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 2017, at 17.8%. Falls Church city had the lowest, at 3.7%. The median was 11.3% and the figure for Virginia was 10.2%. Source: the U.S. Census Bureau.

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Highest17.8Highland County
Median11.3133 counties
Virginia10.2History

Map of counties, 2017

Accomack County: 16.6 %Albemarle County: 10 %Alleghany County: 9.9 %Amelia County: 13.6 %Amherst County: 12.3 %Appomattox County: 11.8 %Arlington County: 7.7 %Augusta County: 11.2 %Bath County: 10.8 %Bedford County: 10 %Bland County: 8.9 %Botetourt County: 8.4 %Brunswick County: 12.6 %Buchanan County: 12.5 %Buckingham County: 13.4 %Campbell County: 11.4 %Caroline County: 11.4 %Carroll County: 12.6 %Charles City County: 16.4 %Charlotte County: 14.8 %Chesterfield County: 9 %Clarke County: 11.3 %Craig County: 10.5 %Culpeper County: 13.3 %Cumberland County: 12.3 %Dickenson County: 11.5 %Dinwiddie County: 11.8 %Essex County: 12.6 %Fairfax County: 9 %Fauquier County: 9.9 %Floyd County: 13.4 %Fluvanna County: 10.5 %Franklin County: 12.7 %Frederick County: 10.5 %Giles County: 11.1 %Gloucester County: 9.7 %Goochland County: 7.2 %Grayson County: 13.7 %Greene County: 13.4 %Greensville County: 10.3 %Halifax County: 11.3 %Hanover County: 7.8 %Henrico County: 9.9 %Henry County: 12.8 %Highland County: 17.8 %Isle of Wight County: 9.2 %James City County: 8.9 %King and Queen County: 14.1 %King George County: 7.2 %King William County: 9.8 %Lancaster County: 12.1 %Lee County: 12.3 %Loudoun County: 6.5 %Louisa County: 12.5 %Lunenburg County: 15.3 %Madison County: 12.9 %Mathews County: 9.8 %Mecklenburg County: 11.9 %Middlesex County: 11.4 %Montgomery County: 11 %Nelson County: 13.3 %New Kent County: 9.6 %Northampton County: 14.6 %Northumberland County: 12.6 %Nottoway County: 13.4 %Orange County: 11.7 %Page County: 13.1 %Patrick County: 13.7 %Pittsylvania County: 12.8 %Powhatan County: 9.5 %Prince Edward County: 12.1 %Prince George County: 9 %Prince William County: 11.7 %Pulaski County: 9.8 %Rappahannock County: 14.1 %Richmond County: 12.6 %Roanoke County: 8.2 %Rockbridge County: 11.9 %Rockingham County: 15.4 %Russell County: 11 %Scott County: 11 %Shenandoah County: 12.2 %Smyth County: 10.7 %Southampton County: 11 %Spotsylvania County: 9.5 %Stafford County: 7.7 %Surry County: 10 %Sussex County: 13.1 %Tazewell County: 11.6 %Warren County: 11.3 %Washington County: 10.8 %Westmoreland County: 13.1 %Wise County: 11.6 %Wythe County: 12.2 %York County: 7.6 %Alexandria city: 11.1 %Bristol city: 9.3 %Buena Vista city: 10.4 %Charlottesville city: 11.7 %Chesapeake city: 7.9 %Colonial Heights city: 10.3 %Covington city: 10.3 %Danville city: 10.6 %Emporia city: 11.6 %Fairfax city: 9.4 %Falls Church city: 3.7 %Franklin city: 9.8 %Fredericksburg city: 11.2 %Galax city: 15.1 %Hampton city: 9.6 %Harrisonburg city: 15.8 %Hopewell city: 11.8 %Lexington city: 8.8 %Lynchburg city: 10.2 %Manassas city: 16.6 %Manassas Park city: 16.4 %Martinsville city: 10.1 %Newport News city: 11.1 %Norfolk city: 11.7 %Norton city: 11.4 %Petersburg city: 11 %Poquoson city: 6.2 %Portsmouth city: 11.1 %Radford city: 9.1 %Richmond city: 14 %Roanoke city: 12.7 %Salem city: 8.5 %Staunton city: 10.1 %Suffolk city: 8.8 %Virginia Beach city: 8.9 %Waynesboro city: 11.9 %Williamsburg city: 11.6 %Winchester city: 15.1 %
  • Under 9.2
  • 9.2 to 10
  • 10 to 11
  • 11 to 12
  • 12 to 13
  • 13 and over
%, 2017. 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, 2017

Highland County: 17.8 %Highland County17.8Accomack County: 16.6 %Accomack County16.6Manassas city: 16.6 %Manassas city16.6Charles City County: 16.4 %Charles City County16.4Manassas Park city: 16.4 %Manassas Park city16.4Harrisonburg city: 15.8 %Harrisonburg city15.8Rockingham County: 15.4 %Rockingham County15.4Lunenburg County: 15.3 %Lunenburg County15.3Galax city: 15.1 %Galax city15.1Winchester city: 15.1 %Winchester city15.1Charlotte County: 14.8 %Charlotte County14.8Northampton County: 14.6 %Northampton County14.6King and Queen County: 14.1 %King and Queen County14.1Rappahannock County: 14.1 %Rappahannock County14.1Richmond city: 14 %Richmond city14Grayson County: 13.7 %Grayson County13.7Patrick County: 13.7 %Patrick County13.7Amelia County: 13.6 %Amelia County13.6Buckingham County: 13.4 %Buckingham County13.4Floyd County: 13.4 %Floyd County13.4Greene County: 13.4 %Greene County13.4Nottoway County: 13.4 %Nottoway County13.4Culpeper County: 13.3 %Culpeper County13.3Nelson County: 13.3 %Nelson County13.3Page County: 13.1 %Page County13.1Sussex County: 13.1 %Sussex County13.1Westmoreland County: 13.1 %Westmoreland County13.1Madison County: 12.9 %Madison County12.9Henry County: 12.8 %Henry County12.8Pittsylvania County: 12.8 %Pittsylvania County12.8Franklin County: 12.7 %Franklin County12.7Roanoke city: 12.7 %Roanoke city12.7Brunswick County: 12.6 %Brunswick County12.6Carroll County: 12.6 %Carroll County12.6Essex County: 12.6 %Essex County12.6Northumberland County: 12.6 %Northumberland County12.6Richmond County: 12.6 %Richmond County12.6Buchanan County: 12.5 %Buchanan County12.5Louisa County: 12.5 %Louisa County12.5Amherst County: 12.3 %Amherst County12.3Highland County: 17.8 %Highland County17.8Accomack County: 16.6 %Accomack County16.6Manassas city: 16.6 %Manassas city16.6Charles City County: 16.4 %Charles City County16.4Manassas Park city: 16.4 %Manassas Park city16.4Harrisonburg city: 15.8 %Harrisonburg city15.8Rockingham County: 15.4 %Rockingham County15.4Lunenburg County: 15.3 %Lunenburg County15.3Galax city: 15.1 %Galax city15.1Winchester city: 15.1 %Winchester city15.1Charlotte County: 14.8 %Charlotte County14.8Northampton County: 14.6 %Northampton County14.6King and Queen County: 14.1 %King and Queen County14.1Rappahannock County: 14.1 %Rappahannock County14.1Richmond city: 14 %Richmond city14Grayson County: 13.7 %Grayson County13.7Patrick County: 13.7 %Patrick County13.7Amelia County: 13.6 %Amelia County13.6Buckingham County: 13.4 %Buckingham County13.4Floyd County: 13.4 %Floyd County13.4Greene County: 13.4 %Greene County13.4Nottoway County: 13.4 %Nottoway County13.4Culpeper County: 13.3 %Culpeper County13.3Nelson County: 13.3 %Nelson County13.3Page County: 13.1 %Page County13.1Sussex County: 13.1 %Sussex County13.1Westmoreland County: 13.1 %Westmoreland County13.1Madison County: 12.9 %Madison County12.9Henry County: 12.8 %Henry County12.8Pittsylvania County: 12.8 %Pittsylvania County12.8Franklin County: 12.7 %Franklin County12.7Roanoke city: 12.7 %Roanoke city12.7Brunswick County: 12.6 %Brunswick County12.6Carroll County: 12.6 %Carroll County12.6Essex County: 12.6 %Essex County12.6Northumberland County: 12.6 %Northumberland County12.6Richmond County: 12.6 %Richmond County12.6Buchanan County: 12.5 %Buchanan County12.5Louisa County: 12.5 %Louisa County12.5Amherst County: 12.3 %Amherst County12.3
%. 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

RankCounties2017 (%)Change on 2016
1Highland County17.8+0.6 pts
2Accomack County16.6-1.3 pts
2Manassas city16.6+1.6 pts
4Charles City County16.4+0.1 pts
4Manassas Park city16.4+0.5 pts
6Harrisonburg city15.8+1.5 pts
7Rockingham County15.4+1.9 pts
8Lunenburg County15.3+1 pts
9Galax city15.1-0.7 pts
9Winchester city15.1+0.6 pts
11Charlotte County14.8+0.1 pts
12Northampton County14.6+0.4 pts
13King and Queen County14.1-0.1 pts
13Rappahannock County14.1+0.4 pts
15Richmond city14+2 pts
16Grayson County13.7+1 pts
16Patrick County13.7-0.5 pts
18Amelia County13.6+0.7 pts
19Buckingham County13.40 pts
19Floyd County13.4+0.6 pts
19Greene County13.4+0.6 pts
19Nottoway County13.4+0.9 pts
23Culpeper County13.3+0.5 pts
23Nelson County13.3+0.2 pts
25Page County13.1-0.4 pts
25Sussex County13.1+1.2 pts
25Westmoreland County13.1-0.1 pts
28Madison County12.9-0.7 pts
29Henry County12.8-0.2 pts
29Pittsylvania County12.8+0.9 pts
31Franklin County12.7+0.7 pts
31Roanoke city12.7-0.6 pts
33Brunswick County12.6-0.6 pts
33Carroll County12.6-0.7 pts
33Essex County12.6+1 pts
33Northumberland County12.60 pts
33Richmond County12.6-0.2 pts
38Buchanan County12.5-0.2 pts
38Louisa County12.5-0.2 pts
40Amherst County12.3+0.9 pts
40Cumberland County12.3-0.1 pts
40Lee County12.3-1.1 pts
43Shenandoah County12.2+0.6 pts
43Wythe County12.2+0.8 pts
45Lancaster County12.1+1 pts
45Prince Edward County12.1-0.5 pts
47Mecklenburg County11.9-0.7 pts
47Rockbridge County11.9+0.1 pts
47Waynesboro city11.9-0.3 pts
50Appomattox County11.80 pts
50Dinwiddie County11.8+0.5 pts
50Hopewell city11.8+0.1 pts
53Charlottesville city11.7-0.1 pts
53Norfolk city11.7-0.1 pts
53Orange County11.7+0.1 pts
53Prince William County11.7+1.3 pts
57Emporia city11.6-0.3 pts
57Tazewell County11.6-0.1 pts
57Williamsburg city11.6-0.5 pts
57Wise County11.6-0.3 pts
61Dickenson County11.50 pts
62Campbell County11.4+0.6 pts
62Caroline County11.4+0.5 pts
62Middlesex County11.40 pts
62Norton city11.4+1.3 pts
66Clarke County11.3+1 pts
66Halifax County11.3-0.5 pts
66Warren County11.3+1 pts
69Augusta County11.2+0.5 pts
69Fredericksburg city11.20 pts
71Alexandria city11.1-0.5 pts
71Giles County11.10 pts
71Newport News city11.1-0.1 pts
71Portsmouth city11.1+0.9 pts
75Montgomery County11+1.1 pts
75Petersburg city11-1 pts
75Russell County11-0.4 pts
75Scott County11-0.5 pts
75Southampton County11-0.2 pts
80Bath County10.8+0.1 pts
80Washington County10.8+0.2 pts
82Smyth County10.7-0.2 pts
83Danville city10.6-0.2 pts
84Craig County10.5+0.9 pts
84Fluvanna County10.5-0.6 pts
84Frederick County10.5+0.4 pts
87Buena Vista city10.4+0.8 pts
88Colonial Heights city10.30 pts
88Covington city10.3+0.4 pts
88Greensville County10.3+0.5 pts
91Lynchburg city10.2-0.6 pts
92Martinsville city10.1-0.5 pts
92Staunton city10.1+0.6 pts
94Albemarle County10-0.6 pts
94Bedford County10+0.9 pts
94Surry County10-0.6 pts
97Alleghany County9.9+0.1 pts
97Fauquier County9.9+0.6 pts
97Henrico County9.9+0.2 pts
100Franklin city9.8-0.5 pts
100King William County9.80 pts
100Mathews County9.8+0.8 pts
100Pulaski County9.8+0.6 pts
104Gloucester County9.7+0.2 pts
105Hampton city9.6+0.5 pts
105New Kent County9.6+0.6 pts
107Powhatan County9.5+0.3 pts
107Spotsylvania County9.5-0.3 pts
109Fairfax city9.40 pts
110Bristol city9.3-0.8 pts
111Isle of Wight County9.2+0.4 pts
112Radford city9.1+0.2 pts
113Chesterfield County9+0.9 pts
113Fairfax County9-0.3 pts
113Prince George County9+0.9 pts
116Bland County8.9-0.7 pts
116James City County8.9+1 pts
116Virginia Beach city8.9+0.3 pts
119Lexington city8.8-1.5 pts
119Suffolk city8.80 pts
121Salem city8.5+0.2 pts
122Botetourt County8.4+0.2 pts
123Roanoke County8.2+0.4 pts
124Chesapeake city7.9-0.9 pts
125Hanover County7.8+0.7 pts
126Arlington County7.7+0.5 pts
126Stafford County7.7+0.2 pts
128York County7.6+0.6 pts
129Goochland County7.2+0.9 pts
129King George County7.2+0.2 pts
131Loudoun County6.5-0.4 pts
132Poquoson city6.2-0.1 pts
133Falls Church city3.70 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-2017-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), 2017) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-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), 2017. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017. 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), 2017. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017.

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), 2017 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2017,
  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), 2017}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2017-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017. 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-2017-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), 2017
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-2017-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2017.
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-2017-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 17.8% in 2017, 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 2017.

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