Data / Rankings / Uninsured rate, under 65 (US model-based estimate) / US counties

US counties by uninsured rate, under 65 (US model-based estimate)

Gaines County had the highest uninsured rate, under 65 (US model-based estimate) of 3132 counties in 2019, at 35.8%. Norfolk County had the lowest, at 2.4%. The median was 11%. Source: the U.S. Census Bureau.

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Highest35.8Gaines County
Lowest2.4Norfolk County
Median113132 counties

Map of counties, 2019

%, 2019. Hatched areas have no value for this period. 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

Gaines County: 35.8 %Gaines County35.8Dallam County: 33.8 %Dallam County33.8Hidalgo County: 33.2 %Hidalgo County33.2Presidio County: 32.6 %Presidio County32.6Collingsworth County: 32.3 %Collingsworth County32.3Hudspeth County: 32 %Hudspeth County32Starr County: 31.2 %Starr County31.2Cameron County: 30.8 %Cameron County30.8San Saba County: 30.7 %San Saba County30.7Hall County: 30.2 %Hall County30.2Webb County: 30.2 %Webb County30.2Clark County: 29.7 %Clark County29.7Hansford County: 29.6 %Hansford County29.6Mason County: 29.4 %Mason County29.4Castro County: 29.3 %Castro County29.3Zapata County: 29.3 %Zapata County29.3Lipscomb County: 29.2 %Lipscomb County29.2Cochran County: 28.5 %Cochran County28.5Maverick County: 28.5 %Maverick County28.5Menard County: 28.5 %Menard County28.5Sherman County: 28.3 %Sherman County28.3Parmer County: 28.2 %Parmer County28.2Bailey County: 28.1 %Bailey County28.1LaGrange County: 27.9 %LaGrange County27.9Ochiltree County: 27.3 %Ochiltree County27.3Moore County: 27.2 %Moore County27.2Jeff Davis County: 27.1 %Jeff Davis County27.1Haskell County: 26.9 %Haskell County26.9Hendry County: 26.9 %Hendry County26.9Lamb County: 26.9 %Lamb County26.9Mills County: 26.9 %Mills County26.9Hardeman County: 26.7 %Hardeman County26.7DeSoto County: 26.5 %DeSoto County26.5Glades County: 26.5 %Glades County26.5Kenedy County: 26.3 %Kenedy County26.3Leon County: 26.3 %Leon County26.3Swisher County: 26.3 %Swisher County26.3Terry County: 26.3 %Terry County26.3Deaf Smith County: 26.2 %Deaf Smith County26.2Wheeler County: 26.2 %Wheeler County26.2Gaines County: 35.8 %Gaines County35.8Dallam County: 33.8 %Dallam County33.8Hidalgo County: 33.2 %Hidalgo County33.2Presidio County: 32.6 %Presidio County32.6Collingsworth County: 32.3 %Collingsworth County32.3Hudspeth County: 32 %Hudspeth County32Starr County: 31.2 %Starr County31.2Cameron County: 30.8 %Cameron County30.8San Saba County: 30.7 %San Saba County30.7Hall County: 30.2 %Hall County30.2Webb County: 30.2 %Webb County30.2Clark County: 29.7 %Clark County29.7Hansford County: 29.6 %Hansford County29.6Mason County: 29.4 %Mason County29.4Castro County: 29.3 %Castro County29.3Zapata County: 29.3 %Zapata County29.3Lipscomb County: 29.2 %Lipscomb County29.2Cochran County: 28.5 %Cochran County28.5Maverick County: 28.5 %Maverick County28.5Menard County: 28.5 %Menard County28.5Sherman County: 28.3 %Sherman County28.3Parmer County: 28.2 %Parmer County28.2Bailey County: 28.1 %Bailey County28.1LaGrange County: 27.9 %LaGrange County27.9Ochiltree County: 27.3 %Ochiltree County27.3Moore County: 27.2 %Moore County27.2Jeff Davis County: 27.1 %Jeff Davis County27.1Haskell County: 26.9 %Haskell County26.9Hendry County: 26.9 %Hendry County26.9Lamb County: 26.9 %Lamb County26.9Mills County: 26.9 %Mills County26.9Hardeman County: 26.7 %Hardeman County26.7DeSoto County: 26.5 %DeSoto County26.5Glades County: 26.5 %Glades County26.5Kenedy County: 26.3 %Kenedy County26.3Leon County: 26.3 %Leon County26.3Swisher County: 26.3 %Swisher County26.3Terry County: 26.3 %Terry County26.3Deaf Smith County: 26.2 %Deaf Smith County26.2Wheeler County: 26.2 %Wheeler County26.2
%. 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
1Gaines County35.8+3.6 pts
2Dallam County33.8+3.6 pts
3Hidalgo County33.2+1.1 pts
4Presidio County32.6+0.6 pts
5Collingsworth County32.3+2.3 pts
6Hudspeth County32+3.7 pts
7Starr County31.2+1.3 pts
8Cameron County30.8+0.6 pts
9San Saba County30.7+2.7 pts
10Hall County30.2+1.8 pts
10Webb County30.2+0.4 pts
12Clark County29.7+2.5 pts
13Hansford County29.6+1.8 pts
14Mason County29.4+1.8 pts
15Castro County29.3+0.2 pts
15Zapata County29.3+0.9 pts
17Lipscomb County29.2+1.4 pts
18Cochran County28.5+1.5 pts
18Maverick County28.5+0.8 pts
18Menard County28.5+0.2 pts
21Sherman County28.30 pts
22Parmer County28.20 pts
23Bailey County28.1-1 pts
24LaGrange County27.9+2.4 pts
25Ochiltree County27.3+0.1 pts
26Moore County27.2+2 pts
27Jeff Davis County27.1-2.5 pts
28Haskell County26.9+1.1 pts
28Hendry County26.9-0.3 pts
28Lamb County26.9+1.4 pts
28Mills County26.90 pts
32Hardeman County26.7+1.1 pts
33DeSoto County26.5+1.9 pts
33Glades County26.5+0.6 pts
35Kenedy County26.3-0.5 pts
35Leon County26.3+0.5 pts
35Swisher County26.3+2.9 pts
35Terry County26.3+1.6 pts
39Deaf Smith County26.2+0.2 pts
39Wheeler County26.2+0.5 pts
39Yoakum County26.2+3.8 pts
42Floyd County25.9+3.1 pts
43Edwards County25.8+1.6 pts
43Shelby County25.8+0.5 pts
45Caldwell County25.7+4.2 pts
46Coleman County25.6+1.5 pts
46Wharton County25.6+2.3 pts
48Potter County25.3+0.8 pts
49Gonzales County25.2-0.3 pts
50Dallas County25.1+1.1 pts
50Titus County25.1+2.7 pts
52Knox County25-0.5 pts
53Aransas County24.9+0.8 pts
53Schleicher County24.90 pts
53Uvalde County24.9+1.1 pts
56Colorado County24.8+3.1 pts
56Hamilton County24.8+2 pts
56Pecos County24.8+1.3 pts
59Jack County24.5+1.2 pts
60Jackson County24.4+2.5 pts
61Culberson County24.3-0.4 pts
61El Paso County24.3+0.5 pts
61Throckmorton County24.3-0.2 pts
64Cherokee County24.2+1.4 pts
64Gillespie County24.2+2.1 pts
64Harris County24.2+1.6 pts
67Briscoe County24.1-2.6 pts
67Comanche County24.1-0.9 pts
67Eastland County24.1+2.7 pts
67Hale County24.1+2.1 pts
67Harmon County24.1+2.1 pts
67Texas County24.1+0.2 pts
73Madison County24+3.4 pts
73Stephens County24-0.2 pts
75Gray County23.9+0.6 pts
75Van Zandt County23.9+2.5 pts
75Waller County23.9+0.6 pts
78Atkinson County23.8-1.1 pts
78Kerr County23.8+2.1 pts
78Kimble County23.8+2.9 pts
81Erath County23.7+2.9 pts
82Garza County23.6+0.5 pts
82Holmes County23.6-0.5 pts
82Navarro County23.6+1.8 pts
82Val Verde County23.6+2 pts
86Colquitt County23.5-0.3 pts
86Hopkins County23.5+0.7 pts
86Young County23.5+1.5 pts
89Echols County23.4-1.7 pts
89Willacy County23.4+0.8 pts
91Aleutians East Borough23.3-2.3 pts
91Hemphill County23.3-1.2 pts
91Llano County23.3+2.6 pts
94Dawson County23.2-0.4 pts
94Henderson County23.2+0.9 pts
96Childress County23.1+1.6 pts
96Owyhee County23.1-0.6 pts
96Palo Pinto County23.1+0.5 pts
99Bosque County23-0.4 pts
99Polk County23+1.1 pts
101Foard County22.9+0.2 pts
101Harper County22.9-1.2 pts
101Hartley County22.9-0.6 pts
101Whitfield County22.9+0.8 pts
105Frio County22.8+0.6 pts
105Liberty County22.8+1.2 pts
105Marshall County22.8-0.1 pts
108Bastrop County22.7+0.9 pts
108McDonald County22.7+2.4 pts
108Motley County22.7+3.3 pts
111Grimes County22.6+0.3 pts
111Hill County22.6-0.2 pts
111Limestone County22.6+0.8 pts
111San Jacinto County22.6-0.2 pts
115McCurtain County22.5+1.1 pts
115Scurry County22.5+3.1 pts
115Shackelford County22.5+1.4 pts
118Adair County22.4-0.4 pts
118Beaver County22.4+1.1 pts
118Cherokee County22.40 pts
118Delaware County22.4-0.8 pts
118Gregg County22.4+1.3 pts
118Le Flore County22.4+1.7 pts
118Live Oak County22.4+1.3 pts
125Fremont County22.3+4.7 pts
125Swain County22.3+3 pts
127Atascosa County22.2+1.9 pts
127Candler County22.2+0.2 pts
127Cimarron County22.2-0.5 pts
127Real County22.2-1.6 pts
127Reeves County22.2+0.4 pts
127Wood County22.2+2.2 pts
133Hockley County22.1-0.3 pts
133Jackson County22.1+3.4 pts
133Lee County22.1+1.5 pts
133McIntosh County22.1+0.7 pts
133Mellette County22.1+2.7 pts
133Rains County22.10 pts
139Angelina County22+0.7 pts
139Cooke County22+1.6 pts
139Dickens County22+0.4 pts
139Ector County22+0.6 pts
139Okeechobee County22-0.3 pts
144Concho County21.9+1.4 pts
144Duval County21.9+1.6 pts
144Zavala County21.9+2.3 pts
147Bennett County21.8+1.7 pts
147Camp County21.8+1.2 pts
147Gilmer County21.8-2.9 pts
147Grayson County21.8+1.3 pts
147Jim Wells County21.8+1.7 pts
147Lamar County21.8+1.2 pts
147Leake County21.8+2.9 pts
147Newton County21.8+2.2 pts
147Scott County21.8+1.9 pts
147Wilbarger County21.8+0.3 pts
157Blanco County21.7-0.3 pts
157Houston County21.7+0.5 pts
157Montague County21.7-1.2 pts
160Austin County21.6+1.9 pts
160Cottle County21.6-3.5 pts
160Duplin County21.6+0.9 pts
160Fayette County21.6+2.1 pts
160Hall County21.6+0.7 pts
160Jefferson County21.6+1.1 pts
160King County21.6-0.4 pts
160Monroe County21.6+2 pts
160Scotland County21.6-0.1 pts
160Wise County21.6+0.8 pts
170Big Horn County21.5+4.5 pts
170Crosby County21.5+1.6 pts
170Fannin County21.5+1.4 pts
170Neshoba County21.5+4.1 pts
170Rabun County21.5-0.5 pts
170Trinity County21.5+0.2 pts
176Falls County21.4+0.7 pts
176Hamilton County21.4+1 pts
178Banks County21.3-0.2 pts
178Collier County21.3-1.3 pts
178Donley County21.3+1.6 pts
178Red River County21.3+2.3 pts
178Sequoyah County21.3+0.7 pts
183Brewster County21.2+1.5 pts
183La Paz County21.2+0.1 pts
183Lynn County21.2+1.2 pts
183Nacogdoches County21.2+0.3 pts
183Ward County21.2+2.3 pts
188Berrien County21.1+0.7 pts
188Jerome County21.1+1.9 pts
188San Augustine County21.1+1.4 pts
188Smith County21.1-0.6 pts
192Apache County21-0.2 pts
192Coal County21+0.6 pts
192McCulloch County21+1.2 pts
192Morgan County21+1.9 pts
192Winkler County21+0.1 pts
197Andrews County20.9-0.1 pts
197Burnet County20.9-2.2 pts
197Crockett County20.9-0.6 pts
197Haskell County20.9+0.4 pts
201Anderson County20.8+0.9 pts
201Atoka County20.8+0.6 pts
201Freestone County20.8+0.1 pts
201Knox County20.8+3.3 pts
201Matagorda County20.8-0.5 pts
206Coffee County20.7+1.2 pts
206Dewey County20.7+2.3 pts
206Greene County20.7+1.1 pts
206Rusk County20.7-1 pts
206Seminole County20.7+1.1 pts
206Sutton County20.7+0.9 pts
212Appling County20.6+1.9 pts
212Pushmataha County20.6-0.4 pts
214Bandera County20.5-1.4 pts
214Custer County20.5+1.6 pts
214Dimmit County20.5-0.2 pts
214Haskell County20.5-0.8 pts
214Nolan County20.5+2 pts
214Roger Mills County20.5+1 pts
214Upton County20.5+1.5 pts
221Crane County20.4+0.4 pts
221Grady County20.4-0.4 pts
221Highlands County20.4+1 pts
221Jones County20.4+1.3 pts
221Lincoln County20.4+0.2 pts
221Love County20.4+2.1 pts
221Martin County20.4+1.4 pts
221Murray County20.4-0.9 pts
229Bryan County20.3+0.8 pts
229Burleson County20.3-0.1 pts
229Calhoun County20.3+1.1 pts
229Charlton County20.3+1.9 pts
229Habersham County20.3+0.3 pts
234Corson County20.2-0.6 pts
234Hutchinson County20.2+0.2 pts
234Johnson County20.2+1.2 pts
234Marion County20.2+1 pts
234Roosevelt County20.2-0.2 pts
234Runnels County20.2+0.5 pts
234Sampson County20.2+1.4 pts
234Victoria County20.2+1.9 pts
242Blaine County20.1+7.1 pts
242DeWitt County20.1+1.9 pts
242Sabine County20.1+0.8 pts
242Tillman County20.1+0.4 pts
242Tyler County20.1+2.2 pts
247Brown County20+2.2 pts
247Dundy County20+0.8 pts
247Harrison County20+1.4 pts
247Hoonah-Angoon Census Area20-1.3 pts

Showing the top 250 of 3132. The Excel download has every row.

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. 11 counties with data in other periods have no value for 2019 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2019 (Accessed: 12 October 2026).

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

Gaines County, with 35.8% in 2019, according to the U.S. Census Bureau.

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

Norfolk County, with 2.4% 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. 11 counties have no value for 2019 and are not ranked.

Uninsured rate, under 65 (US model-based estimate): other rankings

US counties: more rankings