RANKING · 2024 ACS · 100 SHOWN OF 100

Most uninsured people, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide.

North CarolinaAll 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

01Mecklenburg County, NCNC1,233,383132,127+6%

02Wake County, NCNC1,257,23588,222−4%

03Guilford County, NCNC562,23445,704−6%

04Forsyth County, NCNC401,71837,873−5%

05Durham County, NCNC347,24035,571−4%

06Buncombe County, NCNC277,41729,382+3%

07Cumberland County, NCNC338,47328,811−8%

08Gaston County, NCNC246,55824,995+10%

09Johnston County, NCNC256,44824,131+0%

10New Hanover County, NCNC245,95922,445−7%

11Union County, NCNC267,67419,197−6%

12Cabarrus County, NCNC249,72518,433+11%

13Alamance County, NCNC186,17717,939+0%

14Iredell County, NCNC211,79817,588+4%

15Pitt County, NCNC182,93617,454−3%

16Catawba County, NCNC170,17217,130−4%

17Robeson County, NCNC119,94116,309−12%

18Randolph County, NCNC149,51616,185−13%

19Davidson County, NCNC180,18216,073−17%

20Onslow County, NCNC217,17516,018+7%

21Henderson County, NCNC122,37514,594+4%

22Rowan County, NCNC155,09613,795−13%

23Wayne County, NCNC122,27813,715−12%

24Harnett County, NCNC150,13712,917−8%

25Brunswick County, NCNC174,70211,413−14%

26Nash County, NCNC99,36510,862+11%

27Orange County, NCNC152,4989,727+0%

28Wilson County, NCNC81,1509,549−0%

29Burke County, NCNC88,6559,430−10%

30Cleveland County, NCNC103,3259,362−16%

31Sampson County, NCNC61,5049,105−6%

32Caldwell County, NCNC81,1058,358−14%

33Rockingham County, NCNC94,1958,281−2%

34Lincoln County, NCNC98,6548,029+6%

35Lee County, NCNC70,2587,919+1%

36Rutherford County, NCNC65,7457,683−10%

37Moore County, NCNC110,6197,626−6%

38Surry County, NCNC72,2877,594−14%

39Chatham County, NCNC85,1117,427+4%

40Craven County, NCNC105,0257,422−25%

41Duplin County, NCNC51,5717,336−25%

42Haywood County, NCNC63,3697,081+4%

43Jackson County, NCNC45,0396,865+10%

44Wilkes County, NCNC66,2336,792−12%

45Franklin County, NCNC82,0376,773−3%

46Columbus County, NCNC50,4876,073−15%

47Stanly County, NCNC68,8305,693−16%

48Pender County, NCNC72,1115,608+3%

49Vance County, NCNC42,6385,528+25%

50Carteret County, NCNC70,4695,499−20%

51Lenoir County, NCNC55,8375,461−12%

52Granville County, NCNC61,4215,309−6%

53Edgecombe County, NCNC49,1215,308+2%

54Hoke County, NCNC56,9395,178−19%

55Macon County, NCNC39,2325,159+10%

56Watauga County, NCNC54,7865,119−9%

57McDowell County, NCNC45,1985,037+1%

58Richmond County, NCNC42,0414,801+7%

59Yadkin County, NCNC38,3254,463+6%

60Pasquotank County, NCNC42,2014,343−4%

61Halifax County, NCNC46,5344,232−32%

62Beaufort County, NCNC44,6703,983−28%

63Davie County, NCNC45,8553,856−18%

64Transylvania County, NCNC34,2113,766−21%

65Person County, NCNC40,6363,704+4%

66Cherokee County, NCNC30,8303,668−16%

67Stokes County, NCNC46,1263,392−29%

68Swain County, NCNC14,0243,285+5%

69Dare County, NCNC38,2453,246−29%

70Montgomery County, NCNC26,4033,157−2%

71Scotland County, NCNC33,3223,152−19%

72Bladen County, NCNC30,0073,001−20%

73Greene County, NCNC20,7002,996+6%

74Alexander County, NCNC36,9582,824−13%

75Anson County, NCNC21,7582,756+18%

76Currituck County, NCNC33,1582,647−19%

77Ashe County, NCNC27,5142,619−14%

78Caswell County, NCNC22,5632,088+19%

79Avery County, NCNC18,1102,005−9%

80Warren County, NCNC18,8981,958+2%

81Polk County, NCNC20,5331,931−10%

82Clay County, NCNC12,2391,825+11%

83Madison County, NCNC22,5531,810−24%

84Hertford County, NCNC19,0151,643−28%

85Bertie County, NCNC17,0861,548−29%

86Alleghany County, NCNC11,4791,534+32%

87Martin County, NCNC21,6011,518−24%

88Northampton County, NCNC16,4911,415−38%

89Mitchell County, NCNC15,0621,391−11%

90Yancey County, NCNC19,0841,341−40%

91Perquimans County, NCNC13,4901,283+6%

92Chowan County, NCNC14,0821,113−14%

93Graham County, NCNC8,190992−12%

94Washington County, NCNC10,638981−34%

95Pamlico County, NCNC12,758980−21%

96Jones County, NCNC9,575838−40%

97Gates County, NCNC10,234633−34%

98Hyde County, NCNC4,554611−31%

99Camden County, NCNC11,315490−36%

100Tyrrell County, NCNC3,537419+4%

SHOWING 1–100 OF 100

Download CSV (full list, 100 rows)

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