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

McDowell County had the highest uninsured rate, under 65 (US model-based estimate) of 55 counties in 2018, at 11%. Putnam County had the lowest, at 5.7%. The median was 8.1% and the figure for West Virginia was 7.8%. Source: the U.S. Census Bureau.

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Lowest5.7Putnam County
Median8.155 counties
West Virginia7.8History

Map of counties, 2018

Barbour County: 8.4 %Berkeley County: 7.6 %Boone County: 7.6 %Braxton County: 8.8 %Brooke County: 5.8 %Cabell County: 7.7 %Calhoun County: 8.8 %Clay County: 8.2 %Doddridge County: 7.6 %Fayette County: 8.3 %Gilmer County: 7.6 %Grant County: 8.4 %Greenbrier County: 9.4 %Hampshire County: 10.3 %Hancock County: 7.7 %Hardy County: 9.4 %Harrison County: 8.2 %Jackson County: 7.1 %Jefferson County: 6.4 %Kanawha County: 8.1 %Lewis County: 7.3 %Lincoln County: 8.2 %Logan County: 8.2 %McDowell County: 11 %Marion County: 7.2 %Marshall County: 6.9 %Mason County: 7.1 %Mercer County: 8.9 %Mineral County: 6.6 %Mingo County: 9.2 %Monongalia County: 7.4 %Monroe County: 10.1 %Morgan County: 8.5 %Nicholas County: 7.8 %Ohio County: 6 %Pendleton County: 9.6 %Pleasants County: 5.8 %Pocahontas County: 8.2 %Preston County: 8.2 %Putnam County: 5.7 %Raleigh County: 7.4 %Randolph County: 8.6 %Ritchie County: 8.9 %Roane County: 9.2 %Summers County: 8.1 %Taylor County: 6.9 %Tucker County: 7.9 %Tyler County: 6.5 %Upshur County: 8.3 %Wayne County: 8.9 %Webster County: 7.7 %Wetzel County: 8 %Wirt County: 7.6 %Wood County: 7.4 %Wyoming County: 8.6 %
  • Under 7.1
  • 7.1 to 7.6
  • 7.6 to 8.1
  • 8.1 to 8.3
  • 8.3 to 8.9
  • 8.9 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

McDowell County: 11 %McDowell County11Hampshire County: 10.3 %Hampshire County10.3Monroe County: 10.1 %Monroe County10.1Pendleton County: 9.6 %Pendleton County9.6Greenbrier County: 9.4 %Greenbrier County9.4Hardy County: 9.4 %Hardy County9.4Mingo County: 9.2 %Mingo County9.2Roane County: 9.2 %Roane County9.2Mercer County: 8.9 %Mercer County8.9Ritchie County: 8.9 %Ritchie County8.9Wayne County: 8.9 %Wayne County8.9Braxton County: 8.8 %Braxton County8.8Calhoun County: 8.8 %Calhoun County8.8Randolph County: 8.6 %Randolph County8.6Wyoming County: 8.6 %Wyoming County8.6Morgan County: 8.5 %Morgan County8.5Barbour County: 8.4 %Barbour County8.4Grant County: 8.4 %Grant County8.4Fayette County: 8.3 %Fayette County8.3Upshur County: 8.3 %Upshur County8.3Clay County: 8.2 %Clay County8.2Harrison County: 8.2 %Harrison County8.2Lincoln County: 8.2 %Lincoln County8.2Logan County: 8.2 %Logan County8.2Pocahontas County: 8.2 %Pocahontas County8.2Preston County: 8.2 %Preston County8.2Kanawha County: 8.1 %Kanawha County8.1Summers County: 8.1 %Summers County8.1Wetzel County: 8 %Wetzel County8Tucker County: 7.9 %Tucker County7.9Nicholas County: 7.8 %Nicholas County7.8Cabell County: 7.7 %Cabell County7.7Hancock County: 7.7 %Hancock County7.7Webster County: 7.7 %Webster County7.7Berkeley County: 7.6 %Berkeley County7.6Boone County: 7.6 %Boone County7.6Doddridge County: 7.6 %Doddridge County7.6Gilmer County: 7.6 %Gilmer County7.6Wirt County: 7.6 %Wirt County7.6Monongalia County: 7.4 %Monongalia County7.4Raleigh County: 7.4 %Raleigh County7.4Wood County: 7.4 %Wood County7.4Lewis County: 7.3 %Lewis County7.3Marion County: 7.2 %Marion County7.2Jackson County: 7.1 %Jackson County7.1Mason County: 7.1 %Mason County7.1Marshall County: 6.9 %Marshall County6.9Taylor County: 6.9 %Taylor County6.9Mineral County: 6.6 %Mineral County6.6Tyler County: 6.5 %Tyler County6.5Jefferson County: 6.4 %Jefferson County6.4Ohio County: 6 %Ohio County6Brooke County: 5.8 %Brooke County5.8Pleasants County: 5.8 %Pleasants County5.8Putnam County: 5.7 %Putnam County5.7McDowell County: 11 %McDowell County11Hampshire County: 10.3 %Hampshire County10.3Monroe County: 10.1 %Monroe County10.1Pendleton County: 9.6 %Pendleton County9.6Greenbrier County: 9.4 %Greenbrier County9.4Hardy County: 9.4 %Hardy County9.4Mingo County: 9.2 %Mingo County9.2Roane County: 9.2 %Roane County9.2Mercer County: 8.9 %Mercer County8.9Ritchie County: 8.9 %Ritchie County8.9Wayne County: 8.9 %Wayne County8.9Braxton County: 8.8 %Braxton County8.8Calhoun County: 8.8 %Calhoun County8.8Randolph County: 8.6 %Randolph County8.6Wyoming County: 8.6 %Wyoming County8.6Morgan County: 8.5 %Morgan County8.5Barbour County: 8.4 %Barbour County8.4Grant County: 8.4 %Grant County8.4Fayette County: 8.3 %Fayette County8.3Upshur County: 8.3 %Upshur County8.3Clay County: 8.2 %Clay County8.2Harrison County: 8.2 %Harrison County8.2Lincoln County: 8.2 %Lincoln County8.2Logan County: 8.2 %Logan County8.2Pocahontas County: 8.2 %Pocahontas County8.2Preston County: 8.2 %Preston County8.2Kanawha County: 8.1 %Kanawha County8.1Summers County: 8.1 %Summers County8.1Wetzel County: 8 %Wetzel County8Tucker County: 7.9 %Tucker County7.9Nicholas County: 7.8 %Nicholas County7.8Cabell County: 7.7 %Cabell County7.7Hancock County: 7.7 %Hancock County7.7Webster County: 7.7 %Webster County7.7Berkeley County: 7.6 %Berkeley County7.6Boone County: 7.6 %Boone County7.6Doddridge County: 7.6 %Doddridge County7.6Gilmer County: 7.6 %Gilmer County7.6Wirt County: 7.6 %Wirt County7.6Monongalia County: 7.4 %Monongalia County7.4Raleigh County: 7.4 %Raleigh County7.4Wood County: 7.4 %Wood County7.4Lewis County: 7.3 %Lewis County7.3Marion County: 7.2 %Marion County7.2Jackson County: 7.1 %Jackson County7.1Mason County: 7.1 %Mason County7.1Marshall County: 6.9 %Marshall County6.9Taylor County: 6.9 %Taylor County6.9Mineral County: 6.6 %Mineral County6.6Tyler County: 6.5 %Tyler County6.5Jefferson County: 6.4 %Jefferson County6.4Ohio County: 6 %Ohio County6Brooke County: 5.8 %Brooke County5.8Pleasants County: 5.8 %Pleasants County5.8Putnam 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

RankCounties2018 (%)Change on 2017
1McDowell County11+1.2 pts
2Hampshire County10.3+0.8 pts
3Monroe County10.1+1 pts
4Pendleton County9.6+0.4 pts
5Greenbrier County9.4+0.9 pts
5Hardy County9.4-0.4 pts
7Mingo County9.2+0.5 pts
7Roane County9.2+0.6 pts
9Mercer County8.9+1.2 pts
9Ritchie County8.9-0.1 pts
9Wayne County8.9+1.1 pts
12Braxton County8.8+0.7 pts
12Calhoun County8.8+0.4 pts
14Randolph County8.6+0.6 pts
14Wyoming County8.6+0.9 pts
16Morgan County8.5-0.3 pts
17Barbour County8.4+0.2 pts
17Grant County8.4+0.3 pts
19Fayette County8.3+0.2 pts
19Upshur County8.3+0.3 pts
21Clay County8.2-0.1 pts
21Harrison County8.2+0.6 pts
21Lincoln County8.2+0.2 pts
21Logan County8.2+0.4 pts
21Pocahontas County8.2-0.3 pts
21Preston County8.2-0.1 pts
27Kanawha County8.1+1.1 pts
27Summers County8.1+0.3 pts
29Wetzel County8+0.2 pts
30Tucker County7.9+0.2 pts
31Nicholas County7.8-0.1 pts
32Cabell County7.7-1 pts
32Hancock County7.7+0.5 pts
32Webster County7.7-0.6 pts
35Berkeley County7.6+0.5 pts
35Boone County7.6+0.4 pts
35Doddridge County7.6-0.4 pts
35Gilmer County7.6-0.7 pts
35Wirt County7.6-0.7 pts
40Monongalia County7.4+0.2 pts
40Raleigh County7.40 pts
40Wood County7.4+0.3 pts
43Lewis County7.30 pts
44Marion County7.2+0.6 pts
45Jackson County7.1-0.1 pts
45Mason County7.10 pts
47Marshall County6.9-0.6 pts
47Taylor County6.9-0.4 pts
49Mineral County6.6-0.4 pts
50Tyler County6.5-0.9 pts
51Jefferson County6.4-0.1 pts
52Ohio County6-0.4 pts
53Brooke County5.8-0.1 pts
53Pleasants County5.8-0.3 pts
55Putnam County5.70 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 West 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 West 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/west-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 West 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/west-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 West 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/west-virginia-counties?period=2018 (Accessed: 12 October 2026).

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

McDowell County, with 11% in 2018, 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 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 West Virginia: more rankings