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.

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, OHOH539,59834,248−0%

05Summit County, OHOH538,37629,845−3%

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

07Lucas County, OHOH423,34720,637−17%

08Stark County, OHOH373,77120,437−1%

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

10Lorain County, OHOH323,21916,441−0%

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

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

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

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

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

16Lake County, OHOH232,21710,471−6%

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

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

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

20Licking County, OHOH185,5649,576−2%

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

22Clark County, OHOH135,3408,857+2%

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

24Portage County, OHOH163,4047,992−9%

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

26Geauga County, OHOH95,6767,647+2%

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

28Knox County, OHOH64,0027,065+18%

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

30Allen County, OHOH100,8815,843−11%

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

32Wood County, OHOH134,1765,501−5%

33Miami County, OHOH112,6345,101−6%

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

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

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

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

38Scioto County, OHOH71,3653,972−4%

39Erie County, OHOH73,2963,791−4%

40Huron County, OHOH58,2503,736+5%

41Darke County, OHOH51,5203,666+20%

42Ashland County, OHOH52,5233,663−13%

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

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

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

46Athens County, OHOH63,1973,498−12%

47Belmont County, OHOH64,4343,407−10%

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

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

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

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

52Marion County, OHOH65,1153,253+2%

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

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

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

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

57Seneca County, OHOH54,5222,849−3%

58Brown County, OHOH44,3972,774+1%

59Logan County, OHOH46,3022,728+21%

60Carroll County, OHOH26,4752,658−11%

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

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

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

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

65Gallia County, OHOH29,0722,485−12%

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

67Adams County, OHOH27,8652,252−3%

68Preble County, OHOH40,6642,170−3%

69Fulton County, OHOH41,8532,132−4%

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

71Shelby County, OHOH48,0652,019−9%

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

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

74Harrison County, OHOH14,0701,711−5%

75Auglaize County, OHOH45,9091,595−3%

76Ottawa County, OHOH39,4811,547−23%

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

78Meigs County, OHOH21,5871,427−10%

79Henry County, OHOH27,5981,397+6%

80Pike County, OHOH27,0611,295−3%

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

82Putnam County, OHOH34,3801,043+3%

83Monroe County, OHOH12,9941,018+4%

84Paulding County, OHOH18,727968+4%

85Vinton 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 2026-07-15 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES