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. The median across all 133 is 1,672. Biggest climber in the top 100 since 2020: Fairfax, VA, up 27 places to #55.

VirginiaAll states All rankings

SAME RANKING BYCities States Metros

YEAR2020 2024

RANKPLACESTATEPOPUNINSURED RESIDENTSVS 2020

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

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

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

04▲1Chesterfield County, VAVA397,14824,284−7%

05▲3Loudoun County, VAVA449,74923,184+4%

06▲1Henrico County, VAVA342,77520,884−12%

07▼3Richmond, VAVA237,25720,016−23%

08▼2Norfolk, 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%

14▲1Spotsylvania County, VAVA155,3889,555−6%

15▼1Roanoke, VAVA99,1119,499−13%

16Hampton, VAVA137,3159,118−6%

17▲1Rockingham County, VAVA89,3169,062+11%

18▲3Manassas, VAVA44,3328,240+21%

19▼2Portsmouth, VAVA96,7776,805−19%

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

21▲10Culpeper County, VAVA57,6666,286+30%

22▲2Suffolk, VAVA104,6996,102+3%

23▼4Frederick County, VAVA99,9555,968−17%

24▼1Harrisonburg, VAVA50,8395,314−11%

25▲4Hanover County, VAVA116,4234,940−4%

26▲2Augusta County, VAVA78,9404,937−7%

27▼2Montgomery County, VAVA98,4344,692−19%

28▼6Lynchburg, VAVA81,3474,672−30%

29▼3Fauquier County, VAVA76,5034,574−17%

30Bedford County, VAVA83,0594,550−9%

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

32▲2Roanoke County, VAVA97,1503,735−20%

33▼6Franklin County, VAVA55,5263,704−30%

34▲14Manassas Park, VAVA16,5603,691+23%

35▲3Warren County, VAVA42,7403,686−10%

36▲1Accomack County, VAVA33,8593,619−19%

37▼4Washington County, VAVA53,8983,568−24%

38▲11Winchester, VAVA28,2723,390+16%

39▼4Pittsylvania County, VAVA59,4903,313−29%

40Danville, VAVA41,6473,313−16%

41▲6Shenandoah County, VAVA45,8393,311+4%

42▼10Henry County, VAVA49,2423,073−36%

43▲1Carroll County, VAVA29,2992,604−23%

44▼8Campbell County, VAVA55,6292,553−43%

45▲18York County, VAVA71,3742,395+6%

46▲18Waynesboro, VAVA23,9512,321+5%

47▲12Halifax County, VAVA33,4472,232−8%

48▲4Orange County, VAVA40,0832,225−22%

49▲2Fredericksburg, VAVA30,3932,222−22%

50▼9Wise County, VAVA34,8242,148−45%

51▲26Caroline County, VAVA34,4132,139+20%

52▼9Petersburg, VAVA33,7342,138−42%

53▼7Louisa County, VAVA42,9242,137−34%

54Amherst County, VAVA31,9622,100−24%

55▲27Fairfax, VAVA26,7722,083+37%

56▼14Charlottesville, VAVA44,3882,031−46%

57▲4Gloucester County, VAVA40,0971,900−16%

58▼8Page County, VAVA23,7621,870−36%

59▼4Isle of Wight County, VAVA41,3211,839−31%

60▲11Bristol, VAVA16,4181,826−4%

61▲8Pulaski County, VAVA33,5861,808−15%

62▲6Fluvanna County, VAVA28,9751,793−16%

63▲15Prince George County, VAVA43,9361,789+5%

64▲8Hopewell, VAVA23,2611,789−5%

65▼7Mecklenburg County, VAVA30,7471,714−31%

66▼6Wythe County, VAVA27,9831,689−26%

67▲12Botetourt County, VAVA34,1441,672+1%

68▼11Dinwiddie County, VAVA28,8961,670−33%

69▼7Staunton, VAVA26,8011,611−29%

70▼14Smyth County, VAVA28,8821,570−41%

71▼26Tazewell County, VAVA38,6351,555−53%

72▼7Westmoreland County, VAVA19,7151,518−30%

73▼6Greene County, VAVA21,9581,423−33%

74▼21Lee County, VAVA21,6421,417−49%

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

76▲13Colonial Heights, VAVA18,7381,371+9%

77▲4Buckingham County, VAVA17,1371,370−12%

78▲7Powhatan County, VAVA32,5911,295−9%

79▼6Prince Edward County, VAVA22,3911,287−31%

80▼6Scott County, VAVA21,2001,213−35%

81▲22Northampton County, VAVA11,8791,188+3%

82▼16Russell County, VAVA25,3321,188−45%

83▲4Floyd County, VAVA15,7891,127−19%

84▲26Lunenburg County, VAVA12,0581,111+25%

85▲9Martinsville, VAVA13,8491,102−11%

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

87▼11Grayson County, VAVA15,2301,086−41%

88▼4Salem, VAVA25,8161,074−27%

89▲8New Kent County, VAVA28,0221,069−11%

90▼10Rockbridge County, VAVA22,6631,064−32%

91▼3Giles County, VAVA16,5641,063−22%

92▲6Nelson County, VAVA14,9201,048−13%

93▲18Amelia County, VAVA13,6321,025+16%

94▲18King William County, VAVA19,617978+11%

95▲22Alleghany County, VAVA14,546961+18%

96▼5Williamsburg, VAVA15,861960−23%

97▲7Essex County, VAVA10,654933−15%

98▼15Patrick County, VAVA17,424928−38%

99▼6King George County, VAVA29,646902−27%

100▼30Buchanan County, VAVA18,492868−58%

101▼6Radford, VAVA17,243811−33%

102▲4Rappahannock County, VAVA7,439804−19%

103▲4Southampton County, VAVA18,110802−18%

104▼5Northumberland County, VAVA12,557794−34%

105▲11Sussex County, VAVA10,755788−4%

106▼14Clarke County, VAVA15,609787−37%

107▼6Brunswick County, VAVA15,727763−34%

108▼22Charlotte County, VAVA11,401721−48%

109▼1Madison County, VAVA14,237702−28%

110▼5Lancaster County, VAVA10,995697−31%

111▲4Goochland County, VAVA29,187663−21%

112▲2Middlesex County, VAVA10,841585−31%

113▼4Mathews County, VAVA8,529578−39%

114▼14Dickenson County, VAVA13,236576−51%

115▼25Galax, VAVA6,670440−65%

116▼14Cumberland County, VAVA10,352397−66%

117▲13Lexington, VAVA7,769397+16%

118▲4Richmond County, VAVA9,294391−14%

119▲6Covington, VAVA5,680390−3%

120▲9King and Queen County, VAVA6,743387+8%

121▼8Greensville County, VAVA11,181369−58%

122▲9Norton, VAVA3,477365+24%

123▼2Charles City County, VAVA6,623296−46%

124▼4Buena Vista, VAVA6,672283−53%

125▲1Poquoson, VAVA13,292281−26%

126▼2Bland County, VAVA6,151269−33%

127▼9Emporia, VAVA5,447252−59%

128▼1Falls Church, VAVA15,159247−34%

129▼1Franklin, VAVA8,478232−37%

130▼11Surry County, VAVA6,603204−66%

131▲1Craig County, VAVA4,800151−43%

132▼9Bath County, VAVA4,07699−75%

133Highland County, VAVA2,31889−49%

SHOWING 1–133 OF 133

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