RANKING · 2024 ACS · 27 SHOWN OF 27

Most uninsured people, Montana cities

Montana 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 27 cities in Montana that qualify, ranked against each other statewide. The median across all 27 is 703. Biggest climber in the top 100 since 2020: Columbia Falls, MT, up 9 places to #9.

MontanaAll 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 2020

01Billings, MTMT121,2399,549+49%

02Missoula, MTMT78,9034,632−1%

03Great Falls, MTMT60,2084,098−4%

04Bozeman, MTMT58,8143,487−4%

05▲1Kalispell, MTMT31,8512,799+51%

06▼1Butte-Silver Bow, MTMT35,4692,038−4%

07Helena, MTMT35,1381,520+16%

08Evergreen, MTMT9,6111,098+27%

09▲9Columbia Falls, MTMT5,753986+94%

10▼1Belgrade, MTMT13,107939+18%

11▲8Lewistown, MTMT6,179826+71%

12▲1Helena Valley Southeast, MTMT9,108814+46%

13▲7Lockwood, MTMT7,181800+75%

14▲3Miles City, MTMT8,450703+38%

15▼5Livingston, MTMT9,290669−15%

16▲7Havre, MTMT9,264617+95%

17▼6Polson, MTMT5,653562−4%

18▲6Hamilton, MTMT5,451524+84%

19▼7Anaconda-Deer Lodge County, MTMT9,709518−11%

20▼6Helena Valley West Central, MTMT8,056518−7%

21▲4Laurel, MTMT7,205503+77%

22▲5Helena Valley Northwest, MTMT5,183496+208%

23▼7Whitefish, MTMT9,358456−14%

24▲2Orchard Homes, MTMT5,588329+25%

25▼10Bigfork, MTMT5,565306−43%

26▼4Sidney, MTMT6,217305−11%

27▼6Four Corners, MTMT5,791230−50%

SHOWING 1–27 OF 27

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