RANKING · 2020 CENSUS · 133 SHOWN OF 133

Most uninsured people, Virginia counties · 2020

Virginia 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 133 counties in Virginia that qualify, ranked against each other statewide. The median across all 133 is 2,129.

VirginiaAll states All rankings

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 –

01Fairfax County, VAVA1,167,87391,785–

02Prince William County, VAVA502,96649,254–

03Virginia Beach, VAVA453,73731,512–

04Richmond, VAVA237,25726,066–

05Chesterfield County, VAVA397,14825,992–

06Norfolk, VAVA231,01324,336–

07Henrico County, VAVA342,77523,782–

08Loudoun County, VAVA449,74922,317–

09Newport News, VAVA183,23018,131–

10Chesapeake, VAVA255,33215,751–

11Alexandria, VAVA160,66214,852–

12Arlington County, VAVA243,93113,978–

13Stafford County, VAVA170,80311,297–

14Roanoke, VAVA99,11110,909–

15Spotsylvania County, VAVA155,38810,193–

16Hampton, VAVA137,3159,713–

17Portsmouth, VAVA96,7778,366–

18Rockingham County, VAVA89,3168,143–

19Frederick County, VAVA99,9557,183–

20Albemarle County, VAVA118,3566,927–

21Manassas, VAVA44,3326,825–

22Lynchburg, VAVA81,3476,720–

23Harrisonburg, VAVA50,8396,002–

24Suffolk, VAVA104,6995,950–

25Montgomery County, VAVA98,4345,819–

26Fauquier County, VAVA76,5035,538–

27Franklin County, VAVA55,5265,325–

28Augusta County, VAVA78,9405,302–

29Hanover County, VAVA116,4235,164–

30Bedford County, VAVA83,0594,981–

31Culpeper County, VAVA57,6664,833–

32Henry County, VAVA49,2424,790–

33Washington County, VAVA53,8984,684–

34Roanoke County, VAVA97,1504,678–

35Pittsylvania County, VAVA59,4904,653–

36Campbell County, VAVA55,6294,516–

37Accomack County, VAVA33,8594,488–

38Warren County, VAVA42,7404,077–

39James City County, VAVA83,3264,053–

40Danville, VAVA41,6473,939–

41Wise County, VAVA34,8243,884–

42Charlottesville, VAVA44,3883,789–

43Petersburg, VAVA33,7343,673–

44Carroll County, VAVA29,2993,393–

45Tazewell County, VAVA38,6353,314–

46Louisa County, VAVA42,9243,221–

47Shenandoah County, VAVA45,8393,198–

48Manassas Park, VAVA16,5603,008–

49Winchester, VAVA28,2722,931–

50Page County, VAVA23,7622,913–

51Fredericksburg, VAVA30,3932,861–

52Orange County, VAVA40,0832,851–

53Lee County, VAVA21,6422,755–

54Amherst County, VAVA31,9622,748–

55Isle of Wight County, VAVA41,3212,679–

56Smyth County, VAVA28,8822,676–

57Dinwiddie County, VAVA28,8962,499–

58Mecklenburg County, VAVA30,7472,494–

59Halifax County, VAVA33,4472,437–

60Wythe County, VAVA27,9832,274–

61Gloucester County, VAVA40,0972,271–

62Staunton, VAVA26,8012,265–

63York County, VAVA71,3742,257–

64Waynesboro, VAVA23,9512,220–

65Westmoreland County, VAVA19,7152,176–

66Russell County, VAVA25,3322,157–

67Greene County, VAVA21,9582,129–

68Fluvanna County, VAVA28,9752,127–

69Pulaski County, VAVA33,5862,119–

70Buchanan County, VAVA18,4922,062–

71Bristol, VAVA16,4181,907–

72Hopewell, VAVA23,2611,884–

73Prince Edward County, VAVA22,3911,875–

74Scott County, VAVA21,2001,871–

75Nottoway County, VAVA15,7961,857–

76Grayson County, VAVA15,2301,844–

77Caroline County, VAVA34,4131,783–

78Prince George County, VAVA43,9361,708–

79Botetourt County, VAVA34,1441,657–

80Rockbridge County, VAVA22,6631,574–

81Buckingham County, VAVA17,1371,552–

82Fairfax, VAVA26,7721,521–

83Patrick County, VAVA17,4241,487–

84Salem, VAVA25,8161,472–

85Powhatan County, VAVA32,5911,421–

86Charlotte County, VAVA11,4011,395–

87Floyd County, VAVA15,7891,394–

88Giles County, VAVA16,5641,355–

89Colonial Heights, VAVA18,7381,263–

90Galax, VAVA6,6701,258–

91Williamsburg, VAVA15,8611,252–

92Clarke County, VAVA15,6091,251–

93King George County, VAVA29,6461,237–

94Martinsville, VAVA13,8491,236–

95Radford, VAVA17,2431,219–

96Appomattox County, VAVA17,1721,214–

97New Kent County, VAVA28,0221,205–

98Nelson County, VAVA14,9201,204–

99Northumberland County, VAVA12,5571,194–

100Dickenson County, VAVA13,2361,174–

101Brunswick County, VAVA15,7271,158–

102Cumberland County, VAVA10,3521,151–

103Northampton County, VAVA11,8791,151–

104Essex County, VAVA10,6541,102–

105Lancaster County, VAVA10,9951,004–

106Rappahannock County, VAVA7,439991–

107Southampton County, VAVA18,110976–

108Madison County, VAVA14,237970–

109Mathews County, VAVA8,529946–

110Lunenburg County, VAVA12,058892–

111Amelia County, VAVA13,632880–

112King William County, VAVA19,617879–

113Greensville County, VAVA11,181877–

114Middlesex County, VAVA10,841850–

115Goochland County, VAVA29,187843–

116Sussex County, VAVA10,755824–

117Alleghany County, VAVA14,546814–

118Emporia, VAVA5,447618–

119Surry County, VAVA6,603602–

120Buena Vista, VAVA6,672596–

121Charles City County, VAVA6,623548–

122Richmond County, VAVA9,294456–

123Bath County, VAVA4,076403–

124Bland County, VAVA6,151403–

125Covington, VAVA5,680400–

126Poquoson, VAVA13,292382–

127Falls Church, VAVA15,159374–

128Franklin, VAVA8,478371–

129King and Queen County, VAVA6,743359–

130Lexington, VAVA7,769341–

131Norton, VAVA3,477295–

132Craig County, VAVA4,800263–

133Highland County, VAVA2,318174–

SHOWING 1–133 OF 133

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