Counties in Pennsylvania by uninsured rate, under 65 (US model-based estimate)

Juniata County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2019, at 11.4%. Butler County had the lowest, at 4.8%. The median was 7.1% and the figure for Pennsylvania was 7%. Source: the U.S. Census Bureau.

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Highest11.4Juniata County
Lowest4.8Butler County
Median7.167 counties
Pennsylvania7History

Map of counties, 2019

Adams County: 7.7 %Allegheny County: 5.1 %Armstrong County: 6.5 %Beaver County: 5.6 %Bedford County: 8.4 %Berks County: 7.6 %Blair County: 6.7 %Bradford County: 8.2 %Bucks County: 5.4 %Butler County: 4.8 %Cambria County: 5.8 %Cameron County: 6.1 %Carbon County: 6.7 %Centre County: 8.2 %Chester County: 5.9 %Clarion County: 8.2 %Clearfield County: 7.1 %Clinton County: 7.3 %Columbia County: 6.6 %Crawford County: 8.6 %Cumberland County: 6.9 %Dauphin County: 7.7 %Delaware County: 6.3 %Elk County: 5.8 %Erie County: 7.1 %Fayette County: 6.8 %Forest County: 7.2 %Franklin County: 8.5 %Fulton County: 6.8 %Greene County: 6.4 %Huntingdon County: 7.1 %Indiana County: 8.2 %Jefferson County: 7.8 %Juniata County: 11.4 %Lackawanna County: 7.1 %Lancaster County: 11.2 %Lawrence County: 6.6 %Lebanon County: 8.2 %Lehigh County: 8.1 %Luzerne County: 7.4 %Lycoming County: 6.7 %McKean County: 6.3 %Mercer County: 7.1 %Mifflin County: 9.6 %Monroe County: 8.3 %Montgomery County: 4.9 %Montour County: 6.2 %Northampton County: 5.8 %Northumberland County: 6.4 %Perry County: 9 %Philadelphia County: 9 %Pike County: 7.4 %Potter County: 7.3 %Schuylkill County: 6.1 %Snyder County: 8.7 %Somerset County: 7.6 %Sullivan County: 8.8 %Susquehanna County: 8.5 %Tioga County: 8.3 %Union County: 8.4 %Venango County: 6.9 %Warren County: 6.5 %Washington County: 5.9 %Wayne County: 7.6 %Westmoreland County: 5.5 %Wyoming County: 6 %York County: 6.1 %
  • Under 6
  • 6 to 6.6
  • 6.6 to 7.1
  • 7.1 to 7.7
  • 7.7 to 8.4
  • 8.4 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

Juniata County: 11.4 %Juniata County11.4Lancaster County: 11.2 %Lancaster County11.2Mifflin County: 9.6 %Mifflin County9.6Perry County: 9 %Perry County9Philadelphia County: 9 %Philadelphia County9Sullivan County: 8.8 %Sullivan County8.8Snyder County: 8.7 %Snyder County8.7Crawford County: 8.6 %Crawford County8.6Franklin County: 8.5 %Franklin County8.5Susquehanna County: 8.5 %Susquehanna County8.5Bedford County: 8.4 %Bedford County8.4Union County: 8.4 %Union County8.4Monroe County: 8.3 %Monroe County8.3Tioga County: 8.3 %Tioga County8.3Bradford County: 8.2 %Bradford County8.2Centre County: 8.2 %Centre County8.2Clarion County: 8.2 %Clarion County8.2Indiana County: 8.2 %Indiana County8.2Lebanon County: 8.2 %Lebanon County8.2Lehigh County: 8.1 %Lehigh County8.1Jefferson County: 7.8 %Jefferson County7.8Adams County: 7.7 %Adams County7.7Dauphin County: 7.7 %Dauphin County7.7Berks County: 7.6 %Berks County7.6Somerset County: 7.6 %Somerset County7.6Wayne County: 7.6 %Wayne County7.6Luzerne County: 7.4 %Luzerne County7.4Pike County: 7.4 %Pike County7.4Clinton County: 7.3 %Clinton County7.3Potter County: 7.3 %Potter County7.3Forest County: 7.2 %Forest County7.2Clearfield County: 7.1 %Clearfield County7.1Erie County: 7.1 %Erie County7.1Huntingdon County: 7.1 %Huntingdon County7.1Lackawanna County: 7.1 %Lackawanna County7.1Mercer County: 7.1 %Mercer County7.1Cumberland County: 6.9 %Cumberland County6.9Venango County: 6.9 %Venango County6.9Fayette County: 6.8 %Fayette County6.8Fulton County: 6.8 %Fulton County6.8Juniata County: 11.4 %Juniata County11.4Lancaster County: 11.2 %Lancaster County11.2Mifflin County: 9.6 %Mifflin County9.6Perry County: 9 %Perry County9Philadelphia County: 9 %Philadelphia County9Sullivan County: 8.8 %Sullivan County8.8Snyder County: 8.7 %Snyder County8.7Crawford County: 8.6 %Crawford County8.6Franklin County: 8.5 %Franklin County8.5Susquehanna County: 8.5 %Susquehanna County8.5Bedford County: 8.4 %Bedford County8.4Union County: 8.4 %Union County8.4Monroe County: 8.3 %Monroe County8.3Tioga County: 8.3 %Tioga County8.3Bradford County: 8.2 %Bradford County8.2Centre County: 8.2 %Centre County8.2Clarion County: 8.2 %Clarion County8.2Indiana County: 8.2 %Indiana County8.2Lebanon County: 8.2 %Lebanon County8.2Lehigh County: 8.1 %Lehigh County8.1Jefferson County: 7.8 %Jefferson County7.8Adams County: 7.7 %Adams County7.7Dauphin County: 7.7 %Dauphin County7.7Berks County: 7.6 %Berks County7.6Somerset County: 7.6 %Somerset County7.6Wayne County: 7.6 %Wayne County7.6Luzerne County: 7.4 %Luzerne County7.4Pike County: 7.4 %Pike County7.4Clinton County: 7.3 %Clinton County7.3Potter County: 7.3 %Potter County7.3Forest County: 7.2 %Forest County7.2Clearfield County: 7.1 %Clearfield County7.1Erie County: 7.1 %Erie County7.1Huntingdon County: 7.1 %Huntingdon County7.1Lackawanna County: 7.1 %Lackawanna County7.1Mercer County: 7.1 %Mercer County7.1Cumberland County: 6.9 %Cumberland County6.9Venango County: 6.9 %Venango County6.9Fayette County: 6.8 %Fayette County6.8Fulton County: 6.8 %Fulton County6.8
%. 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
1Juniata County11.4+2.9 pts
2Lancaster County11.2-0.9 pts
3Mifflin County9.6+0.8 pts
4Perry County9+0.5 pts
4Philadelphia County9+0.3 pts
6Sullivan County8.8+0.3 pts
7Snyder County8.7-0.5 pts
8Crawford County8.6+0.4 pts
9Franklin County8.5-0.4 pts
9Susquehanna County8.5+0.9 pts
11Bedford County8.4+1 pts
11Union County8.4+0.6 pts
13Monroe County8.3+0.7 pts
13Tioga County8.3+1.3 pts
15Bradford County8.2+1.5 pts
15Centre County8.2+1.4 pts
15Clarion County8.2+0.2 pts
15Indiana County8.2+0.1 pts
15Lebanon County8.2-0.1 pts
20Lehigh County8.1+0.4 pts
21Jefferson County7.8+0.8 pts
22Adams County7.7+0.6 pts
22Dauphin County7.7+0.9 pts
24Berks County7.6+0.1 pts
24Somerset County7.6-0.5 pts
24Wayne County7.6+0.1 pts
27Luzerne County7.4+0.9 pts
27Pike County7.4+0.4 pts
29Clinton County7.3-0.1 pts
29Potter County7.3+0.1 pts
31Forest County7.2+0.1 pts
32Clearfield County7.1+0.7 pts
32Erie County7.1+1.1 pts
32Huntingdon County7.1+0.5 pts
32Lackawanna County7.1+0.5 pts
32Mercer County7.1+0.2 pts
37Cumberland County6.9+0.9 pts
37Venango County6.9-0.1 pts
39Fayette County6.8+0.6 pts
39Fulton County6.8-0.2 pts
41Blair County6.7+0.4 pts
41Carbon County6.7+0.5 pts
41Lycoming County6.70 pts
44Columbia County6.6+0.4 pts
44Lawrence County6.6+0.5 pts
46Armstrong County6.50 pts
46Warren County6.5+0.6 pts
48Greene County6.4-0.1 pts
48Northumberland County6.4-0.5 pts
50Delaware County6.3+0.2 pts
50McKean County6.30 pts
52Montour County6.2+1.2 pts
53Cameron County6.1+0.2 pts
53Schuylkill County6.1-0.4 pts
53York County6.1-0.4 pts
56Wyoming County60 pts
57Chester County5.90 pts
57Washington County5.9+1.2 pts
59Cambria County5.8+0.4 pts
59Elk County5.8+0.7 pts
59Northampton County5.8-0.2 pts
62Beaver County5.6+0.5 pts
63Westmoreland County5.5+0.7 pts
64Bucks County5.4+0.2 pts
65Allegheny County5.1+0.1 pts
66Montgomery County4.9+0.3 pts
67Butler County4.8+0.2 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 Pennsylvania 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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_pennsylvania_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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/pennsylvania-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)?

Juniata County, with 11.4% in 2019, according to the U.S. Census Bureau.

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

Butler County, with 4.8% 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 Pennsylvania: more rankings