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

Highland County had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2013, at 27.3%. Falls Church city had the lowest, at 6.7%. The median was 15.7% and the figure for Virginia was 14%. Source: the U.S. Census Bureau.

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Highest27.3Highland County
Median15.7133 counties
Virginia14History

Map of counties, 2013

Accomack County: 20.6 %Albemarle County: 12.9 %Alleghany County: 13.7 %Amelia County: 17.7 %Amherst County: 16 %Appomattox County: 16.6 %Arlington County: 10.5 %Augusta County: 14.5 %Bath County: 16.7 %Bedford County: 13.7 %Bland County: 14.1 %Botetourt County: 11 %Brunswick County: 17.3 %Buchanan County: 15.5 %Buckingham County: 18.7 %Campbell County: 15.1 %Caroline County: 15.8 %Carroll County: 19.1 %Charles City County: 20.2 %Charlotte County: 19.4 %Chesterfield County: 12.5 %Clarke County: 12.1 %Craig County: 16.6 %Culpeper County: 16.4 %Cumberland County: 18 %Dickenson County: 15.6 %Dinwiddie County: 14.6 %Essex County: 17.2 %Fairfax County: 12.3 %Fauquier County: 12.2 %Floyd County: 17.8 %Fluvanna County: 13.9 %Franklin County: 17.2 %Frederick County: 14.4 %Giles County: 15 %Gloucester County: 14.1 %Goochland County: 7.3 %Grayson County: 18.3 %Greene County: 17.1 %Greensville County: 14.3 %Halifax County: 16.3 %Hanover County: 10.1 %Henrico County: 14 %Henry County: 18.4 %Highland County: 27.3 %Isle of Wight County: 12 %James City County: 12.1 %King and Queen County: 19 %King George County: 10.7 %King William County: 14.2 %Lancaster County: 15.4 %Lee County: 15.7 %Loudoun County: 9.1 %Louisa County: 17.2 %Lunenburg County: 19.3 %Madison County: 17.3 %Mathews County: 15.7 %Mecklenburg County: 18.4 %Middlesex County: 16.2 %Montgomery County: 15.4 %Nelson County: 17.6 %New Kent County: 13.2 %Northampton County: 21.2 %Northumberland County: 19.1 %Nottoway County: 17.2 %Orange County: 16.2 %Page County: 17 %Patrick County: 17.9 %Pittsylvania County: 15.5 %Powhatan County: 13.5 %Prince Edward County: 16.8 %Prince George County: 12.6 %Prince William County: 14.5 %Pulaski County: 14.8 %Rappahannock County: 19.6 %Richmond County: 19.1 %Roanoke County: 11.7 %Rockbridge County: 16.4 %Rockingham County: 16.3 %Russell County: 16 %Scott County: 15.1 %Shenandoah County: 16.7 %Smyth County: 15.2 %Southampton County: 16 %Spotsylvania County: 13.5 %Stafford County: 10.4 %Surry County: 14.6 %Sussex County: 16.3 %Tazewell County: 16.7 %Warren County: 15.6 %Washington County: 15.4 %Westmoreland County: 18.7 %Wise County: 15.3 %Wythe County: 16.1 %York County: 10 %Alexandria city: 14.3 %Bristol city: 14.9 %Buena Vista city: 15.8 %Charlottesville city: 17.8 %Chesapeake city: 11.9 %Colonial Heights city: 13.9 %Covington city: 15.1 %Danville city: 15 %Emporia city: 15.3 %Fairfax city: 13.7 %Falls Church city: 6.7 %Franklin city: 14.8 %Fredericksburg city: 15.7 %Galax city: 18.7 %Hampton city: 14.3 %Harrisonburg city: 21.7 %Hopewell city: 15.9 %Lexington city: 17.2 %Lynchburg city: 15.9 %Manassas city: 20.2 %Manassas Park city: 22.6 %Martinsville city: 16.4 %Newport News city: 15 %Norfolk city: 16.9 %Norton city: 12.2 %Petersburg city: 16.4 %Poquoson city: 9.7 %Portsmouth city: 15.1 %Radford city: 17 %Richmond city: 20.2 %Roanoke city: 17.6 %Salem city: 13.5 %Staunton city: 14.3 %Suffolk city: 12.4 %Virginia Beach city: 13.2 %Waynesboro city: 16.3 %Williamsburg city: 16.4 %Winchester city: 19 %
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%, 2013. 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, 2013

Highland County: 27.3 %Highland County27.3Manassas Park city: 22.6 %Manassas Park city22.6Harrisonburg city: 21.7 %Harrisonburg city21.7Northampton County: 21.2 %Northampton County21.2Accomack County: 20.6 %Accomack County20.6Charles City County: 20.2 %Charles City County20.2Manassas city: 20.2 %Manassas city20.2Richmond city: 20.2 %Richmond city20.2Rappahannock County: 19.6 %Rappahannock County19.6Charlotte County: 19.4 %Charlotte County19.4Lunenburg County: 19.3 %Lunenburg County19.3Carroll County: 19.1 %Carroll County19.1Northumberland County: 19.1 %Northumberland County19.1Richmond County: 19.1 %Richmond County19.1King and Queen County: 19 %King and Queen County19Winchester city: 19 %Winchester city19Buckingham County: 18.7 %Buckingham County18.7Galax city: 18.7 %Galax city18.7Westmoreland County: 18.7 %Westmoreland County18.7Henry County: 18.4 %Henry County18.4Mecklenburg County: 18.4 %Mecklenburg County18.4Grayson County: 18.3 %Grayson County18.3Cumberland County: 18 %Cumberland County18Patrick County: 17.9 %Patrick County17.9Charlottesville city: 17.8 %Charlottesville city17.8Floyd County: 17.8 %Floyd County17.8Amelia County: 17.7 %Amelia County17.7Nelson County: 17.6 %Nelson County17.6Roanoke city: 17.6 %Roanoke city17.6Brunswick County: 17.3 %Brunswick County17.3Madison County: 17.3 %Madison County17.3Essex County: 17.2 %Essex County17.2Franklin County: 17.2 %Franklin County17.2Lexington city: 17.2 %Lexington city17.2Louisa County: 17.2 %Louisa County17.2Nottoway County: 17.2 %Nottoway County17.2Greene County: 17.1 %Greene County17.1Page County: 17 %Page County17Radford city: 17 %Radford city17Norfolk city: 16.9 %Norfolk city16.9Highland County: 27.3 %Highland County27.3Manassas Park city: 22.6 %Manassas Park city22.6Harrisonburg city: 21.7 %Harrisonburg city21.7Northampton County: 21.2 %Northampton County21.2Accomack County: 20.6 %Accomack County20.6Charles City County: 20.2 %Charles City County20.2Manassas city: 20.2 %Manassas city20.2Richmond city: 20.2 %Richmond city20.2Rappahannock County: 19.6 %Rappahannock County19.6Charlotte County: 19.4 %Charlotte County19.4Lunenburg County: 19.3 %Lunenburg County19.3Carroll County: 19.1 %Carroll County19.1Northumberland County: 19.1 %Northumberland County19.1Richmond County: 19.1 %Richmond County19.1King and Queen County: 19 %King and Queen County19Winchester city: 19 %Winchester city19Buckingham County: 18.7 %Buckingham County18.7Galax city: 18.7 %Galax city18.7Westmoreland County: 18.7 %Westmoreland County18.7Henry County: 18.4 %Henry County18.4Mecklenburg County: 18.4 %Mecklenburg County18.4Grayson County: 18.3 %Grayson County18.3Cumberland County: 18 %Cumberland County18Patrick County: 17.9 %Patrick County17.9Charlottesville city: 17.8 %Charlottesville city17.8Floyd County: 17.8 %Floyd County17.8Amelia County: 17.7 %Amelia County17.7Nelson County: 17.6 %Nelson County17.6Roanoke city: 17.6 %Roanoke city17.6Brunswick County: 17.3 %Brunswick County17.3Madison County: 17.3 %Madison County17.3Essex County: 17.2 %Essex County17.2Franklin County: 17.2 %Franklin County17.2Lexington city: 17.2 %Lexington city17.2Louisa County: 17.2 %Louisa County17.2Nottoway County: 17.2 %Nottoway County17.2Greene County: 17.1 %Greene County17.1Page County: 17 %Page County17Radford city: 17 %Radford city17Norfolk city: 16.9 %Norfolk city16.9
%. 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

RankCounties2013 (%)Change on 2012
1Highland County27.3+1.5 pts
2Manassas Park city22.6+0.9 pts
3Harrisonburg city21.7+2.8 pts
4Northampton County21.2+0.6 pts
5Accomack County20.6-0.2 pts
6Charles City County20.2-1.2 pts
6Manassas city20.2-0.8 pts
6Richmond city20.2+1.4 pts
9Rappahannock County19.6+2.8 pts
10Charlotte County19.4-0.8 pts
11Lunenburg County19.3-0.8 pts
12Carroll County19.1-1.3 pts
12Northumberland County19.1-0.1 pts
12Richmond County19.1+0.1 pts
15King and Queen County19+0.8 pts
15Winchester city19-0.3 pts
17Buckingham County18.7-0.9 pts
17Galax city18.7-1.1 pts
17Westmoreland County18.7-1 pts
20Henry County18.4-1.5 pts
20Mecklenburg County18.4-0.9 pts
22Grayson County18.3-1.5 pts
23Cumberland County18-1.5 pts
24Patrick County17.9-1.3 pts
25Charlottesville city17.8+0.3 pts
25Floyd County17.8-1.5 pts
27Amelia County17.7-1.6 pts
28Nelson County17.6-0.3 pts
28Roanoke city17.6-1 pts
30Brunswick County17.3-0.7 pts
30Madison County17.3-0.8 pts
32Essex County17.20 pts
32Franklin County17.2-1.3 pts
32Lexington city17.2-0.2 pts
32Louisa County17.2+0.3 pts
32Nottoway County17.2-1 pts
37Greene County17.10 pts
38Page County17-0.6 pts
38Radford city17-0.6 pts
40Norfolk city16.9+0.1 pts
41Prince Edward County16.8-0.8 pts
42Bath County16.7-0.2 pts
42Shenandoah County16.7-0.6 pts
42Tazewell County16.7-0.2 pts
45Appomattox County16.6-0.7 pts
45Craig County16.6+0.3 pts
47Culpeper County16.4-0.3 pts
47Martinsville city16.40 pts
47Petersburg city16.4-0.5 pts
47Rockbridge County16.4-1.1 pts
47Williamsburg city16.4+1.5 pts
52Halifax County16.3-1 pts
52Rockingham County16.3-0.8 pts
52Sussex County16.3-2.3 pts
52Waynesboro city16.3+0.6 pts
56Middlesex County16.2-0.9 pts
56Orange County16.2+0.2 pts
58Wythe County16.1-0.7 pts
59Amherst County16-1.1 pts
59Russell County16-1.4 pts
59Southampton County16-1.1 pts
62Hopewell city15.9-1 pts
62Lynchburg city15.9-0.2 pts
64Buena Vista city15.8-0.3 pts
64Caroline County15.80 pts
66Fredericksburg city15.7-0.6 pts
66Lee County15.7-1.5 pts
66Mathews County15.7-0.6 pts
69Dickenson County15.6-1.1 pts
69Warren County15.6-0.3 pts
71Buchanan County15.5-0.5 pts
71Pittsylvania County15.5-1.5 pts
73Lancaster County15.4-1.2 pts
73Montgomery County15.4-0.4 pts
73Washington County15.4-0.7 pts
76Emporia city15.3-0.9 pts
76Wise County15.3-1.1 pts
78Smyth County15.2-1.2 pts
79Campbell County15.1-0.6 pts
79Covington city15.1-0.3 pts
79Portsmouth city15.1-0.5 pts
79Scott County15.1-1.1 pts
83Danville city15-1.5 pts
83Giles County15-1.1 pts
83Newport News city150 pts
86Bristol city14.9-0.6 pts
87Franklin city14.8-1 pts
87Pulaski County14.8-0.7 pts
89Dinwiddie County14.6-1.7 pts
89Surry County14.6-1.1 pts
91Augusta County14.5-0.6 pts
91Prince William County14.5+0.5 pts
93Frederick County14.4-0.9 pts
94Alexandria city14.3+0.8 pts
94Greensville County14.3-1.6 pts
94Hampton city14.3+0.6 pts
94Staunton city14.3-2.8 pts
98King William County14.2-0.2 pts
99Bland County14.1-0.3 pts
99Gloucester County14.1-0.7 pts
101Henrico County14-0.8 pts
102Colonial Heights city13.9-0.4 pts
102Fluvanna County13.9+0.4 pts
104Alleghany County13.7-0.8 pts
104Bedford County13.7-0.8 pts
104Fairfax city13.7+0.4 pts
107Powhatan County13.5-0.5 pts
107Salem city13.5-0.2 pts
107Spotsylvania County13.5-0.1 pts
110New Kent County13.2-1 pts
110Virginia Beach city13.2+0.8 pts
112Albemarle County12.9+0.2 pts
113Prince George County12.6-0.3 pts
114Chesterfield County12.5-0.2 pts
115Suffolk city12.4-0.1 pts
116Fairfax County12.3-0.7 pts
117Fauquier County12.20 pts
117Norton city12.2-0.7 pts
119Clarke County12.1-0.8 pts
119James City County12.1+0.4 pts
121Isle of Wight County12-0.3 pts
122Chesapeake city11.9+0.1 pts
123Roanoke County11.7+0.3 pts
124Botetourt County11-0.1 pts
125King George County10.7+0.3 pts
126Arlington County10.5+0.1 pts
127Stafford County10.4+0.2 pts
128Hanover County10.1+0.1 pts
129York County10+0.3 pts
130Poquoson city9.7-0.2 pts
131Loudoun County9.10 pts
132Goochland County7.3-1.5 pts
133Falls Church city6.7-0.4 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-2013-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), 2013) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-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), 2013. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013. 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), 2013. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013.

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), 2013 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2013,
  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), 2013}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2013-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013. 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-2013-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), 2013
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-2013-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2013.
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-2013-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)?

Highland County, with 27.3% in 2013, according to the U.S. Census Bureau.

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

Falls Church city, with 6.7% in 2013.

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