Ranking of Alabama Counties By Number of People and Percentage of Population With No Health Insurance Coverage in 2021 (ACS-5Yrs)
Updated on October 27, 2025.
Based on the US Census ACS-5Yrs estimates, in 2021, the percentage of the Alabama population without a health insurance coverage was 9.70% (i.e. 477,303 people). Percentagewise, among all Alabama counties, Greene County had the highest percentage of its population with no health insurance coverage (17.98%), followed by DeKalb County (15.11%), and Franklin County (12.72%).
In numerical terms, Jefferson County had the highest number of people without a health insurance coverage (60,768), followed by Mobile County (46,949), and Madison County (30,564).
The charts below shows the top 10 counties by the number of people and percentage of the population without a health insurance coverage. The tables below shows the ranking for all Alabama counties.
You can see similar information for other types of health insurance coverages.
You can also see similar information for other states.
Related Topics: Alabama ACS-5Yrs Estimates, 2021 Topic List.
Data Source: US Census - ACS 5-Year Estimates.
Ranking of Alabama Counties By Percentage of Population With
No Health Insurance Coverage in 2021
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| Rank | County | Percentage of Population (%) |
|---|---|---|
| 1 | Greene County | 17.98 |
| 2 | DeKalb County | 15.11 |
| 3 | Franklin County | 12.72 |
| 4 | Chilton County | 12.38 |
| 5 | Monroe County | 12.36 |
| 6 | Escambia County | 12.24 |
| 7 | Etowah County | 12.19 |
| 8 | Walker County | 11.96 |
| 9 | Marshall County | 11.92 |
| 10 | Geneva County | 11.87 |
| 11 | Marion County | 11.58 |
| 12 | Houston County | 11.44 |
| 12 | Mobile County | 11.44 |
| 13 | Butler County | 11.39 |
| 14 | Winston County | 11.33 |
| 15 | Washington County | 11.29 |
| 16 | Calhoun County | 11.16 |
| 17 | Covington County | 11.15 |
| 18 | Choctaw County | 11.14 |
| 19 | Cleburne County | 10.97 |
| 20 | Sumter County | 10.95 |
| 21 | Cullman County | 10.88 |
| 22 | Clarke County | 10.85 |
| 23 | Morgan County | 10.77 |
| 24 | Jackson County | 10.74 |
| 25 | Russell County | 10.64 |
| 26 | Fayette County | 10.63 |
| 27 | Coffee County | 10.55 |
| 28 | Chambers County | 10.48 |
| 29 | Barbour County | 10.38 |
| 29 | Montgomery County | 10.38 |
| 30 | Marengo County | 10.35 |
| 31 | Wilcox County | 10.34 |
| 32 | Dale County | 10.16 |
| 33 | Bullock County | 10.13 |
| 34 | Blount County | 10.02 |
| 35 | Bibb County | 9.98 |
| 36 | Dallas County | 9.91 |
| 37 | Cherokee County | 9.79 |
| 37 | Talladega County | 9.79 |
| 38 | Lauderdale County | 9.76 |
| 39 | Baldwin County | 9.73 |
| 40 | Macon County | 9.66 |
| 41 | Randolph County | 9.64 |
| 42 | Lowndes County | 9.25 |
| 43 | Lawrence County | 9.18 |
| 44 | Perry County | 9.17 |
| 45 | Pickens County | 9.13 |
| 46 | Jefferson County | 9.12 |
| 47 | Tallapoosa County | 9.09 |
| 48 | Henry County | 9.01 |
| 49 | Pike County | 8.82 |
| 50 | Elmore County | 8.60 |
| 51 | Clay County | 8.26 |
| 52 | Conecuh County | 8.25 |
| 53 | St. Clair County | 8.19 |
| 54 | Limestone County | 8.12 |
| 54 | Madison County | 8.12 |
| 55 | Lee County | 8.09 |
| 56 | Autauga County | 7.89 |
| 57 | Crenshaw County | 7.34 |
| 58 | Hale County | 7.12 |
| 58 | Lamar County | 7.12 |
| 59 | Tuscaloosa County | 6.97 |
| 60 | Colbert County | 6.62 |
| 61 | Coosa County | 6.56 |
| 62 | Shelby County | 6.48 |
Ranking of Alabama Counties By Number of People With
NO Health Insurance Coverage in 2021
Items per page:
25
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| Rank | County | Number of People |
|---|---|---|
| 1 | Jefferson County | 60768 |
| 2 | Mobile County | 46949 |
| 3 | Madison County | 30564 |
| 4 | Montgomery County | 23204 |
| 5 | Baldwin County | 21826 |
| 6 | Tuscaloosa County | 15485 |
| 7 | Shelby County | 14191 |
| 8 | Lee County | 13829 |
| 9 | Morgan County | 13017 |
| 10 | Calhoun County | 12835 |
| 11 | Etowah County | 12530 |
| 12 | Houston County | 12043 |
| 13 | Marshall County | 11489 |
| 14 | DeKalb County | 10701 |
| 15 | Cullman County | 9400 |
| 16 | Lauderdale County | 9023 |
| 17 | Limestone County | 7971 |
| 18 | Walker County | 7709 |
| 19 | Talladega County | 7707 |
| 20 | St. Clair County | 7236 |
| 21 | Elmore County | 7061 |
| 22 | Russell County | 6054 |
| 23 | Blount County | 5854 |
| 24 | Jackson County | 5594 |
| 25 | Chilton County | 5510 |
| 26 | Coffee County | 5383 |
| 27 | Dale County | 4717 |
| 28 | Autauga County | 4496 |
| 29 | Escambia County | 4171 |
| 30 | Covington County | 4125 |
| 31 | Franklin County | 4051 |
| 32 | Dallas County | 3857 |
| 33 | Colbert County | 3732 |
| 34 | Tallapoosa County | 3704 |
| 35 | Chambers County | 3613 |
| 36 | Marion County | 3346 |
| 37 | Geneva County | 3125 |
| 38 | Lawrence County | 3012 |
| 39 | Pike County | 2910 |
| 40 | Winston County | 2642 |
| 41 | Clarke County | 2505 |
| 42 | Monroe County | 2457 |
| 43 | Cherokee County | 2420 |
| 44 | Barbour County | 2313 |
| 45 | Butler County | 2156 |
| 46 | Randolph County | 2098 |
| 47 | Bibb County | 2095 |
| 48 | Marengo County | 1986 |
| 49 | Macon County | 1858 |
| 50 | Washington County | 1745 |
| 51 | Fayette County | 1722 |
| 52 | Cleburne County | 1634 |
| 53 | Pickens County | 1607 |
| 54 | Henry County | 1520 |
| 55 | Choctaw County | 1412 |
| 56 | Greene County | 1403 |
| 57 | Sumter County | 1354 |
| 58 | Clay County | 1151 |
| 59 | Wilcox County | 1084 |
| 60 | Hale County | 1040 |
| 61 | Bullock County | 1016 |
| 62 | Lamar County | 980 |
| 63 | Conecuh County | 969 |
| 64 | Crenshaw County | 958 |
| 65 | Lowndes County | 944 |
| 66 | Perry County | 784 |
| 67 | Coosa County | 658 |