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 2022, at 10.4%. Mineral County had the lowest, at 5.4%. The median was 7.6% and the figure for West Virginia was 7.4%. Source: the U.S. Census Bureau.

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Highest10.4McDowell County
Median7.655 counties
West Virginia7.4History

Map of counties, 2022

Barbour County: 7.6 %Berkeley County: 7.2 %Boone County: 6.9 %Braxton County: 8.2 %Brooke County: 5.7 %Cabell County: 7.8 %Calhoun County: 7.5 %Clay County: 7.2 %Doddridge County: 7.7 %Fayette County: 7.8 %Gilmer County: 9.1 %Grant County: 8.6 %Greenbrier County: 8.6 %Hampshire County: 8.2 %Hancock County: 7.1 %Hardy County: 8 %Harrison County: 7.7 %Jackson County: 7.1 %Jefferson County: 6.4 %Kanawha County: 7.5 %Lewis County: 7.2 %Lincoln County: 7.2 %Logan County: 8.4 %McDowell County: 10.4 %Marion County: 7 %Marshall County: 6.3 %Mason County: 6.4 %Mercer County: 7.9 %Mineral County: 5.4 %Mingo County: 9.5 %Monongalia County: 6.2 %Monroe County: 8.1 %Morgan County: 7.6 %Nicholas County: 7.9 %Ohio County: 6.6 %Pendleton County: 9.2 %Pleasants County: 5.8 %Pocahontas County: 9.9 %Preston County: 8.4 %Putnam County: 6 %Raleigh County: 7.9 %Randolph County: 7.4 %Ritchie County: 8.5 %Roane County: 9 %Summers County: 8.3 %Taylor County: 7.5 %Tucker County: 9.3 %Tyler County: 5.6 %Upshur County: 7.4 %Wayne County: 7.9 %Webster County: 7.4 %Wetzel County: 6.3 %Wirt County: 7.2 %Wood County: 7.8 %Wyoming County: 9.2 %
  • Under 6.4
  • 6.4 to 7.2
  • 7.2 to 7.6
  • 7.6 to 7.9
  • 7.9 to 8.6
  • 8.6 and over
%, 2022. 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, 2022

McDowell County: 10.4 %McDowell County10.4Pocahontas County: 9.9 %Pocahontas County9.9Mingo County: 9.5 %Mingo County9.5Tucker County: 9.3 %Tucker County9.3Pendleton County: 9.2 %Pendleton County9.2Wyoming County: 9.2 %Wyoming County9.2Gilmer County: 9.1 %Gilmer County9.1Roane County: 9 %Roane County9Grant County: 8.6 %Grant County8.6Greenbrier County: 8.6 %Greenbrier County8.6Ritchie County: 8.5 %Ritchie County8.5Logan County: 8.4 %Logan County8.4Preston County: 8.4 %Preston County8.4Summers County: 8.3 %Summers County8.3Braxton County: 8.2 %Braxton County8.2Hampshire County: 8.2 %Hampshire County8.2Monroe County: 8.1 %Monroe County8.1Hardy County: 8 %Hardy County8Mercer County: 7.9 %Mercer County7.9Nicholas County: 7.9 %Nicholas County7.9Raleigh County: 7.9 %Raleigh County7.9Wayne County: 7.9 %Wayne County7.9Cabell County: 7.8 %Cabell County7.8Fayette County: 7.8 %Fayette County7.8Wood County: 7.8 %Wood County7.8Doddridge County: 7.7 %Doddridge County7.7Harrison County: 7.7 %Harrison County7.7Barbour County: 7.6 %Barbour County7.6Morgan County: 7.6 %Morgan County7.6Calhoun County: 7.5 %Calhoun County7.5Kanawha County: 7.5 %Kanawha County7.5Taylor County: 7.5 %Taylor County7.5Randolph County: 7.4 %Randolph County7.4Upshur County: 7.4 %Upshur County7.4Webster County: 7.4 %Webster County7.4Berkeley County: 7.2 %Berkeley County7.2Clay County: 7.2 %Clay County7.2Lewis County: 7.2 %Lewis County7.2Lincoln County: 7.2 %Lincoln County7.2Wirt County: 7.2 %Wirt County7.2Hancock County: 7.1 %Hancock County7.1Jackson County: 7.1 %Jackson County7.1Marion County: 7 %Marion County7Boone County: 6.9 %Boone County6.9Ohio County: 6.6 %Ohio County6.6Jefferson County: 6.4 %Jefferson County6.4Mason County: 6.4 %Mason County6.4Marshall County: 6.3 %Marshall County6.3Wetzel County: 6.3 %Wetzel County6.3Monongalia County: 6.2 %Monongalia County6.2Putnam County: 6 %Putnam County6Pleasants County: 5.8 %Pleasants County5.8Brooke County: 5.7 %Brooke County5.7Tyler County: 5.6 %Tyler County5.6Mineral County: 5.4 %Mineral County5.4McDowell County: 10.4 %McDowell County10.4Pocahontas County: 9.9 %Pocahontas County9.9Mingo County: 9.5 %Mingo County9.5Tucker County: 9.3 %Tucker County9.3Pendleton County: 9.2 %Pendleton County9.2Wyoming County: 9.2 %Wyoming County9.2Gilmer County: 9.1 %Gilmer County9.1Roane County: 9 %Roane County9Grant County: 8.6 %Grant County8.6Greenbrier County: 8.6 %Greenbrier County8.6Ritchie County: 8.5 %Ritchie County8.5Logan County: 8.4 %Logan County8.4Preston County: 8.4 %Preston County8.4Summers County: 8.3 %Summers County8.3Braxton County: 8.2 %Braxton County8.2Hampshire County: 8.2 %Hampshire County8.2Monroe County: 8.1 %Monroe County8.1Hardy County: 8 %Hardy County8Mercer County: 7.9 %Mercer County7.9Nicholas County: 7.9 %Nicholas County7.9Raleigh County: 7.9 %Raleigh County7.9Wayne County: 7.9 %Wayne County7.9Cabell County: 7.8 %Cabell County7.8Fayette County: 7.8 %Fayette County7.8Wood County: 7.8 %Wood County7.8Doddridge County: 7.7 %Doddridge County7.7Harrison County: 7.7 %Harrison County7.7Barbour County: 7.6 %Barbour County7.6Morgan County: 7.6 %Morgan County7.6Calhoun County: 7.5 %Calhoun County7.5Kanawha County: 7.5 %Kanawha County7.5Taylor County: 7.5 %Taylor County7.5Randolph County: 7.4 %Randolph County7.4Upshur County: 7.4 %Upshur County7.4Webster County: 7.4 %Webster County7.4Berkeley County: 7.2 %Berkeley County7.2Clay County: 7.2 %Clay County7.2Lewis County: 7.2 %Lewis County7.2Lincoln County: 7.2 %Lincoln County7.2Wirt County: 7.2 %Wirt County7.2Hancock County: 7.1 %Hancock County7.1Jackson County: 7.1 %Jackson County7.1Marion County: 7 %Marion County7Boone County: 6.9 %Boone County6.9Ohio County: 6.6 %Ohio County6.6Jefferson County: 6.4 %Jefferson County6.4Mason County: 6.4 %Mason County6.4Marshall County: 6.3 %Marshall County6.3Wetzel County: 6.3 %Wetzel County6.3Monongalia County: 6.2 %Monongalia County6.2Putnam County: 6 %Putnam County6Pleasants County: 5.8 %Pleasants County5.8Brooke County: 5.7 %Brooke County5.7Tyler County: 5.6 %Tyler County5.6Mineral County: 5.4 %Mineral County5.4
%. 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

RankCounties2022 (%)Change on 2021
1McDowell County10.4+0.1 pts
2Pocahontas County9.90 pts
3Mingo County9.5-0.3 pts
4Tucker County9.3-0.9 pts
5Pendleton County9.2-0.7 pts
5Wyoming County9.20 pts
7Gilmer County9.1+0.6 pts
8Roane County9-0.3 pts
9Grant County8.6-0.2 pts
9Greenbrier County8.6-0.3 pts
11Ritchie County8.5-1.5 pts
12Logan County8.4+0.3 pts
12Preston County8.4+0.1 pts
14Summers County8.3+0.2 pts
15Braxton County8.2-1.4 pts
15Hampshire County8.20 pts
17Monroe County8.1-0.9 pts
18Hardy County8-2.2 pts
19Mercer County7.9-0.7 pts
19Nicholas County7.9+0.2 pts
19Raleigh County7.9+0.7 pts
19Wayne County7.9-1 pts
23Cabell County7.8-0.2 pts
23Fayette County7.8-0.5 pts
23Wood County7.8+0.8 pts
26Doddridge County7.7-0.8 pts
26Harrison County7.7-0.5 pts
28Barbour County7.6-0.8 pts
28Morgan County7.6-0.6 pts
30Calhoun County7.5-1.7 pts
30Kanawha County7.5+0.7 pts
30Taylor County7.5+0.2 pts
33Randolph County7.4-0.9 pts
33Upshur County7.4-0.9 pts
33Webster County7.4-1.6 pts
36Berkeley County7.2+0.4 pts
36Clay County7.2-2.1 pts
36Lewis County7.2-0.7 pts
36Lincoln County7.2-1.2 pts
36Wirt County7.2-1.2 pts
41Hancock County7.1-1.3 pts
41Jackson County7.1-0.3 pts
43Marion County7-0.8 pts
44Boone County6.9-0.8 pts
45Ohio County6.6+0.1 pts
46Jefferson County6.4-0.5 pts
46Mason County6.4-0.3 pts
48Marshall County6.30 pts
48Wetzel County6.3-1.3 pts
50Monongalia County6.2-1.3 pts
51Putnam County60 pts
52Pleasants County5.8+0.3 pts
53Brooke County5.7-0.8 pts
54Tyler County5.6-0.9 pts
55Mineral County5.4-0.9 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-2022-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), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-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), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022. 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), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022.

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), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2022,
  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), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022. 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-2022-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), 2022
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-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2022.
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-2022-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 2022, according to the U.S. Census Bureau.

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

Mineral County, with 5.4% in 2022.

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