RANKING · 2020 CENSUS · 66 SHOWN OF 66

Most uninsured people, South Dakota counties · 2020

South Dakota counties with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate. This list covers the 66 counties in South Dakota that qualify, ranked against each other statewide. The median across all 66 is 498.

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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 –

01Minnehaha County, SDSD212,69114,631–

02Pennington County, SDSD116,79212,228–

03Oglala Lakota County, SDSD13,3385,376–

04Meade County, SDSD30,7113,135–

05Todd County, SDSD8,8632,972–

06Brown County, SDSD37,5612,739–

07Lincoln County, SDSD77,1452,734–

08Lawrence County, SDSD29,4592,507–

09Roberts County, SDSD10,2552,113–

10Codington County, SDSD29,5621,995–

11Brookings County, SDSD37,6351,931–

12Yankton County, SDSD23,6351,832–

13Charles Mix County, SDSD9,3031,744–

14Beadle County, SDSD19,6241,675–

15Dewey County, SDSD5,4191,496–

16Davison County, SDSD20,0691,476–

17Butte County, SDSD10,8561,445–

18Hughes County, SDSD17,5701,041–

19Clay County, SDSD15,031995–

20Corson County, SDSD3,781990–

21Union County, SDSD17,402960–

22Jackson County, SDSD2,666875–

23Bennett County, SDSD3,307810–

24Buffalo County, SDSD1,802810–

25Ziebach County, SDSD2,389794–

26Fall River County, SDSD7,467752–

27Mellette County, SDSD2,137750–

28Custer County, SDSD9,431635–

29Lyman County, SDSD3,694632–

30Lake County, SDSD10,993631–

31Grant County, SDSD7,534601–

32Day County, SDSD5,484513–

33Hamlin County, SDSD6,900498–

34Turner County, SDSD9,314485–

35Moody County, SDSD6,632481–

36McCook County, SDSD5,964467–

37Walworth County, SDSD5,217457–

38Tripp County, SDSD5,708446–

39Douglas County, SDSD2,888440–

40Gregory County, SDSD4,037398–

41Spink County, SDSD6,155355–

42Marshall County, SDSD4,426352–

43Hutchinson County, SDSD7,413347–

44Brule County, SDSD5,278335–

45Bon Homme County, SDSD7,244329–

46Deuel County, SDSD4,408324–

47Perkins County, SDSD2,853271–

48Kingsbury County, SDSD5,284260–

49Aurora County, SDSD2,801226–

50Edmunds County, SDSD4,022218–

51Clark County, SDSD4,031208–

52Sanborn County, SDSD2,388183–

53Haakon County, SDSD1,802172–

54McPherson County, SDSD2,347162–

55Hanson County, SDSD3,456153–

56Potter County, SDSD2,377143–

57Faulk County, SDSD2,178136–

58Miner County, SDSD2,281126–

59Stanley County, SDSD3,018126–

60Jerauld County, SDSD1,654103–

61Jones County, SDSD91396–

62Hand County, SDSD3,12194–

63Harding County, SDSD1,33180–

64Hyde County, SDSD1,19159–

65Sully County, SDSD1,47937–

66Campbell County, SDSD1,37722–

SHOWING 1–66 OF 66

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS