RANKING · 2024 ACS · 121 SHOWN OF 121

Most uninsured people, Alabama cities

Alabama cities with the most residents lacking health insurance, as of the 2024 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 121 cities in Alabama that qualify, ranked against each other statewide.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Birmingham, ALAL195,89324,938−5%

02Montgomery, ALAL195,30021,241+3%

03Huntsville, ALAL233,62719,777+1%

04Mobile, ALAL200,82419,741−7%

05Tuscaloosa, ALAL114,3168,166+9%

06Dothan, ALAL72,0607,832+8%

07Decatur, ALAL58,0567,475+27%

08Gadsden, ALAL33,3675,478−8%

09Auburn, ALAL85,1135,459+47%

10Florence, ALAL42,5814,666−2%

11Phenix City, ALAL38,3444,654+19%

12Hoover, ALAL93,5504,639+13%

13Bessemer, ALAL24,9843,498−0%

14Foley, ALAL30,3543,105−6%

15Albertville, ALAL23,7103,065−13%

16Tillmans Corner, ALAL17,6773,037+3%

17Athens, ALAL34,2092,960+24%

18Opelika, ALAL35,7652,841+16%

19Anniston, ALAL20,9302,781+2%

20Alabaster, ALAL34,7482,702−2%

21Enterprise, ALAL31,2112,663+7%

22Prichard, ALAL18,8252,576−12%

23Fort Payne, ALAL15,1892,376+28%

24Prattville, ALAL40,5822,344+10%

25Madison, ALAL67,9682,323+38%

26Oxford, ALAL22,1992,144+30%

27Gulf Shores, ALAL17,3942,033+3%

28Daphne, ALAL31,3962,023+62%

29Center Point, ALAL15,5381,896+45%

30Russellville, ALAL10,9041,895+56%

31Pelham, ALAL25,6641,829+9%

32Leeds, ALAL12,8311,754+47%

33Hueytown, ALAL16,1591,731+38%

34Irondale, ALAL13,5451,650+11%

35Ozark, ALAL14,2691,510−2%

36Homewood, ALAL28,1181,476+50%

37Jacksonville, ALAL14,4001,414+25%

38Selma, ALAL16,0771,413−29%

39Eufaula, ALAL12,4371,399+20%

40Saks, ALAL10,6811,389−4%

41Pell City, ALAL14,3201,387+8%

42Cullman, ALAL20,7991,380−6%

43Troy, ALAL18,0221,373−17%

44Calera, ALAL18,9921,347+117%

45Alexander City, ALAL14,5151,302+4%

46Tarrant, ALAL5,6391,286+6%

47Vestavia Hills, ALAL38,3061,280+18%

48Northport, ALAL31,6481,277−3%

49Muscle Shoals, ALAL17,6661,276+148%

50Talladega, ALAL14,8401,276−33%

51Fairhope, ALAL26,6251,200+76%

52Valley, ALAL10,2941,182+41%

53Scottsboro, ALAL16,1231,180−5%

54Saraland, ALAL16,6521,148+29%

55Rainbow City, ALAL10,4061,078+3%

56Meridianville, ALAL11,1501,047+139%

57McCalla, ALAL13,2531,039−8%

58Helena, ALAL23,3881,036−27%

59Lanett, ALAL6,7811,035+39%

60Millbrook, ALAL17,6231,012−17%

61Gardendale, ALAL16,4251,009+65%

62Oneonta, ALAL7,022967+18%

63Boaz, ALAL10,619932−28%

64Hartselle, ALAL16,312921+43%

65Opp, ALAL6,738896+16%

66Jasper, ALAL14,585895−27%

67Andalusia, ALAL8,763884−11%

68Moody, ALAL13,559837−14%

69Arab, ALAL9,061824+20%

70Chickasaw, ALAL6,166823+23%

71Semmes, ALAL6,259823+121%

72Clanton, ALAL9,289815−20%

73Guntersville, ALAL9,394783+13%

74Greenville, ALAL6,912767+29%

75Forestdale, ALAL9,742753+23%

76Trussville, ALAL27,273733+47%

77Pinson, ALAL7,830731+38%

78Atmore, ALAL8,360724−26%

79Sylacauga, ALAL12,055700−29%

80Chelsea, ALAL17,716694+28%

81Fairfield, ALAL9,483689−49%

82Grayson Valley, ALAL6,077686+76%

83Robertsdale, ALAL7,761665−32%

84Sheffield, ALAL9,416664−6%

85Fultondale, ALAL9,307635−28%

86Hamilton, ALAL6,769614−26%

87Southside, ALAL9,718606+19%

88Clay, ALAL10,198597+31%

89Headland, ALAL5,603595+56%

90Tuskegee, ALAL8,644582−1%

91Lincoln, ALAL8,110575+22%

92Wetumpka, ALAL7,535570+168%

93Montevallo, ALAL7,872565−15%

94Moores Mill, ALAL6,378563−2%

95Bay Minette, ALAL8,555559−47%

96Pleasant Grove, ALAL9,346544+99%

97Orange Beach, ALAL8,798543−23%

98Attalla, ALAL5,807510−6%

99Smiths Station, ALAL5,596483+56%

100Demopolis, ALAL6,641466−25%

101Tuscumbia, ALAL9,332393−32%

102Monroeville, ALAL5,758367−42%

103Odenville, ALAL6,023359+119%

104Rainsville, ALAL6,020357−5%

105Brook Highland, ALAL8,146354−35%

106Holtville, ALAL5,158349+87%

107Triana, ALAL5,244317+79%

108Roanoke, ALAL5,440313−51%

109Glencoe, ALAL5,426308−26%

110Margaret, ALAL7,149301+113%

111Brewton, ALAL5,113289−37%

112Columbiana, ALAL5,106276+24%

113Meadowbrook, ALAL9,117275−3%

114Satsuma, ALAL6,851248−52%

115Springville, ALAL5,597222+27%

116Spanish Fort, ALAL11,203220−64%

117Mountain Brook, ALAL21,661185−32%

118Pike Road, ALAL11,899184−25%

119Loxley, ALAL6,131172+15%

120Harvest, ALAL5,955149−28%

121Highland Lakes, ALAL5,86678+117%

SHOWING 1–121 OF 121

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