RANKING · 2024 ACS · 67 SHOWN OF 67

Most uninsured people, Pennsylvania counties

Pennsylvania 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 67 counties in Pennsylvania that qualify, ranked against each other statewide. The median across all 67 is 4,779. Biggest climber in the top 100 since 2020: Carbon County, PA, up 5 places to #44.

PennsylvaniaAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Philadelphia County, PAPA1,574,281111,385−7%

02Lancaster County, PAPA563,15961,761−2%

03Allegheny County, PAPA1,225,03547,146+2%

04Montgomery County, PAPA877,64333,124+15%

05▲2Berks County, PAPA440,07231,112+21%

06▼1Delaware County, PAPA580,93726,354−4%

07▲1Bucks County, PAPA647,82825,3150%

08▲1Lehigh County, PAPA384,38324,159+8%

09▼3Chester County, PAPA557,11623,941−8%

10York County, PAPA473,19722,0680%

11Luzerne County, PAPA332,12621,058+27%

12Dauphin County, PAPA293,35118,402+22%

13▲2Cumberland County, PAPA277,27014,276+9%

14▼1Franklin County, PAPA160,65213,886−2%

15▼1Northampton County, PAPA324,41113,748+2%

16▲2Lebanon County, PAPA146,38012,802+9%

17▼1Erie County, PAPA265,83211,005−7%

18▼1Monroe County, PAPA167,17910,499−11%

19▲1Lackawanna County, PAPA216,50210,478+16%

20▼1Westmoreland County, PAPA349,32410,469−5%

21▲2Schuylkill County, PAPA145,0859,402+34%

22▼1Centre County, PAPA157,3938,044−9%

23▼1Washington County, PAPA210,8028,009+5%

24Crawford County, PAPA81,7927,240+5%

25▲3Blair County, PAPA119,5416,937+13%

26▲4Mercer County, PAPA107,8606,732+14%

27▲2Butler County, PAPA200,1696,729+9%

28▼3Beaver County, PAPA166,0326,402+3%

29▲3Adams County, PAPA107,5946,278+11%

30▼4Indiana County, PAPA82,8785,873−5%

31▲2Mifflin County, PAPA46,1275,819+4%

32▼5Lycoming County, PAPA112,5875,741−7%

33▼2Fayette County, PAPA123,0215,669−2%

34▲2Snyder County, PAPA39,6554,779+13%

35▲2Perry County, PAPA46,8064,696+13%

36▲2Somerset County, PAPA72,0044,555+11%

37▲4Northumberland County, PAPA89,9204,459+16%

38▲2Clearfield County, PAPA78,1004,374+12%

39▼4Lawrence County, PAPA83,9114,295−6%

40▼6Cambria County, PAPA128,9684,199−20%

41▼2Bradford County, PAPA59,6003,9960%

42Union County, PAPA42,3133,939+5%

43Clinton County, PAPA37,8703,906+11%

44▲5Carbon County, PAPA65,8683,752+33%

45▲1Jefferson County, PAPA43,2553,695+20%

46▼2Bedford County, PAPA47,4803,663+11%

47Pike County, PAPA62,8083,515+15%

48▲5Wayne County, PAPA51,7033,305+23%

49▲1Juniata County, PAPA23,4033,182+14%

50▲4Armstrong County, PAPA63,6982,590−2%

51▼6Columbia County, PAPA66,1932,570−20%

52▼1Tioga County, PAPA40,5022,433−12%

53▲2Susquehanna County, PAPA38,2372,349−3%

54▼2Clarion County, PAPA36,6802,235−18%

55▼7Venango County, PAPA49,3462,176−23%

56Huntingdon County, PAPA43,0011,883−1%

57▲1McKean County, PAPA38,9841,777+12%

58▼1Warren County, PAPA37,0381,521−17%

59▲1Greene County, PAPA33,8851,484+22%

60▲1Potter County, PAPA15,8971,061−4%

61▼2Wyoming County, PAPA25,7901,007−18%

62▲1Fulton County, PAPA14,483733−19%

63▲1Elk County, PAPA29,926700−9%

64▼2Montour County, PAPA17,868643−38%

65▲1Forest County, PAPA6,614276+24%

66▼1Sullivan County, PAPA5,856232−44%

67Cameron County, PAPA4,21193−36%

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