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. The median across all 67 is 8.8%. Biggest climber in the top 100 since 2020: Chambers County, AL, up 29 places to #12.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2020

01▲1DeKalb County, ALAL74,08515.5%+1.8 pts

02▼1Greene County, ALAL7,06713.7%−2.9 pts

03▲6Franklin County, ALAL32,44912.7%+1.0 pts

04▲6Geneva County, ALAL27,55412.5%+0.8 pts

05▲22Butler County, ALAL18,10012.3%+2.2 pts

06▼1Marshall County, ALAL103,53712.0%−0.1 pts

07▲15Bullock County, ALAL9,78011.8%+1.3 pts

08▲4Etowah County, ALAL103,88611.4%−0.1 pts

09▲9Russell County, ALAL58,89811.3%+0.5 pts

10▲3Houston County, ALAL110,31811.2%−0.2 pts

11▼3Chilton County, ALAL47,70811.1%−0.6 pts

12▲29Chambers County, ALAL34,25311.0%+1.8 pts

13▼2Cullman County, ALAL94,00910.9%−0.7 pts

14▲12Morgan County, ALAL126,48310.9%+0.7 pts

15▲9Marion County, ALAL29,09710.7%+0.4 pts

16▲5Coffee County, ALAL56,95310.4%−0.2 pts

17▼1Mobile County, ALAL411,65810.4%−0.8 pts

18▲1Barbour County, ALAL24,60710.3%−0.4 pts

19▲10Jackson County, ALAL54,28110.3%+0.2 pts

20▲10Montgomery County, ALAL225,89110.3%+0.2 pts

21▲11Blount County, ALAL60,15610.3%+0.3 pts

22▲11Calhoun County, ALAL115,83410.2%+0.2 pts

23▼6Dale County, ALAL49,91210.1%−0.7 pts

24▼9Walker County, ALAL65,1409.6%−1.8 pts

25▼5Covington County, ALAL37,9479.4%−1.3 pts

26▲20Macon County, ALAL18,1329.4%+0.4 pts

27▲20Jefferson County, ALAL665,7429.4%+0.4 pts

28▼21Escambia County, ALAL36,6659.2%−2.6 pts

29▲23Marengo County, ALAL18,3119.2%+0.7 pts

30▼26Monroe County, ALAL18,9659.1%−3.1 pts

31▲9Randolph County, ALAL23,1639.1%−0.2 pts

32▲29Henry County, ALAL18,3949.1%+1.3 pts

33▼27Winston County, ALAL23,8298.9%−3.1 pts

34▼31Cleburne County, ALAL15,9708.8%−3.4 pts

35▲10Lauderdale County, ALAL97,1358.8%−0.2 pts

36▼5Wilcox County, ALAL9,6668.7%−1.4 pts

37▼9Choctaw County, ALAL11,9048.6%−1.5 pts

38▲22Lee County, ALAL189,8818.6%+0.8 pts

39▼25Sumter County, ALAL11,5888.6%−2.8 pts

40▲8Pike County, ALAL33,6888.4%−0.5 pts

41▲10Tallapoosa County, ALAL40,9538.4%−0.1 pts

42▼4Baldwin County, ALAL267,7618.3%−1.2 pts

43▼18Dallas County, ALAL35,1408.2%−2.0 pts

44▲12Crenshaw County, ALAL13,1758.1%0.0 pts

45▼2Talladega County, ALAL81,6038.1%−1.1 pts

46▼23Conecuh County, ALAL10,8998.0%−2.4 pts

47▲20Lamar County, ALAL13,5878.0%+2.4 pts

48▼6Lawrence County, ALAL33,8438.0%−1.2 pts

49▲16Colbert County, ALAL59,4747.9%+1.1 pts

50▼1Limestone County, ALAL122,9287.8%−0.8 pts

51▲11Elmore County, ALAL91,5777.7%+0.4 pts

52▲5Fayette County, ALAL15,8727.7%−0.4 pts

53▲5Madison County, ALAL433,5167.7%−0.4 pts

54▲10Coosa County, ALAL10,1617.6%+0.7 pts

55▼2Lowndes County, ALAL9,3597.6%−0.7 pts

56▼17Pickens County, ALAL18,2217.5%−1.9 pts

57▼22Clarke County, ALAL22,0147.5%−2.1 pts

58▲1Autauga County, ALAL61,9207.3%−0.7 pts

59▼23Cherokee County, ALAL26,4137.2%−2.3 pts

60▼10Clay County, ALAL14,2077.2%−1.3 pts

61▼27Perry County, ALAL7,4257.2%−2.7 pts

62▼7St. Clair County, ALAL98,2067.2%−1.0 pts

63▼19Bibb County, ALAL22,2626.9%−2.2 pts

64▼27Washington County, ALAL14,8226.8%−2.7 pts

65▼2Tuscaloosa County, ALAL241,3686.7%−0.3 pts

66Shelby County, ALAL238,5526.4%+0.3 pts

67▼13Hale County, ALAL15,1946.2%−2.1 pts

SHOWING 1–67 OF 67

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES