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 2015, at 19.9%. Falls Church city had the lowest, at 4.8%. The median was 11.8% and the figure for Virginia was 10.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest19.9Highland County
Median11.8133 counties
Virginia10.4History

Map of counties, 2015

Accomack County: 18.5 %Albemarle County: 9.8 %Alleghany County: 10.4 %Amelia County: 13.4 %Amherst County: 12.3 %Appomattox County: 12.5 %Arlington County: 6.7 %Augusta County: 11.5 %Bath County: 10.7 %Bedford County: 10.2 %Bland County: 9.9 %Botetourt County: 7.7 %Brunswick County: 12.9 %Buchanan County: 13.1 %Buckingham County: 14.2 %Campbell County: 12.3 %Caroline County: 12.1 %Carroll County: 13.9 %Charles City County: 17.5 %Charlotte County: 15.4 %Chesterfield County: 8.9 %Clarke County: 11.1 %Craig County: 9.8 %Culpeper County: 12.6 %Cumberland County: 13.2 %Dickenson County: 12.9 %Dinwiddie County: 11.3 %Essex County: 13.6 %Fairfax County: 8.8 %Fauquier County: 9.4 %Floyd County: 12.3 %Fluvanna County: 10.4 %Franklin County: 12.6 %Frederick County: 11.1 %Giles County: 11.4 %Gloucester County: 9.9 %Goochland County: 5.3 %Grayson County: 12.8 %Greene County: 14 %Greensville County: 10.5 %Halifax County: 12.5 %Hanover County: 7.4 %Henrico County: 10.3 %Henry County: 14.1 %Highland County: 19.9 %Isle of Wight County: 9 %James City County: 8.7 %King and Queen County: 14 %King George County: 7 %King William County: 9.9 %Lancaster County: 11.8 %Lee County: 13.2 %Loudoun County: 6.7 %Louisa County: 12.8 %Lunenburg County: 15.2 %Madison County: 13.9 %Mathews County: 10.4 %Mecklenburg County: 14.6 %Middlesex County: 11 %Montgomery County: 11.1 %Nelson County: 13.4 %New Kent County: 9.7 %Northampton County: 15.6 %Northumberland County: 13.9 %Nottoway County: 13.6 %Orange County: 11.8 %Page County: 13.9 %Patrick County: 14 %Pittsylvania County: 12.2 %Powhatan County: 9.4 %Prince Edward County: 13.5 %Prince George County: 9.2 %Prince William County: 11.1 %Pulaski County: 9.8 %Rappahannock County: 15.1 %Richmond County: 13.9 %Roanoke County: 8.2 %Rockbridge County: 12.5 %Rockingham County: 13 %Russell County: 12.5 %Scott County: 11 %Shenandoah County: 13.2 %Smyth County: 11.1 %Southampton County: 12.1 %Spotsylvania County: 10.4 %Stafford County: 7.6 %Surry County: 11.1 %Sussex County: 13.7 %Tazewell County: 12.6 %Warren County: 11.2 %Washington County: 11 %Westmoreland County: 14.5 %Wise County: 11.8 %Wythe County: 12.4 %York County: 8 %Alexandria city: 11.9 %Bristol city: 11.4 %Buena Vista city: 10.6 %Charlottesville city: 13.9 %Chesapeake city: 8.3 %Colonial Heights city: 10.4 %Covington city: 11.7 %Danville city: 11.8 %Emporia city: 11.9 %Fairfax city: 10.3 %Falls Church city: 4.8 %Franklin city: 12.5 %Fredericksburg city: 10.7 %Galax city: 16.4 %Hampton city: 10.3 %Harrisonburg city: 15.3 %Hopewell city: 12.7 %Lexington city: 10.2 %Lynchburg city: 11.7 %Manassas city: 15.9 %Manassas Park city: 19 %Martinsville city: 12.1 %Newport News city: 10.8 %Norfolk city: 13 %Norton city: 11.3 %Petersburg city: 12.2 %Poquoson city: 7.4 %Portsmouth city: 11.6 %Radford city: 9.2 %Richmond city: 14.5 %Roanoke city: 13.4 %Salem city: 10.1 %Staunton city: 11.4 %Suffolk city: 8.9 %Virginia Beach city: 9.3 %Waynesboro city: 12.5 %Williamsburg city: 13 %Winchester city: 16.1 %
  • Under 9.7
  • 9.7 to 11
  • 11 to 12
  • 12 to 13
  • 13 to 14
  • 14 and over
%, 2015. 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, 2015

Highland County: 19.9 %Highland County19.9Manassas Park city: 19 %Manassas Park city19Accomack County: 18.5 %Accomack County18.5Charles City County: 17.5 %Charles City County17.5Galax city: 16.4 %Galax city16.4Winchester city: 16.1 %Winchester city16.1Manassas city: 15.9 %Manassas city15.9Northampton County: 15.6 %Northampton County15.6Charlotte County: 15.4 %Charlotte County15.4Harrisonburg city: 15.3 %Harrisonburg city15.3Lunenburg County: 15.2 %Lunenburg County15.2Rappahannock County: 15.1 %Rappahannock County15.1Mecklenburg County: 14.6 %Mecklenburg County14.6Richmond city: 14.5 %Richmond city14.5Westmoreland County: 14.5 %Westmoreland County14.5Buckingham County: 14.2 %Buckingham County14.2Henry County: 14.1 %Henry County14.1Greene County: 14 %Greene County14King and Queen County: 14 %King and Queen County14Patrick County: 14 %Patrick County14Carroll County: 13.9 %Carroll County13.9Charlottesville city: 13.9 %Charlottesville city13.9Madison County: 13.9 %Madison County13.9Northumberland County: 13.9 %Northumberland County13.9Page County: 13.9 %Page County13.9Richmond County: 13.9 %Richmond County13.9Sussex County: 13.7 %Sussex County13.7Essex County: 13.6 %Essex County13.6Nottoway County: 13.6 %Nottoway County13.6Prince Edward County: 13.5 %Prince Edward County13.5Amelia County: 13.4 %Amelia County13.4Nelson County: 13.4 %Nelson County13.4Roanoke city: 13.4 %Roanoke city13.4Cumberland County: 13.2 %Cumberland County13.2Lee County: 13.2 %Lee County13.2Shenandoah County: 13.2 %Shenandoah County13.2Buchanan County: 13.1 %Buchanan County13.1Norfolk city: 13 %Norfolk city13Rockingham County: 13 %Rockingham County13Williamsburg city: 13 %Williamsburg city13Highland County: 19.9 %Highland County19.9Manassas Park city: 19 %Manassas Park city19Accomack County: 18.5 %Accomack County18.5Charles City County: 17.5 %Charles City County17.5Galax city: 16.4 %Galax city16.4Winchester city: 16.1 %Winchester city16.1Manassas city: 15.9 %Manassas city15.9Northampton County: 15.6 %Northampton County15.6Charlotte County: 15.4 %Charlotte County15.4Harrisonburg city: 15.3 %Harrisonburg city15.3Lunenburg County: 15.2 %Lunenburg County15.2Rappahannock County: 15.1 %Rappahannock County15.1Mecklenburg County: 14.6 %Mecklenburg County14.6Richmond city: 14.5 %Richmond city14.5Westmoreland County: 14.5 %Westmoreland County14.5Buckingham County: 14.2 %Buckingham County14.2Henry County: 14.1 %Henry County14.1Greene County: 14 %Greene County14King and Queen County: 14 %King and Queen County14Patrick County: 14 %Patrick County14Carroll County: 13.9 %Carroll County13.9Charlottesville city: 13.9 %Charlottesville city13.9Madison County: 13.9 %Madison County13.9Northumberland County: 13.9 %Northumberland County13.9Page County: 13.9 %Page County13.9Richmond County: 13.9 %Richmond County13.9Sussex County: 13.7 %Sussex County13.7Essex County: 13.6 %Essex County13.6Nottoway County: 13.6 %Nottoway County13.6Prince Edward County: 13.5 %Prince Edward County13.5Amelia County: 13.4 %Amelia County13.4Nelson County: 13.4 %Nelson County13.4Roanoke city: 13.4 %Roanoke city13.4Cumberland County: 13.2 %Cumberland County13.2Lee County: 13.2 %Lee County13.2Shenandoah County: 13.2 %Shenandoah County13.2Buchanan County: 13.1 %Buchanan County13.1Norfolk city: 13 %Norfolk city13Rockingham County: 13 %Rockingham County13Williamsburg city: 13 %Williamsburg city13
%. 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

RankCounties2015 (%)Change on 2014
1Highland County19.9-4.6 pts
2Manassas Park city19-1.7 pts
3Accomack County18.5-0.3 pts
4Charles City County17.5-0.3 pts
5Galax city16.4-0.8 pts
6Winchester city16.1-2 pts
7Manassas city15.9-3.8 pts
8Northampton County15.6-3.5 pts
9Charlotte County15.4-3.1 pts
10Harrisonburg city15.3-3.4 pts
11Lunenburg County15.2-3 pts
12Rappahannock County15.1-1.5 pts
13Mecklenburg County14.6-2.1 pts
14Richmond city14.5-3.9 pts
14Westmoreland County14.5-2.8 pts
16Buckingham County14.2-2.6 pts
17Henry County14.1-2.2 pts
18Greene County14-1.8 pts
18King and Queen County14-2.7 pts
18Patrick County14-2.7 pts
21Carroll County13.9-3.7 pts
21Charlottesville city13.9-1.6 pts
21Madison County13.9-2.4 pts
21Northumberland County13.9-3.7 pts
21Page County13.9-1.4 pts
21Richmond County13.9-3.3 pts
27Sussex County13.7-1 pts
28Essex County13.6-2.7 pts
28Nottoway County13.6-1.8 pts
30Prince Edward County13.5-2.7 pts
31Amelia County13.4-2.6 pts
31Nelson County13.4-3.3 pts
31Roanoke city13.4-4.1 pts
34Cumberland County13.2-4.2 pts
34Lee County13.2-2.7 pts
34Shenandoah County13.2-1.3 pts
37Buchanan County13.1-2.4 pts
38Norfolk city13-2 pts
38Rockingham County13-2.4 pts
38Williamsburg city13-0.4 pts
41Brunswick County12.9-3.2 pts
41Dickenson County12.9-1.5 pts
43Grayson County12.8-3.5 pts
43Louisa County12.8-1.8 pts
45Hopewell city12.7-2.1 pts
46Culpeper County12.6-1 pts
46Franklin County12.6-3 pts
46Tazewell County12.6-2.7 pts
49Appomattox County12.5-1.9 pts
49Franklin city12.5-1.9 pts
49Halifax County12.5-1.8 pts
49Rockbridge County12.5-2.4 pts
49Russell County12.5-2 pts
49Waynesboro city12.5-1.1 pts
55Wythe County12.4-1.9 pts
56Amherst County12.3-2.5 pts
56Campbell County12.3-1.1 pts
56Floyd County12.3-4 pts
59Petersburg city12.2-3 pts
59Pittsylvania County12.2-2.1 pts
61Caroline County12.1-1 pts
61Martinsville city12.1-2.2 pts
61Southampton County12.1-1.9 pts
64Alexandria city11.9-1.2 pts
64Emporia city11.9-3.7 pts
66Danville city11.8-2.5 pts
66Lancaster County11.8-2 pts
66Orange County11.8-2.3 pts
66Wise County11.8-2.8 pts
70Covington city11.7-3 pts
70Lynchburg city11.7-1.6 pts
72Portsmouth city11.6-2 pts
73Augusta County11.5-2 pts
74Bristol city11.4-2.9 pts
74Giles County11.4-2.2 pts
74Staunton city11.4-2.1 pts
77Dinwiddie County11.3-2.1 pts
77Norton city11.3-1.3 pts
79Warren County11.2-2.7 pts
80Clarke County11.1+0.3 pts
80Frederick County11.1-2.6 pts
80Montgomery County11.1-2.8 pts
80Prince William County11.1-1.4 pts
80Smyth County11.1-2.6 pts
80Surry County11.1-2.5 pts
86Middlesex County11-2.3 pts
86Scott County11-3.4 pts
86Washington County11-2.7 pts
89Newport News city10.8-2.3 pts
90Bath County10.7-2.8 pts
90Fredericksburg city10.7-2.4 pts
92Buena Vista city10.6-3.5 pts
93Greensville County10.5-2.6 pts
94Alleghany County10.4-2.3 pts
94Colonial Heights city10.4-2 pts
94Fluvanna County10.4-1.7 pts
94Mathews County10.4-3.1 pts
94Spotsylvania County10.4-1.6 pts
99Fairfax city10.3-0.8 pts
99Hampton city10.3-3 pts
99Henrico County10.3-1.5 pts
102Bedford County10.2-2 pts
102Lexington city10.2-4.8 pts
104Salem city10.1-1.9 pts
105Bland County9.9-2.6 pts
105Gloucester County9.9-2.8 pts
105King William County9.9-2.5 pts
108Albemarle County9.8-1.9 pts
108Craig County9.8-3 pts
108Pulaski County9.8-2.5 pts
111New Kent County9.7-2 pts
112Fauquier County9.4-1.5 pts
112Powhatan County9.4-2.2 pts
114Virginia Beach city9.3-1.9 pts
115Prince George County9.2-2.1 pts
115Radford city9.2-3.1 pts
117Isle of Wight County9-2.5 pts
118Chesterfield County8.9-2 pts
118Suffolk city8.9-1.8 pts
120Fairfax County8.8-2.1 pts
121James City County8.7-1.6 pts
122Chesapeake city8.3-2.5 pts
123Roanoke County8.2-1.5 pts
124York County8-1 pts
125Botetourt County7.7-2.2 pts
126Stafford County7.6-1.7 pts
127Hanover County7.4-1.2 pts
127Poquoson city7.4-1.1 pts
129King George County7-2.2 pts
130Arlington County6.7-2.2 pts
130Loudoun County6.7-0.7 pts
132Goochland County5.3-1.3 pts
133Falls Church city4.8+0.2 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-2015-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), 2015) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-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), 2015. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015. 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), 2015. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015.

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), 2015 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2015,
  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), 2015}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2015-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015. 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-2015-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), 2015
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-2015-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2015.
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-2015-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 19.9% in 2015, according to the U.S. Census Bureau.

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

Falls Church city, with 4.8% in 2015.

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