RANKING · 2024 ACS · 67 SHOWN OF 67

Most uninsured people, Alabama counties

Alabama counties 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 67 counties in Alabama that qualify, ranked against each other statewide. The median across all 67 is 3,319. Biggest climber in the top 100 since 2020: Lamar County, AL, up 12 places to #54.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Jefferson County, ALAL665,74262,109+6%

02Mobile County, ALAL411,65842,502−7%

03Madison County, ALAL433,51630,981+6%

04Montgomery County, ALAL225,89122,735+2%

05Baldwin County, ALAL267,76120,193−2%

06Tuscaloosa County, ALAL241,36815,735+9%

07▲1Lee County, ALAL189,88115,405+21%

08▼1Shelby County, ALAL238,55214,658+12%

09Morgan County, ALAL126,48313,399+12%

10Houston County, ALAL110,31811,9730%

11▲1Marshall County, ALAL103,53711,800+2%

12▲1Calhoun County, ALAL115,83411,669+4%

13▼2Etowah County, ALAL103,88611,596−1%

14DeKalb County, ALAL74,08511,086+14%

15Cullman County, ALAL94,0099,826+3%

16▲1Limestone County, ALAL122,9288,470+5%

17▼1Lauderdale County, ALAL97,1358,319+1%

18▲1St. Clair County, ALAL98,2066,633−7%

19▲4Elmore County, ALAL91,5776,548+17%

20▲1Russell County, ALAL58,8986,442+6%

21▼1Talladega County, ALAL81,6036,331−11%

22▼4Walker County, ALAL65,1406,169−14%

23▼1Blount County, ALAL60,1566,100+6%

24Coffee County, ALAL56,9535,471+3%

25Jackson County, ALAL54,2815,423+5%

26Chilton County, ALAL47,7085,090−1%

27Dale County, ALAL49,9124,765−5%

28▲4Colbert County, ALAL59,4744,556+22%

29▼1Autauga County, ALAL61,9204,250−2%

30▲3Franklin County, ALAL32,4494,028+10%

31▲5Chambers County, ALAL34,2533,690+21%

32▼2Covington County, ALAL37,9473,491−11%

33▲1Tallapoosa County, ALAL40,9533,3720%

34▲1Geneva County, ALAL27,5543,319+8%

35▼6Escambia County, ALAL36,6653,151−21%

36▲2Marion County, ALAL29,0973,050+1%

37▼6Dallas County, ALAL35,1402,982−23%

38▲1Pike County, ALAL33,6882,767−6%

39▼2Lawrence County, ALAL33,8432,649−12%

40▲6Butler County, ALAL18,1002,256+14%

41▲2Barbour County, ALAL24,6072,221−6%

42▼2Winston County, ALAL23,8292,085−26%

43▲2Randolph County, ALAL23,1632,026−3%

44▼2Cherokee County, ALAL26,4131,809−26%

45▲5Macon County, ALAL18,1321,741+7%

46▼5Monroe County, ALAL18,9651,740−31%

47▲4Marengo County, ALAL18,3111,721+7%

48▼4Clarke County, ALAL22,0141,664−27%

49▲7Henry County, ALAL18,3941,590+21%

50▼3Bibb County, ALAL22,2621,414−25%

51▼3Cleburne County, ALAL15,9701,337−25%

52▼3Pickens County, ALAL18,2211,274−26%

53▲2Fayette County, ALAL15,8721,222−7%

54▲12Lamar County, ALAL13,5871,087+43%

55▲2Choctaw County, ALAL11,9041,050−18%

56▲5Crenshaw County, ALAL13,1751,044−5%

57▲6Bullock County, ALAL9,7801,038+1%

58▼6Washington County, ALAL14,8221,028−34%

59▼6Sumter County, ALAL11,5881,014−29%

60Clay County, ALAL14,2071,007−9%

61▼7Greene County, ALAL7,0671,005−26%

62▼3Hale County, ALAL15,194914−24%

63▼5Conecuh County, ALAL10,899895−29%

64▼2Wilcox County, ALAL9,666868−16%

65▲2Coosa County, ALAL10,161757+6%

66▼1Lowndes County, ALAL9,359736−10%

67▼3Perry County, ALAL7,425565−36%

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