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

Manassas city had the highest uninsured rate, under 65 (US model-based estimate) of 133 counties in 2019, at 16%. Falls Church city had the lowest, at 3.8%. The median was 9.8% and the figure for Virginia was 9.2%. Source: the U.S. Census Bureau.

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Highest16Manassas city
Median9.8133 counties
Virginia9.2History

Map of counties, 2019

Accomack County: 15.1 %Albemarle County: 8.7 %Alleghany County: 9.5 %Amelia County: 11.6 %Amherst County: 10.2 %Appomattox County: 11.9 %Arlington County: 6.1 %Augusta County: 10 %Bath County: 10.5 %Bedford County: 9.2 %Bland County: 7.9 %Botetourt County: 7.3 %Brunswick County: 12.5 %Buchanan County: 12.2 %Buckingham County: 11.9 %Campbell County: 10.3 %Caroline County: 9.5 %Carroll County: 12.2 %Charles City County: 14 %Charlotte County: 12.4 %Chesterfield County: 9.1 %Clarke County: 9.5 %Craig County: 6.5 %Culpeper County: 11.1 %Cumberland County: 10.5 %Dickenson County: 10.3 %Dinwiddie County: 10 %Essex County: 11.3 %Fairfax County: 9.1 %Fauquier County: 9.1 %Floyd County: 12.1 %Fluvanna County: 9.1 %Franklin County: 10.3 %Frederick County: 9.5 %Giles County: 9.2 %Gloucester County: 9.4 %Goochland County: 6.4 %Grayson County: 11.6 %Greene County: 10.8 %Greensville County: 8.6 %Halifax County: 10.5 %Hanover County: 6.7 %Henrico County: 8.8 %Henry County: 11.4 %Highland County: 14.6 %Isle of Wight County: 8.2 %James City County: 6.9 %King and Queen County: 12.3 %King George County: 6.7 %King William County: 8.5 %Lancaster County: 11.8 %Lee County: 10.9 %Loudoun County: 6.1 %Louisa County: 12.1 %Lunenburg County: 13.6 %Madison County: 11.2 %Mathews County: 8.8 %Mecklenburg County: 12 %Middlesex County: 11.5 %Montgomery County: 8.8 %Nelson County: 12.7 %New Kent County: 8.6 %Northampton County: 12.5 %Northumberland County: 11.1 %Nottoway County: 12.9 %Orange County: 10.4 %Page County: 11.3 %Patrick County: 11.7 %Pittsylvania County: 11.4 %Powhatan County: 9.1 %Prince Edward County: 9.8 %Prince George County: 7.6 %Prince William County: 11.3 %Pulaski County: 8.3 %Rappahannock County: 12.2 %Richmond County: 9.7 %Roanoke County: 7.5 %Rockbridge County: 10.1 %Rockingham County: 11.5 %Russell County: 9.8 %Scott County: 10.2 %Shenandoah County: 10.2 %Smyth County: 9.3 %Southampton County: 8.8 %Spotsylvania County: 8.9 %Stafford County: 7.1 %Surry County: 8.8 %Sussex County: 10.1 %Tazewell County: 10.4 %Warren County: 10.1 %Washington County: 10.6 %Westmoreland County: 10.7 %Wise County: 11.3 %Wythe County: 9.6 %York County: 7 %Alexandria city: 9.1 %Bristol city: 9.4 %Buena Vista city: 7.9 %Charlottesville city: 10.7 %Chesapeake city: 7.9 %Colonial Heights city: 9.1 %Covington city: 8 %Danville city: 9.8 %Emporia city: 8.3 %Fairfax city: 9.4 %Falls Church city: 3.8 %Franklin city: 7.4 %Fredericksburg city: 10.4 %Galax city: 14.1 %Hampton city: 7.9 %Harrisonburg city: 13 %Hopewell city: 9 %Lexington city: 6 %Lynchburg city: 9.3 %Manassas city: 16 %Manassas Park city: 15.3 %Martinsville city: 8.4 %Newport News city: 9.5 %Norfolk city: 10.4 %Norton city: 8.2 %Petersburg city: 10.6 %Poquoson city: 5.7 %Portsmouth city: 8.8 %Radford city: 7.5 %Richmond city: 11.8 %Roanoke city: 11.1 %Salem city: 7.3 %Staunton city: 9.3 %Suffolk city: 7.9 %Virginia Beach city: 8.2 %Waynesboro city: 10.1 %Williamsburg city: 8 %Winchester city: 12.7 %
  • Under 7.9
  • 7.9 to 9.1
  • 9.1 to 9.8
  • 9.8 to 11
  • 11 to 12
  • 12 and over
%, 2019. 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, 2019

Manassas city: 16 %Manassas city16Manassas Park city: 15.3 %Manassas Park city15.3Accomack County: 15.1 %Accomack County15.1Highland County: 14.6 %Highland County14.6Galax city: 14.1 %Galax city14.1Charles City County: 14 %Charles City County14Lunenburg County: 13.6 %Lunenburg County13.6Harrisonburg city: 13 %Harrisonburg city13Nottoway County: 12.9 %Nottoway County12.9Nelson County: 12.7 %Nelson County12.7Winchester city: 12.7 %Winchester city12.7Brunswick County: 12.5 %Brunswick County12.5Northampton County: 12.5 %Northampton County12.5Charlotte County: 12.4 %Charlotte County12.4King and Queen County: 12.3 %King and Queen County12.3Buchanan County: 12.2 %Buchanan County12.2Carroll County: 12.2 %Carroll County12.2Rappahannock County: 12.2 %Rappahannock County12.2Floyd County: 12.1 %Floyd County12.1Louisa County: 12.1 %Louisa County12.1Mecklenburg County: 12 %Mecklenburg County12Appomattox County: 11.9 %Appomattox County11.9Buckingham County: 11.9 %Buckingham County11.9Lancaster County: 11.8 %Lancaster County11.8Richmond city: 11.8 %Richmond city11.8Patrick County: 11.7 %Patrick County11.7Amelia County: 11.6 %Amelia County11.6Grayson County: 11.6 %Grayson County11.6Middlesex County: 11.5 %Middlesex County11.5Rockingham County: 11.5 %Rockingham County11.5Henry County: 11.4 %Henry County11.4Pittsylvania County: 11.4 %Pittsylvania County11.4Essex County: 11.3 %Essex County11.3Page County: 11.3 %Page County11.3Prince William County: 11.3 %Prince William County11.3Wise County: 11.3 %Wise County11.3Madison County: 11.2 %Madison County11.2Culpeper County: 11.1 %Culpeper County11.1Northumberland County: 11.1 %Northumberland County11.1Roanoke city: 11.1 %Roanoke city11.1Manassas city: 16 %Manassas city16Manassas Park city: 15.3 %Manassas Park city15.3Accomack County: 15.1 %Accomack County15.1Highland County: 14.6 %Highland County14.6Galax city: 14.1 %Galax city14.1Charles City County: 14 %Charles City County14Lunenburg County: 13.6 %Lunenburg County13.6Harrisonburg city: 13 %Harrisonburg city13Nottoway County: 12.9 %Nottoway County12.9Nelson County: 12.7 %Nelson County12.7Winchester city: 12.7 %Winchester city12.7Brunswick County: 12.5 %Brunswick County12.5Northampton County: 12.5 %Northampton County12.5Charlotte County: 12.4 %Charlotte County12.4King and Queen County: 12.3 %King and Queen County12.3Buchanan County: 12.2 %Buchanan County12.2Carroll County: 12.2 %Carroll County12.2Rappahannock County: 12.2 %Rappahannock County12.2Floyd County: 12.1 %Floyd County12.1Louisa County: 12.1 %Louisa County12.1Mecklenburg County: 12 %Mecklenburg County12Appomattox County: 11.9 %Appomattox County11.9Buckingham County: 11.9 %Buckingham County11.9Lancaster County: 11.8 %Lancaster County11.8Richmond city: 11.8 %Richmond city11.8Patrick County: 11.7 %Patrick County11.7Amelia County: 11.6 %Amelia County11.6Grayson County: 11.6 %Grayson County11.6Middlesex County: 11.5 %Middlesex County11.5Rockingham County: 11.5 %Rockingham County11.5Henry County: 11.4 %Henry County11.4Pittsylvania County: 11.4 %Pittsylvania County11.4Essex County: 11.3 %Essex County11.3Page County: 11.3 %Page County11.3Prince William County: 11.3 %Prince William County11.3Wise County: 11.3 %Wise County11.3Madison County: 11.2 %Madison County11.2Culpeper County: 11.1 %Culpeper County11.1Northumberland County: 11.1 %Northumberland County11.1Roanoke city: 11.1 %Roanoke city11.1
%. 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

RankCounties2019 (%)Change on 2018
1Manassas city16+0.1 pts
2Manassas Park city15.3-0.8 pts
3Accomack County15.1-1.9 pts
4Highland County14.6-2.6 pts
5Galax city14.1-1 pts
6Charles City County14-1.2 pts
7Lunenburg County13.6-2 pts
8Harrisonburg city13-1.6 pts
9Nottoway County12.9-1.5 pts
10Nelson County12.7-0.4 pts
10Winchester city12.7-1.5 pts
12Brunswick County12.5-0.2 pts
12Northampton County12.5-2.1 pts
14Charlotte County12.4-2.4 pts
15King and Queen County12.3-1.9 pts
16Buchanan County12.2-0.7 pts
16Carroll County12.2-0.9 pts
16Rappahannock County12.2-1.1 pts
19Floyd County12.1-1.6 pts
19Louisa County12.1-0.8 pts
21Mecklenburg County12+0.5 pts
22Appomattox County11.9+0.1 pts
22Buckingham County11.9-2.1 pts
24Lancaster County11.8-1.2 pts
24Richmond city11.8-1.5 pts
26Patrick County11.7-1.7 pts
27Amelia County11.6-2 pts
27Grayson County11.6-1.3 pts
29Middlesex County11.5+0.4 pts
29Rockingham County11.5-0.8 pts
31Henry County11.4-2.7 pts
31Pittsylvania County11.4-1 pts
33Essex County11.3-0.7 pts
33Page County11.3-1.4 pts
33Prince William County11.3-0.4 pts
33Wise County11.3-0.6 pts
37Madison County11.2-1.1 pts
38Culpeper County11.1-1.4 pts
38Northumberland County11.1-1.4 pts
38Roanoke city11.1-1.9 pts
41Lee County10.9-1.4 pts
42Greene County10.8-1.7 pts
43Charlottesville city10.7+0.3 pts
43Westmoreland County10.7-1.8 pts
45Petersburg city10.6-1.2 pts
45Washington County10.6-0.9 pts
47Bath County10.5-2.1 pts
47Cumberland County10.5-1.9 pts
47Halifax County10.5-0.8 pts
50Fredericksburg city10.4-1.1 pts
50Norfolk city10.4-2.2 pts
50Orange County10.4-0.8 pts
50Tazewell County10.4-1.2 pts
54Campbell County10.3-1.4 pts
54Dickenson County10.3-1.3 pts
54Franklin County10.3-1.5 pts
57Amherst County10.2-1.9 pts
57Scott County10.2-0.5 pts
57Shenandoah County10.2-1.8 pts
60Rockbridge County10.1-1.4 pts
60Sussex County10.1-3.3 pts
60Warren County10.1-1.8 pts
60Waynesboro city10.1-2.1 pts
64Augusta County10-0.4 pts
64Dinwiddie County10-1.2 pts
66Danville city9.8-1.4 pts
66Prince Edward County9.8-2.9 pts
66Russell County9.8-0.9 pts
69Richmond County9.7-3 pts
70Wythe County9.6-1.9 pts
71Alleghany County9.5-0.9 pts
71Caroline County9.5-1.8 pts
71Clarke County9.5-1.1 pts
71Frederick County9.5-1 pts
71Newport News city9.5-1.3 pts
76Bristol city9.4-1 pts
76Fairfax city9.40 pts
76Gloucester County9.4-0.9 pts
79Lynchburg city9.3-1.4 pts
79Smyth County9.3-2 pts
79Staunton city9.3-0.5 pts
82Bedford County9.2-1.1 pts
82Giles County9.2-0.7 pts
84Alexandria city9.1-2.3 pts
84Chesterfield County9.1-0.7 pts
84Colonial Heights city9.1-0.9 pts
84Fairfax County9.1+0.3 pts
84Fauquier County9.1-1 pts
84Fluvanna County9.1-1.6 pts
84Powhatan County9.1-0.5 pts
91Hopewell city9-2.8 pts
92Spotsylvania County8.9-1.3 pts
93Henrico County8.8-1.2 pts
93Mathews County8.8-0.8 pts
93Montgomery County8.8-1.6 pts
93Portsmouth city8.8-1.5 pts
93Southampton County8.8-1.8 pts
93Surry County8.8-1.3 pts
99Albemarle County8.7-1 pts
100Greensville County8.6-2.1 pts
100New Kent County8.6-0.4 pts
102King William County8.5-1.2 pts
103Martinsville city8.4-2 pts
104Emporia city8.3-1.8 pts
104Pulaski County8.3-1.3 pts
106Isle of Wight County8.2-0.8 pts
106Norton city8.2-1.3 pts
106Virginia Beach city8.2-1.2 pts
109Covington city8-2.5 pts
109Williamsburg city8-2.1 pts
111Bland County7.9-1.3 pts
111Buena Vista city7.9-1.9 pts
111Chesapeake city7.9-0.1 pts
111Hampton city7.9-1.2 pts
111Suffolk city7.9-0.8 pts
116Prince George County7.6-1.1 pts
117Radford city7.5-1 pts
117Roanoke County7.5-0.8 pts
119Franklin city7.4-1.5 pts
120Botetourt County7.3-0.8 pts
120Salem city7.3-0.4 pts
122Stafford County7.1-0.7 pts
123York County7-0.4 pts
124James City County6.9-1 pts
125Hanover County6.7-0.6 pts
125King George County6.7-0.7 pts
127Craig County6.5-2.4 pts
128Goochland County6.4-1.1 pts
129Arlington County6.1-0.6 pts
129Loudoun County6.1-0.8 pts
131Lexington city6-2.5 pts
132Poquoson city5.7-0.1 pts
133Falls Church city3.8-0.2 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-2019-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), 2019) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-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), 2019. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019. 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), 2019. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019.

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), 2019 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_virginia_by_2019,
  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), 2019}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2019-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019. 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-2019-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), 2019
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-2019-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/virginia-counties?period=2019.
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-2019-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)?

Manassas city, with 16% in 2019, according to the U.S. Census Bureau.

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

Falls Church city, with 3.8% in 2019.

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