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

Roane County had the highest uninsured rate, under 65 (US model-based estimate) of 55 counties in 2023, at 10.3%. Mineral County had the lowest, at 5.8%. The median was 7.9% and the figure for West Virginia was 7.4%. Source: the U.S. Census Bureau.

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Highest10.3Roane County
Median7.955 counties
West Virginia7.4History

Map of counties, 2023

Barbour County: 8.5 %Berkeley County: 6.9 %Boone County: 6.9 %Braxton County: 8.7 %Brooke County: 6.5 %Cabell County: 7.6 %Calhoun County: 7.7 %Clay County: 7.5 %Doddridge County: 8 %Fayette County: 8.3 %Gilmer County: 8.4 %Grant County: 8.4 %Greenbrier County: 7.8 %Hampshire County: 8.6 %Hancock County: 6.7 %Hardy County: 8.8 %Harrison County: 8.1 %Jackson County: 7.2 %Jefferson County: 6.7 %Kanawha County: 6.7 %Lewis County: 7.1 %Lincoln County: 8.3 %Logan County: 8.9 %McDowell County: 9.6 %Marion County: 6.4 %Marshall County: 5.9 %Mason County: 7.5 %Mercer County: 7.5 %Mineral County: 5.8 %Mingo County: 9.9 %Monongalia County: 6.2 %Monroe County: 9.1 %Morgan County: 8.2 %Nicholas County: 8.4 %Ohio County: 7 %Pendleton County: 8.7 %Pleasants County: 6.7 %Pocahontas County: 9.6 %Preston County: 8.6 %Putnam County: 6.2 %Raleigh County: 7.8 %Randolph County: 8.1 %Ritchie County: 8.5 %Roane County: 10.3 %Summers County: 9.3 %Taylor County: 8.5 %Tucker County: 8.2 %Tyler County: 6.6 %Upshur County: 7.9 %Wayne County: 8.1 %Webster County: 7.7 %Wetzel County: 6.3 %Wirt County: 7.5 %Wood County: 7.9 %Wyoming County: 9.8 %
  • Under 6.7
  • 6.7 to 7.5
  • 7.5 to 7.9
  • 7.9 to 8.4
  • 8.4 to 8.7
  • 8.7 and over
%, 2023. 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, 2023

Roane County: 10.3 %Roane County10.3Mingo County: 9.9 %Mingo County9.9Wyoming County: 9.8 %Wyoming County9.8McDowell County: 9.6 %McDowell County9.6Pocahontas County: 9.6 %Pocahontas County9.6Summers County: 9.3 %Summers County9.3Monroe County: 9.1 %Monroe County9.1Logan County: 8.9 %Logan County8.9Hardy County: 8.8 %Hardy County8.8Braxton County: 8.7 %Braxton County8.7Pendleton County: 8.7 %Pendleton County8.7Hampshire County: 8.6 %Hampshire County8.6Preston County: 8.6 %Preston County8.6Barbour County: 8.5 %Barbour County8.5Ritchie County: 8.5 %Ritchie County8.5Taylor County: 8.5 %Taylor County8.5Gilmer County: 8.4 %Gilmer County8.4Grant County: 8.4 %Grant County8.4Nicholas County: 8.4 %Nicholas County8.4Fayette County: 8.3 %Fayette County8.3Lincoln County: 8.3 %Lincoln County8.3Morgan County: 8.2 %Morgan County8.2Tucker County: 8.2 %Tucker County8.2Harrison County: 8.1 %Harrison County8.1Randolph County: 8.1 %Randolph County8.1Wayne County: 8.1 %Wayne County8.1Doddridge County: 8 %Doddridge County8Upshur County: 7.9 %Upshur County7.9Wood County: 7.9 %Wood County7.9Greenbrier County: 7.8 %Greenbrier County7.8Raleigh County: 7.8 %Raleigh County7.8Calhoun County: 7.7 %Calhoun County7.7Webster County: 7.7 %Webster County7.7Cabell County: 7.6 %Cabell County7.6Clay County: 7.5 %Clay County7.5Mason County: 7.5 %Mason County7.5Mercer County: 7.5 %Mercer County7.5Wirt County: 7.5 %Wirt County7.5Jackson County: 7.2 %Jackson County7.2Lewis County: 7.1 %Lewis County7.1Ohio County: 7 %Ohio County7Berkeley County: 6.9 %Berkeley County6.9Boone County: 6.9 %Boone County6.9Hancock County: 6.7 %Hancock County6.7Jefferson County: 6.7 %Jefferson County6.7Kanawha County: 6.7 %Kanawha County6.7Pleasants County: 6.7 %Pleasants County6.7Tyler County: 6.6 %Tyler County6.6Brooke County: 6.5 %Brooke County6.5Marion County: 6.4 %Marion County6.4Wetzel County: 6.3 %Wetzel County6.3Monongalia County: 6.2 %Monongalia County6.2Putnam County: 6.2 %Putnam County6.2Marshall County: 5.9 %Marshall County5.9Mineral County: 5.8 %Mineral County5.8Roane County: 10.3 %Roane County10.3Mingo County: 9.9 %Mingo County9.9Wyoming County: 9.8 %Wyoming County9.8McDowell County: 9.6 %McDowell County9.6Pocahontas County: 9.6 %Pocahontas County9.6Summers County: 9.3 %Summers County9.3Monroe County: 9.1 %Monroe County9.1Logan County: 8.9 %Logan County8.9Hardy County: 8.8 %Hardy County8.8Braxton County: 8.7 %Braxton County8.7Pendleton County: 8.7 %Pendleton County8.7Hampshire County: 8.6 %Hampshire County8.6Preston County: 8.6 %Preston County8.6Barbour County: 8.5 %Barbour County8.5Ritchie County: 8.5 %Ritchie County8.5Taylor County: 8.5 %Taylor County8.5Gilmer County: 8.4 %Gilmer County8.4Grant County: 8.4 %Grant County8.4Nicholas County: 8.4 %Nicholas County8.4Fayette County: 8.3 %Fayette County8.3Lincoln County: 8.3 %Lincoln County8.3Morgan County: 8.2 %Morgan County8.2Tucker County: 8.2 %Tucker County8.2Harrison County: 8.1 %Harrison County8.1Randolph County: 8.1 %Randolph County8.1Wayne County: 8.1 %Wayne County8.1Doddridge County: 8 %Doddridge County8Upshur County: 7.9 %Upshur County7.9Wood County: 7.9 %Wood County7.9Greenbrier County: 7.8 %Greenbrier County7.8Raleigh County: 7.8 %Raleigh County7.8Calhoun County: 7.7 %Calhoun County7.7Webster County: 7.7 %Webster County7.7Cabell County: 7.6 %Cabell County7.6Clay County: 7.5 %Clay County7.5Mason County: 7.5 %Mason County7.5Mercer County: 7.5 %Mercer County7.5Wirt County: 7.5 %Wirt County7.5Jackson County: 7.2 %Jackson County7.2Lewis County: 7.1 %Lewis County7.1Ohio County: 7 %Ohio County7Berkeley County: 6.9 %Berkeley County6.9Boone County: 6.9 %Boone County6.9Hancock County: 6.7 %Hancock County6.7Jefferson County: 6.7 %Jefferson County6.7Kanawha County: 6.7 %Kanawha County6.7Pleasants County: 6.7 %Pleasants County6.7Tyler County: 6.6 %Tyler County6.6Brooke County: 6.5 %Brooke County6.5Marion County: 6.4 %Marion County6.4Wetzel County: 6.3 %Wetzel County6.3Monongalia County: 6.2 %Monongalia County6.2Putnam County: 6.2 %Putnam County6.2Marshall County: 5.9 %Marshall County5.9Mineral County: 5.8 %Mineral County5.8
%. 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

RankCounties2023 (%)Change on 2022
1Roane County10.3+1.3 pts
2Mingo County9.9+0.4 pts
3Wyoming County9.8+0.6 pts
4McDowell County9.6-0.8 pts
4Pocahontas County9.6-0.3 pts
6Summers County9.3+1 pts
7Monroe County9.1+1 pts
8Logan County8.9+0.5 pts
9Hardy County8.8+0.8 pts
10Braxton County8.7+0.5 pts
10Pendleton County8.7-0.5 pts
12Hampshire County8.6+0.4 pts
12Preston County8.6+0.2 pts
14Barbour County8.5+0.9 pts
14Ritchie County8.50 pts
14Taylor County8.5+1 pts
17Gilmer County8.4-0.7 pts
17Grant County8.4-0.2 pts
17Nicholas County8.4+0.5 pts
20Fayette County8.3+0.5 pts
20Lincoln County8.3+1.1 pts
22Morgan County8.2+0.6 pts
22Tucker County8.2-1.1 pts
24Harrison County8.1+0.4 pts
24Randolph County8.1+0.7 pts
24Wayne County8.1+0.2 pts
27Doddridge County8+0.3 pts
28Upshur County7.9+0.5 pts
28Wood County7.9+0.1 pts
30Greenbrier County7.8-0.8 pts
30Raleigh County7.8-0.1 pts
32Calhoun County7.7+0.2 pts
32Webster County7.7+0.3 pts
34Cabell County7.6-0.2 pts
35Clay County7.5+0.3 pts
35Mason County7.5+1.1 pts
35Mercer County7.5-0.4 pts
35Wirt County7.5+0.3 pts
39Jackson County7.2+0.1 pts
40Lewis County7.1-0.1 pts
41Ohio County7+0.4 pts
42Berkeley County6.9-0.3 pts
42Boone County6.90 pts
44Hancock County6.7-0.4 pts
44Jefferson County6.7+0.3 pts
44Kanawha County6.7-0.8 pts
44Pleasants County6.7+0.9 pts
48Tyler County6.6+1 pts
49Brooke County6.5+0.8 pts
50Marion County6.4-0.6 pts
51Wetzel County6.30 pts
52Monongalia County6.20 pts
52Putnam County6.2+0.2 pts
54Marshall County5.9-0.4 pts
55Mineral County5.8+0.4 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-2023-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), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-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), 2023. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023. 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), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023.

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), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_west_virginia_2023,
  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), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2023-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023. 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-2023-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), 2023
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-2023-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-65/west-virginia-counties?period=2023.
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-2023-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)?

Roane County, with 10.3% in 2023, according to the U.S. Census Bureau.

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

Mineral County, with 5.8% in 2023.

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