Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / Counties in Tennessee

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

Pickett County had the highest uninsured rate, under 65 (US model-based estimate) of 95 counties in 2022, at 16.8%. Williamson County had the lowest, at 5.7%. The median was 11.9% and the figure for Tennessee was 11.1%. Source: the U.S. Census Bureau.

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Highest16.8Pickett County
Lowest5.7Williamson County
Median11.995 counties
Tennessee11.1History

Map of counties, 2022

Anderson County: 10.8 %Bedford County: 12.9 %Benton County: 13.1 %Bledsoe County: 16.1 %Blount County: 11.3 %Bradley County: 11.2 %Campbell County: 12.1 %Cannon County: 12.7 %Carroll County: 9.5 %Carter County: 13.4 %Cheatham County: 11.9 %Chester County: 11.4 %Claiborne County: 11.5 %Clay County: 12.6 %Cocke County: 12.8 %Coffee County: 11.1 %Crockett County: 13.2 %Cumberland County: 12.9 %Davidson County: 12.7 %Decatur County: 11.6 %DeKalb County: 13.7 %Dickson County: 11.4 %Dyer County: 10.6 %Fayette County: 9.9 %Fentress County: 12.8 %Franklin County: 10.3 %Gibson County: 11.8 %Giles County: 11 %Grainger County: 11.6 %Greene County: 12 %Grundy County: 13.7 %Hamblen County: 13.3 %Hamilton County: 10.8 %Hancock County: 10.5 %Hardeman County: 10.5 %Hardin County: 12.7 %Hawkins County: 11.2 %Haywood County: 11.9 %Henderson County: 11.6 %Henry County: 11.6 %Hickman County: 13.2 %Houston County: 13 %Humphreys County: 12.5 %Jackson County: 13.8 %Jefferson County: 12 %Johnson County: 13.3 %Knox County: 9.8 %Lake County: 13.8 %Lauderdale County: 11.6 %Lawrence County: 13.1 %Lewis County: 14.4 %Lincoln County: 11.1 %Loudon County: 11.2 %McMinn County: 12.1 %McNairy County: 13 %Macon County: 14.3 %Madison County: 10.8 %Marion County: 11.9 %Marshall County: 10.7 %Maury County: 9.9 %Meigs County: 10.8 %Monroe County: 11.8 %Montgomery County: 9.4 %Moore County: 9.8 %Morgan County: 12.5 %Obion County: 13 %Overton County: 12.4 %Perry County: 14.4 %Pickett County: 16.8 %Polk County: 12.9 %Putnam County: 11.2 %Rhea County: 13.2 %Roane County: 8.9 %Robertson County: 11.6 %Rutherford County: 10 %Scott County: 13.4 %Sequatchie County: 14.9 %Sevier County: 15.2 %Shelby County: 11.4 %Smith County: 11.9 %Stewart County: 12.4 %Sullivan County: 10.5 %Sumner County: 9.6 %Tipton County: 9.6 %Trousdale County: 9.2 %Unicoi County: 10.8 %Union County: 12.8 %Van Buren County: 11.1 %Warren County: 14.7 %Washington County: 12 %Wayne County: 11.3 %Weakley County: 11.6 %White County: 14.1 %Williamson County: 5.7 %Wilson County: 8.7 %
  • Under 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2022. 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, 2022

Pickett County: 16.8 %Pickett County16.8Bledsoe County: 16.1 %Bledsoe County16.1Sevier County: 15.2 %Sevier County15.2Sequatchie County: 14.9 %Sequatchie County14.9Warren County: 14.7 %Warren County14.7Lewis County: 14.4 %Lewis County14.4Perry County: 14.4 %Perry County14.4Macon County: 14.3 %Macon County14.3White County: 14.1 %White County14.1Jackson County: 13.8 %Jackson County13.8Lake County: 13.8 %Lake County13.8DeKalb County: 13.7 %DeKalb County13.7Grundy County: 13.7 %Grundy County13.7Carter County: 13.4 %Carter County13.4Scott County: 13.4 %Scott County13.4Hamblen County: 13.3 %Hamblen County13.3Johnson County: 13.3 %Johnson County13.3Crockett County: 13.2 %Crockett County13.2Hickman County: 13.2 %Hickman County13.2Rhea County: 13.2 %Rhea County13.2Benton County: 13.1 %Benton County13.1Lawrence County: 13.1 %Lawrence County13.1Houston County: 13 %Houston County13McNairy County: 13 %McNairy County13Obion County: 13 %Obion County13Bedford County: 12.9 %Bedford County12.9Cumberland County: 12.9 %Cumberland County12.9Polk County: 12.9 %Polk County12.9Cocke County: 12.8 %Cocke County12.8Fentress County: 12.8 %Fentress County12.8Union County: 12.8 %Union County12.8Cannon County: 12.7 %Cannon County12.7Davidson County: 12.7 %Davidson County12.7Hardin County: 12.7 %Hardin County12.7Clay County: 12.6 %Clay County12.6Humphreys County: 12.5 %Humphreys County12.5Morgan County: 12.5 %Morgan County12.5Overton County: 12.4 %Overton County12.4Stewart County: 12.4 %Stewart County12.4Campbell County: 12.1 %Campbell County12.1Pickett County: 16.8 %Pickett County16.8Bledsoe County: 16.1 %Bledsoe County16.1Sevier County: 15.2 %Sevier County15.2Sequatchie County: 14.9 %Sequatchie County14.9Warren County: 14.7 %Warren County14.7Lewis County: 14.4 %Lewis County14.4Perry County: 14.4 %Perry County14.4Macon County: 14.3 %Macon County14.3White County: 14.1 %White County14.1Jackson County: 13.8 %Jackson County13.8Lake County: 13.8 %Lake County13.8DeKalb County: 13.7 %DeKalb County13.7Grundy County: 13.7 %Grundy County13.7Carter County: 13.4 %Carter County13.4Scott County: 13.4 %Scott County13.4Hamblen County: 13.3 %Hamblen County13.3Johnson County: 13.3 %Johnson County13.3Crockett County: 13.2 %Crockett County13.2Hickman County: 13.2 %Hickman County13.2Rhea County: 13.2 %Rhea County13.2Benton County: 13.1 %Benton County13.1Lawrence County: 13.1 %Lawrence County13.1Houston County: 13 %Houston County13McNairy County: 13 %McNairy County13Obion County: 13 %Obion County13Bedford County: 12.9 %Bedford County12.9Cumberland County: 12.9 %Cumberland County12.9Polk County: 12.9 %Polk County12.9Cocke County: 12.8 %Cocke County12.8Fentress County: 12.8 %Fentress County12.8Union County: 12.8 %Union County12.8Cannon County: 12.7 %Cannon County12.7Davidson County: 12.7 %Davidson County12.7Hardin County: 12.7 %Hardin County12.7Clay County: 12.6 %Clay County12.6Humphreys County: 12.5 %Humphreys County12.5Morgan County: 12.5 %Morgan County12.5Overton County: 12.4 %Overton County12.4Stewart County: 12.4 %Stewart County12.4Campbell County: 12.1 %Campbell County12.1
%. 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

RankCounties2022 (%)Change on 2021
1Pickett County16.8+1 pts
2Bledsoe County16.1-1.9 pts
3Sevier County15.2-1.6 pts
4Sequatchie County14.9+1.3 pts
5Warren County14.7-0.8 pts
6Lewis County14.4-0.1 pts
6Perry County14.4-0.7 pts
8Macon County14.3+1.5 pts
9White County14.1+0.3 pts
10Jackson County13.8-0.3 pts
10Lake County13.8-0.6 pts
12DeKalb County13.7-2.1 pts
12Grundy County13.7-1.8 pts
14Carter County13.4-0.1 pts
14Scott County13.40 pts
16Hamblen County13.3-1.6 pts
16Johnson County13.3-0.2 pts
18Crockett County13.2-0.7 pts
18Hickman County13.20 pts
18Rhea County13.2-0.1 pts
21Benton County13.1-0.7 pts
21Lawrence County13.1+0.8 pts
23Houston County13-2.9 pts
23McNairy County13+0.1 pts
23Obion County13-0.4 pts
26Bedford County12.9-1.8 pts
26Cumberland County12.9-0.5 pts
26Polk County12.9-0.3 pts
29Cocke County12.8-0.2 pts
29Fentress County12.8-0.7 pts
29Union County12.8-2.2 pts
32Cannon County12.7+0.1 pts
32Davidson County12.7-1.1 pts
32Hardin County12.7-1.1 pts
35Clay County12.6-1.4 pts
36Humphreys County12.5-1.2 pts
36Morgan County12.5-0.3 pts
38Overton County12.4-0.4 pts
38Stewart County12.4-1 pts
40Campbell County12.1-1.5 pts
40McMinn County12.1-0.8 pts
42Greene County12+0.6 pts
42Jefferson County12+0.4 pts
42Washington County12+0.1 pts
45Cheatham County11.9-1.2 pts
45Haywood County11.9-1 pts
45Marion County11.9+0.3 pts
45Smith County11.9-0.6 pts
49Gibson County11.8-0.1 pts
49Monroe County11.8-0.7 pts
51Decatur County11.6-1.6 pts
51Grainger County11.6-3.2 pts
51Henderson County11.6-2 pts
51Henry County11.6-1.4 pts
51Lauderdale County11.6-0.4 pts
51Robertson County11.6+0.9 pts
51Weakley County11.6-0.5 pts
58Claiborne County11.5-0.9 pts
59Chester County11.4-0.5 pts
59Dickson County11.4-0.1 pts
59Shelby County11.4-1.5 pts
62Blount County11.30 pts
62Wayne County11.3-1.7 pts
64Bradley County11.2-2.1 pts
64Hawkins County11.2+0.2 pts
64Loudon County11.2-0.6 pts
64Putnam County11.2-1 pts
68Coffee County11.1-1.5 pts
68Lincoln County11.1-1.7 pts
68Van Buren County11.1-3.6 pts
71Giles County11+0.2 pts
72Anderson County10.8-1.3 pts
72Hamilton County10.8-1 pts
72Madison County10.8-0.2 pts
72Meigs County10.8-1.6 pts
72Unicoi County10.8-1.5 pts
77Marshall County10.7-1.3 pts
78Dyer County10.6-1.1 pts
79Hancock County10.5-1.1 pts
79Hardeman County10.5-1.4 pts
79Sullivan County10.5-0.9 pts
82Franklin County10.3-2 pts
83Rutherford County10+0.2 pts
84Fayette County9.9-1.6 pts
84Maury County9.9-0.2 pts
86Knox County9.8-0.5 pts
86Moore County9.8-0.8 pts
88Sumner County9.6-1 pts
88Tipton County9.6-0.4 pts
90Carroll County9.5-1.5 pts
91Montgomery County9.4-0.2 pts
92Trousdale County9.2-1.4 pts
93Roane County8.9-1.9 pts
94Wilson County8.7-0.9 pts
95Williamson County5.7-0.1 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_tennessee_by_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/tennessee-counties?period=2022.
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-2022-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)?

Pickett County, with 16.8% in 2022, according to the U.S. Census Bureau.

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

Williamson County, with 5.7% in 2022.

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