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

Sevier County had the highest uninsured rate, under 65 (US model-based estimate) of 95 counties in 2019, at 17.6%. Williamson County had the lowest, at 6.3%. The median was 12.6% and the figure for Tennessee was 12.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest17.6Sevier County
Median12.695 counties
Tennessee12.1History

Map of counties, 2019

Anderson County: 12.1 %Bedford County: 15.1 %Benton County: 13.6 %Bledsoe County: 16.6 %Blount County: 11.6 %Bradley County: 14 %Campbell County: 12.9 %Cannon County: 12.5 %Carroll County: 12.6 %Carter County: 14 %Cheatham County: 11.7 %Chester County: 12.4 %Claiborne County: 12.2 %Clay County: 14.1 %Cocke County: 12.9 %Coffee County: 11.9 %Crockett County: 15.3 %Cumberland County: 14.3 %Davidson County: 13.4 %Decatur County: 12.7 %DeKalb County: 14.2 %Dickson County: 11.7 %Dyer County: 11.5 %Fayette County: 11.3 %Fentress County: 13.2 %Franklin County: 11.7 %Gibson County: 11.7 %Giles County: 13.1 %Grainger County: 13.9 %Greene County: 13.1 %Grundy County: 14.2 %Hamblen County: 15.6 %Hamilton County: 12 %Hancock County: 11.8 %Hardeman County: 12.3 %Hardin County: 12.2 %Hawkins County: 11.7 %Haywood County: 12 %Henderson County: 12.7 %Henry County: 12.9 %Hickman County: 14 %Houston County: 13.8 %Humphreys County: 11.8 %Jackson County: 14.2 %Jefferson County: 13.1 %Johnson County: 12.4 %Knox County: 10.7 %Lake County: 11.9 %Lauderdale County: 12.5 %Lawrence County: 13 %Lewis County: 12 %Lincoln County: 13.2 %Loudon County: 13.7 %McMinn County: 12.9 %McNairy County: 11.5 %Macon County: 15 %Madison County: 11.3 %Marion County: 12.2 %Marshall County: 11.8 %Maury County: 11.3 %Meigs County: 13.1 %Monroe County: 13.2 %Montgomery County: 9.3 %Moore County: 10.2 %Morgan County: 12.5 %Obion County: 12.5 %Overton County: 13.3 %Perry County: 14.5 %Pickett County: 14.9 %Polk County: 14.5 %Putnam County: 13.3 %Rhea County: 14 %Roane County: 10.6 %Robertson County: 11.6 %Rutherford County: 10.4 %Scott County: 12 %Sequatchie County: 12.5 %Sevier County: 17.6 %Shelby County: 13.2 %Smith County: 12.1 %Stewart County: 12.6 %Sullivan County: 12.1 %Sumner County: 10.4 %Tipton County: 10.4 %Trousdale County: 12.9 %Unicoi County: 13 %Union County: 13.7 %Van Buren County: 12.7 %Warren County: 15.8 %Washington County: 11.9 %Wayne County: 13.4 %Weakley County: 11.5 %White County: 12.8 %Williamson County: 6.3 %Wilson County: 9.5 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 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

Sevier County: 17.6 %Sevier County17.6Bledsoe County: 16.6 %Bledsoe County16.6Warren County: 15.8 %Warren County15.8Hamblen County: 15.6 %Hamblen County15.6Crockett County: 15.3 %Crockett County15.3Bedford County: 15.1 %Bedford County15.1Macon County: 15 %Macon County15Pickett County: 14.9 %Pickett County14.9Perry County: 14.5 %Perry County14.5Polk County: 14.5 %Polk County14.5Cumberland County: 14.3 %Cumberland County14.3DeKalb County: 14.2 %DeKalb County14.2Grundy County: 14.2 %Grundy County14.2Jackson County: 14.2 %Jackson County14.2Clay County: 14.1 %Clay County14.1Bradley County: 14 %Bradley County14Carter County: 14 %Carter County14Hickman County: 14 %Hickman County14Rhea County: 14 %Rhea County14Grainger County: 13.9 %Grainger County13.9Houston County: 13.8 %Houston County13.8Loudon County: 13.7 %Loudon County13.7Union County: 13.7 %Union County13.7Benton County: 13.6 %Benton County13.6Davidson County: 13.4 %Davidson County13.4Wayne County: 13.4 %Wayne County13.4Overton County: 13.3 %Overton County13.3Putnam County: 13.3 %Putnam County13.3Fentress County: 13.2 %Fentress County13.2Lincoln County: 13.2 %Lincoln County13.2Monroe County: 13.2 %Monroe County13.2Shelby County: 13.2 %Shelby County13.2Giles County: 13.1 %Giles County13.1Greene County: 13.1 %Greene County13.1Jefferson County: 13.1 %Jefferson County13.1Meigs County: 13.1 %Meigs County13.1Lawrence County: 13 %Lawrence County13Unicoi County: 13 %Unicoi County13Campbell County: 12.9 %Campbell County12.9Cocke County: 12.9 %Cocke County12.9Sevier County: 17.6 %Sevier County17.6Bledsoe County: 16.6 %Bledsoe County16.6Warren County: 15.8 %Warren County15.8Hamblen County: 15.6 %Hamblen County15.6Crockett County: 15.3 %Crockett County15.3Bedford County: 15.1 %Bedford County15.1Macon County: 15 %Macon County15Pickett County: 14.9 %Pickett County14.9Perry County: 14.5 %Perry County14.5Polk County: 14.5 %Polk County14.5Cumberland County: 14.3 %Cumberland County14.3DeKalb County: 14.2 %DeKalb County14.2Grundy County: 14.2 %Grundy County14.2Jackson County: 14.2 %Jackson County14.2Clay County: 14.1 %Clay County14.1Bradley County: 14 %Bradley County14Carter County: 14 %Carter County14Hickman County: 14 %Hickman County14Rhea County: 14 %Rhea County14Grainger County: 13.9 %Grainger County13.9Houston County: 13.8 %Houston County13.8Loudon County: 13.7 %Loudon County13.7Union County: 13.7 %Union County13.7Benton County: 13.6 %Benton County13.6Davidson County: 13.4 %Davidson County13.4Wayne County: 13.4 %Wayne County13.4Overton County: 13.3 %Overton County13.3Putnam County: 13.3 %Putnam County13.3Fentress County: 13.2 %Fentress County13.2Lincoln County: 13.2 %Lincoln County13.2Monroe County: 13.2 %Monroe County13.2Shelby County: 13.2 %Shelby County13.2Giles County: 13.1 %Giles County13.1Greene County: 13.1 %Greene County13.1Jefferson County: 13.1 %Jefferson County13.1Meigs County: 13.1 %Meigs County13.1Lawrence County: 13 %Lawrence County13Unicoi County: 13 %Unicoi County13Campbell County: 12.9 %Campbell County12.9Cocke County: 12.9 %Cocke County12.9
%. 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

RankCounties2019 (%)Change on 2018
1Sevier County17.6+0.1 pts
2Bledsoe County16.6-1.1 pts
3Warren County15.8-0.1 pts
4Hamblen County15.6+1.2 pts
5Crockett County15.3+0.9 pts
6Bedford County15.1+0.4 pts
7Macon County15+0.6 pts
8Pickett County14.9+1.2 pts
9Perry County14.5+1 pts
9Polk County14.5+0.6 pts
11Cumberland County14.3+1.6 pts
12DeKalb County14.2-1 pts
12Grundy County14.2-0.8 pts
12Jackson County14.2+0.1 pts
15Clay County14.1+0.8 pts
16Bradley County14+0.4 pts
16Carter County14+0.8 pts
16Hickman County14+0.5 pts
16Rhea County14+1.2 pts
20Grainger County13.9+0.2 pts
21Houston County13.8+1.1 pts
22Loudon County13.7+0.6 pts
22Union County13.7+0.2 pts
24Benton County13.6+0.9 pts
25Davidson County13.4-0.6 pts
25Wayne County13.4+0.1 pts
27Overton County13.3+0.9 pts
27Putnam County13.3+1 pts
29Fentress County13.2-0.2 pts
29Lincoln County13.2+0.9 pts
29Monroe County13.2-0.9 pts
29Shelby County13.2-0.4 pts
33Giles County13.1+1.1 pts
33Greene County13.1+0.5 pts
33Jefferson County13.1+0.6 pts
33Meigs County13.1+0.8 pts
37Lawrence County13+0.6 pts
37Unicoi County13+0.9 pts
39Campbell County12.9-0.2 pts
39Cocke County12.9+1 pts
39Henry County12.9+1.3 pts
39McMinn County12.9+0.2 pts
39Trousdale County12.9+0.4 pts
44White County12.8+0.2 pts
45Decatur County12.7+0.2 pts
45Henderson County12.7+0.5 pts
45Van Buren County12.7-1 pts
48Carroll County12.6+1.1 pts
48Stewart County12.6-0.1 pts
50Cannon County12.50 pts
50Lauderdale County12.5-0.1 pts
50Morgan County12.5-0.9 pts
50Obion County12.5+0.9 pts
50Sequatchie County12.5+0.8 pts
55Chester County12.4-0.2 pts
55Johnson County12.4-0.8 pts
57Hardeman County12.3+0.2 pts
58Claiborne County12.2+0.4 pts
58Hardin County12.2-0.6 pts
58Marion County12.2+0.7 pts
61Anderson County12.1+0.5 pts
61Smith County12.1+0.6 pts
61Sullivan County12.1+0.3 pts
64Hamilton County12+0.1 pts
64Haywood County12+0.5 pts
64Lewis County12-1.1 pts
64Scott County12-1.2 pts
68Coffee County11.9+0.3 pts
68Lake County11.9+0.3 pts
68Washington County11.9+1.2 pts
71Hancock County11.8-0.4 pts
71Humphreys County11.8-1 pts
71Marshall County11.8+0.7 pts
74Cheatham County11.70 pts
74Dickson County11.7-1 pts
74Franklin County11.7+0.2 pts
74Gibson County11.7+0.6 pts
74Hawkins County11.70 pts
79Blount County11.6+0.2 pts
79Robertson County11.6-0.6 pts
81Dyer County11.5+0.5 pts
81McNairy County11.5-1.5 pts
81Weakley County11.5-1.2 pts
84Fayette County11.3+1.4 pts
84Madison County11.30 pts
84Maury County11.3+1.1 pts
87Knox County10.7+0.4 pts
88Roane County10.6-0.5 pts
89Rutherford County10.4+0.2 pts
89Sumner County10.4+0.4 pts
89Tipton County10.4-0.7 pts
92Moore County10.2+0.7 pts
93Wilson County9.5+0.1 pts
94Montgomery County9.3+0.5 pts
95Williamson County6.3+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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2019 (Accessed: 12 October 2026).

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

Sevier County, with 17.6% in 2019, according to the U.S. Census Bureau.

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

Williamson County, with 6.3% 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 Tennessee: more rankings