RANKING · 2024 ACS · 88 SHOWN OF 88

Most uninsured people, Ohio counties

Ohio 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 88 counties in Ohio that qualify, ranked against each other statewide. The median across all 88 is 3,620. Biggest climber in the top 100 since 2020: Perry County, OH, up 13 places to #56.

OhioAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Franklin County, OHOH1,361,536116,715+16%

02Cuyahoga County, OHOH1,232,92570,503+6%

03Hamilton County, OHOH838,41847,911+8%

04Montgomery County, OHOH539,59834,2480%

05Summit County, OHOH538,37629,845−3%

06▲1Butler County, OHOH400,12824,260+15%

07▼1Lucas County, OHOH423,34720,637−17%

08Stark County, OHOH373,77120,437−1%

09Holmes County, OHOH44,97018,121+1%

10Lorain County, OHOH323,21916,4410%

11Wayne County, OHOH116,75815,991+9%

12Trumbull County, OHOH198,97213,859+13%

13Clermont County, OHOH216,97712,149+9%

14▲1Mahoning County, OHOH224,70610,992+2%

15▲2Delaware County, OHOH242,03210,591+17%

16▼2Lake County, OHOH232,21710,471−6%

17▲5Richland County, OHOH124,8939,669+16%

18Ashtabula County, OHOH96,7139,652+6%

19▲4Warren County, OHOH257,1819,577+17%

20▼4Licking County, OHOH185,5649,576−2%

21▼2Fairfield County, OHOH169,7529,393+6%

22▼1Clark County, OHOH135,3408,857+2%

23▲3Greene County, OHOH174,3228,063+15%

24▼4Portage County, OHOH163,4047,992−9%

25Tuscarawas County, OHOH92,3737,763+7%

26▼2Geauga County, OHOH95,6767,647+2%

27▲1Medina County, OHOH185,0257,285+13%

28▲2Knox County, OHOH64,0027,065+18%

29Columbiana County, OHOH99,3776,910+9%

30▼3Allen County, OHOH100,8815,843−11%

31▲2Muskingum County, OHOH87,0145,640+17%

32▼1Wood County, OHOH134,1765,501−5%

33▼1Miami County, OHOH112,6345,101−6%

34Ross County, OHOH76,4294,822+10%

35▲8Guernsey County, OHOH38,3794,507+23%

36▲5Coshocton County, OHOH37,1884,420+15%

37▲12Hancock County, OHOH75,0344,216+36%

38Scioto County, OHOH71,3653,972−4%

39▲1Erie County, OHOH73,2963,791−4%

40▲5Huron County, OHOH58,2503,736+5%

41▲9Darke County, OHOH51,5203,666+20%

42▼6Ashland County, OHOH52,5233,663−13%

43▲3Sandusky County, OHOH58,6553,633+9%

44Morrow County, OHOH36,3053,620+1%

45▼10Washington County, OHOH58,3893,602−15%

46▼7Athens County, OHOH63,1973,498−12%

47▼5Belmont County, OHOH64,4343,407−10%

48▲4Hardin County, OHOH30,0723,357+12%

49▼2Jefferson County, OHOH63,5973,292+2%

50▲3Pickaway County, OHOH62,9783,258+10%

51▼14Highland County, OHOH43,8233,257−22%

52▼4Marion County, OHOH65,1153,253+2%

53▲6Defiance County, OHOH38,2923,195+31%

54▲4Madison County, OHOH46,9853,089+26%

55▲1Lawrence County, OHOH55,7103,086+10%

56▲13Perry County, OHOH35,9182,876+33%

57▼3Seneca County, OHOH54,5222,849−3%

58▼1Brown County, OHOH44,3972,774+1%

59▲5Logan County, OHOH46,3022,728+21%

60▼9Carroll County, OHOH26,4752,658−11%

61▲1Fayette County, OHOH28,5522,558+12%

62▲8Jackson County, OHOH32,8172,547+21%

63▼3Crawford County, OHOH41,8962,510+7%

64▼1Clinton County, OHOH42,3012,490+10%

65▼10Gallia County, OHOH29,0722,485−12%

66Union County, OHOH73,4462,471+11%

67▼6Adams County, OHOH27,8652,252−3%

68▼3Preble County, OHOH40,6642,170−3%

69▼2Fulton County, OHOH41,8532,132−4%

70▲8Hocking County, OHOH27,5122,041+50%

71▼3Shelby County, OHOH48,0652,019−9%

72▲2Champaign County, OHOH38,8201,959+11%

73▼1Williams County, OHOH36,5491,722−10%

74▼1Harrison County, OHOH14,0701,711−5%

75Auglaize County, OHOH45,9091,595−3%

76▼5Ottawa County, OHOH39,4811,547−23%

77Mercer County, OHOH42,7371,507+1%

78▼2Meigs County, OHOH21,5871,427−10%

79▲1Henry County, OHOH27,5981,397+6%

80▼1Pike County, OHOH27,0611,295−3%

81Van Wert County, OHOH29,0131,136+9%

82▲1Putnam County, OHOH34,3801,043+3%

83▲1Monroe County, OHOH12,9941,018+4%

84▲1Paulding County, OHOH18,727968+4%

85▼3Vinton County, OHOH12,645956−6%

86Noble County, OHOH14,276910+1%

87Morgan County, OHOH13,626864−1%

88Wyandot County, OHOH21,567739−12%

SHOWING 1–88 OF 88

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