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

Yakima County had the highest uninsured rate, under 65 (US model-based estimate) of 39 counties in 2018, at 15.9%. Garfield County had the lowest, at 4.7%. The median was 8.7% and the figure for Washington was 7.5%. Source: the U.S. Census Bureau.

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Highest15.9Yakima County
Median8.739 counties
Washington7.5History

Map of counties, 2018

Adams County: 13.4 %Asotin County: 7 %Benton County: 8.9 %Chelan County: 11.2 %Clallam County: 9.7 %Clark County: 7 %Columbia County: 7.1 %Cowlitz County: 7.9 %Douglas County: 11.4 %Ferry County: 10.9 %Franklin County: 12.1 %Garfield County: 4.7 %Grant County: 12.5 %Grays Harbor County: 9.4 %Island County: 6.6 %Jefferson County: 9 %King County: 6.2 %Kitsap County: 5.9 %Kittitas County: 8.4 %Klickitat County: 11.1 %Lewis County: 8.9 %Lincoln County: 7.6 %Mason County: 10.2 %Okanogan County: 14.4 %Pacific County: 10.7 %Pend Oreille County: 8.5 %Pierce County: 6.8 %San Juan County: 9.8 %Skagit County: 9.4 %Skamania County: 7.7 %Snohomish County: 7.2 %Spokane County: 6.5 %Stevens County: 9.9 %Thurston County: 6.5 %Wahkiakum County: 8.1 %Walla Walla County: 8.7 %Whatcom County: 8 %Whitman County: 6.2 %Yakima County: 15.9 %
  • Under 6.7
  • 6.7 to 7.7
  • 7.7 to 8.7
  • 8.7 to 9.7
  • 9.7 to 11
  • 11 and over
%, 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.

All counties, 2018

Yakima County: 15.9 %Yakima County15.9Okanogan County: 14.4 %Okanogan County14.4Adams County: 13.4 %Adams County13.4Grant County: 12.5 %Grant County12.5Franklin County: 12.1 %Franklin County12.1Douglas County: 11.4 %Douglas County11.4Chelan County: 11.2 %Chelan County11.2Klickitat County: 11.1 %Klickitat County11.1Ferry County: 10.9 %Ferry County10.9Pacific County: 10.7 %Pacific County10.7Mason County: 10.2 %Mason County10.2Stevens County: 9.9 %Stevens County9.9San Juan County: 9.8 %San Juan County9.8Clallam County: 9.7 %Clallam County9.7Grays Harbor County: 9.4 %Grays Harbor County9.4Skagit County: 9.4 %Skagit County9.4Jefferson County: 9 %Jefferson County9Benton County: 8.9 %Benton County8.9Lewis County: 8.9 %Lewis County8.9Walla Walla County: 8.7 %Walla Walla County8.7Pend Oreille County: 8.5 %Pend Oreille County8.5Kittitas County: 8.4 %Kittitas County8.4Wahkiakum County: 8.1 %Wahkiakum County8.1Whatcom County: 8 %Whatcom County8Cowlitz County: 7.9 %Cowlitz County7.9Skamania County: 7.7 %Skamania County7.7Lincoln County: 7.6 %Lincoln County7.6Snohomish County: 7.2 %Snohomish County7.2Columbia County: 7.1 %Columbia County7.1Asotin County: 7 %Asotin County7Clark County: 7 %Clark County7Pierce County: 6.8 %Pierce County6.8Island County: 6.6 %Island County6.6Spokane County: 6.5 %Spokane County6.5Thurston County: 6.5 %Thurston County6.5King County: 6.2 %King County6.2Whitman County: 6.2 %Whitman County6.2Kitsap County: 5.9 %Kitsap County5.9Garfield County: 4.7 %Garfield County4.7Yakima County: 15.9 %Yakima County15.9Okanogan County: 14.4 %Okanogan County14.4Adams County: 13.4 %Adams County13.4Grant County: 12.5 %Grant County12.5Franklin County: 12.1 %Franklin County12.1Douglas County: 11.4 %Douglas County11.4Chelan County: 11.2 %Chelan County11.2Klickitat County: 11.1 %Klickitat County11.1Ferry County: 10.9 %Ferry County10.9Pacific County: 10.7 %Pacific County10.7Mason County: 10.2 %Mason County10.2Stevens County: 9.9 %Stevens County9.9San Juan County: 9.8 %San Juan County9.8Clallam County: 9.7 %Clallam County9.7Grays Harbor County: 9.4 %Grays Harbor County9.4Skagit County: 9.4 %Skagit County9.4Jefferson County: 9 %Jefferson County9Benton County: 8.9 %Benton County8.9Lewis County: 8.9 %Lewis County8.9Walla Walla County: 8.7 %Walla Walla County8.7Pend Oreille County: 8.5 %Pend Oreille County8.5Kittitas County: 8.4 %Kittitas County8.4Wahkiakum County: 8.1 %Wahkiakum County8.1Whatcom County: 8 %Whatcom County8Cowlitz County: 7.9 %Cowlitz County7.9Skamania County: 7.7 %Skamania County7.7Lincoln County: 7.6 %Lincoln County7.6Snohomish County: 7.2 %Snohomish County7.2Columbia County: 7.1 %Columbia County7.1Asotin County: 7 %Asotin County7Clark County: 7 %Clark County7Pierce County: 6.8 %Pierce County6.8Island County: 6.6 %Island County6.6Spokane County: 6.5 %Spokane County6.5Thurston County: 6.5 %Thurston County6.5King County: 6.2 %King County6.2Whitman County: 6.2 %Whitman County6.2Kitsap County: 5.9 %Kitsap County5.9Garfield County: 4.7 %Garfield County4.7
%. 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
1Yakima County15.9+3 pts
2Okanogan County14.4-0.5 pts
3Adams County13.4+0.7 pts
4Grant County12.50 pts
5Franklin County12.1+0.5 pts
6Douglas County11.4+0.1 pts
7Chelan County11.2+1.9 pts
8Klickitat County11.1+1.1 pts
9Ferry County10.9+0.3 pts
10Pacific County10.7+1.1 pts
11Mason County10.2+1.1 pts
12Stevens County9.9+2 pts
13San Juan County9.8+0.7 pts
14Clallam County9.7+0.7 pts
15Grays Harbor County9.4+0.5 pts
15Skagit County9.4+0.8 pts
17Jefferson County9+0.7 pts
18Benton County8.9+1.3 pts
18Lewis County8.9+0.1 pts
20Walla Walla County8.7+0.8 pts
21Pend Oreille County8.5+0.5 pts
22Kittitas County8.4+0.2 pts
23Wahkiakum County8.1-0.8 pts
24Whatcom County8+0.4 pts
25Cowlitz County7.9+1.3 pts
26Skamania County7.7+0.5 pts
27Lincoln County7.6+0.8 pts
28Snohomish County7.2+1 pts
29Columbia County7.1+0.7 pts
30Asotin County7+0.5 pts
30Clark County70 pts
32Pierce County6.8-0.1 pts
33Island County6.6+0.6 pts
34Spokane County6.5+0.5 pts
34Thurston County6.5+0.4 pts
36King County6.20 pts
36Whitman County6.20 pts
38Kitsap County5.9+0.6 pts
39Garfield County4.7+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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2018 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Yakima County, with 15.9% in 2018, according to the U.S. Census Bureau.

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

Garfield County, with 4.7% 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 Washington: more rankings