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 2019, at 15.1%. Garfield County had the lowest, at 5.8%. The median was 9% and the figure for Washington was 7.7%. Source: the U.S. Census Bureau.

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Highest15.1Yakima County
Median939 counties
Washington7.7History

Map of counties, 2019

Adams County: 13.1 %Asotin County: 7.4 %Benton County: 8.3 %Chelan County: 11.8 %Clallam County: 9.7 %Clark County: 7.3 %Columbia County: 6.6 %Cowlitz County: 7.4 %Douglas County: 11.6 %Ferry County: 11.5 %Franklin County: 13.4 %Garfield County: 5.8 %Grant County: 13.4 %Grays Harbor County: 9.7 %Island County: 6.6 %Jefferson County: 8.6 %King County: 6.3 %Kitsap County: 6.4 %Kittitas County: 8.7 %Klickitat County: 10.9 %Lewis County: 9.5 %Lincoln County: 7.3 %Mason County: 10.6 %Okanogan County: 14.6 %Pacific County: 10.8 %Pend Oreille County: 9.1 %Pierce County: 7.6 %San Juan County: 10.6 %Skagit County: 9.7 %Skamania County: 7.4 %Snohomish County: 7.2 %Spokane County: 7 %Stevens County: 9 %Thurston County: 6.9 %Wahkiakum County: 8.3 %Walla Walla County: 9.6 %Whatcom County: 9.1 %Whitman County: 6.9 %Yakima County: 15.1 %
  • Under 6.9
  • 6.9 to 7.4
  • 7.4 to 9
  • 9 to 9.7
  • 9.7 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.

All counties, 2019

Yakima County: 15.1 %Yakima County15.1Okanogan County: 14.6 %Okanogan County14.6Franklin County: 13.4 %Franklin County13.4Grant County: 13.4 %Grant County13.4Adams County: 13.1 %Adams County13.1Chelan County: 11.8 %Chelan County11.8Douglas County: 11.6 %Douglas County11.6Ferry County: 11.5 %Ferry County11.5Klickitat County: 10.9 %Klickitat County10.9Pacific County: 10.8 %Pacific County10.8Mason County: 10.6 %Mason County10.6San Juan County: 10.6 %San Juan County10.6Clallam County: 9.7 %Clallam County9.7Grays Harbor County: 9.7 %Grays Harbor County9.7Skagit County: 9.7 %Skagit County9.7Walla Walla County: 9.6 %Walla Walla County9.6Lewis County: 9.5 %Lewis County9.5Pend Oreille County: 9.1 %Pend Oreille County9.1Whatcom County: 9.1 %Whatcom County9.1Stevens County: 9 %Stevens County9Kittitas County: 8.7 %Kittitas County8.7Jefferson County: 8.6 %Jefferson County8.6Benton County: 8.3 %Benton County8.3Wahkiakum County: 8.3 %Wahkiakum County8.3Pierce County: 7.6 %Pierce County7.6Asotin County: 7.4 %Asotin County7.4Cowlitz County: 7.4 %Cowlitz County7.4Skamania County: 7.4 %Skamania County7.4Clark County: 7.3 %Clark County7.3Lincoln County: 7.3 %Lincoln County7.3Snohomish County: 7.2 %Snohomish County7.2Spokane County: 7 %Spokane County7Thurston County: 6.9 %Thurston County6.9Whitman County: 6.9 %Whitman County6.9Columbia County: 6.6 %Columbia County6.6Island County: 6.6 %Island County6.6Kitsap County: 6.4 %Kitsap County6.4King County: 6.3 %King County6.3Garfield County: 5.8 %Garfield County5.8Yakima County: 15.1 %Yakima County15.1Okanogan County: 14.6 %Okanogan County14.6Franklin County: 13.4 %Franklin County13.4Grant County: 13.4 %Grant County13.4Adams County: 13.1 %Adams County13.1Chelan County: 11.8 %Chelan County11.8Douglas County: 11.6 %Douglas County11.6Ferry County: 11.5 %Ferry County11.5Klickitat County: 10.9 %Klickitat County10.9Pacific County: 10.8 %Pacific County10.8Mason County: 10.6 %Mason County10.6San Juan County: 10.6 %San Juan County10.6Clallam County: 9.7 %Clallam County9.7Grays Harbor County: 9.7 %Grays Harbor County9.7Skagit County: 9.7 %Skagit County9.7Walla Walla County: 9.6 %Walla Walla County9.6Lewis County: 9.5 %Lewis County9.5Pend Oreille County: 9.1 %Pend Oreille County9.1Whatcom County: 9.1 %Whatcom County9.1Stevens County: 9 %Stevens County9Kittitas County: 8.7 %Kittitas County8.7Jefferson County: 8.6 %Jefferson County8.6Benton County: 8.3 %Benton County8.3Wahkiakum County: 8.3 %Wahkiakum County8.3Pierce County: 7.6 %Pierce County7.6Asotin County: 7.4 %Asotin County7.4Cowlitz County: 7.4 %Cowlitz County7.4Skamania County: 7.4 %Skamania County7.4Clark County: 7.3 %Clark County7.3Lincoln County: 7.3 %Lincoln County7.3Snohomish County: 7.2 %Snohomish County7.2Spokane County: 7 %Spokane County7Thurston County: 6.9 %Thurston County6.9Whitman County: 6.9 %Whitman County6.9Columbia County: 6.6 %Columbia County6.6Island County: 6.6 %Island County6.6Kitsap County: 6.4 %Kitsap County6.4King County: 6.3 %King County6.3Garfield County: 5.8 %Garfield County5.8
%. 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
1Yakima County15.1-0.8 pts
2Okanogan County14.6+0.2 pts
3Franklin County13.4+1.3 pts
3Grant County13.4+0.9 pts
5Adams County13.1-0.3 pts
6Chelan County11.8+0.6 pts
7Douglas County11.6+0.2 pts
8Ferry County11.5+0.6 pts
9Klickitat County10.9-0.2 pts
10Pacific County10.8+0.1 pts
11Mason County10.6+0.4 pts
11San Juan County10.6+0.8 pts
13Clallam County9.70 pts
13Grays Harbor County9.7+0.3 pts
13Skagit County9.7+0.3 pts
16Walla Walla County9.6+0.9 pts
17Lewis County9.5+0.6 pts
18Pend Oreille County9.1+0.6 pts
18Whatcom County9.1+1.1 pts
20Stevens County9-0.9 pts
21Kittitas County8.7+0.3 pts
22Jefferson County8.6-0.4 pts
23Benton County8.3-0.6 pts
23Wahkiakum County8.3+0.2 pts
25Pierce County7.6+0.8 pts
26Asotin County7.4+0.4 pts
26Cowlitz County7.4-0.5 pts
26Skamania County7.4-0.3 pts
29Clark County7.3+0.3 pts
29Lincoln County7.3-0.3 pts
31Snohomish County7.20 pts
32Spokane County7+0.5 pts
33Thurston County6.9+0.4 pts
33Whitman County6.9+0.7 pts
35Columbia County6.6-0.5 pts
35Island County6.60 pts
37Kitsap County6.4+0.5 pts
38King County6.3+0.1 pts
39Garfield County5.8+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-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 Washington 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 Washington 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/washington-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 Washington 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/washington-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 Washington 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/washington-counties?period=2019 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_washington_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 Washington 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/washington-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 Washington 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/washington-counties?period=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/washington-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)?

Yakima County, with 15.1% in 2019, according to the U.S. Census Bureau.

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

Garfield County, with 5.8% 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 Washington: more rankings