RANKING · 2020 CENSUS · 67 SHOWN OF 67

Most uninsured people, Alabama counties · 2020

Alabama counties 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 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 –

01Jefferson County, ALAL665,74258,699–

02Mobile County, ALAL411,65845,822–

03Madison County, ALAL433,51629,244–

04Montgomery County, ALAL225,89122,277–

05Baldwin County, ALAL267,76120,501–

06Tuscaloosa County, ALAL241,36814,468–

07Shelby County, ALAL238,55213,130–

08Lee County, ALAL189,88112,682–

09Morgan County, ALAL126,48311,927–

10Houston County, ALAL110,31811,915–

11Etowah County, ALAL103,88611,688–

12Marshall County, ALAL103,53711,564–

13Calhoun County, ALAL115,83411,260–

14DeKalb County, ALAL74,0859,683–

15Cullman County, ALAL94,0099,569–

16Lauderdale County, ALAL97,1358,251–

17Limestone County, ALAL122,9288,091–

18Walker County, ALAL65,1407,191–

19St. Clair County, ALAL98,2067,159–

20Talladega County, ALAL81,6037,075–

21Russell County, ALAL58,8986,089–

22Blount County, ALAL60,1565,746–

23Elmore County, ALAL91,5775,597–

24Coffee County, ALAL56,9535,331–

25Jackson County, ALAL54,2815,178–

26Chilton County, ALAL47,7085,145–

27Dale County, ALAL49,9124,990–

28Autauga County, ALAL61,9204,345–

29Escambia County, ALAL36,6653,987–

30Covington County, ALAL37,9473,926–

31Dallas County, ALAL35,1403,873–

32Colbert County, ALAL59,4743,723–

33Franklin County, ALAL32,4493,659–

34Tallapoosa County, ALAL40,9533,388–

35Geneva County, ALAL27,5543,063–

36Chambers County, ALAL34,2533,045–

37Lawrence County, ALAL33,8433,023–

38Marion County, ALAL29,0973,012–

39Pike County, ALAL33,6882,951–

40Winston County, ALAL23,8292,803–

41Monroe County, ALAL18,9652,540–

42Cherokee County, ALAL26,4132,458–

43Barbour County, ALAL24,6072,362–

44Clarke County, ALAL22,0142,275–

45Randolph County, ALAL23,1632,090–

46Butler County, ALAL18,1001,973–

47Bibb County, ALAL22,2621,878–

48Cleburne County, ALAL15,9701,791–

49Pickens County, ALAL18,2211,728–

50Macon County, ALAL18,1321,631–

51Marengo County, ALAL18,3111,609–

52Washington County, ALAL14,8221,546–

53Sumter County, ALAL11,5881,425–

54Greene County, ALAL7,0671,354–

55Fayette County, ALAL15,8721,316–

56Henry County, ALAL18,3941,316–

57Choctaw County, ALAL11,9041,273–

58Conecuh County, ALAL10,8991,263–

59Hale County, ALAL15,1941,200–

60Clay County, ALAL14,2071,108–

61Crenshaw County, ALAL13,1751,099–

62Wilcox County, ALAL9,6661,036–

63Bullock County, ALAL9,7801,025–

64Perry County, ALAL7,425888–

65Lowndes County, ALAL9,359817–

66Lamar County, ALAL13,587761–

67Coosa County, ALAL10,161713–

SHOWING 1–67 OF 67

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UPDATED 2026-07-15 · DATA: US CENSUS BUREAU DECENNIAL CENSUS