Counties in Virginia by uninsured rate, under 65 (US model-based estimate), 2024

Manassas Park city had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2024, at 14.9%. Poquoson city had the lowest, at 3.9%. The median was 8.6% and the figure for Virginia was 8.1%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Lowest3.9Poquoson city
Median8.6133 counties
Virginia8.1History

Map of counties, 2024

Accomack County: 14.3 %Albemarle County: 7.4 %Alleghany County: 7.1 %Amelia County: 11.1 %Amherst County: 8.6 %Appomattox County: 8.5 %Arlington County: 5.5 %Augusta County: 7.6 %Bath County: 6.5 %Bedford County: 7.7 %Bland County: 6.4 %Botetourt County: 6 %Brunswick County: 10.5 %Buchanan County: 10.3 %Buckingham County: 10.9 %Campbell County: 8.9 %Caroline County: 9.4 %Carroll County: 10.9 %Charles City County: 8.7 %Charlotte County: 13.1 %Chesterfield County: 7.9 %Clarke County: 8.4 %Craig County: 8.9 %Culpeper County: 10.2 %Cumberland County: 7.2 %Dickenson County: 9.5 %Dinwiddie County: 7.6 %Essex County: 10.4 %Fairfax County: 7.9 %Fauquier County: 7.5 %Floyd County: 8.8 %Fluvanna County: 5.8 %Franklin County: 8.5 %Frederick County: 9.3 %Giles County: 8.1 %Gloucester County: 8.7 %Goochland County: 4.9 %Grayson County: 10.3 %Greene County: 10.7 %Greensville County: 8.2 %Halifax County: 9.9 %Hanover County: 6.4 %Henrico County: 7.7 %Henry County: 9.6 %Highland County: 9.8 %Isle of Wight County: 6.4 %James City County: 6.4 %King and Queen County: 9.5 %King George County: 7.2 %King William County: 7.1 %Lancaster County: 10.3 %Lee County: 9.7 %Loudoun County: 5.8 %Louisa County: 9.1 %Lunenburg County: 12.1 %Madison County: 10.1 %Mathews County: 8.6 %Mecklenburg County: 10.3 %Middlesex County: 9.7 %Montgomery County: 6.6 %Nelson County: 10.9 %New Kent County: 7.5 %Northampton County: 12 %Northumberland County: 10.2 %Nottoway County: 9.7 %Orange County: 7.8 %Page County: 10.2 %Patrick County: 9.7 %Pittsylvania County: 9.5 %Powhatan County: 6.9 %Prince Edward County: 8.2 %Prince George County: 7 %Prince William County: 10.1 %Pulaski County: 6.8 %Rappahannock County: 10.5 %Richmond County: 11.4 %Roanoke County: 6.5 %Rockbridge County: 8.3 %Rockingham County: 11.2 %Russell County: 9.6 %Scott County: 9.1 %Shenandoah County: 10.6 %Smyth County: 9 %Southampton County: 7.6 %Spotsylvania County: 8.2 %Stafford County: 6.3 %Surry County: 7 %Sussex County: 8.5 %Tazewell County: 9.8 %Warren County: 9.3 %Washington County: 8.1 %Westmoreland County: 10.8 %Wise County: 10.1 %Wythe County: 8.6 %York County: 5.6 %Alexandria city: 8.2 %Bristol city: 8 %Buena Vista city: 7.4 %Charlottesville city: 8.4 %Chesapeake city: 6.3 %Colonial Heights city: 8.3 %Covington city: 7.7 %Danville city: 8.9 %Emporia city: 9.5 %Fairfax city: 9.5 %Falls Church city: 4.2 %Franklin city: 7.6 %Fredericksburg city: 9 %Galax city: 10 %Hampton city: 7.2 %Harrisonburg city: 14 %Hopewell city: 9.3 %Lexington city: 6.5 %Lynchburg city: 9 %Manassas city: 14.8 %Manassas Park city: 14.9 %Martinsville city: 9.2 %Newport News city: 8.2 %Norfolk city: 9.2 %Norton city: 5.5 %Petersburg city: 8.2 %Poquoson city: 3.9 %Portsmouth city: 8.2 %Radford city: 6.8 %Richmond city: 9.8 %Roanoke city: 9.9 %Salem city: 5.9 %Staunton city: 7.2 %Suffolk city: 7.2 %Virginia Beach city: 7.2 %Waynesboro city: 9.4 %Williamsburg city: 9.7 %Winchester city: 11.8 %
  • Under 6.9
  • 6.9 to 7.8
  • 7.8 to 8.6
  • 8.6 to 9.5
  • 9.5 to 10
  • 10 and over
%, 2024. 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, 2024

Manassas Park city: 14.9 %Manassas Park city14.9Manassas city: 14.8 %Manassas city14.8Accomack County: 14.3 %Accomack County14.3Harrisonburg city: 14 %Harrisonburg city14Charlotte County: 13.1 %Charlotte County13.1Lunenburg County: 12.1 %Lunenburg County12.1Northampton County: 12 %Northampton County12Winchester city: 11.8 %Winchester city11.8Richmond County: 11.4 %Richmond County11.4Rockingham County: 11.2 %Rockingham County11.2Amelia County: 11.1 %Amelia County11.1Buckingham County: 10.9 %Buckingham County10.9Carroll County: 10.9 %Carroll County10.9Nelson County: 10.9 %Nelson County10.9Westmoreland County: 10.8 %Westmoreland County10.8Greene County: 10.7 %Greene County10.7Shenandoah County: 10.6 %Shenandoah County10.6Brunswick County: 10.5 %Brunswick County10.5Rappahannock County: 10.5 %Rappahannock County10.5Essex County: 10.4 %Essex County10.4Buchanan County: 10.3 %Buchanan County10.3Grayson County: 10.3 %Grayson County10.3Lancaster County: 10.3 %Lancaster County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Culpeper County: 10.2 %Culpeper County10.2Northumberland County: 10.2 %Northumberland County10.2Page County: 10.2 %Page County10.2Madison County: 10.1 %Madison County10.1Prince William County: 10.1 %Prince William County10.1Wise County: 10.1 %Wise County10.1Galax city: 10 %Galax city10Halifax County: 9.9 %Halifax County9.9Roanoke city: 9.9 %Roanoke city9.9Highland County: 9.8 %Highland County9.8Richmond city: 9.8 %Richmond city9.8Tazewell County: 9.8 %Tazewell County9.8Lee County: 9.7 %Lee County9.7Middlesex County: 9.7 %Middlesex County9.7Nottoway County: 9.7 %Nottoway County9.7Patrick County: 9.7 %Patrick County9.7Manassas Park city: 14.9 %Manassas Park city14.9Manassas city: 14.8 %Manassas city14.8Accomack County: 14.3 %Accomack County14.3Harrisonburg city: 14 %Harrisonburg city14Charlotte County: 13.1 %Charlotte County13.1Lunenburg County: 12.1 %Lunenburg County12.1Northampton County: 12 %Northampton County12Winchester city: 11.8 %Winchester city11.8Richmond County: 11.4 %Richmond County11.4Rockingham County: 11.2 %Rockingham County11.2Amelia County: 11.1 %Amelia County11.1Buckingham County: 10.9 %Buckingham County10.9Carroll County: 10.9 %Carroll County10.9Nelson County: 10.9 %Nelson County10.9Westmoreland County: 10.8 %Westmoreland County10.8Greene County: 10.7 %Greene County10.7Shenandoah County: 10.6 %Shenandoah County10.6Brunswick County: 10.5 %Brunswick County10.5Rappahannock County: 10.5 %Rappahannock County10.5Essex County: 10.4 %Essex County10.4Buchanan County: 10.3 %Buchanan County10.3Grayson County: 10.3 %Grayson County10.3Lancaster County: 10.3 %Lancaster County10.3Mecklenburg County: 10.3 %Mecklenburg County10.3Culpeper County: 10.2 %Culpeper County10.2Northumberland County: 10.2 %Northumberland County10.2Page County: 10.2 %Page County10.2Madison County: 10.1 %Madison County10.1Prince William County: 10.1 %Prince William County10.1Wise County: 10.1 %Wise County10.1Galax city: 10 %Galax city10Halifax County: 9.9 %Halifax County9.9Roanoke city: 9.9 %Roanoke city9.9Highland County: 9.8 %Highland County9.8Richmond city: 9.8 %Richmond city9.8Tazewell County: 9.8 %Tazewell County9.8Lee County: 9.7 %Lee County9.7Middlesex County: 9.7 %Middlesex County9.7Nottoway County: 9.7 %Nottoway County9.7Patrick County: 9.7 %Patrick County9.7
%. 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

RankCounties2024 (%)Change on 2023
1Manassas Park city14.9+0.2 pts
2Manassas city14.8+3.1 pts
3Accomack County14.3+2.5 pts
4Harrisonburg city14+1.1 pts
5Charlotte County13.1+3.6 pts
6Lunenburg County12.1+1.3 pts
7Northampton County12+2.2 pts
8Winchester city11.8+1.2 pts
9Richmond County11.4+0.3 pts
10Rockingham County11.2+1.5 pts
11Amelia County11.1+1.3 pts
12Buckingham County10.9+1.1 pts
12Carroll County10.9+0.7 pts
12Nelson County10.9+0.4 pts
15Westmoreland County10.8+0.2 pts
16Greene County10.7+1.7 pts
17Shenandoah County10.6+1.3 pts
18Brunswick County10.5+0.2 pts
18Rappahannock County10.5+0.3 pts
20Essex County10.4+0.3 pts
21Buchanan County10.3+0.2 pts
21Grayson County10.3+1 pts
21Lancaster County10.30 pts
21Mecklenburg County10.3+0.6 pts
25Culpeper County10.2+0.7 pts
25Northumberland County10.2+0.7 pts
25Page County10.2+0.8 pts
28Madison County10.1-0.8 pts
28Prince William County10.1+1.1 pts
28Wise County10.1+1.5 pts
31Galax city10+0.1 pts
32Halifax County9.9+1 pts
32Roanoke city9.9+0.1 pts
34Highland County9.8+2.3 pts
34Richmond city9.8+0.5 pts
34Tazewell County9.8+1 pts
37Lee County9.7+0.8 pts
37Middlesex County9.7-0.5 pts
37Nottoway County9.7+0.5 pts
37Patrick County9.7+1.3 pts
37Williamsburg city9.7+1.4 pts
42Henry County9.6+1.3 pts
42Russell County9.6+0.9 pts
44Dickenson County9.5+0.8 pts
44Emporia city9.5+1.6 pts
44Fairfax city9.5+0.5 pts
44King and Queen County9.5-0.3 pts
44Pittsylvania County9.5+1.1 pts
49Caroline County9.4+1.6 pts
49Waynesboro city9.4+0.4 pts
51Frederick County9.3+1.3 pts
51Hopewell city9.3+1.4 pts
51Warren County9.3+0.5 pts
54Martinsville city9.2+0.9 pts
54Norfolk city9.2-0.2 pts
56Louisa County9.1+0.7 pts
56Scott County9.1+1.4 pts
58Fredericksburg city9+0.3 pts
58Lynchburg city9+1.5 pts
58Smyth County9+0.8 pts
61Campbell County8.9+1.3 pts
61Craig County8.9+0.9 pts
61Danville city8.9+0.6 pts
64Floyd County8.8+1.1 pts
65Charles City County8.7-0.9 pts
65Gloucester County8.7+1.4 pts
67Amherst County8.6+1.1 pts
67Mathews County8.6+1.6 pts
67Wythe County8.6+1.1 pts
70Appomattox County8.5-0.2 pts
70Franklin County8.5+0.5 pts
70Sussex County8.5+0.7 pts
73Charlottesville city8.4+0.7 pts
73Clarke County8.4+1.2 pts
75Colonial Heights city8.3+1 pts
75Rockbridge County8.3+0.9 pts
77Alexandria city8.2+0.3 pts
77Greensville County8.2+1.2 pts
77Newport News city8.2-0.1 pts
77Petersburg city8.2-0.1 pts
77Portsmouth city8.2+1.4 pts
77Prince Edward County8.2+0.3 pts
77Spotsylvania County8.2+0.7 pts
84Giles County8.1-0.1 pts
84Washington County8.1+0.5 pts
86Bristol city8-0.4 pts
87Chesterfield County7.9+0.8 pts
87Fairfax County7.9+0.9 pts
89Orange County7.80 pts
90Bedford County7.7-0.2 pts
90Covington city7.7+0.9 pts
90Henrico County7.7+0.1 pts
93Augusta County7.6+0.4 pts
93Dinwiddie County7.6+0.3 pts
93Franklin city7.6+0.6 pts
93Southampton County7.6+1.1 pts
97Fauquier County7.50 pts
97New Kent County7.5+0.8 pts
99Albemarle County7.4+0.4 pts
99Buena Vista city7.4+0.5 pts
101Cumberland County7.20 pts
101Hampton city7.2+0.2 pts
101King George County7.2+0.7 pts
101Staunton city7.2+0.2 pts
101Suffolk city7.2+0.2 pts
101Virginia Beach city7.2+0.2 pts
107Alleghany County7.1-0.4 pts
107King William County7.1+0.4 pts
109Prince George County7+0.6 pts
109Surry County7+0.2 pts
111Powhatan County6.9+0.4 pts
112Pulaski County6.8+0.5 pts
112Radford city6.8+0.6 pts
114Montgomery County6.6-0.1 pts
115Bath County6.5+0.1 pts
115Lexington city6.5+1.6 pts
115Roanoke County6.5+0.8 pts
118Bland County6.4+0.7 pts
118Hanover County6.4+0.8 pts
118Isle of Wight County6.4+0.1 pts
118James City County6.4+0.8 pts
122Chesapeake city6.3+0.2 pts
122Stafford County6.3-0.1 pts
124Botetourt County6+0.3 pts
125Salem city5.9+0.5 pts
126Fluvanna County5.8+0.1 pts
126Loudoun County5.8+0.6 pts
128York County5.6+0.6 pts
129Arlington County5.5+0.9 pts
129Norton city5.50 pts
131Goochland County4.9+0.5 pts
132Falls Church city4.2+0.1 pts
133Poquoson city3.9-0.9 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-2024-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties. 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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties.

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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2024,
  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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties. 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-2024-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 Virginia by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties.
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-2024-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)?

Manassas Park city, with 14.9% in 2024, according to the U.S. Census Bureau.

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

Poquoson city, with 3.9% in 2024.

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 Virginia: more rankings