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

Accomack County had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2016, at 17.9%. Falls Church city had the lowest, at 3.7%. The median was 11.2% and the figure for Virginia was 9.9%. Source: the U.S. Census Bureau.

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Highest17.9Accomack County
Median11.2133 counties
Virginia9.9History

Map of counties, 2016

Accomack County: 17.9 %Albemarle County: 10.6 %Alleghany County: 9.8 %Amelia County: 12.9 %Amherst County: 11.4 %Appomattox County: 11.8 %Arlington County: 7.2 %Augusta County: 10.7 %Bath County: 10.7 %Bedford County: 9.1 %Bland County: 9.6 %Botetourt County: 8.2 %Brunswick County: 13.2 %Buchanan County: 12.7 %Buckingham County: 13.4 %Campbell County: 10.8 %Caroline County: 10.9 %Carroll County: 13.3 %Charles City County: 16.3 %Charlotte County: 14.7 %Chesterfield County: 8.1 %Clarke County: 10.3 %Craig County: 9.6 %Culpeper County: 12.8 %Cumberland County: 12.4 %Dickenson County: 11.5 %Dinwiddie County: 11.3 %Essex County: 11.6 %Fairfax County: 9.3 %Fauquier County: 9.3 %Floyd County: 12.8 %Fluvanna County: 11.1 %Franklin County: 12 %Frederick County: 10.1 %Giles County: 11.1 %Gloucester County: 9.5 %Goochland County: 6.3 %Grayson County: 12.7 %Greene County: 12.8 %Greensville County: 9.8 %Halifax County: 11.8 %Hanover County: 7.1 %Henrico County: 9.7 %Henry County: 13 %Highland County: 17.2 %Isle of Wight County: 8.8 %James City County: 7.9 %King and Queen County: 14.2 %King George County: 7 %King William County: 9.8 %Lancaster County: 11.1 %Lee County: 13.4 %Loudoun County: 6.9 %Louisa County: 12.7 %Lunenburg County: 14.3 %Madison County: 13.6 %Mathews County: 9 %Mecklenburg County: 12.6 %Middlesex County: 11.4 %Montgomery County: 9.9 %Nelson County: 13.1 %New Kent County: 9 %Northampton County: 14.2 %Northumberland County: 12.6 %Nottoway County: 12.5 %Orange County: 11.6 %Page County: 13.5 %Patrick County: 14.2 %Pittsylvania County: 11.9 %Powhatan County: 9.2 %Prince Edward County: 12.6 %Prince George County: 8.1 %Prince William County: 10.4 %Pulaski County: 9.2 %Rappahannock County: 13.7 %Richmond County: 12.8 %Roanoke County: 7.8 %Rockbridge County: 11.8 %Rockingham County: 13.5 %Russell County: 11.4 %Scott County: 11.5 %Shenandoah County: 11.6 %Smyth County: 10.9 %Southampton County: 11.2 %Spotsylvania County: 9.8 %Stafford County: 7.5 %Surry County: 10.6 %Sussex County: 11.9 %Tazewell County: 11.7 %Warren County: 10.3 %Washington County: 10.6 %Westmoreland County: 13.2 %Wise County: 11.9 %Wythe County: 11.4 %York County: 7 %Alexandria city: 11.6 %Bristol city: 10.1 %Buena Vista city: 9.6 %Charlottesville city: 11.8 %Chesapeake city: 8.8 %Colonial Heights city: 10.3 %Covington city: 9.9 %Danville city: 10.8 %Emporia city: 11.9 %Fairfax city: 9.4 %Falls Church city: 3.7 %Franklin city: 10.3 %Fredericksburg city: 11.2 %Galax city: 15.8 %Hampton city: 9.1 %Harrisonburg city: 14.3 %Hopewell city: 11.7 %Lexington city: 10.3 %Lynchburg city: 10.8 %Manassas city: 15 %Manassas Park city: 15.9 %Martinsville city: 10.6 %Newport News city: 11.2 %Norfolk city: 11.8 %Norton city: 10.1 %Petersburg city: 12 %Poquoson city: 6.3 %Portsmouth city: 10.2 %Radford city: 8.9 %Richmond city: 12 %Roanoke city: 13.3 %Salem city: 8.3 %Staunton city: 9.5 %Suffolk city: 8.8 %Virginia Beach city: 8.6 %Waynesboro city: 12.2 %Williamsburg city: 12.1 %Winchester city: 14.5 %
  • Under 9.1
  • 9.1 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2016. 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, 2016

Accomack County: 17.9 %Accomack County17.9Highland County: 17.2 %Highland County17.2Charles City County: 16.3 %Charles City County16.3Manassas Park city: 15.9 %Manassas Park city15.9Galax city: 15.8 %Galax city15.8Manassas city: 15 %Manassas city15Charlotte County: 14.7 %Charlotte County14.7Winchester city: 14.5 %Winchester city14.5Harrisonburg city: 14.3 %Harrisonburg city14.3Lunenburg County: 14.3 %Lunenburg County14.3King and Queen County: 14.2 %King and Queen County14.2Northampton County: 14.2 %Northampton County14.2Patrick County: 14.2 %Patrick County14.2Rappahannock County: 13.7 %Rappahannock County13.7Madison County: 13.6 %Madison County13.6Page County: 13.5 %Page County13.5Rockingham County: 13.5 %Rockingham County13.5Buckingham County: 13.4 %Buckingham County13.4Lee County: 13.4 %Lee County13.4Carroll County: 13.3 %Carroll County13.3Roanoke city: 13.3 %Roanoke city13.3Brunswick County: 13.2 %Brunswick County13.2Westmoreland County: 13.2 %Westmoreland County13.2Nelson County: 13.1 %Nelson County13.1Henry County: 13 %Henry County13Amelia County: 12.9 %Amelia County12.9Culpeper County: 12.8 %Culpeper County12.8Floyd County: 12.8 %Floyd County12.8Greene County: 12.8 %Greene County12.8Richmond County: 12.8 %Richmond County12.8Buchanan County: 12.7 %Buchanan County12.7Grayson County: 12.7 %Grayson County12.7Louisa County: 12.7 %Louisa County12.7Mecklenburg County: 12.6 %Mecklenburg County12.6Northumberland County: 12.6 %Northumberland County12.6Prince Edward County: 12.6 %Prince Edward County12.6Nottoway County: 12.5 %Nottoway County12.5Cumberland County: 12.4 %Cumberland County12.4Waynesboro city: 12.2 %Waynesboro city12.2Williamsburg city: 12.1 %Williamsburg city12.1Accomack County: 17.9 %Accomack County17.9Highland County: 17.2 %Highland County17.2Charles City County: 16.3 %Charles City County16.3Manassas Park city: 15.9 %Manassas Park city15.9Galax city: 15.8 %Galax city15.8Manassas city: 15 %Manassas city15Charlotte County: 14.7 %Charlotte County14.7Winchester city: 14.5 %Winchester city14.5Harrisonburg city: 14.3 %Harrisonburg city14.3Lunenburg County: 14.3 %Lunenburg County14.3King and Queen County: 14.2 %King and Queen County14.2Northampton County: 14.2 %Northampton County14.2Patrick County: 14.2 %Patrick County14.2Rappahannock County: 13.7 %Rappahannock County13.7Madison County: 13.6 %Madison County13.6Page County: 13.5 %Page County13.5Rockingham County: 13.5 %Rockingham County13.5Buckingham County: 13.4 %Buckingham County13.4Lee County: 13.4 %Lee County13.4Carroll County: 13.3 %Carroll County13.3Roanoke city: 13.3 %Roanoke city13.3Brunswick County: 13.2 %Brunswick County13.2Westmoreland County: 13.2 %Westmoreland County13.2Nelson County: 13.1 %Nelson County13.1Henry County: 13 %Henry County13Amelia County: 12.9 %Amelia County12.9Culpeper County: 12.8 %Culpeper County12.8Floyd County: 12.8 %Floyd County12.8Greene County: 12.8 %Greene County12.8Richmond County: 12.8 %Richmond County12.8Buchanan County: 12.7 %Buchanan County12.7Grayson County: 12.7 %Grayson County12.7Louisa County: 12.7 %Louisa County12.7Mecklenburg County: 12.6 %Mecklenburg County12.6Northumberland County: 12.6 %Northumberland County12.6Prince Edward County: 12.6 %Prince Edward County12.6Nottoway County: 12.5 %Nottoway County12.5Cumberland County: 12.4 %Cumberland County12.4Waynesboro city: 12.2 %Waynesboro city12.2Williamsburg city: 12.1 %Williamsburg city12.1
%. 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

RankCounties2016 (%)Change on 2015
1Accomack County17.9-0.6 pts
2Highland County17.2-2.7 pts
3Charles City County16.3-1.2 pts
4Manassas Park city15.9-3.1 pts
5Galax city15.8-0.6 pts
6Manassas city15-0.9 pts
7Charlotte County14.7-0.7 pts
8Winchester city14.5-1.6 pts
9Harrisonburg city14.3-1 pts
9Lunenburg County14.3-0.9 pts
11King and Queen County14.2+0.2 pts
11Northampton County14.2-1.4 pts
11Patrick County14.2+0.2 pts
14Rappahannock County13.7-1.4 pts
15Madison County13.6-0.3 pts
16Page County13.5-0.4 pts
16Rockingham County13.5+0.5 pts
18Buckingham County13.4-0.8 pts
18Lee County13.4+0.2 pts
20Carroll County13.3-0.6 pts
20Roanoke city13.3-0.1 pts
22Brunswick County13.2+0.3 pts
22Westmoreland County13.2-1.3 pts
24Nelson County13.1-0.3 pts
25Henry County13-1.1 pts
26Amelia County12.9-0.5 pts
27Culpeper County12.8+0.2 pts
27Floyd County12.8+0.5 pts
27Greene County12.8-1.2 pts
27Richmond County12.8-1.1 pts
31Buchanan County12.7-0.4 pts
31Grayson County12.7-0.1 pts
31Louisa County12.7-0.1 pts
34Mecklenburg County12.6-2 pts
34Northumberland County12.6-1.3 pts
34Prince Edward County12.6-0.9 pts
37Nottoway County12.5-1.1 pts
38Cumberland County12.4-0.8 pts
39Waynesboro city12.2-0.3 pts
40Williamsburg city12.1-0.9 pts
41Franklin County12-0.6 pts
41Petersburg city12-0.2 pts
41Richmond city12-2.5 pts
44Emporia city11.90 pts
44Pittsylvania County11.9-0.3 pts
44Sussex County11.9-1.8 pts
44Wise County11.9+0.1 pts
48Appomattox County11.8-0.7 pts
48Charlottesville city11.8-2.1 pts
48Halifax County11.8-0.7 pts
48Norfolk city11.8-1.2 pts
48Rockbridge County11.8-0.7 pts
53Hopewell city11.7-1 pts
53Tazewell County11.7-0.9 pts
55Alexandria city11.6-0.3 pts
55Essex County11.6-2 pts
55Orange County11.6-0.2 pts
55Shenandoah County11.6-1.6 pts
59Dickenson County11.5-1.4 pts
59Scott County11.5+0.5 pts
61Amherst County11.4-0.9 pts
61Middlesex County11.4+0.4 pts
61Russell County11.4-1.1 pts
61Wythe County11.4-1 pts
65Dinwiddie County11.30 pts
66Fredericksburg city11.2+0.5 pts
66Newport News city11.2+0.4 pts
66Southampton County11.2-0.9 pts
69Fluvanna County11.1+0.7 pts
69Giles County11.1-0.3 pts
69Lancaster County11.1-0.7 pts
72Caroline County10.9-1.2 pts
72Smyth County10.9-0.2 pts
74Campbell County10.8-1.5 pts
74Danville city10.8-1 pts
74Lynchburg city10.8-0.9 pts
77Augusta County10.7-0.8 pts
77Bath County10.70 pts
79Albemarle County10.6+0.8 pts
79Martinsville city10.6-1.5 pts
79Surry County10.6-0.5 pts
79Washington County10.6-0.4 pts
83Prince William County10.4-0.7 pts
84Clarke County10.3-0.8 pts
84Colonial Heights city10.3-0.1 pts
84Franklin city10.3-2.2 pts
84Lexington city10.3+0.1 pts
84Warren County10.3-0.9 pts
89Portsmouth city10.2-1.4 pts
90Bristol city10.1-1.3 pts
90Frederick County10.1-1 pts
90Norton city10.1-1.2 pts
93Covington city9.9-1.8 pts
93Montgomery County9.9-1.2 pts
95Alleghany County9.8-0.6 pts
95Greensville County9.8-0.7 pts
95King William County9.8-0.1 pts
95Spotsylvania County9.8-0.6 pts
99Henrico County9.7-0.6 pts
100Bland County9.6-0.3 pts
100Buena Vista city9.6-1 pts
100Craig County9.6-0.2 pts
103Gloucester County9.5-0.4 pts
103Staunton city9.5-1.9 pts
105Fairfax city9.4-0.9 pts
106Fairfax County9.3+0.5 pts
106Fauquier County9.3-0.1 pts
108Powhatan County9.2-0.2 pts
108Pulaski County9.2-0.6 pts
110Bedford County9.1-1.1 pts
110Hampton city9.1-1.2 pts
112Mathews County9-1.4 pts
112New Kent County9-0.7 pts
114Radford city8.9-0.3 pts
115Chesapeake city8.8+0.5 pts
115Isle of Wight County8.8-0.2 pts
115Suffolk city8.8-0.1 pts
118Virginia Beach city8.6-0.7 pts
119Salem city8.3-1.8 pts
120Botetourt County8.2+0.5 pts
121Chesterfield County8.1-0.8 pts
121Prince George County8.1-1.1 pts
123James City County7.9-0.8 pts
124Roanoke County7.8-0.4 pts
125Stafford County7.5-0.1 pts
126Arlington County7.2+0.5 pts
127Hanover County7.1-0.3 pts
128King George County70 pts
128York County7-1 pts
130Loudoun County6.9+0.2 pts
131Goochland County6.3+1 pts
131Poquoson city6.3-1.1 pts
133Falls Church city3.7-1.1 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-2016-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), 2016) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-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), 2016. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016. 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), 2016. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016.

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), 2016 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2016,
  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), 2016}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2016-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016. 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-2016-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), 2016
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-2016-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2016.
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-2016-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)?

Accomack County, with 17.9% in 2016, according to the U.S. Census Bureau.

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

Falls Church city, with 3.7% in 2016.

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