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.

AlabamaAll states All rankings

SAME RANKING BYCities 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

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%

07Lee County, ALAL189,88115,405+21%

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

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

10Houston County, ALAL110,31811,973+0%

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

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

13Etowah County, ALAL103,88611,596−1%

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

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

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

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

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

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

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

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

22Walker County, ALAL65,1406,169−14%

23Blount 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%

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

29Autauga County, ALAL61,9204,250−2%

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

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

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

33Tallapoosa County, ALAL40,9533,372−0%

34Geneva County, ALAL27,5543,319+8%

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

36Marion County, ALAL29,0973,050+1%

37Dallas County, ALAL35,1402,982−23%

38Pike County, ALAL33,6882,767−6%

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

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

41Barbour County, ALAL24,6072,221−6%

42Winston County, ALAL23,8292,085−26%

43Randolph County, ALAL23,1632,026−3%

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

45Macon County, ALAL18,1321,741+7%

46Monroe County, ALAL18,9651,740−31%

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

48Clarke County, ALAL22,0141,664−27%

49Henry County, ALAL18,3941,590+21%

50Bibb County, ALAL22,2621,414−25%

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

52Pickens County, ALAL18,2211,274−26%

53Fayette County, ALAL15,8721,222−7%

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

55Choctaw County, ALAL11,9041,050−18%

56Crenshaw County, ALAL13,1751,044−5%

57Bullock County, ALAL9,7801,038+1%

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

59Sumter County, ALAL11,5881,014−29%

60Clay County, ALAL14,2071,007−9%

61Greene County, ALAL7,0671,005−26%

62Hale County, ALAL15,194914−24%

63Conecuh County, ALAL10,899895−29%

64Wilcox County, ALAL9,666868−16%

65Coosa County, ALAL10,161757+6%

66Lowndes County, ALAL9,359736−10%

67Perry County, ALAL7,425565−36%

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