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 2019, at 11.8%. Pleasants County had the lowest, at 5.5%. The median was 8.4% and the figure for West Virginia was 8.1%. Source: the U.S. Census Bureau.

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Highest11.8McDowell County
Median8.455 counties
West Virginia8.1History

Map of counties, 2019

Barbour County: 9.1 %Berkeley County: 8 %Boone County: 8.1 %Braxton County: 9.6 %Brooke County: 7 %Cabell County: 8.3 %Calhoun County: 9 %Clay County: 8.4 %Doddridge County: 8.6 %Fayette County: 9.2 %Gilmer County: 7.9 %Grant County: 8.9 %Greenbrier County: 8.9 %Hampshire County: 10.4 %Hancock County: 8.5 %Hardy County: 10.3 %Harrison County: 7.7 %Jackson County: 7.5 %Jefferson County: 7.4 %Kanawha County: 8.1 %Lewis County: 8.2 %Lincoln County: 8.3 %Logan County: 9 %McDowell County: 11.8 %Marion County: 7.8 %Marshall County: 6.9 %Mason County: 7 %Mercer County: 8.8 %Mineral County: 6.8 %Mingo County: 9.7 %Monongalia County: 6.9 %Monroe County: 10.4 %Morgan County: 9.8 %Nicholas County: 8.8 %Ohio County: 6.7 %Pendleton County: 9.8 %Pleasants County: 5.5 %Pocahontas County: 8.7 %Preston County: 8.5 %Putnam County: 5.9 %Raleigh County: 8 %Randolph County: 9 %Ritchie County: 9.1 %Roane County: 10.1 %Summers County: 8.4 %Taylor County: 8.1 %Tucker County: 9.2 %Tyler County: 6.9 %Upshur County: 9.7 %Wayne County: 8.9 %Webster County: 8.1 %Wetzel County: 7.8 %Wirt County: 7.8 %Wood County: 7.3 %Wyoming County: 9 %
  • Under 7.3
  • 7.3 to 8
  • 8 to 8.4
  • 8.4 to 8.9
  • 8.9 to 9.6
  • 9.6 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

McDowell County: 11.8 %McDowell County11.8Hampshire County: 10.4 %Hampshire County10.4Monroe County: 10.4 %Monroe County10.4Hardy County: 10.3 %Hardy County10.3Roane County: 10.1 %Roane County10.1Morgan County: 9.8 %Morgan County9.8Pendleton County: 9.8 %Pendleton County9.8Mingo County: 9.7 %Mingo County9.7Upshur County: 9.7 %Upshur County9.7Braxton County: 9.6 %Braxton County9.6Fayette County: 9.2 %Fayette County9.2Tucker County: 9.2 %Tucker County9.2Barbour County: 9.1 %Barbour County9.1Ritchie County: 9.1 %Ritchie County9.1Calhoun County: 9 %Calhoun County9Logan County: 9 %Logan County9Randolph County: 9 %Randolph County9Wyoming County: 9 %Wyoming County9Grant County: 8.9 %Grant County8.9Greenbrier County: 8.9 %Greenbrier County8.9Wayne County: 8.9 %Wayne County8.9Mercer County: 8.8 %Mercer County8.8Nicholas County: 8.8 %Nicholas County8.8Pocahontas County: 8.7 %Pocahontas County8.7Doddridge County: 8.6 %Doddridge County8.6Hancock County: 8.5 %Hancock County8.5Preston County: 8.5 %Preston County8.5Clay County: 8.4 %Clay County8.4Summers County: 8.4 %Summers County8.4Cabell County: 8.3 %Cabell County8.3Lincoln County: 8.3 %Lincoln County8.3Lewis County: 8.2 %Lewis County8.2Boone County: 8.1 %Boone County8.1Kanawha County: 8.1 %Kanawha County8.1Taylor County: 8.1 %Taylor County8.1Webster County: 8.1 %Webster County8.1Berkeley County: 8 %Berkeley County8Raleigh County: 8 %Raleigh County8Gilmer County: 7.9 %Gilmer County7.9Marion County: 7.8 %Marion County7.8Wetzel County: 7.8 %Wetzel County7.8Wirt County: 7.8 %Wirt County7.8Harrison County: 7.7 %Harrison County7.7Jackson County: 7.5 %Jackson County7.5Jefferson County: 7.4 %Jefferson County7.4Wood County: 7.3 %Wood County7.3Brooke County: 7 %Brooke County7Mason County: 7 %Mason County7Marshall County: 6.9 %Marshall County6.9Monongalia County: 6.9 %Monongalia County6.9Tyler County: 6.9 %Tyler County6.9Mineral County: 6.8 %Mineral County6.8Ohio County: 6.7 %Ohio County6.7Putnam County: 5.9 %Putnam County5.9Pleasants County: 5.5 %Pleasants County5.5McDowell County: 11.8 %McDowell County11.8Hampshire County: 10.4 %Hampshire County10.4Monroe County: 10.4 %Monroe County10.4Hardy County: 10.3 %Hardy County10.3Roane County: 10.1 %Roane County10.1Morgan County: 9.8 %Morgan County9.8Pendleton County: 9.8 %Pendleton County9.8Mingo County: 9.7 %Mingo County9.7Upshur County: 9.7 %Upshur County9.7Braxton County: 9.6 %Braxton County9.6Fayette County: 9.2 %Fayette County9.2Tucker County: 9.2 %Tucker County9.2Barbour County: 9.1 %Barbour County9.1Ritchie County: 9.1 %Ritchie County9.1Calhoun County: 9 %Calhoun County9Logan County: 9 %Logan County9Randolph County: 9 %Randolph County9Wyoming County: 9 %Wyoming County9Grant County: 8.9 %Grant County8.9Greenbrier County: 8.9 %Greenbrier County8.9Wayne County: 8.9 %Wayne County8.9Mercer County: 8.8 %Mercer County8.8Nicholas County: 8.8 %Nicholas County8.8Pocahontas County: 8.7 %Pocahontas County8.7Doddridge County: 8.6 %Doddridge County8.6Hancock County: 8.5 %Hancock County8.5Preston County: 8.5 %Preston County8.5Clay County: 8.4 %Clay County8.4Summers County: 8.4 %Summers County8.4Cabell County: 8.3 %Cabell County8.3Lincoln County: 8.3 %Lincoln County8.3Lewis County: 8.2 %Lewis County8.2Boone County: 8.1 %Boone County8.1Kanawha County: 8.1 %Kanawha County8.1Taylor County: 8.1 %Taylor County8.1Webster County: 8.1 %Webster County8.1Berkeley County: 8 %Berkeley County8Raleigh County: 8 %Raleigh County8Gilmer County: 7.9 %Gilmer County7.9Marion County: 7.8 %Marion County7.8Wetzel County: 7.8 %Wetzel County7.8Wirt County: 7.8 %Wirt County7.8Harrison County: 7.7 %Harrison County7.7Jackson County: 7.5 %Jackson County7.5Jefferson County: 7.4 %Jefferson County7.4Wood County: 7.3 %Wood County7.3Brooke County: 7 %Brooke County7Mason County: 7 %Mason County7Marshall County: 6.9 %Marshall County6.9Monongalia County: 6.9 %Monongalia County6.9Tyler County: 6.9 %Tyler County6.9Mineral County: 6.8 %Mineral County6.8Ohio County: 6.7 %Ohio County6.7Putnam County: 5.9 %Putnam County5.9Pleasants County: 5.5 %Pleasants County5.5
%. 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
1McDowell County11.8+0.8 pts
2Hampshire County10.4+0.1 pts
2Monroe County10.4+0.3 pts
4Hardy County10.3+0.9 pts
5Roane County10.1+0.9 pts
6Morgan County9.8+1.3 pts
6Pendleton County9.8+0.2 pts
8Mingo County9.7+0.5 pts
8Upshur County9.7+1.4 pts
10Braxton County9.6+0.8 pts
11Fayette County9.2+0.9 pts
11Tucker County9.2+1.3 pts
13Barbour County9.1+0.7 pts
13Ritchie County9.1+0.2 pts
15Calhoun County9+0.2 pts
15Logan County9+0.8 pts
15Randolph County9+0.4 pts
15Wyoming County9+0.4 pts
19Grant County8.9+0.5 pts
19Greenbrier County8.9-0.5 pts
19Wayne County8.90 pts
22Mercer County8.8-0.1 pts
22Nicholas County8.8+1 pts
24Pocahontas County8.7+0.5 pts
25Doddridge County8.6+1 pts
26Hancock County8.5+0.8 pts
26Preston County8.5+0.3 pts
28Clay County8.4+0.2 pts
28Summers County8.4+0.3 pts
30Cabell County8.3+0.6 pts
30Lincoln County8.3+0.1 pts
32Lewis County8.2+0.9 pts
33Boone County8.1+0.5 pts
33Kanawha County8.10 pts
33Taylor County8.1+1.2 pts
33Webster County8.1+0.4 pts
37Berkeley County8+0.4 pts
37Raleigh County8+0.6 pts
39Gilmer County7.9+0.3 pts
40Marion County7.8+0.6 pts
40Wetzel County7.8-0.2 pts
40Wirt County7.8+0.2 pts
43Harrison County7.7-0.5 pts
44Jackson County7.5+0.4 pts
45Jefferson County7.4+1 pts
46Wood County7.3-0.1 pts
47Brooke County7+1.2 pts
47Mason County7-0.1 pts
49Marshall County6.90 pts
49Monongalia County6.9-0.5 pts
49Tyler County6.9+0.4 pts
52Mineral County6.8+0.2 pts
53Ohio County6.7+0.7 pts
54Putnam County5.9+0.2 pts
55Pleasants County5.5-0.3 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-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 West 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 West 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/west-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 West 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/west-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 West 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/west-virginia-counties?period=2019 (Accessed: 12 October 2026).

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

McDowell County, with 11.8% in 2019, according to the U.S. Census Bureau.

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

Pleasants County, with 5.5% 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 West Virginia: more rankings