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

Jackson County had the highest uninsured rate, under 65 (US model-based estimate) of 66 counties in 2016, at 21.2%. Lincoln County had the lowest, at 5.3%. The median was 10.6% and the figure for South Dakota was 10.4%. Source: the U.S. Census Bureau.

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Highest21.2Jackson County
Median10.666 counties
South Dakota10.4History

Map of counties, 2016

Aurora County: 12.7 %Beadle County: 13 %Bennett County: 20.9 %Bon Homme County: 10.7 %Brookings County: 8.4 %Brown County: 9.3 %Brule County: 15.4 %Buffalo County: 17.9 %Butte County: 12.2 %Campbell County: 9.5 %Charles Mix County: 16.9 %Clark County: 12.7 %Clay County: 12 %Codington County: 9 %Corson County: 18.7 %Custer County: 10.7 %Davison County: 8.7 %Day County: 15.1 %Deuel County: 10.5 %Dewey County: 18.9 %Douglas County: 11.1 %Edmunds County: 9.5 %Fall River County: 10.2 %Faulk County: 8.1 %Grant County: 9.6 %Gregory County: 15.3 %Haakon County: 12.2 %Hamlin County: 9.3 %Hand County: 8.4 %Hanson County: 8.9 %Harding County: 11.6 %Hughes County: 9.6 %Hutchinson County: 10.6 %Hyde County: 9.3 %Jackson County: 21.2 %Jerauld County: 9.1 %Jones County: 15.6 %Kingsbury County: 8.3 %Lake County: 8.3 %Lawrence County: 9.5 %Lincoln County: 5.3 %Lyman County: 17.7 %McCook County: 9.7 %McPherson County: 10.2 %Marshall County: 16.4 %Meade County: 10.3 %Mellette County: 18.8 %Miner County: 8.7 %Minnehaha County: 9.8 %Moody County: 14.6 %Oglala Lakota County: 15.5 %Pennington County: 10.4 %Perkins County: 13.8 %Potter County: 9.9 %Roberts County: 18 %Sanborn County: 9.2 %Spink County: 10.1 %Stanley County: 9.1 %Sully County: 10.9 %Todd County: 16.9 %Tripp County: 14.9 %Turner County: 9.1 %Union County: 6.3 %Walworth County: 12.5 %Yankton County: 9 %Ziebach County: 18.2 %
  • Under 9
  • 9 to 9.6
  • 9.6 to 11
  • 11 to 13
  • 13 to 16
  • 16 and over
%, 2016. 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, 2016

Jackson County: 21.2 %Jackson County21.2Bennett County: 20.9 %Bennett County20.9Dewey County: 18.9 %Dewey County18.9Mellette County: 18.8 %Mellette County18.8Corson County: 18.7 %Corson County18.7Ziebach County: 18.2 %Ziebach County18.2Roberts County: 18 %Roberts County18Buffalo County: 17.9 %Buffalo County17.9Lyman County: 17.7 %Lyman County17.7Charles Mix County: 16.9 %Charles Mix County16.9Todd County: 16.9 %Todd County16.9Marshall County: 16.4 %Marshall County16.4Jones County: 15.6 %Jones County15.6Oglala Lakota County: 15.5 %Oglala Lakota County15.5Brule County: 15.4 %Brule County15.4Gregory County: 15.3 %Gregory County15.3Day County: 15.1 %Day County15.1Tripp County: 14.9 %Tripp County14.9Moody County: 14.6 %Moody County14.6Perkins County: 13.8 %Perkins County13.8Beadle County: 13 %Beadle County13Aurora County: 12.7 %Aurora County12.7Clark County: 12.7 %Clark County12.7Walworth County: 12.5 %Walworth County12.5Butte County: 12.2 %Butte County12.2Haakon County: 12.2 %Haakon County12.2Clay County: 12 %Clay County12Harding County: 11.6 %Harding County11.6Douglas County: 11.1 %Douglas County11.1Sully County: 10.9 %Sully County10.9Bon Homme County: 10.7 %Bon Homme County10.7Custer County: 10.7 %Custer County10.7Hutchinson County: 10.6 %Hutchinson County10.6Deuel County: 10.5 %Deuel County10.5Pennington County: 10.4 %Pennington County10.4Meade County: 10.3 %Meade County10.3Fall River County: 10.2 %Fall River County10.2McPherson County: 10.2 %McPherson County10.2Spink County: 10.1 %Spink County10.1Potter County: 9.9 %Potter County9.9Jackson County: 21.2 %Jackson County21.2Bennett County: 20.9 %Bennett County20.9Dewey County: 18.9 %Dewey County18.9Mellette County: 18.8 %Mellette County18.8Corson County: 18.7 %Corson County18.7Ziebach County: 18.2 %Ziebach County18.2Roberts County: 18 %Roberts County18Buffalo County: 17.9 %Buffalo County17.9Lyman County: 17.7 %Lyman County17.7Charles Mix County: 16.9 %Charles Mix County16.9Todd County: 16.9 %Todd County16.9Marshall County: 16.4 %Marshall County16.4Jones County: 15.6 %Jones County15.6Oglala Lakota County: 15.5 %Oglala Lakota County15.5Brule County: 15.4 %Brule County15.4Gregory County: 15.3 %Gregory County15.3Day County: 15.1 %Day County15.1Tripp County: 14.9 %Tripp County14.9Moody County: 14.6 %Moody County14.6Perkins County: 13.8 %Perkins County13.8Beadle County: 13 %Beadle County13Aurora County: 12.7 %Aurora County12.7Clark County: 12.7 %Clark County12.7Walworth County: 12.5 %Walworth County12.5Butte County: 12.2 %Butte County12.2Haakon County: 12.2 %Haakon County12.2Clay County: 12 %Clay County12Harding County: 11.6 %Harding County11.6Douglas County: 11.1 %Douglas County11.1Sully County: 10.9 %Sully County10.9Bon Homme County: 10.7 %Bon Homme County10.7Custer County: 10.7 %Custer County10.7Hutchinson County: 10.6 %Hutchinson County10.6Deuel County: 10.5 %Deuel County10.5Pennington County: 10.4 %Pennington County10.4Meade County: 10.3 %Meade County10.3Fall River County: 10.2 %Fall River County10.2McPherson County: 10.2 %McPherson County10.2Spink County: 10.1 %Spink County10.1Potter County: 9.9 %Potter County9.9
%. 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

RankCounties2016 (%)Change on 2015
1Jackson County21.2-1 pts
2Bennett County20.9-1.4 pts
3Dewey County18.9-3.2 pts
4Mellette County18.8+0.9 pts
5Corson County18.7-1 pts
6Ziebach County18.20 pts
7Roberts County180 pts
8Buffalo County17.9-2.8 pts
9Lyman County17.7-0.1 pts
10Charles Mix County16.9-2.6 pts
10Todd County16.9-0.6 pts
12Marshall County16.4-0.7 pts
13Jones County15.6-1.7 pts
14Oglala Lakota County15.5-2.7 pts
15Brule County15.4-2.1 pts
16Gregory County15.3-1.4 pts
17Day County15.1-1.5 pts
18Tripp County14.9-1.1 pts
19Moody County14.60 pts
20Perkins County13.8-0.8 pts
21Beadle County13-1.7 pts
22Aurora County12.7-2 pts
22Clark County12.7-1.1 pts
24Walworth County12.5-2.4 pts
25Butte County12.2-1.7 pts
25Haakon County12.2-0.3 pts
27Clay County12+0.1 pts
28Harding County11.6-1.1 pts
29Douglas County11.1-1.8 pts
30Sully County10.9-2.9 pts
31Bon Homme County10.7-2.1 pts
31Custer County10.7-2.1 pts
33Hutchinson County10.6-0.8 pts
34Deuel County10.5-1 pts
35Pennington County10.4-2.7 pts
36Meade County10.3-1 pts
37Fall River County10.2-2.1 pts
37McPherson County10.2-2.9 pts
39Spink County10.1-1.9 pts
40Potter County9.9-2.1 pts
41Minnehaha County9.8-0.7 pts
42McCook County9.7-0.5 pts
43Grant County9.6-1.5 pts
43Hughes County9.6-1.3 pts
45Campbell County9.5-1.8 pts
45Edmunds County9.5-1.5 pts
45Lawrence County9.5-2.3 pts
48Brown County9.3-0.9 pts
48Hamlin County9.3-2.2 pts
48Hyde County9.3-2.8 pts
51Sanborn County9.2-2.8 pts
52Jerauld County9.1-2.4 pts
52Stanley County9.1-2.8 pts
52Turner County9.1-1.6 pts
55Codington County9-1.2 pts
55Yankton County9-1.2 pts
57Hanson County8.9-2.4 pts
58Davison County8.7-1.6 pts
58Miner County8.7-1.1 pts
60Brookings County8.4-2.4 pts
60Hand County8.4-1.9 pts
62Kingsbury County8.3-0.8 pts
62Lake County8.3-1.2 pts
64Faulk County8.1-1 pts
65Union County6.3-0.5 pts
66Lincoln County5.3-0.5 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-2016-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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016. 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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016.

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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_south_dakota_2016,
  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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016. 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-2016-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 South Dakota by uninsured rate, under 65 (US model-based estimate), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/south-dakota-counties?period=2016.
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-2016-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)?

Jackson County, with 21.2% in 2016, according to the U.S. Census Bureau.

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

Lincoln County, with 5.3% in 2016.

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 South Dakota: more rankings