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 2023, at 31.5%. Delaware County had the lowest, at 4.1%. The median was 7.3% and the figure for Ohio was 7.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest31.5Holmes County
Median7.388 counties
Ohio7.4History

Map of counties, 2023

Adams County: 8.9 %Allen County: 6.8 %Ashland County: 8.3 %Ashtabula County: 8.8 %Athens County: 8 %Auglaize County: 5.3 %Belmont County: 7 %Brown County: 8.3 %Butler County: 7.4 %Carroll County: 8.5 %Champaign County: 7.1 %Clark County: 7.8 %Clermont County: 6.6 %Clinton County: 6.8 %Columbiana County: 8.2 %Coshocton County: 9.9 %Crawford County: 7.9 %Cuyahoga County: 7 %Darke County: 7.6 %Defiance County: 7.2 %Delaware County: 4.1 %Erie County: 6.3 %Fairfield County: 6 %Fayette County: 8.9 %Franklin County: 9.5 %Fulton County: 6.3 %Gallia County: 8.3 %Geauga County: 10.3 %Greene County: 6 %Guernsey County: 10.5 %Hamilton County: 6.9 %Hancock County: 5.8 %Hardin County: 7.6 %Harrison County: 8.1 %Henry County: 6.2 %Highland County: 9.5 %Hocking County: 7.6 %Holmes County: 31.5 %Huron County: 7.6 %Jackson County: 8.1 %Jefferson County: 7.2 %Knox County: 9 %Lake County: 6.1 %Lawrence County: 7.2 %Licking County: 6.3 %Logan County: 7.1 %Lorain County: 6.6 %Lucas County: 6.9 %Madison County: 7.3 %Mahoning County: 7.4 %Marion County: 7.3 %Medina County: 5.5 %Meigs County: 8.4 %Mercer County: 6.1 %Miami County: 6.1 %Monroe County: 8.5 %Montgomery County: 7.7 %Morgan County: 8.6 %Morrow County: 8.8 %Muskingum County: 7.3 %Noble County: 9.4 %Ottawa County: 6.7 %Paulding County: 7.5 %Perry County: 8 %Pickaway County: 7 %Pike County: 8.6 %Portage County: 6.3 %Preble County: 6.8 %Putnam County: 5.9 %Richland County: 8.2 %Ross County: 7.2 %Sandusky County: 6.4 %Scioto County: 7.3 %Seneca County: 6.7 %Shelby County: 6.8 %Stark County: 6.7 %Summit County: 6.7 %Trumbull County: 8.8 %Tuscarawas County: 9.6 %Union County: 4.5 %Van Wert County: 6.3 %Vinton County: 9.5 %Warren County: 5 %Washington County: 7.8 %Wayne County: 11.7 %Williams County: 7.5 %Wood County: 5.5 %Wyandot County: 6 %
  • Under 6.3
  • 6.3 to 6.8
  • 6.8 to 7.3
  • 7.3 to 8
  • 8 to 8.8
  • 8.8 and over
%, 2023. 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, 2023

Holmes County: 31.5 %Holmes County31.5Wayne County: 11.7 %Wayne County11.7Guernsey County: 10.5 %Guernsey County10.5Geauga County: 10.3 %Geauga County10.3Coshocton County: 9.9 %Coshocton County9.9Tuscarawas County: 9.6 %Tuscarawas County9.6Franklin County: 9.5 %Franklin County9.5Highland County: 9.5 %Highland County9.5Vinton County: 9.5 %Vinton County9.5Noble County: 9.4 %Noble County9.4Knox County: 9 %Knox County9Adams County: 8.9 %Adams County8.9Fayette County: 8.9 %Fayette County8.9Ashtabula County: 8.8 %Ashtabula County8.8Morrow County: 8.8 %Morrow County8.8Trumbull County: 8.8 %Trumbull County8.8Morgan County: 8.6 %Morgan County8.6Pike County: 8.6 %Pike County8.6Carroll County: 8.5 %Carroll County8.5Monroe County: 8.5 %Monroe County8.5Meigs County: 8.4 %Meigs County8.4Ashland County: 8.3 %Ashland County8.3Brown County: 8.3 %Brown County8.3Gallia County: 8.3 %Gallia County8.3Columbiana County: 8.2 %Columbiana County8.2Richland County: 8.2 %Richland County8.2Harrison County: 8.1 %Harrison County8.1Jackson County: 8.1 %Jackson County8.1Athens County: 8 %Athens County8Perry County: 8 %Perry County8Crawford County: 7.9 %Crawford County7.9Clark County: 7.8 %Clark County7.8Washington County: 7.8 %Washington County7.8Montgomery County: 7.7 %Montgomery County7.7Darke County: 7.6 %Darke County7.6Hardin County: 7.6 %Hardin County7.6Hocking County: 7.6 %Hocking County7.6Huron County: 7.6 %Huron County7.6Paulding County: 7.5 %Paulding County7.5Williams County: 7.5 %Williams County7.5Holmes County: 31.5 %Holmes County31.5Wayne County: 11.7 %Wayne County11.7Guernsey County: 10.5 %Guernsey County10.5Geauga County: 10.3 %Geauga County10.3Coshocton County: 9.9 %Coshocton County9.9Tuscarawas County: 9.6 %Tuscarawas County9.6Franklin County: 9.5 %Franklin County9.5Highland County: 9.5 %Highland County9.5Vinton County: 9.5 %Vinton County9.5Noble County: 9.4 %Noble County9.4Knox County: 9 %Knox County9Adams County: 8.9 %Adams County8.9Fayette County: 8.9 %Fayette County8.9Ashtabula County: 8.8 %Ashtabula County8.8Morrow County: 8.8 %Morrow County8.8Trumbull County: 8.8 %Trumbull County8.8Morgan County: 8.6 %Morgan County8.6Pike County: 8.6 %Pike County8.6Carroll County: 8.5 %Carroll County8.5Monroe County: 8.5 %Monroe County8.5Meigs County: 8.4 %Meigs County8.4Ashland County: 8.3 %Ashland County8.3Brown County: 8.3 %Brown County8.3Gallia County: 8.3 %Gallia County8.3Columbiana County: 8.2 %Columbiana County8.2Richland County: 8.2 %Richland County8.2Harrison County: 8.1 %Harrison County8.1Jackson County: 8.1 %Jackson County8.1Athens County: 8 %Athens County8Perry County: 8 %Perry County8Crawford County: 7.9 %Crawford County7.9Clark County: 7.8 %Clark County7.8Washington County: 7.8 %Washington County7.8Montgomery County: 7.7 %Montgomery County7.7Darke County: 7.6 %Darke County7.6Hardin County: 7.6 %Hardin County7.6Hocking County: 7.6 %Hocking County7.6Huron County: 7.6 %Huron County7.6Paulding County: 7.5 %Paulding County7.5Williams County: 7.5 %Williams County7.5
%. 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

RankCounties2023 (%)Change on 2022
1Holmes County31.5-3.3 pts
2Wayne County11.7-0.9 pts
3Guernsey County10.5+2.2 pts
4Geauga County10.3+1.1 pts
5Coshocton County9.90 pts
6Tuscarawas County9.6+1 pts
7Franklin County9.5+1.3 pts
7Highland County9.5+0.9 pts
7Vinton County9.5+0.6 pts
10Noble County9.4+0.7 pts
11Knox County9+0.3 pts
12Adams County8.90 pts
12Fayette County8.9+0.4 pts
14Ashtabula County8.8-0.6 pts
14Morrow County8.8+1.2 pts
14Trumbull County8.8+0.2 pts
17Morgan County8.6-0.3 pts
17Pike County8.6+1.4 pts
19Carroll County8.5-0.1 pts
19Monroe County8.5+0.7 pts
21Meigs County8.4-0.4 pts
22Ashland County8.3+0.6 pts
22Brown County8.3+0.8 pts
22Gallia County8.30 pts
25Columbiana County8.2-0.9 pts
25Richland County8.2+1 pts
27Harrison County8.1-0.7 pts
27Jackson County8.1-0.4 pts
29Athens County8-0.4 pts
29Perry County8+0.3 pts
31Crawford County7.9+0.4 pts
32Clark County7.80 pts
32Washington County7.8+0.3 pts
34Montgomery County7.7+0.2 pts
35Darke County7.6+0.2 pts
35Hardin County7.6-0.9 pts
35Hocking County7.6-0.9 pts
35Huron County7.6-0.4 pts
39Paulding County7.5-0.5 pts
39Williams County7.5+0.7 pts
41Butler County7.4+0.8 pts
41Mahoning County7.4+1 pts
43Madison County7.3+0.2 pts
43Marion County7.3+0.5 pts
43Muskingum County7.3+0.5 pts
43Scioto County7.3-0.1 pts
47Defiance County7.2+0.7 pts
47Jefferson County7.2+0.7 pts
47Lawrence County7.2+0.2 pts
47Ross County7.2+0.4 pts
51Champaign County7.1+0.5 pts
51Logan County7.1+0.7 pts
53Belmont County7-0.3 pts
53Cuyahoga County70 pts
53Pickaway County7+0.3 pts
56Hamilton County6.9+0.7 pts
56Lucas County6.90 pts
58Allen County6.80 pts
58Clinton County6.8+0.9 pts
58Preble County6.8+0.8 pts
58Shelby County6.8-0.1 pts
62Ottawa County6.7+0.1 pts
62Seneca County6.7+0.4 pts
62Stark County6.7+0.2 pts
62Summit County6.7+0.1 pts
66Clermont County6.6+0.4 pts
66Lorain County6.6-0.7 pts
68Sandusky County6.4+0.3 pts
69Erie County6.3-0.1 pts
69Fulton County6.3+0.1 pts
69Licking County6.3+0.3 pts
69Portage County6.30 pts
69Van Wert County6.3+0.3 pts
74Henry County6.2+0.2 pts
75Lake County6.1-0.1 pts
75Mercer County6.1-0.5 pts
75Miami County6.1+0.2 pts
78Fairfield County6-0.1 pts
78Greene County6+0.7 pts
78Wyandot County6+0.1 pts
81Putnam County5.9+0.1 pts
82Hancock County5.8-0.7 pts
83Medina County5.5-0.5 pts
83Wood County5.50 pts
85Auglaize County5.3-0.1 pts
86Warren County5+0.6 pts
87Union County4.5+0.3 pts
88Delaware County4.1+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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/ohio-counties?period=2023.
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-2023-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 31.5% in 2023, according to the U.S. Census Bureau.

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

Delaware County, with 4.1% in 2023.

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