RANKING · 2024 ACS · 67 SHOWN OF 67

Highest uninsured rate, Alabama counties

Alabama counties ranked by the share of residents without health insurance (2024 ACS). This list covers the 67 counties in Alabama that qualify, ranked against each other statewide.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01DeKalb County, ALAL74,08515.5%+13%

02Greene County, ALAL7,06713.7%−17%

03Franklin County, ALAL32,44912.7%+9%

04Geneva County, ALAL27,55412.5%+7%

05Butler County, ALAL18,10012.3%+22%

06Marshall County, ALAL103,53712.0%−1%

07Bullock County, ALAL9,78011.8%+12%

08Etowah County, ALAL103,88611.4%−1%

09Russell County, ALAL58,89811.3%+5%

10Houston County, ALAL110,31811.2%−2%

11Chilton County, ALAL47,70811.1%−5%

12Chambers County, ALAL34,25311.0%+20%

13Cullman County, ALAL94,00910.9%−6%

14Morgan County, ALAL126,48310.9%+7%

15Marion County, ALAL29,09710.7%+4%

16Coffee County, ALAL56,95310.4%−2%

17Mobile County, ALAL411,65810.4%−7%

18Barbour County, ALAL24,60710.3%−4%

19Jackson County, ALAL54,28110.3%+2%

20Montgomery County, ALAL225,89110.3%+2%

21Blount County, ALAL60,15610.3%+3%

22Calhoun County, ALAL115,83410.2%+2%

23Dale County, ALAL49,91210.1%−6%

24Walker County, ALAL65,1409.6%−16%

25Covington County, ALAL37,9479.4%−12%

26Macon County, ALAL18,1329.4%+4%

27Jefferson County, ALAL665,7429.4%+4%

28Escambia County, ALAL36,6659.2%−22%

29Marengo County, ALAL18,3119.2%+8%

30Monroe County, ALAL18,9659.1%−25%

31Randolph County, ALAL23,1639.1%−2%

32Henry County, ALAL18,3949.1%+17%

33Winston County, ALAL23,8298.9%−26%

34Cleburne County, ALAL15,9708.8%−28%

35Lauderdale County, ALAL97,1358.8%−2%

36Wilcox County, ALAL9,6668.7%−14%

37Choctaw County, ALAL11,9048.6%−15%

38Lee County, ALAL189,8818.6%+10%

39Sumter County, ALAL11,5888.6%−25%

40Pike County, ALAL33,6888.4%−6%

41Tallapoosa County, ALAL40,9538.4%−1%

42Baldwin County, ALAL267,7618.3%−13%

43Dallas County, ALAL35,1408.2%−20%

44Crenshaw County, ALAL13,1758.1%+0%

45Talladega County, ALAL81,6038.1%−12%

46Conecuh County, ALAL10,8998.0%−23%

47Lamar County, ALAL13,5878.0%+43%

48Lawrence County, ALAL33,8438.0%−13%

49Colbert County, ALAL59,4747.9%+16%

50Limestone County, ALAL122,9287.8%−9%

51Elmore County, ALAL91,5777.7%+5%

52Fayette County, ALAL15,8727.7%−5%

53Madison County, ALAL433,5167.7%−5%

54Coosa County, ALAL10,1617.6%+10%

55Lowndes County, ALAL9,3597.6%−8%

56Pickens County, ALAL18,2217.5%−20%

57Clarke County, ALAL22,0147.5%−22%

58Autauga County, ALAL61,9207.3%−9%

59Cherokee County, ALAL26,4137.2%−24%

60Clay County, ALAL14,2077.2%−15%

61Perry County, ALAL7,4257.2%−27%

62St. Clair County, ALAL98,2067.2%−12%

63Bibb County, ALAL22,2626.9%−24%

64Washington County, ALAL14,8226.8%−28%

65Tuscaloosa County, ALAL241,3686.7%−4%

66Shelby County, ALAL238,5526.4%+5%

67Hale County, ALAL15,1946.2%−25%

SHOWING 1–67 OF 67

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES