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

Hardy County had the highest uninsured rate, under 65 (US model-based estimate) of 55 counties in 2020, at 11.9%. Pleasants County had the lowest, at 6.4%. The median was 8.9% and the figure for West Virginia was 8.4%. Source: the U.S. Census Bureau.

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Highest11.9Hardy County
Median8.955 counties
West Virginia8.4History

Map of counties, 2020

Barbour County: 9.2 %Berkeley County: 7.8 %Boone County: 8.3 %Braxton County: 9.6 %Brooke County: 7.4 %Cabell County: 8.1 %Calhoun County: 8.5 %Clay County: 9 %Doddridge County: 9.2 %Fayette County: 8.8 %Gilmer County: 9.4 %Grant County: 9.8 %Greenbrier County: 9.6 %Hampshire County: 10.2 %Hancock County: 9.1 %Hardy County: 11.9 %Harrison County: 8.9 %Jackson County: 7.4 %Jefferson County: 7.1 %Kanawha County: 7.9 %Lewis County: 8.9 %Lincoln County: 7.9 %Logan County: 9.4 %McDowell County: 9.7 %Marion County: 9.1 %Marshall County: 7.6 %Mason County: 6.7 %Mercer County: 8.3 %Mineral County: 7.3 %Mingo County: 10.1 %Monongalia County: 9.2 %Monroe County: 10.4 %Morgan County: 9.9 %Nicholas County: 8.5 %Ohio County: 7.7 %Pendleton County: 10.5 %Pleasants County: 6.4 %Pocahontas County: 9.9 %Preston County: 8.8 %Putnam County: 6.5 %Raleigh County: 7.5 %Randolph County: 9 %Ritchie County: 9.9 %Roane County: 9 %Summers County: 8.8 %Taylor County: 9.1 %Tucker County: 11.3 %Tyler County: 7.3 %Upshur County: 9.6 %Wayne County: 8.2 %Webster County: 8.1 %Wetzel County: 8 %Wirt County: 8.4 %Wood County: 9 %Wyoming County: 9.1 %
  • Under 7.6
  • 7.6 to 8.3
  • 8.3 to 8.9
  • 8.9 to 9.2
  • 9.2 to 9.8
  • 9.8 and over
%, 2020. 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, 2020

Hardy County: 11.9 %Hardy County11.9Tucker County: 11.3 %Tucker County11.3Pendleton County: 10.5 %Pendleton County10.5Monroe County: 10.4 %Monroe County10.4Hampshire County: 10.2 %Hampshire County10.2Mingo County: 10.1 %Mingo County10.1Morgan County: 9.9 %Morgan County9.9Pocahontas County: 9.9 %Pocahontas County9.9Ritchie County: 9.9 %Ritchie County9.9Grant County: 9.8 %Grant County9.8McDowell County: 9.7 %McDowell County9.7Braxton County: 9.6 %Braxton County9.6Greenbrier County: 9.6 %Greenbrier County9.6Upshur County: 9.6 %Upshur County9.6Gilmer County: 9.4 %Gilmer County9.4Logan County: 9.4 %Logan County9.4Barbour County: 9.2 %Barbour County9.2Doddridge County: 9.2 %Doddridge County9.2Monongalia County: 9.2 %Monongalia County9.2Hancock County: 9.1 %Hancock County9.1Marion County: 9.1 %Marion County9.1Taylor County: 9.1 %Taylor County9.1Wyoming County: 9.1 %Wyoming County9.1Clay County: 9 %Clay County9Randolph County: 9 %Randolph County9Roane County: 9 %Roane County9Wood County: 9 %Wood County9Harrison County: 8.9 %Harrison County8.9Lewis County: 8.9 %Lewis County8.9Fayette County: 8.8 %Fayette County8.8Preston County: 8.8 %Preston County8.8Summers County: 8.8 %Summers County8.8Calhoun County: 8.5 %Calhoun County8.5Nicholas County: 8.5 %Nicholas County8.5Wirt County: 8.4 %Wirt County8.4Boone County: 8.3 %Boone County8.3Mercer County: 8.3 %Mercer County8.3Wayne County: 8.2 %Wayne County8.2Cabell County: 8.1 %Cabell County8.1Webster County: 8.1 %Webster County8.1Wetzel County: 8 %Wetzel County8Kanawha County: 7.9 %Kanawha County7.9Lincoln County: 7.9 %Lincoln County7.9Berkeley County: 7.8 %Berkeley County7.8Ohio County: 7.7 %Ohio County7.7Marshall County: 7.6 %Marshall County7.6Raleigh County: 7.5 %Raleigh County7.5Brooke County: 7.4 %Brooke County7.4Jackson County: 7.4 %Jackson County7.4Mineral County: 7.3 %Mineral County7.3Tyler County: 7.3 %Tyler County7.3Jefferson County: 7.1 %Jefferson County7.1Mason County: 6.7 %Mason County6.7Putnam County: 6.5 %Putnam County6.5Pleasants County: 6.4 %Pleasants County6.4Hardy County: 11.9 %Hardy County11.9Tucker County: 11.3 %Tucker County11.3Pendleton County: 10.5 %Pendleton County10.5Monroe County: 10.4 %Monroe County10.4Hampshire County: 10.2 %Hampshire County10.2Mingo County: 10.1 %Mingo County10.1Morgan County: 9.9 %Morgan County9.9Pocahontas County: 9.9 %Pocahontas County9.9Ritchie County: 9.9 %Ritchie County9.9Grant County: 9.8 %Grant County9.8McDowell County: 9.7 %McDowell County9.7Braxton County: 9.6 %Braxton County9.6Greenbrier County: 9.6 %Greenbrier County9.6Upshur County: 9.6 %Upshur County9.6Gilmer County: 9.4 %Gilmer County9.4Logan County: 9.4 %Logan County9.4Barbour County: 9.2 %Barbour County9.2Doddridge County: 9.2 %Doddridge County9.2Monongalia County: 9.2 %Monongalia County9.2Hancock County: 9.1 %Hancock County9.1Marion County: 9.1 %Marion County9.1Taylor County: 9.1 %Taylor County9.1Wyoming County: 9.1 %Wyoming County9.1Clay County: 9 %Clay County9Randolph County: 9 %Randolph County9Roane County: 9 %Roane County9Wood County: 9 %Wood County9Harrison County: 8.9 %Harrison County8.9Lewis County: 8.9 %Lewis County8.9Fayette County: 8.8 %Fayette County8.8Preston County: 8.8 %Preston County8.8Summers County: 8.8 %Summers County8.8Calhoun County: 8.5 %Calhoun County8.5Nicholas County: 8.5 %Nicholas County8.5Wirt County: 8.4 %Wirt County8.4Boone County: 8.3 %Boone County8.3Mercer County: 8.3 %Mercer County8.3Wayne County: 8.2 %Wayne County8.2Cabell County: 8.1 %Cabell County8.1Webster County: 8.1 %Webster County8.1Wetzel County: 8 %Wetzel County8Kanawha County: 7.9 %Kanawha County7.9Lincoln County: 7.9 %Lincoln County7.9Berkeley County: 7.8 %Berkeley County7.8Ohio County: 7.7 %Ohio County7.7Marshall County: 7.6 %Marshall County7.6Raleigh County: 7.5 %Raleigh County7.5Brooke County: 7.4 %Brooke County7.4Jackson County: 7.4 %Jackson County7.4Mineral County: 7.3 %Mineral County7.3Tyler County: 7.3 %Tyler County7.3Jefferson County: 7.1 %Jefferson County7.1Mason County: 6.7 %Mason County6.7Putnam County: 6.5 %Putnam County6.5Pleasants County: 6.4 %Pleasants County6.4
%. 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

RankCounties2020 (%)Change on 2019
1Hardy County11.9+1.6 pts
2Tucker County11.3+2.1 pts
3Pendleton County10.5+0.7 pts
4Monroe County10.40 pts
5Hampshire County10.2-0.2 pts
6Mingo County10.1+0.4 pts
7Morgan County9.9+0.1 pts
7Pocahontas County9.9+1.2 pts
7Ritchie County9.9+0.8 pts
10Grant County9.8+0.9 pts
11McDowell County9.7-2.1 pts
12Braxton County9.60 pts
12Greenbrier County9.6+0.7 pts
12Upshur County9.6-0.1 pts
15Gilmer County9.4+1.5 pts
15Logan County9.4+0.4 pts
17Barbour County9.2+0.1 pts
17Doddridge County9.2+0.6 pts
17Monongalia County9.2+2.3 pts
20Hancock County9.1+0.6 pts
20Marion County9.1+1.3 pts
20Taylor County9.1+1 pts
20Wyoming County9.1+0.1 pts
24Clay County9+0.6 pts
24Randolph County90 pts
24Roane County9-1.1 pts
24Wood County9+1.7 pts
28Harrison County8.9+1.2 pts
28Lewis County8.9+0.7 pts
30Fayette County8.8-0.4 pts
30Preston County8.8+0.3 pts
30Summers County8.8+0.4 pts
33Calhoun County8.5-0.5 pts
33Nicholas County8.5-0.3 pts
35Wirt County8.4+0.6 pts
36Boone County8.3+0.2 pts
36Mercer County8.3-0.5 pts
38Wayne County8.2-0.7 pts
39Cabell County8.1-0.2 pts
39Webster County8.10 pts
41Wetzel County8+0.2 pts
42Kanawha County7.9-0.2 pts
42Lincoln County7.9-0.4 pts
44Berkeley County7.8-0.2 pts
45Ohio County7.7+1 pts
46Marshall County7.6+0.7 pts
47Raleigh County7.5-0.5 pts
48Brooke County7.4+0.4 pts
48Jackson County7.4-0.1 pts
50Mineral County7.3+0.5 pts
50Tyler County7.3+0.4 pts
52Jefferson County7.1-0.3 pts
53Mason County6.7-0.3 pts
54Putnam County6.5+0.6 pts
55Pleasants County6.4+0.9 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-2020-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), 2020) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-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), 2020. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020. 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), 2020. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020.

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), 2020 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2020,
  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), 2020}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2020-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020. 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-2020-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), 2020
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-2020-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2020.
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-2020-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)?

Hardy County, with 11.9% in 2020, according to the U.S. Census Bureau.

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

Pleasants County, with 6.4% in 2020.

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