RANKING · 2024 ACS · 133 SHOWN OF 133

Most uninsured people, Virginia counties

Virginia 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 133 counties in Virginia that qualify, ranked against each other statewide.

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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 2020

01Fairfax County, VAVA1,167,87380,532−12%

02Prince William County, VAVA502,96647,872−3%

03Virginia Beach, VAVA453,73727,294−13%

04Chesterfield County, VAVA397,14824,284−7%

05Loudoun County, VAVA449,74923,184+4%

06Henrico County, VAVA342,77520,884−12%

07Richmond, VAVA237,25720,016−23%

08Norfolk, VAVA231,01318,825−23%

09Newport News, VAVA183,23014,428−20%

10Chesapeake, VAVA255,33214,039−11%

11Alexandria, VAVA160,66213,416−10%

12Arlington County, VAVA243,93112,280−12%

13Stafford County, VAVA170,8039,975−12%

14Spotsylvania County, VAVA155,3889,555−6%

15Roanoke, VAVA99,1119,499−13%

16Hampton, VAVA137,3159,118−6%

17Rockingham County, VAVA89,3169,062+11%

18Manassas, VAVA44,3328,240+21%

19Portsmouth, VAVA96,7776,805−19%

20Albemarle County, VAVA118,3566,721−3%

21Culpeper County, VAVA57,6666,286+30%

22Suffolk, VAVA104,6996,102+3%

23Frederick County, VAVA99,9555,968−17%

24Harrisonburg, VAVA50,8395,314−11%

25Hanover County, VAVA116,4234,940−4%

26Augusta County, VAVA78,9404,937−7%

27Montgomery County, VAVA98,4344,692−19%

28Lynchburg, VAVA81,3474,672−30%

29Fauquier County, VAVA76,5034,574−17%

30Bedford County, VAVA83,0594,550−9%

31James City County, VAVA83,3263,737−8%

32Roanoke County, VAVA97,1503,735−20%

33Franklin County, VAVA55,5263,704−30%

34Manassas Park, VAVA16,5603,691+23%

35Warren County, VAVA42,7403,686−10%

36Accomack County, VAVA33,8593,619−19%

37Washington County, VAVA53,8983,568−24%

38Winchester, VAVA28,2723,390+16%

39Pittsylvania County, VAVA59,4903,313−29%

40Danville, VAVA41,6473,313−16%

41Shenandoah County, VAVA45,8393,311+4%

42Henry County, VAVA49,2423,073−36%

43Carroll County, VAVA29,2992,604−23%

44Campbell County, VAVA55,6292,553−43%

45York County, VAVA71,3742,395+6%

46Waynesboro, VAVA23,9512,321+5%

47Halifax County, VAVA33,4472,232−8%

48Orange County, VAVA40,0832,225−22%

49Fredericksburg, VAVA30,3932,222−22%

50Wise County, VAVA34,8242,148−45%

51Caroline County, VAVA34,4132,139+20%

52Petersburg, VAVA33,7342,138−42%

53Louisa County, VAVA42,9242,137−34%

54Amherst County, VAVA31,9622,100−24%

55Fairfax, VAVA26,7722,083+37%

56Charlottesville, VAVA44,3882,031−46%

57Gloucester County, VAVA40,0971,900−16%

58Page County, VAVA23,7621,870−36%

59Isle of Wight County, VAVA41,3211,839−31%

60Bristol, VAVA16,4181,826−4%

61Pulaski County, VAVA33,5861,808−15%

62Fluvanna County, VAVA28,9751,793−16%

63Prince George County, VAVA43,9361,789+5%

64Hopewell, VAVA23,2611,789−5%

65Mecklenburg County, VAVA30,7471,714−31%

66Wythe County, VAVA27,9831,689−26%

67Botetourt County, VAVA34,1441,672+1%

68Dinwiddie County, VAVA28,8961,670−33%

69Staunton, VAVA26,8011,611−29%

70Smyth County, VAVA28,8821,570−41%

71Tazewell County, VAVA38,6351,555−53%

72Westmoreland County, VAVA19,7151,518−30%

73Greene County, VAVA21,9581,423−33%

74Lee County, VAVA21,6421,417−49%

75Nottoway County, VAVA15,7961,398−25%

76Colonial Heights, VAVA18,7381,371+9%

77Buckingham County, VAVA17,1371,370−12%

78Powhatan County, VAVA32,5911,295−9%

79Prince Edward County, VAVA22,3911,287−31%

80Scott County, VAVA21,2001,213−35%

81Northampton County, VAVA11,8791,188+3%

82Russell County, VAVA25,3321,188−45%

83Floyd County, VAVA15,7891,127−19%

84Lunenburg County, VAVA12,0581,111+25%

85Martinsville, VAVA13,8491,102−11%

86Appomattox County, VAVA17,1721,095−10%

87Grayson County, VAVA15,2301,086−41%

88Salem, VAVA25,8161,074−27%

89New Kent County, VAVA28,0221,069−11%

90Rockbridge County, VAVA22,6631,064−32%

91Giles County, VAVA16,5641,063−22%

92Nelson County, VAVA14,9201,048−13%

93Amelia County, VAVA13,6321,025+16%

94King William County, VAVA19,617978+11%

95Alleghany County, VAVA14,546961+18%

96Williamsburg, VAVA15,861960−23%

97Essex County, VAVA10,654933−15%

98Patrick County, VAVA17,424928−38%

99King George County, VAVA29,646902−27%

100Buchanan County, VAVA18,492868−58%

101Radford, VAVA17,243811−33%

102Rappahannock County, VAVA7,439804−19%

103Southampton County, VAVA18,110802−18%

104Northumberland County, VAVA12,557794−34%

105Sussex County, VAVA10,755788−4%

106Clarke County, VAVA15,609787−37%

107Brunswick County, VAVA15,727763−34%

108Charlotte County, VAVA11,401721−48%

109Madison County, VAVA14,237702−28%

110Lancaster County, VAVA10,995697−31%

111Goochland County, VAVA29,187663−21%

112Middlesex County, VAVA10,841585−31%

113Mathews County, VAVA8,529578−39%

114Dickenson County, VAVA13,236576−51%

115Galax, VAVA6,670440−65%

116Cumberland County, VAVA10,352397−66%

117Lexington, VAVA7,769397+16%

118Richmond County, VAVA9,294391−14%

119Covington, VAVA5,680390−3%

120King and Queen County, VAVA6,743387+8%

121Greensville County, VAVA11,181369−58%

122Norton, VAVA3,477365+24%

123Charles City County, VAVA6,623296−46%

124Buena Vista, VAVA6,672283−53%

125Poquoson, VAVA13,292281−26%

126Bland County, VAVA6,151269−33%

127Emporia, VAVA5,447252−59%

128Falls Church, VAVA15,159247−34%

129Franklin, VAVA8,478232−37%

130Surry County, VAVA6,603204−66%

131Craig County, VAVA4,800151−43%

132Bath County, VAVA4,07699−75%

133Highland County, VAVA2,31889−49%

SHOWING 1–133 OF 133

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