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 2014, at 24.5%. Falls Church city had the lowest, at 4.6%. The median was 14% and the figure for Virginia was 12.4%. Source: the U.S. Census Bureau.

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Highest24.5Highland County
Median14133 counties
Virginia12.4History

Map of counties, 2014

Accomack County: 18.8 %Albemarle County: 11.7 %Alleghany County: 12.7 %Amelia County: 16 %Amherst County: 14.8 %Appomattox County: 14.4 %Arlington County: 8.9 %Augusta County: 13.5 %Bath County: 13.5 %Bedford County: 12.2 %Bland County: 12.5 %Botetourt County: 9.9 %Brunswick County: 16.1 %Buchanan County: 15.5 %Buckingham County: 16.8 %Campbell County: 13.4 %Caroline County: 13.1 %Carroll County: 17.6 %Charles City County: 17.8 %Charlotte County: 18.5 %Chesterfield County: 10.9 %Clarke County: 10.8 %Craig County: 12.8 %Culpeper County: 13.6 %Cumberland County: 17.4 %Dickenson County: 14.4 %Dinwiddie County: 13.4 %Essex County: 16.3 %Fairfax County: 10.9 %Fauquier County: 10.9 %Floyd County: 16.3 %Fluvanna County: 12.1 %Franklin County: 15.6 %Frederick County: 13.7 %Giles County: 13.6 %Gloucester County: 12.7 %Goochland County: 6.6 %Grayson County: 16.3 %Greene County: 15.8 %Greensville County: 13.1 %Halifax County: 14.3 %Hanover County: 8.6 %Henrico County: 11.8 %Henry County: 16.3 %Highland County: 24.5 %Isle of Wight County: 11.5 %James City County: 10.3 %King and Queen County: 16.7 %King George County: 9.2 %King William County: 12.4 %Lancaster County: 13.8 %Lee County: 15.9 %Loudoun County: 7.4 %Louisa County: 14.6 %Lunenburg County: 18.2 %Madison County: 16.3 %Mathews County: 13.5 %Mecklenburg County: 16.7 %Middlesex County: 13.3 %Montgomery County: 13.9 %Nelson County: 16.7 %New Kent County: 11.7 %Northampton County: 19.1 %Northumberland County: 17.6 %Nottoway County: 15.4 %Orange County: 14.1 %Page County: 15.3 %Patrick County: 16.7 %Pittsylvania County: 14.3 %Powhatan County: 11.6 %Prince Edward County: 16.2 %Prince George County: 11.3 %Prince William County: 12.5 %Pulaski County: 12.3 %Rappahannock County: 16.6 %Richmond County: 17.2 %Roanoke County: 9.7 %Rockbridge County: 14.9 %Rockingham County: 15.4 %Russell County: 14.5 %Scott County: 14.4 %Shenandoah County: 14.5 %Smyth County: 13.7 %Southampton County: 14 %Spotsylvania County: 12 %Stafford County: 9.3 %Surry County: 13.6 %Sussex County: 14.7 %Tazewell County: 15.3 %Warren County: 13.9 %Washington County: 13.7 %Westmoreland County: 17.3 %Wise County: 14.6 %Wythe County: 14.3 %York County: 9 %Alexandria city: 13.1 %Bristol city: 14.3 %Buena Vista city: 14.1 %Charlottesville city: 15.5 %Chesapeake city: 10.8 %Colonial Heights city: 12.4 %Covington city: 14.7 %Danville city: 14.3 %Emporia city: 15.6 %Fairfax city: 11.1 %Falls Church city: 4.6 %Franklin city: 14.4 %Fredericksburg city: 13.1 %Galax city: 17.2 %Hampton city: 13.3 %Harrisonburg city: 18.7 %Hopewell city: 14.8 %Lexington city: 15 %Lynchburg city: 13.3 %Manassas city: 19.7 %Manassas Park city: 20.7 %Martinsville city: 14.3 %Newport News city: 13.1 %Norfolk city: 15 %Norton city: 12.6 %Petersburg city: 15.2 %Poquoson city: 8.5 %Portsmouth city: 13.6 %Radford city: 12.3 %Richmond city: 18.4 %Roanoke city: 17.5 %Salem city: 12 %Staunton city: 13.5 %Suffolk city: 10.7 %Virginia Beach city: 11.2 %Waynesboro city: 13.6 %Williamsburg city: 13.4 %Winchester city: 18.1 %
  • Under 12
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%, 2014. 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, 2014

Highland County: 24.5 %Highland County24.5Manassas Park city: 20.7 %Manassas Park city20.7Manassas city: 19.7 %Manassas city19.7Northampton County: 19.1 %Northampton County19.1Accomack County: 18.8 %Accomack County18.8Harrisonburg city: 18.7 %Harrisonburg city18.7Charlotte County: 18.5 %Charlotte County18.5Richmond city: 18.4 %Richmond city18.4Lunenburg County: 18.2 %Lunenburg County18.2Winchester city: 18.1 %Winchester city18.1Charles City County: 17.8 %Charles City County17.8Carroll County: 17.6 %Carroll County17.6Northumberland County: 17.6 %Northumberland County17.6Roanoke city: 17.5 %Roanoke city17.5Cumberland County: 17.4 %Cumberland County17.4Westmoreland County: 17.3 %Westmoreland County17.3Galax city: 17.2 %Galax city17.2Richmond County: 17.2 %Richmond County17.2Buckingham County: 16.8 %Buckingham County16.8King and Queen County: 16.7 %King and Queen County16.7Mecklenburg County: 16.7 %Mecklenburg County16.7Nelson County: 16.7 %Nelson County16.7Patrick County: 16.7 %Patrick County16.7Rappahannock County: 16.6 %Rappahannock County16.6Essex County: 16.3 %Essex County16.3Floyd County: 16.3 %Floyd County16.3Grayson County: 16.3 %Grayson County16.3Henry County: 16.3 %Henry County16.3Madison County: 16.3 %Madison County16.3Prince Edward County: 16.2 %Prince Edward County16.2Brunswick County: 16.1 %Brunswick County16.1Amelia County: 16 %Amelia County16Lee County: 15.9 %Lee County15.9Greene County: 15.8 %Greene County15.8Emporia city: 15.6 %Emporia city15.6Franklin County: 15.6 %Franklin County15.6Buchanan County: 15.5 %Buchanan County15.5Charlottesville city: 15.5 %Charlottesville city15.5Nottoway County: 15.4 %Nottoway County15.4Rockingham County: 15.4 %Rockingham County15.4Highland County: 24.5 %Highland County24.5Manassas Park city: 20.7 %Manassas Park city20.7Manassas city: 19.7 %Manassas city19.7Northampton County: 19.1 %Northampton County19.1Accomack County: 18.8 %Accomack County18.8Harrisonburg city: 18.7 %Harrisonburg city18.7Charlotte County: 18.5 %Charlotte County18.5Richmond city: 18.4 %Richmond city18.4Lunenburg County: 18.2 %Lunenburg County18.2Winchester city: 18.1 %Winchester city18.1Charles City County: 17.8 %Charles City County17.8Carroll County: 17.6 %Carroll County17.6Northumberland County: 17.6 %Northumberland County17.6Roanoke city: 17.5 %Roanoke city17.5Cumberland County: 17.4 %Cumberland County17.4Westmoreland County: 17.3 %Westmoreland County17.3Galax city: 17.2 %Galax city17.2Richmond County: 17.2 %Richmond County17.2Buckingham County: 16.8 %Buckingham County16.8King and Queen County: 16.7 %King and Queen County16.7Mecklenburg County: 16.7 %Mecklenburg County16.7Nelson County: 16.7 %Nelson County16.7Patrick County: 16.7 %Patrick County16.7Rappahannock County: 16.6 %Rappahannock County16.6Essex County: 16.3 %Essex County16.3Floyd County: 16.3 %Floyd County16.3Grayson County: 16.3 %Grayson County16.3Henry County: 16.3 %Henry County16.3Madison County: 16.3 %Madison County16.3Prince Edward County: 16.2 %Prince Edward County16.2Brunswick County: 16.1 %Brunswick County16.1Amelia County: 16 %Amelia County16Lee County: 15.9 %Lee County15.9Greene County: 15.8 %Greene County15.8Emporia city: 15.6 %Emporia city15.6Franklin County: 15.6 %Franklin County15.6Buchanan County: 15.5 %Buchanan County15.5Charlottesville city: 15.5 %Charlottesville city15.5Nottoway County: 15.4 %Nottoway County15.4Rockingham County: 15.4 %Rockingham County15.4
%. 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

RankCounties2014 (%)Change on 2013
1Highland County24.5-2.8 pts
2Manassas Park city20.7-1.9 pts
3Manassas city19.7-0.5 pts
4Northampton County19.1-2.1 pts
5Accomack County18.8-1.8 pts
6Harrisonburg city18.7-3 pts
7Charlotte County18.5-0.9 pts
8Richmond city18.4-1.8 pts
9Lunenburg County18.2-1.1 pts
10Winchester city18.1-0.9 pts
11Charles City County17.8-2.4 pts
12Carroll County17.6-1.5 pts
12Northumberland County17.6-1.5 pts
14Roanoke city17.5-0.1 pts
15Cumberland County17.4-0.6 pts
16Westmoreland County17.3-1.4 pts
17Galax city17.2-1.5 pts
17Richmond County17.2-1.9 pts
19Buckingham County16.8-1.9 pts
20King and Queen County16.7-2.3 pts
20Mecklenburg County16.7-1.7 pts
20Nelson County16.7-0.9 pts
20Patrick County16.7-1.2 pts
24Rappahannock County16.6-3 pts
25Essex County16.3-0.9 pts
25Floyd County16.3-1.5 pts
25Grayson County16.3-2 pts
25Henry County16.3-2.1 pts
25Madison County16.3-1 pts
30Prince Edward County16.2-0.6 pts
31Brunswick County16.1-1.2 pts
32Amelia County16-1.7 pts
33Lee County15.9+0.2 pts
34Greene County15.8-1.3 pts
35Emporia city15.6+0.3 pts
35Franklin County15.6-1.6 pts
37Buchanan County15.50 pts
37Charlottesville city15.5-2.3 pts
39Nottoway County15.4-1.8 pts
39Rockingham County15.4-0.9 pts
41Page County15.3-1.7 pts
41Tazewell County15.3-1.4 pts
43Petersburg city15.2-1.2 pts
44Lexington city15-2.2 pts
44Norfolk city15-1.9 pts
46Rockbridge County14.9-1.5 pts
47Amherst County14.8-1.2 pts
47Hopewell city14.8-1.1 pts
49Covington city14.7-0.4 pts
49Sussex County14.7-1.6 pts
51Louisa County14.6-2.6 pts
51Wise County14.6-0.7 pts
53Russell County14.5-1.5 pts
53Shenandoah County14.5-2.2 pts
55Appomattox County14.4-2.2 pts
55Dickenson County14.4-1.2 pts
55Franklin city14.4-0.4 pts
55Scott County14.4-0.7 pts
59Bristol city14.3-0.6 pts
59Danville city14.3-0.7 pts
59Halifax County14.3-2 pts
59Martinsville city14.3-2.1 pts
59Pittsylvania County14.3-1.2 pts
59Wythe County14.3-1.8 pts
65Buena Vista city14.1-1.7 pts
65Orange County14.1-2.1 pts
67Southampton County14-2 pts
68Montgomery County13.9-1.5 pts
68Warren County13.9-1.7 pts
70Lancaster County13.8-1.6 pts
71Frederick County13.7-0.7 pts
71Smyth County13.7-1.5 pts
71Washington County13.7-1.7 pts
74Culpeper County13.6-2.8 pts
74Giles County13.6-1.4 pts
74Portsmouth city13.6-1.5 pts
74Surry County13.6-1 pts
74Waynesboro city13.6-2.7 pts
79Augusta County13.5-1 pts
79Bath County13.5-3.2 pts
79Mathews County13.5-2.2 pts
79Staunton city13.5-0.8 pts
83Campbell County13.4-1.7 pts
83Dinwiddie County13.4-1.2 pts
83Williamsburg city13.4-3 pts
86Hampton city13.3-1 pts
86Lynchburg city13.3-2.6 pts
86Middlesex County13.3-2.9 pts
89Alexandria city13.1-1.2 pts
89Caroline County13.1-2.7 pts
89Fredericksburg city13.1-2.6 pts
89Greensville County13.1-1.2 pts
89Newport News city13.1-1.9 pts
94Craig County12.8-3.8 pts
95Alleghany County12.7-1 pts
95Gloucester County12.7-1.4 pts
97Norton city12.6+0.4 pts
98Bland County12.5-1.6 pts
98Prince William County12.5-2 pts
100Colonial Heights city12.4-1.5 pts
100King William County12.4-1.8 pts
102Pulaski County12.3-2.5 pts
102Radford city12.3-4.7 pts
104Bedford County12.2-1.5 pts
105Fluvanna County12.1-1.8 pts
106Salem city12-1.5 pts
106Spotsylvania County12-1.5 pts
108Henrico County11.8-2.2 pts
109Albemarle County11.7-1.2 pts
109New Kent County11.7-1.5 pts
111Powhatan County11.6-1.9 pts
112Isle of Wight County11.5-0.5 pts
113Prince George County11.3-1.3 pts
114Virginia Beach city11.2-2 pts
115Fairfax city11.1-2.6 pts
116Chesterfield County10.9-1.6 pts
116Fairfax County10.9-1.4 pts
116Fauquier County10.9-1.3 pts
119Chesapeake city10.8-1.1 pts
119Clarke County10.8-1.3 pts
121Suffolk city10.7-1.7 pts
122James City County10.3-1.8 pts
123Botetourt County9.9-1.1 pts
124Roanoke County9.7-2 pts
125Stafford County9.3-1.1 pts
126King George County9.2-1.5 pts
127York County9-1 pts
128Arlington County8.9-1.6 pts
129Hanover County8.6-1.5 pts
130Poquoson city8.5-1.2 pts
131Loudoun County7.4-1.7 pts
132Goochland County6.6-0.7 pts
133Falls Church city4.6-2.1 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-2014-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), 2014) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-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), 2014. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014. 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), 2014. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014.

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), 2014 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2014,
  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), 2014}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2014-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014. 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-2014-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), 2014
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-2014-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2014.
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-2014-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 24.5% in 2014, according to the U.S. Census Bureau.

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

Falls Church city, with 4.6% in 2014.

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