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%+1.8 pts

02Greene County, ALAL7,06713.7%−2.9 pts

03Franklin County, ALAL32,44912.7%+1.0 pts

04Geneva County, ALAL27,55412.5%+0.8 pts

05Butler County, ALAL18,10012.3%+2.2 pts

06Marshall County, ALAL103,53712.0%−0.1 pts

07Bullock County, ALAL9,78011.8%+1.3 pts

08Etowah County, ALAL103,88611.4%−0.1 pts

09Russell County, ALAL58,89811.3%+0.5 pts

10Houston County, ALAL110,31811.2%−0.2 pts

11Chilton County, ALAL47,70811.1%−0.6 pts

12Chambers County, ALAL34,25311.0%+1.8 pts

13Cullman County, ALAL94,00910.9%−0.7 pts

14Morgan County, ALAL126,48310.9%+0.7 pts

15Marion County, ALAL29,09710.7%+0.4 pts

16Coffee County, ALAL56,95310.4%−0.2 pts

17Mobile County, ALAL411,65810.4%−0.8 pts

18Barbour County, ALAL24,60710.3%−0.4 pts

19Jackson County, ALAL54,28110.3%+0.2 pts

20Montgomery County, ALAL225,89110.3%+0.2 pts

21Blount County, ALAL60,15610.3%+0.3 pts

22Calhoun County, ALAL115,83410.2%+0.2 pts

23Dale County, ALAL49,91210.1%−0.7 pts

24Walker County, ALAL65,1409.6%−1.8 pts

25Covington County, ALAL37,9479.4%−1.3 pts

26Macon County, ALAL18,1329.4%+0.4 pts

27Jefferson County, ALAL665,7429.4%+0.4 pts

28Escambia County, ALAL36,6659.2%−2.6 pts

29Marengo County, ALAL18,3119.2%+0.7 pts

30Monroe County, ALAL18,9659.1%−3.1 pts

31Randolph County, ALAL23,1639.1%−0.2 pts

32Henry County, ALAL18,3949.1%+1.3 pts

33Winston County, ALAL23,8298.9%−3.1 pts

34Cleburne County, ALAL15,9708.8%−3.4 pts

35Lauderdale County, ALAL97,1358.8%−0.2 pts

36Wilcox County, ALAL9,6668.7%−1.4 pts

37Choctaw County, ALAL11,9048.6%−1.5 pts

38Lee County, ALAL189,8818.6%+0.8 pts

39Sumter County, ALAL11,5888.6%−2.8 pts

40Pike County, ALAL33,6888.4%−0.5 pts

41Tallapoosa County, ALAL40,9538.4%−0.1 pts

42Baldwin County, ALAL267,7618.3%−1.2 pts

43Dallas County, ALAL35,1408.2%−2.0 pts

44Crenshaw County, ALAL13,1758.1%+0.0 pts

45Talladega County, ALAL81,6038.1%−1.1 pts

46Conecuh County, ALAL10,8998.0%−2.4 pts

47Lamar County, ALAL13,5878.0%+2.4 pts

48Lawrence County, ALAL33,8438.0%−1.2 pts

49Colbert County, ALAL59,4747.9%+1.1 pts

50Limestone County, ALAL122,9287.8%−0.8 pts

51Elmore County, ALAL91,5777.7%+0.4 pts

52Fayette County, ALAL15,8727.7%−0.4 pts

53Madison County, ALAL433,5167.7%−0.4 pts

54Coosa County, ALAL10,1617.6%+0.7 pts

55Lowndes County, ALAL9,3597.6%−0.7 pts

56Pickens County, ALAL18,2217.5%−1.9 pts

57Clarke County, ALAL22,0147.5%−2.1 pts

58Autauga County, ALAL61,9207.3%−0.7 pts

59Cherokee County, ALAL26,4137.2%−2.3 pts

60Clay County, ALAL14,2077.2%−1.3 pts

61Perry County, ALAL7,4257.2%−2.7 pts

62St. Clair County, ALAL98,2067.2%−1.0 pts

63Bibb County, ALAL22,2626.9%−2.2 pts

64Washington County, ALAL14,8226.8%−2.7 pts

65Tuscaloosa County, ALAL241,3686.7%−0.3 pts

66Shelby County, ALAL238,5526.4%+0.3 pts

67Hale County, ALAL15,1946.2%−2.1 pts

SHOWING 1–67 OF 67

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES