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 2018, at 17.2%. Falls Church city had the lowest, at 4%. The median was 11.2% and the figure for Virginia was 10.1%. Source: the U.S. Census Bureau.

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Highest17.2Highland County
Median11.2133 counties
Virginia10.1History

Map of counties, 2018

Accomack County: 17 %Albemarle County: 9.7 %Alleghany County: 10.4 %Amelia County: 13.6 %Amherst County: 12.1 %Appomattox County: 11.8 %Arlington County: 6.7 %Augusta County: 10.4 %Bath County: 12.6 %Bedford County: 10.3 %Bland County: 9.2 %Botetourt County: 8.1 %Brunswick County: 12.7 %Buchanan County: 12.9 %Buckingham County: 14 %Campbell County: 11.7 %Caroline County: 11.3 %Carroll County: 13.1 %Charles City County: 15.2 %Charlotte County: 14.8 %Chesterfield County: 9.8 %Clarke County: 10.6 %Craig County: 8.9 %Culpeper County: 12.5 %Cumberland County: 12.4 %Dickenson County: 11.6 %Dinwiddie County: 11.2 %Essex County: 12 %Fairfax County: 8.8 %Fauquier County: 10.1 %Floyd County: 13.7 %Fluvanna County: 10.7 %Franklin County: 11.8 %Frederick County: 10.5 %Giles County: 9.9 %Gloucester County: 10.3 %Goochland County: 7.5 %Grayson County: 12.9 %Greene County: 12.5 %Greensville County: 10.7 %Halifax County: 11.3 %Hanover County: 7.3 %Henrico County: 10 %Henry County: 14.1 %Highland County: 17.2 %Isle of Wight County: 9 %James City County: 7.9 %King and Queen County: 14.2 %King George County: 7.4 %King William County: 9.7 %Lancaster County: 13 %Lee County: 12.3 %Loudoun County: 6.9 %Louisa County: 12.9 %Lunenburg County: 15.6 %Madison County: 12.3 %Mathews County: 9.6 %Mecklenburg County: 11.5 %Middlesex County: 11.1 %Montgomery County: 10.4 %Nelson County: 13.1 %New Kent County: 9 %Northampton County: 14.6 %Northumberland County: 12.5 %Nottoway County: 14.4 %Orange County: 11.2 %Page County: 12.7 %Patrick County: 13.4 %Pittsylvania County: 12.4 %Powhatan County: 9.6 %Prince Edward County: 12.7 %Prince George County: 8.7 %Prince William County: 11.7 %Pulaski County: 9.6 %Rappahannock County: 13.3 %Richmond County: 12.7 %Roanoke County: 8.3 %Rockbridge County: 11.5 %Rockingham County: 12.3 %Russell County: 10.7 %Scott County: 10.7 %Shenandoah County: 12 %Smyth County: 11.3 %Southampton County: 10.6 %Spotsylvania County: 10.2 %Stafford County: 7.8 %Surry County: 10.1 %Sussex County: 13.4 %Tazewell County: 11.6 %Warren County: 11.9 %Washington County: 11.5 %Westmoreland County: 12.5 %Wise County: 11.9 %Wythe County: 11.5 %York County: 7.4 %Alexandria city: 11.4 %Bristol city: 10.4 %Buena Vista city: 9.8 %Charlottesville city: 10.4 %Chesapeake city: 8 %Colonial Heights city: 10 %Covington city: 10.5 %Danville city: 11.2 %Emporia city: 10.1 %Fairfax city: 9.4 %Falls Church city: 4 %Franklin city: 8.9 %Fredericksburg city: 11.5 %Galax city: 15.1 %Hampton city: 9.1 %Harrisonburg city: 14.6 %Hopewell city: 11.8 %Lexington city: 8.5 %Lynchburg city: 10.7 %Manassas city: 15.9 %Manassas Park city: 16.1 %Martinsville city: 10.4 %Newport News city: 10.8 %Norfolk city: 12.6 %Norton city: 9.5 %Petersburg city: 11.8 %Poquoson city: 5.8 %Portsmouth city: 10.3 %Radford city: 8.5 %Richmond city: 13.3 %Roanoke city: 13 %Salem city: 7.7 %Staunton city: 9.8 %Suffolk city: 8.7 %Virginia Beach city: 9.4 %Waynesboro city: 12.2 %Williamsburg city: 10.1 %Winchester city: 14.2 %
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%, 2018. 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, 2018

Highland County: 17.2 %Highland County17.2Accomack County: 17 %Accomack County17Manassas Park city: 16.1 %Manassas Park city16.1Manassas city: 15.9 %Manassas city15.9Lunenburg County: 15.6 %Lunenburg County15.6Charles City County: 15.2 %Charles City County15.2Galax city: 15.1 %Galax city15.1Charlotte County: 14.8 %Charlotte County14.8Harrisonburg city: 14.6 %Harrisonburg city14.6Northampton County: 14.6 %Northampton County14.6Nottoway County: 14.4 %Nottoway County14.4King and Queen County: 14.2 %King and Queen County14.2Winchester city: 14.2 %Winchester city14.2Henry County: 14.1 %Henry County14.1Buckingham County: 14 %Buckingham County14Floyd County: 13.7 %Floyd County13.7Amelia County: 13.6 %Amelia County13.6Patrick County: 13.4 %Patrick County13.4Sussex County: 13.4 %Sussex County13.4Rappahannock County: 13.3 %Rappahannock County13.3Richmond city: 13.3 %Richmond city13.3Carroll County: 13.1 %Carroll County13.1Nelson County: 13.1 %Nelson County13.1Lancaster County: 13 %Lancaster County13Roanoke city: 13 %Roanoke city13Buchanan County: 12.9 %Buchanan County12.9Grayson County: 12.9 %Grayson County12.9Louisa County: 12.9 %Louisa County12.9Brunswick County: 12.7 %Brunswick County12.7Page County: 12.7 %Page County12.7Prince Edward County: 12.7 %Prince Edward County12.7Richmond County: 12.7 %Richmond County12.7Bath County: 12.6 %Bath County12.6Norfolk city: 12.6 %Norfolk city12.6Culpeper County: 12.5 %Culpeper County12.5Greene County: 12.5 %Greene County12.5Northumberland County: 12.5 %Northumberland County12.5Westmoreland County: 12.5 %Westmoreland County12.5Cumberland County: 12.4 %Cumberland County12.4Pittsylvania County: 12.4 %Pittsylvania County12.4Highland County: 17.2 %Highland County17.2Accomack County: 17 %Accomack County17Manassas Park city: 16.1 %Manassas Park city16.1Manassas city: 15.9 %Manassas city15.9Lunenburg County: 15.6 %Lunenburg County15.6Charles City County: 15.2 %Charles City County15.2Galax city: 15.1 %Galax city15.1Charlotte County: 14.8 %Charlotte County14.8Harrisonburg city: 14.6 %Harrisonburg city14.6Northampton County: 14.6 %Northampton County14.6Nottoway County: 14.4 %Nottoway County14.4King and Queen County: 14.2 %King and Queen County14.2Winchester city: 14.2 %Winchester city14.2Henry County: 14.1 %Henry County14.1Buckingham County: 14 %Buckingham County14Floyd County: 13.7 %Floyd County13.7Amelia County: 13.6 %Amelia County13.6Patrick County: 13.4 %Patrick County13.4Sussex County: 13.4 %Sussex County13.4Rappahannock County: 13.3 %Rappahannock County13.3Richmond city: 13.3 %Richmond city13.3Carroll County: 13.1 %Carroll County13.1Nelson County: 13.1 %Nelson County13.1Lancaster County: 13 %Lancaster County13Roanoke city: 13 %Roanoke city13Buchanan County: 12.9 %Buchanan County12.9Grayson County: 12.9 %Grayson County12.9Louisa County: 12.9 %Louisa County12.9Brunswick County: 12.7 %Brunswick County12.7Page County: 12.7 %Page County12.7Prince Edward County: 12.7 %Prince Edward County12.7Richmond County: 12.7 %Richmond County12.7Bath County: 12.6 %Bath County12.6Norfolk city: 12.6 %Norfolk city12.6Culpeper County: 12.5 %Culpeper County12.5Greene County: 12.5 %Greene County12.5Northumberland County: 12.5 %Northumberland County12.5Westmoreland County: 12.5 %Westmoreland County12.5Cumberland County: 12.4 %Cumberland County12.4Pittsylvania County: 12.4 %Pittsylvania County12.4
%. 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

RankCounties2018 (%)Change on 2017
1Highland County17.2-0.6 pts
2Accomack County17+0.4 pts
3Manassas Park city16.1-0.3 pts
4Manassas city15.9-0.7 pts
5Lunenburg County15.6+0.3 pts
6Charles City County15.2-1.2 pts
7Galax city15.10 pts
8Charlotte County14.80 pts
9Harrisonburg city14.6-1.2 pts
9Northampton County14.60 pts
11Nottoway County14.4+1 pts
12King and Queen County14.2+0.1 pts
12Winchester city14.2-0.9 pts
14Henry County14.1+1.3 pts
15Buckingham County14+0.6 pts
16Floyd County13.7+0.3 pts
17Amelia County13.60 pts
18Patrick County13.4-0.3 pts
18Sussex County13.4+0.3 pts
20Rappahannock County13.3-0.8 pts
20Richmond city13.3-0.7 pts
22Carroll County13.1+0.5 pts
22Nelson County13.1-0.2 pts
24Lancaster County13+0.9 pts
24Roanoke city13+0.3 pts
26Buchanan County12.9+0.4 pts
26Grayson County12.9-0.8 pts
26Louisa County12.9+0.4 pts
29Brunswick County12.7+0.1 pts
29Page County12.7-0.4 pts
29Prince Edward County12.7+0.6 pts
29Richmond County12.7+0.1 pts
33Bath County12.6+1.8 pts
33Norfolk city12.6+0.9 pts
35Culpeper County12.5-0.8 pts
35Greene County12.5-0.9 pts
35Northumberland County12.5-0.1 pts
35Westmoreland County12.5-0.6 pts
39Cumberland County12.4+0.1 pts
39Pittsylvania County12.4-0.4 pts
41Lee County12.30 pts
41Madison County12.3-0.6 pts
41Rockingham County12.3-3.1 pts
44Waynesboro city12.2+0.3 pts
45Amherst County12.1-0.2 pts
46Essex County12-0.6 pts
46Shenandoah County12-0.2 pts
48Warren County11.9+0.6 pts
48Wise County11.9+0.3 pts
50Appomattox County11.80 pts
50Franklin County11.8-0.9 pts
50Hopewell city11.80 pts
50Petersburg city11.8+0.8 pts
54Campbell County11.7+0.3 pts
54Prince William County11.70 pts
56Dickenson County11.6+0.1 pts
56Tazewell County11.60 pts
58Fredericksburg city11.5+0.3 pts
58Mecklenburg County11.5-0.4 pts
58Rockbridge County11.5-0.4 pts
58Washington County11.5+0.7 pts
58Wythe County11.5-0.7 pts
63Alexandria city11.4+0.3 pts
64Caroline County11.3-0.1 pts
64Halifax County11.30 pts
64Smyth County11.3+0.6 pts
67Danville city11.2+0.6 pts
67Dinwiddie County11.2-0.6 pts
67Orange County11.2-0.5 pts
70Middlesex County11.1-0.3 pts
71Newport News city10.8-0.3 pts
72Fluvanna County10.7+0.2 pts
72Greensville County10.7+0.4 pts
72Lynchburg city10.7+0.5 pts
72Russell County10.7-0.3 pts
72Scott County10.7-0.3 pts
77Clarke County10.6-0.7 pts
77Southampton County10.6-0.4 pts
79Covington city10.5+0.2 pts
79Frederick County10.50 pts
81Alleghany County10.4+0.5 pts
81Augusta County10.4-0.8 pts
81Bristol city10.4+1.1 pts
81Charlottesville city10.4-1.3 pts
81Martinsville city10.4+0.3 pts
81Montgomery County10.4-0.6 pts
87Bedford County10.3+0.3 pts
87Gloucester County10.3+0.6 pts
87Portsmouth city10.3-0.8 pts
90Spotsylvania County10.2+0.7 pts
91Emporia city10.1-1.5 pts
91Fauquier County10.1+0.2 pts
91Surry County10.1+0.1 pts
91Williamsburg city10.1-1.5 pts
95Colonial Heights city10-0.3 pts
95Henrico County10+0.1 pts
97Giles County9.9-1.2 pts
98Buena Vista city9.8-0.6 pts
98Chesterfield County9.8+0.8 pts
98Staunton city9.8-0.3 pts
101Albemarle County9.7-0.3 pts
101King William County9.7-0.1 pts
103Mathews County9.6-0.2 pts
103Powhatan County9.6+0.1 pts
103Pulaski County9.6-0.2 pts
106Norton city9.5-1.9 pts
107Fairfax city9.40 pts
107Virginia Beach city9.4+0.5 pts
109Bland County9.2+0.3 pts
110Hampton city9.1-0.5 pts
111Isle of Wight County9-0.2 pts
111New Kent County9-0.6 pts
113Craig County8.9-1.6 pts
113Franklin city8.9-0.9 pts
115Fairfax County8.8-0.2 pts
116Prince George County8.7-0.3 pts
116Suffolk city8.7-0.1 pts
118Lexington city8.5-0.3 pts
118Radford city8.5-0.6 pts
120Roanoke County8.3+0.1 pts
121Botetourt County8.1-0.3 pts
122Chesapeake city8+0.1 pts
123James City County7.9-1 pts
124Stafford County7.8+0.1 pts
125Salem city7.7-0.8 pts
126Goochland County7.5+0.3 pts
127King George County7.4+0.2 pts
127York County7.4-0.2 pts
129Hanover County7.3-0.5 pts
130Loudoun County6.9+0.4 pts
131Arlington County6.7-1 pts
132Poquoson city5.8-0.4 pts
133Falls Church city4+0.3 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-2018-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), 2018) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-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), 2018. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018. 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), 2018. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018.

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), 2018 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2018,
  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), 2018}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2018-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018. 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-2018-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), 2018
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-2018-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2018.
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-2018-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 17.2% in 2018, 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% in 2018.

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