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

Forest County had the highest uninsured rate, under 65 (US model-based estimate) of 67 counties in 2023, at 13%. Butler County had the lowest, at 4.2%. The median was 6.7% and the figure for Pennsylvania was 6.5%. Source: the U.S. Census Bureau.

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Highest13Forest County
Lowest4.2Butler County
Median6.767 counties
Pennsylvania6.5History

Map of counties, 2023

Adams County: 6.8 %Allegheny County: 4.8 %Armstrong County: 5.6 %Beaver County: 5.1 %Bedford County: 7.9 %Berks County: 8.3 %Blair County: 6.5 %Bradford County: 6.8 %Bucks County: 4.6 %Butler County: 4.2 %Cambria County: 5.2 %Cameron County: 6.7 %Carbon County: 6.7 %Centre County: 6.5 %Chester County: 4.9 %Clarion County: 6.6 %Clearfield County: 7.1 %Clinton County: 7.3 %Columbia County: 6 %Crawford County: 9.1 %Cumberland County: 6.5 %Dauphin County: 7.5 %Delaware County: 5.6 %Elk County: 5.8 %Erie County: 5.8 %Fayette County: 5.9 %Forest County: 13 %Franklin County: 8.6 %Fulton County: 6 %Greene County: 6.2 %Huntingdon County: 6.7 %Indiana County: 8.4 %Jefferson County: 8.9 %Juniata County: 12.3 %Lackawanna County: 6.5 %Lancaster County: 11 %Lawrence County: 5.8 %Lebanon County: 8.6 %Lehigh County: 7.3 %Luzerne County: 7.9 %Lycoming County: 6.5 %McKean County: 6.2 %Mercer County: 7.7 %Mifflin County: 11.9 %Monroe County: 7.4 %Montgomery County: 4.9 %Montour County: 4.7 %Northampton County: 6.1 %Northumberland County: 6.7 %Perry County: 8.2 %Philadelphia County: 8.1 %Pike County: 6.6 %Potter County: 6.9 %Schuylkill County: 6.9 %Snyder County: 9.7 %Somerset County: 6.9 %Sullivan County: 7.9 %Susquehanna County: 7.2 %Tioga County: 7.3 %Union County: 9.4 %Venango County: 6.6 %Warren County: 5.6 %Washington County: 5 %Wayne County: 7.2 %Westmoreland County: 4.3 %Wyoming County: 5.8 %York County: 5.8 %
  • Under 5.6
  • 5.6 to 6.2
  • 6.2 to 6.7
  • 6.7 to 7.3
  • 7.3 to 8.3
  • 8.3 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

Forest County: 13 %Forest County13Juniata County: 12.3 %Juniata County12.3Mifflin County: 11.9 %Mifflin County11.9Lancaster County: 11 %Lancaster County11Snyder County: 9.7 %Snyder County9.7Union County: 9.4 %Union County9.4Crawford County: 9.1 %Crawford County9.1Jefferson County: 8.9 %Jefferson County8.9Franklin County: 8.6 %Franklin County8.6Lebanon County: 8.6 %Lebanon County8.6Indiana County: 8.4 %Indiana County8.4Berks County: 8.3 %Berks County8.3Perry County: 8.2 %Perry County8.2Philadelphia County: 8.1 %Philadelphia County8.1Bedford County: 7.9 %Bedford County7.9Luzerne County: 7.9 %Luzerne County7.9Sullivan County: 7.9 %Sullivan County7.9Mercer County: 7.7 %Mercer County7.7Dauphin County: 7.5 %Dauphin County7.5Monroe County: 7.4 %Monroe County7.4Clinton County: 7.3 %Clinton County7.3Lehigh County: 7.3 %Lehigh County7.3Tioga County: 7.3 %Tioga County7.3Susquehanna County: 7.2 %Susquehanna County7.2Wayne County: 7.2 %Wayne County7.2Clearfield County: 7.1 %Clearfield County7.1Potter County: 6.9 %Potter County6.9Schuylkill County: 6.9 %Schuylkill County6.9Somerset County: 6.9 %Somerset County6.9Adams County: 6.8 %Adams County6.8Bradford County: 6.8 %Bradford County6.8Cameron County: 6.7 %Cameron County6.7Carbon County: 6.7 %Carbon County6.7Huntingdon County: 6.7 %Huntingdon County6.7Northumberland County: 6.7 %Northumberland County6.7Clarion County: 6.6 %Clarion County6.6Pike County: 6.6 %Pike County6.6Venango County: 6.6 %Venango County6.6Blair County: 6.5 %Blair County6.5Centre County: 6.5 %Centre County6.5Forest County: 13 %Forest County13Juniata County: 12.3 %Juniata County12.3Mifflin County: 11.9 %Mifflin County11.9Lancaster County: 11 %Lancaster County11Snyder County: 9.7 %Snyder County9.7Union County: 9.4 %Union County9.4Crawford County: 9.1 %Crawford County9.1Jefferson County: 8.9 %Jefferson County8.9Franklin County: 8.6 %Franklin County8.6Lebanon County: 8.6 %Lebanon County8.6Indiana County: 8.4 %Indiana County8.4Berks County: 8.3 %Berks County8.3Perry County: 8.2 %Perry County8.2Philadelphia County: 8.1 %Philadelphia County8.1Bedford County: 7.9 %Bedford County7.9Luzerne County: 7.9 %Luzerne County7.9Sullivan County: 7.9 %Sullivan County7.9Mercer County: 7.7 %Mercer County7.7Dauphin County: 7.5 %Dauphin County7.5Monroe County: 7.4 %Monroe County7.4Clinton County: 7.3 %Clinton County7.3Lehigh County: 7.3 %Lehigh County7.3Tioga County: 7.3 %Tioga County7.3Susquehanna County: 7.2 %Susquehanna County7.2Wayne County: 7.2 %Wayne County7.2Clearfield County: 7.1 %Clearfield County7.1Potter County: 6.9 %Potter County6.9Schuylkill County: 6.9 %Schuylkill County6.9Somerset County: 6.9 %Somerset County6.9Adams County: 6.8 %Adams County6.8Bradford County: 6.8 %Bradford County6.8Cameron County: 6.7 %Cameron County6.7Carbon County: 6.7 %Carbon County6.7Huntingdon County: 6.7 %Huntingdon County6.7Northumberland County: 6.7 %Northumberland County6.7Clarion County: 6.6 %Clarion County6.6Pike County: 6.6 %Pike County6.6Venango County: 6.6 %Venango County6.6Blair County: 6.5 %Blair County6.5Centre County: 6.5 %Centre County6.5
%. 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
1Forest County13+5.3 pts
2Juniata County12.3+0.7 pts
3Mifflin County11.9+0.5 pts
4Lancaster County11-1.1 pts
5Snyder County9.7-0.3 pts
6Union County9.4+0.5 pts
7Crawford County9.1-0.9 pts
8Jefferson County8.9+0.4 pts
9Franklin County8.6+0.1 pts
9Lebanon County8.6-1.1 pts
11Indiana County8.4+0.5 pts
12Berks County8.3+0.8 pts
13Perry County8.2-1.6 pts
14Philadelphia County8.1+0.4 pts
15Bedford County7.9+0.5 pts
15Luzerne County7.9+1.2 pts
15Sullivan County7.9-0.2 pts
18Mercer County7.7+0.7 pts
19Dauphin County7.5+0.6 pts
20Monroe County7.4+0.6 pts
21Clinton County7.3-1.2 pts
21Lehigh County7.30 pts
21Tioga County7.3-0.3 pts
24Susquehanna County7.2-1.7 pts
24Wayne County7.2-0.2 pts
26Clearfield County7.1+0.7 pts
27Potter County6.9-0.1 pts
27Schuylkill County6.9-0.3 pts
27Somerset County6.9-0.7 pts
30Adams County6.8-0.2 pts
30Bradford County6.8-0.8 pts
32Cameron County6.7-0.5 pts
32Carbon County6.7-0.1 pts
32Huntingdon County6.7+0.9 pts
32Northumberland County6.70 pts
36Clarion County6.6-1.5 pts
36Pike County6.6-0.2 pts
36Venango County6.6+0.1 pts
39Blair County6.5+0.2 pts
39Centre County6.5+0.3 pts
39Cumberland County6.5+1.2 pts
39Lackawanna County6.5+0.7 pts
39Lycoming County6.5-0.3 pts
44Greene County6.2-0.2 pts
44McKean County6.2+0.1 pts
46Northampton County6.1+0.3 pts
47Columbia County60 pts
47Fulton County6-0.1 pts
49Fayette County5.9-0.6 pts
50Elk County5.8-0.2 pts
50Erie County5.8-0.3 pts
50Lawrence County5.8-1 pts
50Wyoming County5.8+0.6 pts
50York County5.8+0.1 pts
55Armstrong County5.60 pts
55Delaware County5.6+0.2 pts
55Warren County5.6-0.3 pts
58Cambria County5.2+0.1 pts
59Beaver County5.1+0.2 pts
60Washington County5-0.6 pts
61Chester County4.9-0.8 pts
61Montgomery County4.9+0.6 pts
63Allegheny County4.8+0.1 pts
64Montour County4.7+0.3 pts
65Bucks County4.6-0.7 pts
66Westmoreland County4.3-0.4 pts
67Butler County4.2-0.1 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 Pennsylvania 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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_pennsylvania_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 Pennsylvania 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/pennsylvania-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 Pennsylvania 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/pennsylvania-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/pennsylvania-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)?

Forest County, with 13% in 2023, according to the U.S. Census Bureau.

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

Butler County, with 4.2% 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 Pennsylvania: more rankings