RANKING · 2020 CENSUS · 67 SHOWN OF 67

Highest uninsured rate, Alabama counties · 2020

Alabama counties ranked by the share of residents without health insurance (2023 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

RELATEDOldest by median age Youngest by median age Most foreign-born residents Most women Most men Highest disability rate

YEAR2020 2024

RANKPLACESTATEPOPUNINSUREDVS 2000

01Greene County, ALAL7,06716.6%–

02DeKalb County, ALAL74,08513.7%–

03Cleburne County, ALAL15,97012.2%–

04Monroe County, ALAL18,96512.2%–

05Marshall County, ALAL103,53712.1%–

06Winston County, ALAL23,82912.0%–

07Escambia County, ALAL36,66511.8%–

08Chilton County, ALAL47,70811.7%–

09Franklin County, ALAL32,44911.7%–

10Geneva County, ALAL27,55411.7%–

11Cullman County, ALAL94,00911.6%–

12Etowah County, ALAL103,88611.5%–

13Houston County, ALAL110,31811.4%–

14Sumter County, ALAL11,58811.4%–

15Walker County, ALAL65,14011.4%–

16Mobile County, ALAL411,65811.2%–

17Dale County, ALAL49,91210.8%–

18Russell County, ALAL58,89810.8%–

19Barbour County, ALAL24,60710.7%–

20Covington County, ALAL37,94710.7%–

21Coffee County, ALAL56,95310.6%–

22Bullock County, ALAL9,78010.5%–

23Conecuh County, ALAL10,89910.4%–

24Marion County, ALAL29,09710.3%–

25Dallas County, ALAL35,14010.2%–

26Morgan County, ALAL126,48310.2%–

27Butler County, ALAL18,10010.1%–

28Choctaw County, ALAL11,90410.1%–

29Jackson County, ALAL54,28110.1%–

30Montgomery County, ALAL225,89110.1%–

31Wilcox County, ALAL9,66610.1%–

32Blount County, ALAL60,15610.0%–

33Calhoun County, ALAL115,83410.0%–

34Perry County, ALAL7,4259.9%–

35Clarke County, ALAL22,0149.6%–

36Cherokee County, ALAL26,4139.5%–

37Washington County, ALAL14,8229.5%–

38Baldwin County, ALAL267,7619.5%–

39Pickens County, ALAL18,2219.4%–

40Randolph County, ALAL23,1639.3%–

41Chambers County, ALAL34,2539.2%–

42Lawrence County, ALAL33,8439.2%–

43Talladega County, ALAL81,6039.2%–

44Bibb County, ALAL22,2629.1%–

45Lauderdale County, ALAL97,1359.0%–

46Macon County, ALAL18,1329.0%–

47Jefferson County, ALAL665,7429.0%–

48Pike County, ALAL33,6888.9%–

49Limestone County, ALAL122,9288.6%–

50Clay County, ALAL14,2078.5%–

51Tallapoosa County, ALAL40,9538.5%–

52Marengo County, ALAL18,3118.5%–

53Lowndes County, ALAL9,3598.3%–

54Hale County, ALAL15,1948.3%–

55St. Clair County, ALAL98,2068.2%–

56Crenshaw County, ALAL13,1758.1%–

57Fayette County, ALAL15,8728.1%–

58Madison County, ALAL433,5168.1%–

59Autauga County, ALAL61,9208.0%–

60Lee County, ALAL189,8817.8%–

61Henry County, ALAL18,3947.8%–

62Elmore County, ALAL91,5777.3%–

63Tuscaloosa County, ALAL241,3687.0%–

64Coosa County, ALAL10,1616.9%–

65Colbert County, ALAL59,4746.8%–

66Shelby County, ALAL238,5526.1%–

67Lamar County, ALAL13,5875.6%–

SHOWING 1–67 OF 67

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UPDATED 2026-06-02 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES