RANKING · 2024 ACS · 55 SHOWN OF 55

Most uninsured people, West Virginia counties

West 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 55 counties in West Virginia that qualify, ranked against each other statewide. The median across all 55 is 1,398. Biggest climber in the top 100 since 2020: Hardy County, WV, up 11 places to #32.

West 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 2020

01Kanawha County, WVWV172,3818,485−17%

02Berkeley County, WVWV139,5227,557+8%

03Cabell County, WVWV91,1836,160−10%

04Monongalia County, WVWV107,9915,625−8%

05Wood County, WVWV82,3855,144−1%

06Harrison County, WVWV64,2214,846+13%

07▲3Marion County, WVWV55,5843,739+13%

08▲4Jefferson County, WVWV63,1023,521+21%

09Putnam County, WVWV56,8853,187−6%

10▲1Fayette County, WVWV38,1653,0770%

11▼4Raleigh County, WVWV71,7752,955−25%

12▼4Mercer County, WVWV57,5032,844−19%

13▲7Preston County, WVWV34,0042,387+19%

14▲5Ohio County, WVWV40,4962,110+4%

15▲1Greenbrier County, WVWV31,5782,007−11%

16▼2Logan County, WVWV30,3751,990−18%

17▲4Randolph County, WVWV26,8821,822−8%

18▼1Hancock County, WVWV27,7291,812−17%

19▼6Wayne County, WVWV37,3091,791−31%

20▲2Jackson County, WVWV27,4501,697−11%

21▼3Marshall County, WVWV29,1591,627−24%

22▲2Mingo County, WVWV21,4551,528−12%

23▼8Hampshire County, WVWV24,1051,510−36%

24▲1Mason County, WVWV24,7071,488−8%

25▼2Upshur County, WVWV23,7581,485−20%

26▲9Wyoming County, WVWV19,8011,450+54%

27Nicholas County, WVWV23,8481,410−6%

28▲10McDowell County, WVWV16,8781,398+70%

29▼1Mineral County, WVWV26,7921,311−11%

30▼1Brooke County, WVWV21,1421,290+18%

31▲2Lincoln County, WVWV19,1771,148+20%

32▲11Hardy County, WVWV14,3371,108+68%

33▼2Lewis County, WVWV16,3941,081+2%

34▲7Roane County, WVWV13,3171,080+51%

35▼3Morgan County, WVWV18,0271,052+6%

36▲9Braxton County, WVWV11,8851,003+62%

37▲3Barbour County, WVWV15,414999+38%

38▼8Boone County, WVWV20,251965−9%

39▼13Monroe County, WVWV12,491869−43%

40▼4Taylor County, WVWV16,287824−11%

41▲5Pleasants County, WVWV7,338743+36%

42▲5Summers County, WVWV11,532716+40%

43▼4Ritchie County, WVWV8,034645−13%

44▼2Tyler County, WVWV7,881628−10%

45▲5Calhoun County, WVWV5,978543+28%

46▼9Wetzel County, WVWV13,734512−41%

47▼13Grant County, WVWV11,041495−48%

48Webster County, WVWV7,760468+3%

49▲2Pocahontas County, WVWV7,602455+13%

50▲4Clay County, WVWV7,538451+45%

51▲2Pendleton County, WVWV5,826407+23%

52▼8Gilmer County, WVWV7,085374−41%

53▼4Doddridge County, WVWV7,634366−18%

54▲1Wirt County, WVWV4,879347+48%

55▼3Tucker County, WVWV6,540346−5%

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