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)

Bledsoe County had the highest uninsured rate, under 65 (US model-based estimate) of 95 counties in 2023, at 18.5%. Williamson County had the lowest, at 5.7%. The median was 11.6% and the figure for Tennessee was 11%. Source: the U.S. Census Bureau.

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Highest18.5Bledsoe County
Lowest5.7Williamson County
Median11.695 counties
Tennessee11History

Map of counties, 2023

Anderson County: 9 %Bedford County: 13.6 %Benton County: 13.2 %Bledsoe County: 18.5 %Blount County: 9.6 %Bradley County: 11.4 %Campbell County: 11.4 %Cannon County: 12.1 %Carroll County: 9.4 %Carter County: 11.7 %Cheatham County: 11.5 %Chester County: 11 %Claiborne County: 11.3 %Clay County: 13.6 %Cocke County: 11.9 %Coffee County: 11.7 %Crockett County: 12.7 %Cumberland County: 11.5 %Davidson County: 12.3 %Decatur County: 12.2 %DeKalb County: 13.5 %Dickson County: 9.5 %Dyer County: 10 %Fayette County: 9 %Fentress County: 13 %Franklin County: 9.3 %Gibson County: 10.6 %Giles County: 10.9 %Grainger County: 11.7 %Greene County: 11.8 %Grundy County: 12.9 %Hamblen County: 13.1 %Hamilton County: 10.7 %Hancock County: 11 %Hardeman County: 11.4 %Hardin County: 12.7 %Hawkins County: 11 %Haywood County: 11.6 %Henderson County: 11.6 %Henry County: 10.8 %Hickman County: 12.6 %Houston County: 11.6 %Humphreys County: 12.3 %Jackson County: 14 %Jefferson County: 10.3 %Johnson County: 14.8 %Knox County: 10.6 %Lake County: 12.7 %Lauderdale County: 11.3 %Lawrence County: 12.1 %Lewis County: 12.7 %Lincoln County: 11.6 %Loudon County: 11.2 %McMinn County: 11.2 %McNairy County: 11.8 %Macon County: 15.1 %Madison County: 11.2 %Marion County: 12.8 %Marshall County: 11.7 %Maury County: 9.2 %Meigs County: 11.5 %Monroe County: 12.3 %Montgomery County: 10 %Moore County: 9.9 %Morgan County: 14.3 %Obion County: 12.1 %Overton County: 12.6 %Perry County: 12.6 %Pickett County: 13.7 %Polk County: 13.2 %Putnam County: 12 %Rhea County: 11.3 %Roane County: 8.8 %Robertson County: 10.2 %Rutherford County: 10.2 %Scott County: 13.3 %Sequatchie County: 13.8 %Sevier County: 15.2 %Shelby County: 12.6 %Smith County: 11.4 %Stewart County: 11.1 %Sullivan County: 9.9 %Sumner County: 8.7 %Tipton County: 9.6 %Trousdale County: 10.7 %Unicoi County: 10 %Union County: 12.8 %Van Buren County: 13.1 %Warren County: 13.7 %Washington County: 11.1 %Wayne County: 13.9 %Weakley County: 9.9 %White County: 12.9 %Williamson County: 5.7 %Wilson County: 8.3 %
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%, 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

Bledsoe County: 18.5 %Bledsoe County18.5Sevier County: 15.2 %Sevier County15.2Macon County: 15.1 %Macon County15.1Johnson County: 14.8 %Johnson County14.8Morgan County: 14.3 %Morgan County14.3Jackson County: 14 %Jackson County14Wayne County: 13.9 %Wayne County13.9Sequatchie County: 13.8 %Sequatchie County13.8Pickett County: 13.7 %Pickett County13.7Warren County: 13.7 %Warren County13.7Bedford County: 13.6 %Bedford County13.6Clay County: 13.6 %Clay County13.6DeKalb County: 13.5 %DeKalb County13.5Scott County: 13.3 %Scott County13.3Benton County: 13.2 %Benton County13.2Polk County: 13.2 %Polk County13.2Hamblen County: 13.1 %Hamblen County13.1Van Buren County: 13.1 %Van Buren County13.1Fentress County: 13 %Fentress County13Grundy County: 12.9 %Grundy County12.9White County: 12.9 %White County12.9Marion County: 12.8 %Marion County12.8Union County: 12.8 %Union County12.8Crockett County: 12.7 %Crockett County12.7Hardin County: 12.7 %Hardin County12.7Lake County: 12.7 %Lake County12.7Lewis County: 12.7 %Lewis County12.7Hickman County: 12.6 %Hickman County12.6Overton County: 12.6 %Overton County12.6Perry County: 12.6 %Perry County12.6Shelby County: 12.6 %Shelby County12.6Davidson County: 12.3 %Davidson County12.3Humphreys County: 12.3 %Humphreys County12.3Monroe County: 12.3 %Monroe County12.3Decatur County: 12.2 %Decatur County12.2Cannon County: 12.1 %Cannon County12.1Lawrence County: 12.1 %Lawrence County12.1Obion County: 12.1 %Obion County12.1Putnam County: 12 %Putnam County12Cocke County: 11.9 %Cocke County11.9Bledsoe County: 18.5 %Bledsoe County18.5Sevier County: 15.2 %Sevier County15.2Macon County: 15.1 %Macon County15.1Johnson County: 14.8 %Johnson County14.8Morgan County: 14.3 %Morgan County14.3Jackson County: 14 %Jackson County14Wayne County: 13.9 %Wayne County13.9Sequatchie County: 13.8 %Sequatchie County13.8Pickett County: 13.7 %Pickett County13.7Warren County: 13.7 %Warren County13.7Bedford County: 13.6 %Bedford County13.6Clay County: 13.6 %Clay County13.6DeKalb County: 13.5 %DeKalb County13.5Scott County: 13.3 %Scott County13.3Benton County: 13.2 %Benton County13.2Polk County: 13.2 %Polk County13.2Hamblen County: 13.1 %Hamblen County13.1Van Buren County: 13.1 %Van Buren County13.1Fentress County: 13 %Fentress County13Grundy County: 12.9 %Grundy County12.9White County: 12.9 %White County12.9Marion County: 12.8 %Marion County12.8Union County: 12.8 %Union County12.8Crockett County: 12.7 %Crockett County12.7Hardin County: 12.7 %Hardin County12.7Lake County: 12.7 %Lake County12.7Lewis County: 12.7 %Lewis County12.7Hickman County: 12.6 %Hickman County12.6Overton County: 12.6 %Overton County12.6Perry County: 12.6 %Perry County12.6Shelby County: 12.6 %Shelby County12.6Davidson County: 12.3 %Davidson County12.3Humphreys County: 12.3 %Humphreys County12.3Monroe County: 12.3 %Monroe County12.3Decatur County: 12.2 %Decatur County12.2Cannon County: 12.1 %Cannon County12.1Lawrence County: 12.1 %Lawrence County12.1Obion County: 12.1 %Obion County12.1Putnam County: 12 %Putnam County12Cocke County: 11.9 %Cocke County11.9
%. 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

RankCounties2023 (%)Change on 2022
1Bledsoe County18.5+2.4 pts
2Sevier County15.20 pts
3Macon County15.1+0.8 pts
4Johnson County14.8+1.5 pts
5Morgan County14.3+1.8 pts
6Jackson County14+0.2 pts
7Wayne County13.9+2.6 pts
8Sequatchie County13.8-1.1 pts
9Pickett County13.7-3.1 pts
9Warren County13.7-1 pts
11Bedford County13.6+0.7 pts
11Clay County13.6+1 pts
13DeKalb County13.5-0.2 pts
14Scott County13.3-0.1 pts
15Benton County13.2+0.1 pts
15Polk County13.2+0.3 pts
17Hamblen County13.1-0.2 pts
17Van Buren County13.1+2 pts
19Fentress County13+0.2 pts
20Grundy County12.9-0.8 pts
20White County12.9-1.2 pts
22Marion County12.8+0.9 pts
22Union County12.80 pts
24Crockett County12.7-0.5 pts
24Hardin County12.70 pts
24Lake County12.7-1.1 pts
24Lewis County12.7-1.7 pts
28Hickman County12.6-0.6 pts
28Overton County12.6+0.2 pts
28Perry County12.6-1.8 pts
28Shelby County12.6+1.2 pts
32Davidson County12.3-0.4 pts
32Humphreys County12.3-0.2 pts
32Monroe County12.3+0.5 pts
35Decatur County12.2+0.6 pts
36Cannon County12.1-0.6 pts
36Lawrence County12.1-1 pts
36Obion County12.1-0.9 pts
39Putnam County12+0.8 pts
40Cocke County11.9-0.9 pts
41Greene County11.8-0.2 pts
41McNairy County11.8-1.2 pts
43Carter County11.7-1.7 pts
43Coffee County11.7+0.6 pts
43Grainger County11.7+0.1 pts
43Marshall County11.7+1 pts
47Haywood County11.6-0.3 pts
47Henderson County11.60 pts
47Houston County11.6-1.4 pts
47Lincoln County11.6+0.5 pts
51Cheatham County11.5-0.4 pts
51Cumberland County11.5-1.4 pts
51Meigs County11.5+0.7 pts
54Bradley County11.4+0.2 pts
54Campbell County11.4-0.7 pts
54Hardeman County11.4+0.9 pts
54Smith County11.4-0.5 pts
58Claiborne County11.3-0.2 pts
58Lauderdale County11.3-0.3 pts
58Rhea County11.3-1.9 pts
61Loudon County11.20 pts
61Madison County11.2+0.4 pts
61McMinn County11.2-0.9 pts
64Stewart County11.1-1.3 pts
64Washington County11.1-0.9 pts
66Chester County11-0.4 pts
66Hancock County11+0.5 pts
66Hawkins County11-0.2 pts
69Giles County10.9-0.1 pts
70Henry County10.8-0.8 pts
71Hamilton County10.7-0.1 pts
71Trousdale County10.7+1.5 pts
73Gibson County10.6-1.2 pts
73Knox County10.6+0.8 pts
75Jefferson County10.3-1.7 pts
76Robertson County10.2-1.4 pts
76Rutherford County10.2+0.2 pts
78Dyer County10-0.6 pts
78Montgomery County10+0.6 pts
78Unicoi County10-0.8 pts
81Moore County9.9+0.1 pts
81Sullivan County9.9-0.6 pts
81Weakley County9.9-1.7 pts
84Blount County9.6-1.7 pts
84Tipton County9.60 pts
86Dickson County9.5-1.9 pts
87Carroll County9.4-0.1 pts
88Franklin County9.3-1 pts
89Maury County9.2-0.7 pts
90Anderson County9-1.8 pts
90Fayette County9-0.9 pts
92Roane County8.8-0.1 pts
93Sumner County8.7-0.9 pts
94Wilson County8.3-0.4 pts
95Williamson County5.70 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 Tennessee 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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-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 Tennessee 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/tennessee-counties?period=2023 (Accessed: 12 October 2026).

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

Bledsoe County, with 18.5% in 2023, 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 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 Tennessee: more rankings