Counties in West Virginia by uninsured rate, under 65 (US model-based estimate), 2024

McDowell County had the highest uninsured rate, under 65 (US model-based estimate) of 55 counties in 2024, at 10.4%. Putnam County had the lowest, at 5.7%. The median was 7.5% and the figure for West Virginia was 7.3%. Source: the U.S. Census Bureau.

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Highest10.4McDowell County
Lowest5.7Putnam County
Median7.555 counties
West Virginia7.3History

Map of counties, 2024

Barbour County: 8.2 %Berkeley County: 6.6 %Boone County: 6.8 %Braxton County: 8.7 %Brooke County: 6.2 %Cabell County: 7.4 %Calhoun County: 7.8 %Clay County: 7.5 %Doddridge County: 7.2 %Fayette County: 7.6 %Gilmer County: 9.8 %Grant County: 7.5 %Greenbrier County: 8.4 %Hampshire County: 8.2 %Hancock County: 7.1 %Hardy County: 9.3 %Harrison County: 7.7 %Jackson County: 7.3 %Jefferson County: 6.6 %Kanawha County: 7.4 %Lewis County: 6.8 %Lincoln County: 7.9 %Logan County: 7.8 %McDowell County: 10.4 %Marion County: 6.5 %Marshall County: 5.7 %Mason County: 6.5 %Mercer County: 7 %Mineral County: 6.2 %Mingo County: 9.7 %Monongalia County: 6.5 %Monroe County: 8.6 %Morgan County: 8.3 %Nicholas County: 8.4 %Ohio County: 6.8 %Pendleton County: 8.8 %Pleasants County: 7.2 %Pocahontas County: 9.4 %Preston County: 8.5 %Putnam County: 5.7 %Raleigh County: 7.5 %Randolph County: 8 %Ritchie County: 8.4 %Roane County: 10 %Summers County: 8.9 %Taylor County: 8.2 %Tucker County: 8.3 %Tyler County: 5.9 %Upshur County: 7.4 %Wayne County: 7.5 %Webster County: 8.5 %Wetzel County: 6.5 %Wirt County: 6.4 %Wood County: 7.3 %Wyoming County: 9.3 %
  • Under 6.5
  • 6.5 to 7.2
  • 7.2 to 7.5
  • 7.5 to 8.2
  • 8.2 to 8.7
  • 8.7 and over
%, 2024. 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, 2024

McDowell County: 10.4 %McDowell County10.4Roane County: 10 %Roane County10Gilmer County: 9.8 %Gilmer County9.8Mingo County: 9.7 %Mingo County9.7Pocahontas County: 9.4 %Pocahontas County9.4Hardy County: 9.3 %Hardy County9.3Wyoming County: 9.3 %Wyoming County9.3Summers County: 8.9 %Summers County8.9Pendleton County: 8.8 %Pendleton County8.8Braxton County: 8.7 %Braxton County8.7Monroe County: 8.6 %Monroe County8.6Preston County: 8.5 %Preston County8.5Webster County: 8.5 %Webster County8.5Greenbrier County: 8.4 %Greenbrier County8.4Nicholas County: 8.4 %Nicholas County8.4Ritchie County: 8.4 %Ritchie County8.4Morgan County: 8.3 %Morgan County8.3Tucker County: 8.3 %Tucker County8.3Barbour County: 8.2 %Barbour County8.2Hampshire County: 8.2 %Hampshire County8.2Taylor County: 8.2 %Taylor County8.2Randolph County: 8 %Randolph County8Lincoln County: 7.9 %Lincoln County7.9Calhoun County: 7.8 %Calhoun County7.8Logan County: 7.8 %Logan County7.8Harrison County: 7.7 %Harrison County7.7Fayette County: 7.6 %Fayette County7.6Clay County: 7.5 %Clay County7.5Grant County: 7.5 %Grant County7.5Raleigh County: 7.5 %Raleigh County7.5Wayne County: 7.5 %Wayne County7.5Cabell County: 7.4 %Cabell County7.4Kanawha County: 7.4 %Kanawha County7.4Upshur County: 7.4 %Upshur County7.4Jackson County: 7.3 %Jackson County7.3Wood County: 7.3 %Wood County7.3Doddridge County: 7.2 %Doddridge County7.2Pleasants County: 7.2 %Pleasants County7.2Hancock County: 7.1 %Hancock County7.1Mercer County: 7 %Mercer County7Boone County: 6.8 %Boone County6.8Lewis County: 6.8 %Lewis County6.8Ohio County: 6.8 %Ohio County6.8Berkeley County: 6.6 %Berkeley County6.6Jefferson County: 6.6 %Jefferson County6.6Marion County: 6.5 %Marion County6.5Mason County: 6.5 %Mason County6.5Monongalia County: 6.5 %Monongalia County6.5Wetzel County: 6.5 %Wetzel County6.5Wirt County: 6.4 %Wirt County6.4Brooke County: 6.2 %Brooke County6.2Mineral County: 6.2 %Mineral County6.2Tyler County: 5.9 %Tyler County5.9Marshall County: 5.7 %Marshall County5.7Putnam County: 5.7 %Putnam County5.7McDowell County: 10.4 %McDowell County10.4Roane County: 10 %Roane County10Gilmer County: 9.8 %Gilmer County9.8Mingo County: 9.7 %Mingo County9.7Pocahontas County: 9.4 %Pocahontas County9.4Hardy County: 9.3 %Hardy County9.3Wyoming County: 9.3 %Wyoming County9.3Summers County: 8.9 %Summers County8.9Pendleton County: 8.8 %Pendleton County8.8Braxton County: 8.7 %Braxton County8.7Monroe County: 8.6 %Monroe County8.6Preston County: 8.5 %Preston County8.5Webster County: 8.5 %Webster County8.5Greenbrier County: 8.4 %Greenbrier County8.4Nicholas County: 8.4 %Nicholas County8.4Ritchie County: 8.4 %Ritchie County8.4Morgan County: 8.3 %Morgan County8.3Tucker County: 8.3 %Tucker County8.3Barbour County: 8.2 %Barbour County8.2Hampshire County: 8.2 %Hampshire County8.2Taylor County: 8.2 %Taylor County8.2Randolph County: 8 %Randolph County8Lincoln County: 7.9 %Lincoln County7.9Calhoun County: 7.8 %Calhoun County7.8Logan County: 7.8 %Logan County7.8Harrison County: 7.7 %Harrison County7.7Fayette County: 7.6 %Fayette County7.6Clay County: 7.5 %Clay County7.5Grant County: 7.5 %Grant County7.5Raleigh County: 7.5 %Raleigh County7.5Wayne County: 7.5 %Wayne County7.5Cabell County: 7.4 %Cabell County7.4Kanawha County: 7.4 %Kanawha County7.4Upshur County: 7.4 %Upshur County7.4Jackson County: 7.3 %Jackson County7.3Wood County: 7.3 %Wood County7.3Doddridge County: 7.2 %Doddridge County7.2Pleasants County: 7.2 %Pleasants County7.2Hancock County: 7.1 %Hancock County7.1Mercer County: 7 %Mercer County7Boone County: 6.8 %Boone County6.8Lewis County: 6.8 %Lewis County6.8Ohio County: 6.8 %Ohio County6.8Berkeley County: 6.6 %Berkeley County6.6Jefferson County: 6.6 %Jefferson County6.6Marion County: 6.5 %Marion County6.5Mason County: 6.5 %Mason County6.5Monongalia County: 6.5 %Monongalia County6.5Wetzel County: 6.5 %Wetzel County6.5Wirt County: 6.4 %Wirt County6.4Brooke County: 6.2 %Brooke County6.2Mineral County: 6.2 %Mineral County6.2Tyler County: 5.9 %Tyler County5.9Marshall County: 5.7 %Marshall County5.7Putnam County: 5.7 %Putnam County5.7
%. 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

RankCounties2024 (%)Change on 2023
1McDowell County10.4+0.8 pts
2Roane County10-0.3 pts
3Gilmer County9.8+1.4 pts
4Mingo County9.7-0.2 pts
5Pocahontas County9.4-0.2 pts
6Hardy County9.3+0.5 pts
6Wyoming County9.3-0.5 pts
8Summers County8.9-0.4 pts
9Pendleton County8.8+0.1 pts
10Braxton County8.70 pts
11Monroe County8.6-0.5 pts
12Preston County8.5-0.1 pts
12Webster County8.5+0.8 pts
14Greenbrier County8.4+0.6 pts
14Nicholas County8.40 pts
14Ritchie County8.4-0.1 pts
17Morgan County8.3+0.1 pts
17Tucker County8.3+0.1 pts
19Barbour County8.2-0.3 pts
19Hampshire County8.2-0.4 pts
19Taylor County8.2-0.3 pts
22Randolph County8-0.1 pts
23Lincoln County7.9-0.4 pts
24Calhoun County7.8+0.1 pts
24Logan County7.8-1.1 pts
26Harrison County7.7-0.4 pts
27Fayette County7.6-0.7 pts
28Clay County7.50 pts
28Grant County7.5-0.9 pts
28Raleigh County7.5-0.3 pts
28Wayne County7.5-0.6 pts
32Cabell County7.4-0.2 pts
32Kanawha County7.4+0.7 pts
32Upshur County7.4-0.5 pts
35Jackson County7.3+0.1 pts
35Wood County7.3-0.6 pts
37Doddridge County7.2-0.8 pts
37Pleasants County7.2+0.5 pts
39Hancock County7.1+0.4 pts
40Mercer County7-0.5 pts
41Boone County6.8-0.1 pts
41Lewis County6.8-0.3 pts
41Ohio County6.8-0.2 pts
44Berkeley County6.6-0.3 pts
44Jefferson County6.6-0.1 pts
46Marion County6.5+0.1 pts
46Mason County6.5-1 pts
46Monongalia County6.5+0.3 pts
46Wetzel County6.5+0.2 pts
50Wirt County6.4-1.1 pts
51Brooke County6.2-0.3 pts
51Mineral County6.2+0.4 pts
53Tyler County5.9-0.7 pts
54Marshall County5.7-0.2 pts
54Putnam County5.7-0.5 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-2024-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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties. 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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties.

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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2024,
  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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2024-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties. 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-2024-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 West Virginia by uninsured rate, under 65 (US model-based estimate), 2024
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-2024-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties.
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-2024-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)?

McDowell County, with 10.4% in 2024, according to the U.S. Census Bureau.

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

Putnam County, with 5.7% in 2024.

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 West Virginia: more rankings