %Coshocton County: 9.9 %Crawford County: 7.5 %Cuyahoga County: 7 %Darke County: 7.4 %Defiance County: 6.5 %Delaware County: 4 %Erie County: 6.4 %Fairfield County: 6.1 %Fayette County: 8.5 %Franklin County: 8.2 %Fulton County: 6.2 %Gallia County: 8.3 %Geauga County: 9.2 %Greene County: 5.3 %Guernsey County: 8.3 %Hamilton County: 6.2 %Hancock County: 6.5 %Hardin County: 8.5 %Harrison County: 8.8 %Henry County: 6 %Highland County: 8.6 %Hocking County: 8.5 %Holmes County: 34.8 %Huron County: 8 %Jackson County: 8.5 %Jefferson County: 6.5 %Knox County: 8.7 %Lake County: 6.2 %Lawrence County: 7 %Licking County: 6 %Logan County: 6.4 %Lorain County: 7.3 %Lucas County: 6.9 %Madison County: 7.1 %Mahoning County: 6.4 %Marion County: 6.8 %Medina County: 6 %Meigs County: 8.8 %Mercer County: 6.6 %Miami County: 5.9 %Monroe County: 7.8 %Montgomery County: 7.5 %Morgan County: 8.9 %Morrow County: 7.6 %Muskingum County: 6.8 %Noble County: 8.7 %Ottawa County: 6.6 %Paulding County: 8 %Perry County: 7.7 %Pickaway County: 6.7 %Pike County: 7.2 %Portage County: 6.3 %Preble County: 6 %Putnam County: 5.8 %Richland County: 7.2 %Ross County: 6.8 %Sandusky County: 6.1 %Scioto County: 7.4 %Seneca County: 6.3 %Shelby County: 6.9 %Stark County: 6.5 %Summit County: 6.6 %Trumbull County: 8.6 %Tuscarawas County: 8.6 %Union County: 4.2 %Van Wert County: 6 %Vinton County: 8.9 %Warren County: 4.4 %Washington County: 7.5 %Wayne County: 12.6 %Williams County: 6.8 %Wood County: 5.5 %Wyandot County: 5.9 %
  • Under 6
  • 6 to 6.5
  • 6.5 to 7
  • 7 to 7.7
  • 7.7 to 8.6
  • 8.6 and over
%, 2022. 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, 2022

Holmes County: 34.8 %Holmes County34.8Wayne County: 12.6 %Wayne County12.6Coshocton County: 9.9 %Coshocton County9.9Ashtabula County: 9.4 %Ashtabula County9.4Geauga County: 9.2 %Geauga County9.2Columbiana County: 9.1 %Columbiana County9.1Adams County: 8.9 %Adams County8.9Morgan County: 8.9 %Morgan County8.9Vinton County: 8.9 %Vinton County8.9Harrison County: 8.8 %Harrison County8.8Meigs County: 8.8 %Meigs County8.8Knox County: 8.7 %Knox County8.7Noble County: 8.7 %Noble County8.7Carroll County: 8.6 %Carroll County8.6Highland County: 8.6 %Highland County8.6Trumbull County: 8.6 %Trumbull County8.6Tuscarawas County: 8.6 %Tuscarawas County8.6Fayette County: 8.5 %Fayette County8.5Hardin County: 8.5 %Hardin County8.5Hocking County: 8.5 %Hocking County8.5Jackson County: 8.5 %Jackson County8.5Athens County: 8.4 %Athens County8.4Gallia County: 8.3 %Gallia County8.3Guernsey County: 8.3 %Guernsey County8.3Franklin County: 8.2 %Franklin County8.2Huron County: 8 %Huron County8Paulding County: 8 %Paulding County8Clark County: 7.8 %Clark County7.8Monroe County: 7.8 %Monroe County7.8Ashland County: 7.7 %Ashland County7.7Perry County: 7.7 %Perry County7.7Morrow County: 7.6 %Morrow County7.6Brown County: 7.5 %Brown County7.5Crawford County: 7.5 %Crawford County7.5Montgomery County: 7.5 %Montgomery County7.5Washington County: 7.5 %Washington County7.5Darke County: 7.4 %Darke County7.4Scioto County: 7.4 %Scioto County7.4Belmont County: 7.3 %Belmont County7.3Lorain County: 7.3 %Lorain County7.3Holmes County: 34.8 %Holmes County34.8Wayne County: 12.6 %Wayne County12.6Coshocton County: 9.9 %Coshocton County9.9Ashtabula County: 9.4 %Ashtabula County9.4Geauga County: 9.2 %Geauga County9.2Columbiana County: 9.1 %Columbiana County9.1Adams County: 8.9 %Adams County8.9Morgan County: 8.9 %Morgan County8.9Vinton County: 8.9 %Vinton County8.9Harrison County: 8.8 %Harrison County8.8Meigs County: 8.8 %Meigs County8.8Knox County: 8.7 %Knox County8.7Noble County: 8.7 %Noble County8.7Carroll County: 8.6 %Carroll County8.6Highland County: 8.6 %Highland County8.6Trumbull County: 8.6 %Trumbull County8.6Tuscarawas County: 8.6 %Tuscarawas County8.6Fayette County: 8.5 %Fayette County8.5Hardin County: 8.5 %Hardin County8.5Hocking County: 8.5 %Hocking County8.5Jackson County: 8.5 %Jackson County8.5Athens County: 8.4 %Athens County8.4Gallia County: 8.3 %Gallia County8.3Guernsey County: 8.3 %Guernsey County8.3Franklin County: 8.2 %Franklin County8.2Huron County: 8 %Huron County8Paulding County: 8 %Paulding County8Clark County: 7.8 %Clark County7.8Monroe County: 7.8 %Monroe County7.8Ashland County: 7.7 %Ashland County7.7Perry County: 7.7 %Perry County7.7Morrow County: 7.6 %Morrow County7.6Brown County: 7.5 %Brown County7.5Crawford County: 7.5 %Crawford County7.5Montgomery County: 7.5 %Montgomery County7.5Washington County: 7.5 %Washington County7.5Darke County: 7.4 %Darke County7.4Scioto County: 7.4 %Scioto County7.4Belmont County: 7.3 %Belmont County7.3Lorain County: 7.3 %Lorain County7.3
%. 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

RankCounties2022 (%)Change on 2021
1Holmes County34.8+5.9 pts
2Wayne County12.6-1.6 pts
3Coshocton County9.9-2 pts
4Ashtabula County9.4-1.5 pts
5Geauga County9.2-1.4 pts
6Columbiana County9.1-0.2 pts
7Adams County8.9-0.6 pts
7Morgan County8.9-0.4 pts
7Vinton County8.9-2.3 pts
10Harrison County8.8-0.5 pts
10Meigs County8.8-1.5 pts
12Knox County8.7+0.4 pts
12Noble County8.7-0.3 pts
14Carroll County8.6-0.5 pts
14Highland County8.6-1.8 pts
14Trumbull County8.6-0.5 pts
14Tuscarawas County8.6-2 pts
18Fayette County8.5-0.7 pts
18Hardin County8.5-1.4 pts
18Hocking County8.5-0.5 pts
18Jackson County8.5+0.3 pts
22Athens County8.4-1.4 pts
23Gallia County8.3-0.5 pts
23Guernsey County8.3-1.6 pts
25Franklin County8.2-1 pts
26Huron County8-0.8 pts
26Paulding County8-0.7 pts
28Clark County7.8-0.5 pts
28Monroe County7.8-1.9 pts
30Ashland County7.7-1.6 pts
30Perry County7.7-1.3 pts
32Morrow County7.6-2.3 pts
33Brown County7.5-1.6 pts
33Crawford County7.5-1.2 pts
33Montgomery County7.5-0.4 pts
33Washington County7.5-0.8 pts
37Darke County7.4-1.4 pts
37Scioto County7.4-0.6 pts
39Belmont County7.3-0.7 pts
39Lorain County7.3+0.1 pts
41Pike County7.2-1.4 pts
41Richland County7.2-2.2 pts
43Madison County7.1-0.5 pts
44Cuyahoga County7+0.1 pts
44Lawrence County7-1.6 pts
46Lucas County6.9-0.6 pts
46Shelby County6.9-0.1 pts
48Allen County6.8-1.4 pts
48Marion County6.8-0.2 pts
48Muskingum County6.8-1.9 pts
48Ross County6.8-0.4 pts
48Williams County6.8-0.3 pts
53Pickaway County6.7-1.5 pts
54Butler County6.6-1.3 pts
54Champaign County6.6-1.4 pts
54Mercer County6.6-0.7 pts
54Ottawa County6.6-0.7 pts
54Summit County6.6-0.8 pts
59Defiance County6.5-1.1 pts
59Hancock County6.5-0.9 pts
59Jefferson County6.5-1.4 pts
59Stark County6.5-1.1 pts
63Erie County6.4-1.4 pts
63Logan County6.4-0.6 pts
63Mahoning County6.4-0.9 pts
66Portage County6.3-1.4 pts
66Seneca County6.3-1.3 pts
68Clermont County6.2-1.4 pts
68Fulton County6.2-1.4 pts
68Hamilton County6.2-0.9 pts
68Lake County6.2-0.5 pts
72Fairfield County6.1-1.1 pts
72Sandusky County6.1-1.5 pts
74Henry County6-0.6 pts
74Licking County6-0.7 pts
74Medina County6+0.7 pts
74Preble County6-1.2 pts
74Van Wert County6-1.2 pts
79Clinton County5.9-1.8 pts
79Miami County5.9-1.2 pts
79Wyandot County5.9-0.8 pts
82Putnam County5.8-0.6 pts
83Wood County5.5-0.3 pts
84Auglaize County5.4-1.1 pts
85Greene County5.3-1.3 pts
86Warren County4.4-0.8 pts
87Union County4.2-0.8 pts
88Delaware County4-0.4 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2022.
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-2022-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 34.8% in 2022, according to the U.S. Census Bureau.

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

Delaware County, with 4% in 2022.

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