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 2021, at 10.3%. Pleasants County had the lowest, at 5.5%. The median was 8.3% and the figure for West Virginia was 7.7%. Source: the U.S. Census Bureau.

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Highest10.3McDowell County
Median8.355 counties
West Virginia7.7History

Map of counties, 2021

Barbour County: 8.4 %Berkeley County: 6.8 %Boone County: 7.7 %Braxton County: 9.6 %Brooke County: 6.5 %Cabell County: 8 %Calhoun County: 9.2 %Clay County: 9.3 %Doddridge County: 8.5 %Fayette County: 8.3 %Gilmer County: 8.5 %Grant County: 8.8 %Greenbrier County: 8.9 %Hampshire County: 8.2 %Hancock County: 8.4 %Hardy County: 10.2 %Harrison County: 8.2 %Jackson County: 7.4 %Jefferson County: 6.9 %Kanawha County: 6.8 %Lewis County: 7.9 %Lincoln County: 8.4 %Logan County: 8.1 %McDowell County: 10.3 %Marion County: 7.8 %Marshall County: 6.3 %Mason County: 6.7 %Mercer County: 8.6 %Mineral County: 6.3 %Mingo County: 9.8 %Monongalia County: 7.5 %Monroe County: 9 %Morgan County: 8.2 %Nicholas County: 7.7 %Ohio County: 6.5 %Pendleton County: 9.9 %Pleasants County: 5.5 %Pocahontas County: 9.9 %Preston County: 8.3 %Putnam County: 6 %Raleigh County: 7.2 %Randolph County: 8.3 %Ritchie County: 10 %Roane County: 9.3 %Summers County: 8.1 %Taylor County: 7.3 %Tucker County: 10.2 %Tyler County: 6.5 %Upshur County: 8.3 %Wayne County: 8.9 %Webster County: 9 %Wetzel County: 7.6 %Wirt County: 8.4 %Wood County: 7 %Wyoming County: 9.2 %
  • Under 6.8
  • 6.8 to 7.7
  • 7.7 to 8.3
  • 8.3 to 8.5
  • 8.5 to 9.3
  • 9.3 and over
%, 2021. 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, 2021

McDowell County: 10.3 %McDowell County10.3Hardy County: 10.2 %Hardy County10.2Tucker County: 10.2 %Tucker County10.2Ritchie County: 10 %Ritchie County10Pendleton County: 9.9 %Pendleton County9.9Pocahontas County: 9.9 %Pocahontas County9.9Mingo County: 9.8 %Mingo County9.8Braxton County: 9.6 %Braxton County9.6Clay County: 9.3 %Clay County9.3Roane County: 9.3 %Roane County9.3Calhoun County: 9.2 %Calhoun County9.2Wyoming County: 9.2 %Wyoming County9.2Monroe County: 9 %Monroe County9Webster County: 9 %Webster County9Greenbrier County: 8.9 %Greenbrier County8.9Wayne County: 8.9 %Wayne County8.9Grant County: 8.8 %Grant County8.8Mercer County: 8.6 %Mercer County8.6Doddridge County: 8.5 %Doddridge County8.5Gilmer County: 8.5 %Gilmer County8.5Barbour County: 8.4 %Barbour County8.4Hancock County: 8.4 %Hancock County8.4Lincoln County: 8.4 %Lincoln County8.4Wirt County: 8.4 %Wirt County8.4Fayette County: 8.3 %Fayette County8.3Preston County: 8.3 %Preston County8.3Randolph County: 8.3 %Randolph County8.3Upshur County: 8.3 %Upshur County8.3Hampshire County: 8.2 %Hampshire County8.2Harrison County: 8.2 %Harrison County8.2Morgan County: 8.2 %Morgan County8.2Logan County: 8.1 %Logan County8.1Summers County: 8.1 %Summers County8.1Cabell County: 8 %Cabell County8Lewis County: 7.9 %Lewis County7.9Marion County: 7.8 %Marion County7.8Boone County: 7.7 %Boone County7.7Nicholas County: 7.7 %Nicholas County7.7Wetzel County: 7.6 %Wetzel County7.6Monongalia County: 7.5 %Monongalia County7.5Jackson County: 7.4 %Jackson County7.4Taylor County: 7.3 %Taylor County7.3Raleigh County: 7.2 %Raleigh County7.2Wood County: 7 %Wood County7Jefferson County: 6.9 %Jefferson County6.9Berkeley County: 6.8 %Berkeley County6.8Kanawha County: 6.8 %Kanawha County6.8Mason County: 6.7 %Mason County6.7Brooke County: 6.5 %Brooke County6.5Ohio County: 6.5 %Ohio County6.5Tyler County: 6.5 %Tyler County6.5Marshall County: 6.3 %Marshall County6.3Mineral County: 6.3 %Mineral County6.3Putnam County: 6 %Putnam County6Pleasants County: 5.5 %Pleasants County5.5McDowell County: 10.3 %McDowell County10.3Hardy County: 10.2 %Hardy County10.2Tucker County: 10.2 %Tucker County10.2Ritchie County: 10 %Ritchie County10Pendleton County: 9.9 %Pendleton County9.9Pocahontas County: 9.9 %Pocahontas County9.9Mingo County: 9.8 %Mingo County9.8Braxton County: 9.6 %Braxton County9.6Clay County: 9.3 %Clay County9.3Roane County: 9.3 %Roane County9.3Calhoun County: 9.2 %Calhoun County9.2Wyoming County: 9.2 %Wyoming County9.2Monroe County: 9 %Monroe County9Webster County: 9 %Webster County9Greenbrier County: 8.9 %Greenbrier County8.9Wayne County: 8.9 %Wayne County8.9Grant County: 8.8 %Grant County8.8Mercer County: 8.6 %Mercer County8.6Doddridge County: 8.5 %Doddridge County8.5Gilmer County: 8.5 %Gilmer County8.5Barbour County: 8.4 %Barbour County8.4Hancock County: 8.4 %Hancock County8.4Lincoln County: 8.4 %Lincoln County8.4Wirt County: 8.4 %Wirt County8.4Fayette County: 8.3 %Fayette County8.3Preston County: 8.3 %Preston County8.3Randolph County: 8.3 %Randolph County8.3Upshur County: 8.3 %Upshur County8.3Hampshire County: 8.2 %Hampshire County8.2Harrison County: 8.2 %Harrison County8.2Morgan County: 8.2 %Morgan County8.2Logan County: 8.1 %Logan County8.1Summers County: 8.1 %Summers County8.1Cabell County: 8 %Cabell County8Lewis County: 7.9 %Lewis County7.9Marion County: 7.8 %Marion County7.8Boone County: 7.7 %Boone County7.7Nicholas County: 7.7 %Nicholas County7.7Wetzel County: 7.6 %Wetzel County7.6Monongalia County: 7.5 %Monongalia County7.5Jackson County: 7.4 %Jackson County7.4Taylor County: 7.3 %Taylor County7.3Raleigh County: 7.2 %Raleigh County7.2Wood County: 7 %Wood County7Jefferson County: 6.9 %Jefferson County6.9Berkeley County: 6.8 %Berkeley County6.8Kanawha County: 6.8 %Kanawha County6.8Mason County: 6.7 %Mason County6.7Brooke County: 6.5 %Brooke County6.5Ohio County: 6.5 %Ohio County6.5Tyler County: 6.5 %Tyler County6.5Marshall County: 6.3 %Marshall County6.3Mineral County: 6.3 %Mineral County6.3Putnam County: 6 %Putnam County6Pleasants 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

RankCounties2021 (%)Change on 2020
1McDowell County10.3+0.6 pts
2Hardy County10.2-1.7 pts
2Tucker County10.2-1.1 pts
4Ritchie County10+0.1 pts
5Pendleton County9.9-0.6 pts
5Pocahontas County9.90 pts
7Mingo County9.8-0.3 pts
8Braxton County9.60 pts
9Clay County9.3+0.3 pts
9Roane County9.3+0.3 pts
11Calhoun County9.2+0.7 pts
11Wyoming County9.2+0.1 pts
13Monroe County9-1.4 pts
13Webster County9+0.9 pts
15Greenbrier County8.9-0.7 pts
15Wayne County8.9+0.7 pts
17Grant County8.8-1 pts
18Mercer County8.6+0.3 pts
19Doddridge County8.5-0.7 pts
19Gilmer County8.5-0.9 pts
21Barbour County8.4-0.8 pts
21Hancock County8.4-0.7 pts
21Lincoln County8.4+0.5 pts
21Wirt County8.40 pts
25Fayette County8.3-0.5 pts
25Preston County8.3-0.5 pts
25Randolph County8.3-0.7 pts
25Upshur County8.3-1.3 pts
29Hampshire County8.2-2 pts
29Harrison County8.2-0.7 pts
29Morgan County8.2-1.7 pts
32Logan County8.1-1.3 pts
32Summers County8.1-0.7 pts
34Cabell County8-0.1 pts
35Lewis County7.9-1 pts
36Marion County7.8-1.3 pts
37Boone County7.7-0.6 pts
37Nicholas County7.7-0.8 pts
39Wetzel County7.6-0.4 pts
40Monongalia County7.5-1.7 pts
41Jackson County7.40 pts
42Taylor County7.3-1.8 pts
43Raleigh County7.2-0.3 pts
44Wood County7-2 pts
45Jefferson County6.9-0.2 pts
46Berkeley County6.8-1 pts
46Kanawha County6.8-1.1 pts
48Mason County6.70 pts
49Brooke County6.5-0.9 pts
49Ohio County6.5-1.2 pts
49Tyler County6.5-0.8 pts
52Marshall County6.3-1.3 pts
52Mineral County6.3-1 pts
54Putnam County6-0.5 pts
55Pleasants County5.5-0.9 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-2021-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), 2021) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-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), 2021. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021. 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), 2021. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021.

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), 2021 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2021,
  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), 2021}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2021-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021. 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-2021-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), 2021
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-2021-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2021.
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-2021-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 10.3% in 2021, 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 2021.

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