RANKING · 2020 CENSUS · 500 SHOWN OF 3,135

Most uninsured people, US counties · 2020

US counties with the most residents lacking health insurance, as of the 2020 American Community Survey. Ranked by number of people, not the uninsured rate.

All statesAll 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 –

501Van Zandt County, TXTX66,1309,666–

502Bossier Parish, LALA131,8679,594–

503Yellowstone County, MTMT172,6929,584–

504Cullman County, ALAL94,0099,569–

505Walker County, GAGA70,2509,564–

506Wilson County, NCNC81,1509,562–

507Hendricks County, ININ193,5109,460–

508Gordon County, GAGA61,7019,460–

509Lee County, MSMS83,7319,439–

510Yolo County, CACA224,4109,433–

511Johnson County, ININ174,2629,424–

512Le Flore County, OKOK50,1969,372–

513Ulster County, NYNY183,3309,366–

514Linn County, OROR132,8439,357–

515Rockwall County, TXTX140,7389,334–

516Garfield County, OKOK61,7799,315–

517Atascosa County, TXTX53,5909,299–

518Racine County, WIWI198,9199,270–

519Craighead County, ARAR116,9579,251–

520Spalding County, GAGA70,7759,233–

521Cochise County, AZAZ126,3329,231–

522Rock County, WIWI166,4729,208–

523Monroe County, ININ143,3459,177–

524Champaign County, ILIL209,9729,153–

525Albany County, NYNY321,2259,145–

526Flathead County, MTMT115,4299,124–

527Hardin County, TXTX58,7239,097–

528Delaware County, OHOH242,0329,090–

529Kennebec County, MEME129,0679,087–

530Ashtabula County, OHOH96,7139,063–

531Creek County, OKOK74,9679,061–

532Lackawanna County, PAPA216,5029,038–

533Wilson County, TNTN175,0339,011–

534Porter County, ININ176,0498,953–

535Washington County, MNMN286,8958,952–

536Twin Falls County, IDID97,5398,952–

537Orangeburg County, SCSC83,1778,939–

538Lea County, NMNM74,7498,927–

539Bryan County, OKOK51,3678,915–

540Outagamie County, WIWI195,8948,901–

541Fairfield County, OHOH169,7528,873–

542Kerr County, TXTX54,0378,854–

543Centre County, PAPA157,3938,823–

544Portage County, OHOH163,4048,810–

545Surry County, NCNC72,2878,808–

546Jackson County, MIMI159,5528,779–

547Columbia County, FLFL74,0948,770–

548Douglas County, KSKS120,9208,753–

549Caldwell County, TXTX55,1508,738–

550Taney County, MOMO57,0018,729–

551Clark County, OHOH135,3408,711–

552Kenton County, KYKY175,7798,695–

553Maury County, TNTN118,1318,692–

554Cache County, UTUT145,0008,680–

555Linn County, IAIA232,0288,664–

556Navarro County, TXTX57,1818,554–

557Lafourche Parish, LALA95,5058,539–

558Skagit County, WAWA132,9758,537–

559Fairbanks North Star, AKAK93,9728,530–

560Rutherford County, NCNC65,7458,505–

561Oconee County, SCSC83,7758,502–

562Rockingham County, NCNC94,1958,491–

563Delaware County, ININ113,1068,490–

564Kosciusko County, ININ80,8928,488–

565Nassau County, FLFL106,8798,481–

566Merrimack County, NHNH158,0788,477–

567Maui County, HIHI160,5928,455–

568Oneida County, NYNY226,3928,414–

569Scott County, IAIA175,2598,411–

570Androscoggin County, MEME116,4878,402–

571Fayette County, GAGA125,1568,384–

572Daviess County, ININ34,2098,378–

573Portsmouth, VAVA96,7778,366–

574Sequoyah County, OKOK40,8428,334–

575Richland County, OHOH124,8938,314–

576Lamar County, TXTX51,5038,310–

577Muskegon County, MIMI177,9018,305–

578Polk County, TXTX53,4348,267–

579Lamar County, MSMS67,4038,253–

580Lauderdale County, ALAL97,1358,251–

581Harford County, MDMD266,4468,242–

582Rusk County, TXTX54,8548,236–

583Marin County, CACA253,6948,222–

584St. Clair County, MIMI160,4868,199–

585Warren County, OHOH257,1818,190–

586El Dorado County, CACA192,3238,174–

587Gallatin County, MTMT128,7408,159–

588Rockingham County, VAVA89,3168,143–

589Moore County, NCNC110,6198,101–

590Limestone County, ALAL122,9288,091–

591Hood County, TXTX70,5018,078–

592Marathon County, WIWI139,4328,060–

593Mendocino County, CACA88,1228,044–

594Kenai Peninsula, AKAK61,9518,043–

595Burnet County, TXTX57,0158,035–

596Napa County, CACA132,9498,025–

597Delaware County, OKOK41,9108,012–

598Wharton County, TXTX42,0607,926–

599Laurens County, SCSC71,8487,876–

600Lancaster County, SCSC114,2967,866–

601Lee County, NCNC70,2587,852–

602Rock Island County, ILIL141,8697,831–

603Carter County, OKOK48,9107,802–

604Cass County, MOMO115,8597,754–

605Wilkes County, NCNC66,2337,752–

606Newton County, MOMO62,2637,747–

607Franklin County, MOMO108,0907,691–

608Missoula County, MTMT123,5137,657–

609Washington County, PAPA210,8027,638–

610Lincoln County, NCNC98,6547,597–

611Winnebago County, WIWI174,2187,578–

612Saginaw County, MIMI187,6887,563–

613Jackson County, GAGA99,2657,563–

614Clark County, ININ130,4517,562–

615Hamblen County, TNTN68,8437,534–

616Fremont County, WYWY39,4647,533–

617LaPorte County, ININ111,2947,517–

618Strafford County, NHNH135,0437,487–

619Geauga County, OHOH95,6767,481–

620Troup County, GAGA72,8447,477–

621Laramie County, WYWY102,9387,436–

622Eau Claire County, WIWI109,0337,423–

623Johnson County, IAIA160,0447,422–

624Wayne County, ININ66,1697,402–

625Christian County, MOMO96,7257,387–

626Washington County, MDMD157,7317,375–

627Tift County, GAGA42,2547,331–

628Broome County, NYNY195,7367,323–

629Tuscarawas County, OHOH92,3737,284–

630Jones County, MSMS66,4967,283–

631Hale County, TXTX31,8197,247–

632St. Landry Parish, LALA80,7657,228–

633Walker County, TXTX83,8427,216–

634Vigo County, ININ106,5127,209–

635Walker County, ALAL65,1407,191–

636St. Louis County, MNMN200,5187,190–

637Frederick County, VAVA99,9557,183–

638McCurtain County, OKOK30,7447,181–

639Chatham County, NCNC85,1117,174–

640White County, ARAR80,0857,164–

641Columbus County, NCNC50,4877,164–

642St. Clair County, ALAL98,2067,159–

643Madison County, MSMS116,2987,157–

644Hall County, NENE63,6337,141–

645Catoosa County, GAGA69,6287,111–

646Ascension Parish, LALA135,1057,090–

647Sangamon County, ILIL194,1707,090–

648Talladega County, ALAL81,6037,075–

649Greene County, OHOH174,3227,020–

650Franklin County, NCNC82,0377,002–

651Schuylkill County, PAPA145,0857,002–

652Greenwood County, SCSC70,3797,001–

653Berkeley County, WVWV139,5226,996–

654Lauderdale County, MSMS70,3176,992–

655Saline County, ARAR133,2886,992–

656Clark County, WIWI35,0526,981–

657Wood County, TXTX49,6886,957–

658Chelan County, WAWA81,9416,941–

659Albemarle County, VAVA118,3566,927–

660Crawford County, PAPA81,7926,893–

661Warren County, KYKY149,3756,889–

662Bannock County, IDID91,5916,877–

663Boone County, KYKY145,3166,868–

664McLean County, ILIL171,4196,863–

665DeSoto County, FLFL37,0786,860–

666Carteret County, NCNC70,4696,856–

667Cabell County, WVWV91,1836,838–

668Pittsburg County, OKOK43,3206,836–

669Adams County, ININ36,6506,831–

670Manassas, VAVA44,3326,825–

671Sumter County, FLFL157,7726,824–

672Calhoun County, MIMI133,4086,821–

673Haywood County, NCNC63,3696,813–

674Wilson County, TXTX56,1396,798–

675Wicomico County, MDMD106,8996,787–

676Washington County, OKOK54,0376,777–

677Stanly County, NCNC68,8306,772–

678Grady County, OKOK59,1286,753–

679Hopkins County, TXTX39,0636,745–

680Anderson County, TNTN82,0666,741–

681Georgetown County, SCSC65,9126,736–

682Chautauqua County, NYNY124,1266,728–

683Lynchburg, VAVA81,3476,720–

684Mayes County, OKOK40,4166,716–

685Douglas County, OROR111,9516,713–

686Livingston County, MIMI197,3156,703–

687Carter County, TNTN57,3616,700–

688Jim Wells County, TXTX38,8046,698–

689Charles County, MDMD176,5936,684–

690Barnstable County, MAMA233,5396,615–

691Lowndes County, MSMS57,3466,615–

692Walworth County, WIWI106,1276,614–

693Polk County, GAGA45,5146,583–

694Allen County, OHOH100,8816,583–

695Jasper County, TXTX33,0756,573–

696Pontotoc County, OKOK38,5286,571–

697Kershaw County, SCSC73,1666,548–

698Eagle County, COCO54,2916,531–

699Iberia Parish, LALA66,8466,512–

700Anderson County, TXTX59,8056,462–

701Sutter County, CACA98,7876,459–

702Medina County, OHOH185,0256,456–

703Medina County, TXTX56,8816,454–

704Habersham County, GAGA50,4166,441–

705Bartholomew County, ININ85,7296,406–

706Grafton County, NHNH93,2256,378–

707Hoke County, NCNC56,9396,377–

708Niagara County, NYNY208,9126,376–

709Saratoga County, NYNY241,3436,375–

710Coryell County, TXTX85,5926,352–

711Columbiana County, OHOH99,3776,344–

712Greene County, TNTN73,8316,333–

713Washington County, MSMS40,4466,328–

714Lapeer County, MIMI89,5166,327–

715Putnam County, TNTN86,6126,325–

716Howell County, MOMO40,7986,323–

717Matagorda County, TXTX36,4636,322–

718Pearl River County, MSMS59,3636,319–

719Chaves County, NMNM63,3646,293–

720Levy County, FLFL48,5206,287–

721Gaines County, TXTX23,9566,281–

722Stephens County, OKOK44,3106,280–

723Coffee County, GAGA44,4076,262–

724Cherokee County, SCSC58,2756,261–

725Osage County, OKOK46,7946,258–

726Josephine County, OROR87,8676,257–

727Beaver County, PAPA166,0326,242–

728Jackson County, NCNC45,0396,241–

729St. Francois County, MOMO67,8096,228–

730Halifax County, NCNC46,5346,218–

731Lenoir County, NCNC55,8376,204–

732Yamhill County, OROR110,0246,201–

733Erath County, TXTX43,9116,199–

734Indiana County, PAPA82,8786,189–

735Upshur County, TXTX44,4106,185–

736Lycoming County, PAPA112,5876,177–

737Lawrence County, TNTN46,9146,163–

738Blair County, PAPA119,5416,155–

739Stearns County, MNMN164,1106,151–

740Butler County, PAPA200,1696,151–

741Monongalia County, WVWV107,9916,126–

742St. Lawrence County, NYNY105,4886,121–

743Olmsted County, MNMN166,7316,114–

744Okmulgee County, OKOK37,2416,114–

745Cooke County, TXTX44,4616,100–

746Russell County, ALAL58,8986,089–

747Logan County, OKOK55,4736,084–

748Laurens County, GAGA51,0416,069–

749Bay County, MIMI102,1236,065–

750Iron County, UTUT67,1416,037–

751Darlington County, SCSC62,8886,012–

752Harrisonburg, VAVA50,8396,002–

753Knox County, OHOH64,0026,000–

754Woodbury County, IAIA106,6495,990–

755Warren County, NJNJ112,9535,982–

756Robertson County, TNTN80,1755,980–

757Van Buren County, MIMI76,0715,974–

758Suffolk, VAVA104,6995,950–

759Cape Girardeau County, MOMO83,9995,946–

760Murray County, GAGA41,6075,933–

761Monroe County, MIMI156,0045,930–

762Webster County, MOMO43,0545,917–

763Mercer County, PAPA107,8605,916–

764Okeechobee County, FLFL42,6085,904–

765Hill County, TXTX39,5035,898–

766Titus County, TXTX31,5635,898–

767Kankakee County, ILIL105,5255,884–

768Wright County, MNMN157,5595,852–

769Black Hawk County, IAIA131,5325,837–

770Thomas County, GAGA46,3685,823–

771Montgomery County, VAVA98,4345,819–

772Wood County, OHOH134,1765,803–

773Tazewell County, ILIL130,0495,797–

774Reno County, KSKS61,5395,787–

775Fayette County, PAPA123,0215,770–

776Gilmer County, GAGA33,8945,769–

777Schenectady County, NYNY162,5815,765–

778Rensselaer County, NYNY160,5105,764–

779Allegan County, MIMI123,1885,761–

780Blount County, ALAL60,1565,746–

781Cascade County, MTMT85,0295,740–

782Effingham County, GAGA74,3975,732–

783Adair County, OKOK19,8285,717–

784Isabella County, MIMI64,6915,702–

785Clallam County, WAWA78,2025,685–

786Kay County, OKOK43,4905,673–

787Camden County, MOMO44,0475,662–

788Adams County, PAPA107,5945,656–

789Granville County, NCNC61,4215,648–

790Lewis County, WAWA88,0625,644–

791Howard County, ININ83,9045,640–

792Marshall County, ININ46,5995,635–

793Fannin County, TXTX39,2655,630–

794Watauga County, NCNC54,7865,618–

795Nevada County, CACA101,9115,617–

796Grand Traverse County, MIMI96,7295,598–

797Elmore County, ALAL91,5775,597–

798Otero County, NMNM70,3685,597–

799Mifflin County, PAPA46,1275,596–

800Lenawee County, MIMI97,7795,581–

801Aroostook County, MEME66,6095,575–

802Eddy County, NMNM62,5095,558–

803Beaufort County, NCNC44,6705,558–

804Hancock County, MEME57,1715,538–

805Fauquier County, VAVA76,5035,538–

806Valencia County, NMNM82,0135,520–

807Kendall County, ILIL145,4705,520–

808Uintah County, UTUT38,2785,502–

809Bedford County, TNTN55,2735,498–

810Gadsden County, FLFL44,2985,494–

811Willacy County, TXTX19,9715,492–

812Warren County, MSMS41,7595,486–

813Jefferson County, TNTN60,0245,486–

814Klamath County, OROR70,2745,482–

815Dickson County, TNTN58,6625,463–

816McMinn County, TNTN57,4045,457–

817Liberty County, GAGA70,3135,439–

818Shelby County, TXTX24,2865,437–

819St. Joseph County, MIMI60,9685,436–

820Acadia Parish, LALA57,0325,435–

821Coffee County, TNTN62,4195,424–

822Pender County, NCNC72,1115,421–

823Suwannee County, FLFL48,1495,414–

824Ottawa County, OKOK30,4385,409–

825Brown County, TXTX38,7115,409–

826Santa Cruz County, AZAZ50,0205,407–

827Miami County, OHOH112,6345,400–

828Campbell County, WYWY48,1455,383–

829Oglala Lakota County, SDSD13,3385,376–

830Camden County, GAGA60,1435,369–

831Platte County, MOMO114,4005,368–

832Howard County, TXTX30,5045,359–

833Gila County, AZAZ53,8015,355–

834Yuba County, CACA88,6915,344–

835Tipton County, TNTN62,2875,341–

836Carson City, NVNV58,5715,336–

837Uvalde County, TXTX24,9635,336–

838Coffee County, ALAL56,9535,331–

839DeKalb County, ILIL101,8355,328–

840Franklin County, VAVA55,5265,325–

841Cowlitz County, WAWA114,8855,323–

842San Jacinto County, TXTX29,4885,304–

843Augusta County, VAVA78,9405,302–

844Cumberland County, TNTN66,3005,296–

845Pettis County, MOMO44,2545,294–

846Carroll County, MDMD176,6775,286–

847Loudon County, TNTN63,7645,283–

848Tooele County, UTUT87,4615,279–

849Sussex County, NJNJ148,0635,256–

850Gillespie County, TXTX28,5275,245–

851Crawford County, ARAR62,6575,244–

852Butler County, MOMO41,9045,238–

853Cambria County, PAPA128,9685,234–

854Chesterfield County, SCSC44,7405,226–

855Pike County, MSMS38,7125,214–

856Ware County, GAGA36,9065,211–

857Edgecombe County, NCNC49,1215,205–

858Wood County, WVWV82,3855,198–

859Lawrence County, MOMO39,4015,193–

860Warren County, TNTN43,7175,190–

861Jackson County, ALAL54,2815,178–

862Lonoke County, ARAR76,6645,178–

863Cole County, MOMO77,9085,167–

864Hanover County, VAVA116,4235,164–

865St. Mary's County, MDMD116,6925,155–

866Saline County, KSKS53,3775,151–

867Chilton County, ALAL47,7085,145–

868Steuben County, NYNY91,8555,144–

869St. Martin Parish, LALA51,1065,143–

870Umatilla County, OROR81,1195,129–

871Chittenden County, VTVT169,1155,127–

872Madison County, KYKY101,6965,116–

873La Crosse County, WIWI121,3395,084–

874Sweetwater County, WYWY41,2675,079–

875Vermilion Parish, LALA57,6715,063–

876Glacier County, MTMT13,4635,052–

877Seminole County, OKOK23,4415,052–

878Grant County, ININ66,5245,048–

879Baldwin County, GAGA44,0295,024–

880Marshall County, MSMS34,6545,003–

881Christian County, KYKY70,1155,003–

882Alcorn County, MSMS34,5695,001–

883Dale County, ALAL49,9124,990–

884La Plata County, COCO56,8984,984–

885McDowell County, NCNC45,1984,983–

886Bedford County, VAVA83,0594,981–

887Pottawattamie County, IAIA92,9964,963–

888Story County, IAIA101,2914,960–

889Johnson County, MOMO56,6704,940–

890Bolivar County, MSMS28,2624,933–

891Oswego County, NYNY118,5694,927–

892Hawkins County, TNTN59,5594,926–

893Washington County, WIWI139,2384,925–

894Lyon County, NVNV65,0884,921–

895Dunklin County, MOMO26,8554,906–

896Benton County, OROR97,7284,906–

897Caddo County, OKOK26,1304,904–

898Elko County, NVNV54,8154,900–

899Montrose County, COCO44,5914,883–

900Burleigh County, NDND103,2514,869–

901Kent County, RIRI173,4954,858–

902Palo Pinto County, TXTX30,7914,842–

903Garvin County, OKOK26,3774,841–

904Muskingum County, OHOH87,0144,834–

905Culpeper County, VAVA57,6664,833–

906Bingham County, IDID51,1534,820–

907Cattaraugus County, NYNY75,3904,817–

908McDonald County, MOMO23,9924,815–

909Eaton County, MIMI109,5814,810–

910Grays Harbor County, WAWA78,1444,810–

911Lafayette County, MSMS59,5974,798–

912Scott County, MNMN159,0174,795–

913Henry County, VAVA49,2424,790–

914Oxford County, MEME60,3464,786–

915Lincoln County, MSMS35,0124,783–

916Stokes County, NCNC46,1264,766–

917Toombs County, GAGA27,5454,766–

918Transylvania County, NCNC34,2114,751–

919Chambers County, TXTX57,5944,749–

920Hancock County, MSMS46,8734,734–

921Jefferson County, NYNY111,5404,727–

922Davie County, NCNC45,8554,712–

923Douglas County, WAWA46,4734,707–

924Williams County, NDND41,7674,703–

925Macon County, NCNC39,2324,701–

926Polk County, OROR90,0374,700–

927Grady County, GAGA26,5904,686–

928Washington County, VAVA53,8984,684–

929Okanogan County, WAWA45,2304,683–

930Roanoke County, VAVA97,1504,678–

931Nye County, NVNV57,3364,671–

932Colleton County, SCSC39,3824,671–

933Summit County, COCO31,5174,669–

934Kendall County, TXTX53,2894,668–

935Pittsylvania County, VAVA59,4904,653–

936Morgan County, MOMO22,4184,652–

937Cheshire County, NHNH78,2694,650–

938Lake County, CACA67,7724,642–

939Branch County, MIMI45,9934,642–

940Somerset County, MEME51,6204,634–

941Kleberg County, TXTX30,3154,627–

942Noble County, ININ47,9374,625–

943Bee County, TXTX32,5154,624–

944Cape May County, NJNJ93,3904,613–

945Pope County, ARAR64,9764,612–

946Sheboygan County, WIWI118,0474,604–

947Waldo County, MEME40,6934,593–

948Butler County, KSKS69,4844,591–

949Jackson County, FLFL49,6294,580–

950Dare County, NCNC38,2454,574–

951Lawrence County, PAPA83,9114,551–

952Jasper County, SCSC38,5334,549–

953Monroe County, TNTN49,7304,524–

954Pasquotank County, NCNC42,2014,517–

955Campbell County, VAVA55,6294,516–

956Daviess County, KYKY104,8984,513–

957Wayne County, GAGA32,4814,511–

958Crawford County, KSKS39,0084,500–

959Pontotoc County, MSMS32,0964,499–

960Richmond County, NCNC42,0414,495–

961Curry County, NMNM46,6554,493–

962Accomack County, VAVA33,8594,488–

963Lincoln County, OROR50,6364,457–

964Hardin County, KYKY113,4824,457–

965Oktibbeha County, MSMS51,8964,456–

966McClain County, OKOK49,6474,453–

967Panola County, MSMS32,6914,451–

968Barry County, MOMO36,2004,449–

969Lincoln County, OKOK35,2784,433–

970Polk County, MOMO33,6044,429–

971Macon County, ILIL99,3004,429–

972Gibson County, TNTN51,7794,417–

973Vance County, NCNC42,6384,411–

974Walla Walla County, WAWA62,3614,409–

975St. Bernard Parish, LALA45,6424,406–

976Washington Parish, LALA44,9374,405–

977Ross County, OHOH76,4294,402–

978Montcalm County, MIMI69,4064,392–

979Coos County, OROR63,9924,388–

980Jerome County, IDID26,3624,385–

981Cherokee County, NCNC30,8304,363–

982Hancock County, ININ90,9694,359–

983Autauga County, ALAL61,9204,345–

984Wayne County, NYNY91,2504,345–

985Bonner County, IDID54,4204,335–

986Texas County, MOMO25,9944,327–

987Austin County, TXTX33,6254,314–

988Nez Perce County, IDID42,9054,307–

989Box Elder County, UTUT65,3204,290–

990Campbell County, TNTN40,2904,287–

991Harrison County, WVWV64,2214,285–

992Vernon County, WIWI31,4434,283–

993Cecil County, MDMD107,1314,280–

994Scott County, MSMS28,0734,277–

995McIntosh County, OKOK19,7584,275–

996Finney County, KSKS37,5054,275–

997Cocke County, TNTN37,8894,268–

998Limestone County, TXTX22,8494,254–

999Morgan County, ININ74,9674,251–

1000Marion County, SCSC28,2424,250–

SHOWING 501–1,000 OF 3,135

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