Ranking of Kentucky 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 Kentucky population without a health insurance coverage was 5.82% (i.e. 257,226 people). Percentagewise, among all Kentucky counties, Todd County had the highest percentage of its population with no health insurance coverage (20.70%), followed by Casey County (11.24%), and Trigg County (10.93%).

In numerical terms, Jefferson County had the highest number of people without a health insurance coverage (40,783), followed by Fayette County (21,549), and Kenton County (8,975).

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 Kentucky counties.

You can see similar information for other types of health insurance coverages.

You can also see similar information for other states.

Ranking of Kentucky Counties By Percentage of Population With No Health Insurance Coverage in 2021
Todd County
Casey County
Trigg County
Cumberland County
Gallatin County
Crittenden County
Washington County
Henry County
Hart County
Butler County
Ranking of Kentucky Counties By Number of People With No Health Insurance Coverage in 2021
Jefferson County
Fayette County
Kenton County
Warren County
Boone County
Hardin County
Christian County
Daviess County
Madison County
Laurel County
Ranking of Kentucky Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Todd County 20.70
2 Casey County 11.24
3 Trigg County 10.93
4 Cumberland County 10.91
5 Gallatin County 10.74
6 Crittenden County 10.53
7 Washington County 10.42
8 Henry County 10.10
9 Hart County 10.07
10 Butler County 9.71
11 Caldwell County 9.57
11 Carroll County 9.57
12 Carter County 9.48
13 Fleming County 9.29
14 Barren County 8.95
15 Edmonson County 8.75
15 Logan County 8.75
16 Elliott County 8.56
17 Christian County 8.36
18 Allen County 8.19
19 Green County 8.09
19 Morgan County 8.09
19 Owen County 8.09
20 Laurel County 7.88
21 Wayne County 7.81
22 Shelby County 7.67
23 Mason County 7.65
24 Whitley County 7.62
25 Lincoln County 7.59
26 Carlisle County 7.35
27 Garrard County 7.29
28 Franklin County 7.06
29 Bath County 7.01
29 Robertson County 7.01
30 Simpson County 7.00
31 Jackson County 6.99
32 Fayette County 6.79
33 Lawrence County 6.72
34 Clinton County 6.64
35 Calloway County 6.61
36 Graves County 6.59
36 Menifee County 6.59
37 Knott County 6.47
38 Marshall County 6.46
39 Pulaski County 6.40
40 Monroe County 6.26
41 Jessamine County 6.22
42 Fulton County 6.18
43 Powell County 6.08
44 Mercer County 6.05
45 Knox County 6.04
45 Montgomery County 6.04
46 Estill County 6.01
47 Adair County 6.00
48 Boyle County 5.99
49 Webster County 5.93
50 Ohio County 5.82
51 Boyd County 5.75
52 Warren County 5.74
53 Larue County 5.71
53 Russell County 5.71
54 Bell County 5.69
55 Hopkins County 5.66
55 Nelson County 5.66
56 Grayson County 5.60
57 McCracken County 5.54
58 Union County 5.53
59 Clay County 5.49
60 Martin County 5.48
61 Madison County 5.45
61 Rowan County 5.45
62 Greenup County 5.41
62 Trimble County 5.41
63 Harlan County 5.37
63 Kenton County 5.37
64 Pike County 5.34
65 Breckinridge County 5.29
66 Jefferson County 5.28
67 Lyon County 5.26
68 Hardin County 5.25
69 Lewis County 5.24
70 Boone County 5.21
71 Rockcastle County 5.09
72 Magoffin County 5.07
73 Livingston County 5.05
74 Daviess County 5.01
75 Scott County 4.97
76 Ballard County 4.96
77 Muhlenberg County 4.87
78 Harrison County 4.86
79 Nicholas County 4.85
80 Johnson County 4.84
81 Perry County 4.76
82 Hancock County 4.69
83 Hickman County 4.67
84 Clark County 4.50
85 Grant County 4.48
86 Pendleton County 4.38
87 Floyd County 4.32
88 Meade County 4.23
89 Metcalfe County 4.16
90 Woodford County 3.96
91 Spencer County 3.94
92 Bracken County 3.85
92 Campbell County 3.85
92 McLean County 3.85
93 Bourbon County 3.72
94 Letcher County 3.70
95 Owsley County 3.64
96 McCreary County 3.63
97 Henderson County 3.62
98 Breathitt County 3.51
99 Bullitt County 3.46
100 Taylor County 3.28
101 Anderson County 3.13
102 Oldham County 3.04
103 Marion County 2.88
104 Leslie County 2.80
105 Lee County 2.55
106 Wolfe County 1.17
Ranking of Kentucky Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Jefferson County 40783
2 Fayette County 21549
3 Kenton County 8975
4 Warren County 7580
5 Boone County 6966
6 Hardin County 5525
7 Christian County 5284
8 Daviess County 5041
9 Madison County 4981
10 Laurel County 4826
11 Pulaski County 4096
12 Barren County 3906
13 McCracken County 3674
14 Shelby County 3567
15 Franklin County 3559
16 Campbell County 3525
17 Jessamine County 3272
18 Pike County 3109
19 Bullitt County 2816
20 Scott County 2782
21 Whitley County 2747
22 Boyd County 2699
23 Nelson County 2611
24 Hopkins County 2520
25 Carter County 2515
26 Todd County 2490
27 Calloway County 2444
28 Graves County 2400
29 Logan County 2363
30 Marshall County 2009
31 Oldham County 1952
32 Greenup County 1928
33 Hart County 1908
34 Lincoln County 1828
35 Knox County 1811
36 Casey County 1745
37 Boyle County 1743
38 Montgomery County 1675
39 Allen County 1672
40 Clark County 1637
41 Henderson County 1596
42 Henry County 1577
43 Floyd County 1542
44 Trigg County 1529
45 Wayne County 1520
46 Muhlenberg County 1474
47 Grayson County 1458
48 Harlan County 1423
49 Fleming County 1393
50 Bell County 1370
50 Ohio County 1370
51 Mercer County 1349
52 Rowan County 1330
53 Simpson County 1329
54 Perry County 1327
55 Mason County 1287
56 Garrard County 1234
56 Washington County 1234
57 Meade County 1219
58 Caldwell County 1200
59 Butler County 1187
60 Adair County 1115
61 Grant County 1101
62 Lawrence County 1088
63 Johnson County 1076
64 Breckinridge County 1063
65 Clay County 1060
66 Edmonson County 1057
67 Woodford County 1054
68 Russell County 1010
69 Carroll County 1007
70 Morgan County 991
71 Knott County 933
72 Gallatin County 928
73 Crittenden County 923
74 Jackson County 904
75 Harrison County 900
76 Owen County 895
77 Green County 892
78 Bath County 885
79 Estill County 844
80 Taylor County 836
81 Larue County 828
82 Rockcastle County 809
83 Letcher County 799
84 Powell County 777
85 Union County 755
86 Spencer County 754
87 Webster County 753
88 Bourbon County 748
89 Anderson County 738
90 Monroe County 698
91 Lewis County 680
92 Cumberland County 649
93 Pendleton County 637
94 Clinton County 612
95 Magoffin County 593
96 McCreary County 570
97 Martin County 558
98 Marion County 534
99 Elliott County 515
100 Breathitt County 475
101 Trimble County 457
102 Livingston County 451
103 Metcalfe County 424
104 Hancock County 421
105 Menifee County 401
106 Lyon County 389
107 Ballard County 382
108 Fulton County 376
109 Nicholas County 360
110 Carlisle County 350
110 McLean County 350
111 Bracken County 322
112 Leslie County 289
113 Hickman County 206
114 Lee County 171
115 Robertson County 150
116 Owsley County 146
117 Wolfe County 76