RANKING · 2024 ACS · 95 SHOWN OF 95

Most uninsured people, Tennessee counties

Tennessee 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 95 counties in Tennessee that qualify, ranked against each other statewide. The median across all 95 is 3,299. Biggest climber in the top 100 since 2020: Fentress County, TN, up 19 places to #64.

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SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

01Shelby County, TNTN910,226108,730+2%

02Davidson County, TNTN745,90489,025+12%

03Knox County, TNTN511,45340,620+15%

04Hamilton County, TNTN390,83336,308+10%

05Rutherford County, TNTN386,35235,954+25%

06Montgomery County, TNTN249,93520,011+32%

07Sumner County, TNTN215,53815,124+5%

08Sullivan County, TNTN163,75914,113+3%

09▲3Washington County, TNTN141,19914,057+19%

10▼1Sevier County, TNTN101,34213,147−2%

11Blount County, TNTN143,82012,982+8%

12▼2Williamson County, TNTN272,06111,486−5%

13▲2Wilson County, TNTN175,03311,247+25%

14▼1Bradley County, TNTN115,46511,128−4%

15▼1Madison County, TNTN100,7909,9000%

16Maury County, TNTN118,1319,108+5%

17▲4Putnam County, TNTN86,6128,647+37%

18▼1Hamblen County, TNTN68,8438,321+10%

19▲4Robertson County, TNTN80,1757,629+28%

20▲4Bedford County, TNTN55,2737,521+37%

21▼3Anderson County, TNTN82,0666,613−2%

22▼2Greene County, TNTN73,8316,544+3%

23▼4Carter County, TNTN57,3616,518−3%

24▼2Lawrence County, TNTN46,9146,416+4%

25▲3Coffee County, TNTN62,4196,166+14%

26▲8Monroe County, TNTN49,7305,509+22%

27▲6Hawkins County, TNTN59,5595,492+11%

28▲2Cumberland County, TNTN66,3005,2760%

29▲2Loudon County, TNTN63,7645,130−3%

30▼5Jefferson County, TNTN60,0245,036−8%

31▲1Warren County, TNTN43,7175,003−4%

32▼3Tipton County, TNTN62,2874,953−7%

33▼6McMinn County, TNTN57,4044,942−9%

34▲3Cocke County, TNTN37,8894,642+9%

35Gibson County, TNTN51,7794,634+5%

36▼10Dickson County, TNTN58,6624,436−19%

37▲3Rhea County, TNTN34,8444,371+18%

38▲4Roane County, TNTN57,3954,064+20%

39▲6Hardin County, TNTN27,9833,810+24%

40▲12Marshall County, TNTN38,0713,733+43%

41▲5Henry County, TNTN32,8963,628+22%

42▼3Cheatham County, TNTN42,7783,587−5%

43▲7Lincoln County, TNTN36,8533,444+31%

44▼8Campbell County, TNTN40,2903,432−20%

45▲2White County, TNTN29,6123,417+15%

46▼8Franklin County, TNTN45,5793,385−11%

47▼3Dyer County, TNTN36,3203,378+9%

48▲1Henderson County, TNTN28,5183,299+24%

49▼6Fayette County, TNTN45,0713,184−4%

50▼9Weakley County, TNTN33,2612,994−18%

51▲4Claiborne County, TNTN33,2292,908+19%

52▼1Scott County, TNTN22,6712,892+11%

53▼5Carroll County, TNTN29,2002,804−1%

54▲7Polk County, TNTN18,5922,638+14%

55▲1McNairy County, TNTN26,2362,590+7%

56▼3Obion County, TNTN30,0672,563−1%

57Macon County, TNTN27,6632,560+6%

58▲1Marion County, TNTN29,8042,4100%

59▲3Bledsoe County, TNTN15,9202,395+6%

60▲3Lauderdale County, TNTN24,6172,307+3%

61▼7Giles County, TNTN31,4332,251−12%

62▲6Johnson County, TNTN18,7182,221+10%

63▲16Humphreys County, TNTN19,6462,187+47%

64▲19Fentress County, TNTN20,3222,088+59%

65▼7Grainger County, TNTN25,7392,044−15%

66▼1Hickman County, TNTN26,2192,033−4%

67▼3Morgan County, TNTN22,1602,020−10%

68▲4Sequatchie County, TNTN17,8611,968+14%

69▼3Haywood County, TNTN17,0421,955−7%

70▲16Lewis County, TNTN13,4871,840+58%

71▲2Grundy County, TNTN14,1161,812+5%

72▼3DeKalb County, TNTN21,8731,811−8%

73▼3Overton County, TNTN23,7871,810−6%

74▲1Smith County, TNTN20,9811,6790%

75▼4Wayne County, TNTN16,4161,644−9%

76▼16Hardeman County, TNTN25,2741,641−29%

77▲10Stewart County, TNTN14,4391,639+48%

78▼1Union County, TNTN21,4501,639+8%

79▲5Benton County, TNTN16,1831,606+30%

80▼2Unicoi County, TNTN17,8561,432−5%

81▼7Crockett County, TNTN14,0061,404−17%

82▼1Meigs County, TNTN14,1861,404+3%

83▼16Chester County, TNTN17,9941,340−36%

84▼8Cannon County, TNTN15,2961,242−23%

85▲3Decatur County, TNTN11,8201,170+30%

86▼1Perry County, TNTN9,1261,147−2%

87▼7Jackson County, TNTN12,466999−31%

88▲1Van Buren County, TNTN6,874957+19%

89▲3Houston County, TNTN8,479951+42%

90▲3Hancock County, TNTN7,075758+25%

91▼1Lake County, TNTN6,249677−3%

92▼1Clay County, TNTN7,821621−10%

93▼11Trousdale County, TNTN12,623525−61%

94Moore County, TNTN6,920461−10%

95Pickett County, TNTN5,219315+29%

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