RANKING · 2024 ACS · 93 SHOWN OF 93

Most uninsured people, Nebraska counties

Nebraska 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 93 counties in Nebraska that qualify, ranked against each other statewide.

NebraskaAll 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

01Douglas County, NENE606,46048,442−8%

02Lancaster County, NENE334,04919,018−16%

03Sarpy County, NENE208,3039,087−11%

04Hall County, NENE63,6338,006+12%

05Scotts Bluff County, NENE35,5863,597+9%

06Buffalo County, NENE51,1723,472−10%

07Madison County, NENE36,1062,626−8%

08Platte County, NENE35,6492,525−19%

09Dodge County, NENE38,0572,403−24%

10Dawson County, NENE24,4522,368−7%

11Lincoln County, NENE33,3032,222−32%

12Adams County, NENE31,0711,780−7%

13Dakota County, NENE21,6871,718−17%

14Cass County, NENE27,6571,618+4%

15Saline County, NENE14,9961,390−15%

16Colfax County, NENE10,9341,286+23%

17Gage County, NENE21,7111,085−13%

18Seward County, NENE18,0321,057+13%

19Saunders County, NENE23,702959+14%

20Red Willow County, NENE10,307925−1%

21Washington County, NENE21,302872−9%

22Dawes County, NENE7,858778−6%

23Custer County, NENE10,500743−6%

24York County, NENE14,564743+1%

25Cuming County, NENE8,823734+17%

26Box Butte County, NENE10,494721−7%

27Nemaha County, NENE7,102709+19%

28Holt County, NENE10,067660+13%

29Cheyenne County, NENE9,528640−2%

30Otoe County, NENE16,531624−35%

31Thurston County, NENE6,752612−60%

32Jefferson County, NENE7,070596+6%

33Knox County, NENE8,335576+14%

34Hamilton County, NENE9,678570+7%

35Wayne County, NENE10,020566+77%

36Phelps County, NENE8,994546+15%

37Keith County, NENE8,100540−20%

38Sheridan County, NENE4,809534−23%

39Cherry County, NENE5,561512+17%

40Dixon County, NENE5,602503+48%

41Burt County, NENE6,678497−36%

42Cedar County, NENE8,373492+1%

43Richardson County, NENE7,530474−38%

44Kimball County, NENE3,391458−10%

45Antelope County, NENE6,352452+6%

46Howard County, NENE6,538441+60%

47Butler County, NENE8,507424+16%

48Merrick County, NENE7,905407−32%

49Kearney County, NENE6,790405+17%

50Chase County, NENE3,718403+31%

51Clay County, NENE6,170394−16%

52Nuckolls County, NENE4,100375+18%

53Morrill County, NENE4,404371+2%

54Stanton County, NENE5,744349+11%

55Pierce County, NENE7,378327−25%

56Pawnee County, NENE2,510323−18%

57Polk County, NENE5,270281−55%

58Furnas County, NENE4,524255−26%

59Thayer County, NENE4,842248−14%

60Harlan County, NENE3,000239+13%

61Valley County, NENE4,094224−35%

62Fillmore County, NENE5,458219−19%

63Johnson County, NENE5,218216−12%

64Nance County, NENE3,290216+23%

65Brown County, NENE2,826212−20%

66Webster County, NENE3,336190−21%

67Gosper County, NENE1,803189+62%

68Boone County, NENE5,355181−36%

69Deuel County, NENE1,862168−34%

70Frontier County, NENE2,655164−28%

71Perkins County, NENE2,849157+3%

72Garden County, NENE1,804155−39%

73Hitchcock County, NENE2,467142−51%

74Franklin County, NENE2,795124−33%

75Boyd County, NENE1,674122−23%

76Sherman County, NENE2,924121−55%

77Greeley County, NENE2,154106−23%

78Sioux County, NENE1,18899−40%

79Dundy County, NENE1,56894−48%

80Keya Paha County, NENE79281+84%

81Wheeler County, NENE78976+13%

82Banner County, NENE68672+177%

83Grant County, NENE56166−27%

84Rock County, NENE1,25964−55%

85Garfield County, NENE1,71060−20%

86Hooker County, NENE68659−32%

87Logan County, NENE66955−35%

88Loup County, NENE57055+17%

89Hayes County, NENE82147−20%

90Arthur County, NENE39633−34%

91Thomas County, NENE63928+100%

92Blaine County, NENE45821−62%

93McPherson County, NENE36916+14%

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