RANKING · 2020 CENSUS · 121 SHOWN OF 121

Most uninsured people, Alabama cities · 2020

Alabama cities with the most residents lacking health insurance, as of the 2020 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. The median across all 121 is 984.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros

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

RANKPLACESTATEPOPUNINSURED RESIDENTSVS –

01Birmingham, ALAL195,89326,189–

02Mobile, ALAL200,82421,141–

03Montgomery, ALAL195,30020,583–

04Huntsville, ALAL233,62719,576–

05Tuscaloosa, ALAL114,3167,501–

06Dothan, ALAL72,0607,268–

07Gadsden, ALAL33,3675,973–

08Decatur, ALAL58,0565,901–

09Florence, ALAL42,5814,743–

10Hoover, ALAL93,5504,089–

11Phenix City, ALAL38,3443,927–

12Auburn, ALAL85,1133,705–

13Albertville, ALAL23,7103,531–

14Bessemer, ALAL24,9843,512–

15Foley, ALAL30,3543,293–

16Tillmans Corner, ALAL17,6772,940–

17Prichard, ALAL18,8252,932–

18Alabaster, ALAL34,7482,748–

19Anniston, ALAL20,9302,735–

20Enterprise, ALAL31,2112,496–

21Opelika, ALAL35,7652,448–

22Athens, ALAL34,2092,392–

23Prattville, ALAL40,5822,134–

24Selma, ALAL16,0771,990–

25Gulf Shores, ALAL17,3941,980–

26Talladega, ALAL14,8401,904–

27Fort Payne, ALAL15,1891,863–

28Madison, ALAL67,9681,684–

29Pelham, ALAL25,6641,682–

30Troy, ALAL18,0221,657–

31Oxford, ALAL22,1991,645–

32Ozark, ALAL14,2691,536–

33Irondale, ALAL13,5451,480–

34Cullman, ALAL20,7991,474–

35Saks, ALAL10,6811,454–

36Helena, ALAL23,3881,422–

37Fairfield, ALAL9,4831,362–

38Northport, ALAL31,6481,321–

39Center Point, ALAL15,5381,309–

40Boaz, ALAL10,6191,293–

41Pell City, ALAL14,3201,288–

42Alexander City, ALAL14,5151,254–

43Hueytown, ALAL16,1591,252–

44Daphne, ALAL31,3961,251–

45Scottsboro, ALAL16,1231,241–

46Jasper, ALAL14,5851,226–

47Millbrook, ALAL17,6231,223–

48Russellville, ALAL10,9041,218–

49Tarrant, ALAL5,6391,213–

50Leeds, ALAL12,8311,193–

51Eufaula, ALAL12,4371,164–

52McCalla, ALAL13,2531,129–

53Jacksonville, ALAL14,4001,129–

54Vestavia Hills, ALAL38,3061,083–

55Bay Minette, ALAL8,5551,062–

56Rainbow City, ALAL10,4061,043–

57Clanton, ALAL9,2891,023–

58Andalusia, ALAL8,763993–

59Sylacauga, ALAL12,055989–

60Homewood, ALAL28,118986–

61Atmore, ALAL8,360984–

62Moody, ALAL13,559977–

63Robertsdale, ALAL7,761974–

64Saraland, ALAL16,652893–

65Fultondale, ALAL9,307887–

66Valley, ALAL10,294838–

67Hamilton, ALAL6,769830–

68Oneonta, ALAL7,022821–

69Opp, ALAL6,738772–

70Lanett, ALAL6,781744–

71Sheffield, ALAL9,416709–

72Orange Beach, ALAL8,798704–

73Guntersville, ALAL9,394692–

74Arab, ALAL9,061684–

75Fairhope, ALAL26,625683–

76Chickasaw, ALAL6,166670–

77Montevallo, ALAL7,872662–

78Hartselle, ALAL16,312644–

79Roanoke, ALAL5,440640–

80Monroeville, ALAL5,758634–

81Calera, ALAL18,992622–

82Demopolis, ALAL6,641618–

83Forestdale, ALAL9,742612–

84Gardendale, ALAL16,425611–

85Spanish Fort, ALAL11,203610–

86Greenville, ALAL6,912593–

87Tuskegee, ALAL8,644587–

88Tuscumbia, ALAL9,332579–

89Moores Mill, ALAL6,378572–

90Attalla, ALAL5,807545–

91Brook Highland, ALAL8,146542–

92Chelsea, ALAL17,716541–

93Pinson, ALAL7,830531–

94Satsuma, ALAL6,851521–

95Muscle Shoals, ALAL17,666515–

96Southside, ALAL9,718510–

97Trussville, ALAL27,273497–

98Lincoln, ALAL8,110473–

99Brewton, ALAL5,113460–

100Clay, ALAL10,198457–

101Meridianville, ALAL11,150438–

102Glencoe, ALAL5,426415–

103Grayson Valley, ALAL6,077390–

104Headland, ALAL5,603382–

105Rainsville, ALAL6,020375–

106Semmes, ALAL6,259372–

107Smiths Station, ALAL5,596310–

108Meadowbrook, ALAL9,117283–

109Pleasant Grove, ALAL9,346273–

110Mountain Brook, ALAL21,661272–

111Pike Road, ALAL11,899245–

112Columbiana, ALAL5,106223–

113Wetumpka, ALAL7,535213–

114Harvest, ALAL5,955207–

115Holtville, ALAL5,158187–

116Triana, ALAL5,244177–

117Springville, ALAL5,597175–

118Odenville, ALAL6,023164–

119Loxley, ALAL6,131150–

120Margaret, ALAL7,149141–

121Highland Lakes, ALAL5,86636–

SHOWING 1–121 OF 121

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS