Ranking of Missouri 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 Missouri population without a health insurance coverage was 9.53% (i.e. 575,152 people). Percentagewise, among all Missouri counties, Scotland County had the highest percentage of its population with no health insurance coverage (34.68%), followed by Knox County (24.17%), and Morgan County (23.74%).

In numerical terms, Jackson County had the highest number of people without a health insurance coverage (81,855), followed by St. Louis County (59,584), and Greene County (33,904).

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 Missouri counties.

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

You can also see similar information for other states.

Ranking of Missouri Counties By Percentage of Population With No Health Insurance Coverage in 2021
Scotland County
Knox County
Morgan County
McDonald County
Texas County
Carter County
Dallas County
Oregon County
Shannon County
Grundy County
Ranking of Missouri Counties By Number of People With No Health Insurance Coverage in 2021
Jackson County
St. Louis County
Greene County
St. Louis city
Clay County
Jefferson County
St. Charles County
Jasper County
Boone County
Buchanan County
Ranking of Missouri Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Scotland County 34.68
2 Knox County 24.17
3 Morgan County 23.74
4 McDonald County 20.84
5 Texas County 18.62
6 Carter County 18.33
7 Dallas County 17.88
8 Oregon County 17.84
9 Shannon County 17.52
10 Grundy County 17.44
11 Dunklin County 17.03
12 Wright County 16.80
13 Hickory County 16.29
14 Vernon County 16.22
15 Cedar County 16.08
16 Taney County 15.74
17 Schuyler County 15.51
18 Webster County 15.39
19 Moniteau County 15.37
20 St. Clair County 15.34
21 Howell County 15.24
22 Ripley County 15.14
23 Dent County 14.77
24 Madison County 14.76
25 Crawford County 14.55
26 Daviess County 14.38
27 Ozark County 14.34
28 Clark County 14.25
29 New Madrid County 14.24
30 Wayne County 14.14
31 Pettis County 14.03
32 Stoddard County 13.89
33 Douglas County 13.88
34 Mercer County 13.66
35 Newton County 13.65
36 Butler County 13.62
37 Lawrence County 13.60
38 Jasper County 13.49
39 Reynolds County 13.31
40 Pemiscot County 12.93
41 Gentry County 12.85
42 Audrain County 12.76
43 Polk County 12.73
44 Barton County 12.72
45 Barry County 12.69
46 Washington County 12.66
47 Camden County 12.45
48 Putnam County 12.38
49 Buchanan County 12.35
50 Mississippi County 12.31
51 Miller County 12.03
52 Scott County 11.92
53 Laclede County 11.78
54 Caldwell County 11.63
55 Jackson County 11.58
56 Greene County 11.56
56 Shelby County 11.56
57 Benton County 11.54
58 Iron County 11.52
59 Dade County 11.31
60 Sullivan County 11.18
61 Atchison County 11.04
61 Pulaski County 11.04
62 St. Francois County 10.94
63 Macon County 10.93
64 Maries County 10.84
65 Henry County 10.61
66 Ray County 10.54
67 Livingston County 10.51
68 Cooper County 10.49
69 St. Louis city 10.47
70 Randolph County 10.38
71 Montgomery County 10.32
72 Callaway County 10.21
72 Monroe County 10.21
73 Bates County 9.88
74 Howard County 9.77
75 Stone County 9.62
76 Linn County 9.58
77 Holt County 9.50
78 Bollinger County 9.27
79 Johnson County 9.24
80 Lewis County 9.12
81 Clinton County 8.77
82 Ralls County 8.75
83 Nodaway County 8.72
84 Christian County 8.65
85 Chariton County 8.63
86 Phelps County 8.59
87 Adair County 8.45
88 Carroll County 8.19
88 Jefferson County 8.19
88 Marion County 8.19
89 Cass County 8.13
90 Lincoln County 8.11
91 DeKalb County 8.04
92 Harrison County 8.03
93 Pike County 7.78
94 Clay County 7.75
95 Franklin County 7.69
96 Worth County 7.59
97 Gasconade County 7.50
98 Cape Girardeau County 7.29
99 Boone County 7.27
100 Warren County 7.26
101 Cole County 7.11
102 Lafayette County 7.06
103 Perry County 6.71
104 Saline County 6.06
105 St. Louis County 6.01
106 Andrew County 5.88
107 Platte County 5.66
108 Osage County 4.91
109 Ste. Genevieve County 4.89
110 St. Charles County 4.25
Ranking of Missouri Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Jackson County 81855
2 St. Louis County 59584
3 Greene County 33904
4 St. Louis city 31246
5 Clay County 19247
6 Jefferson County 18351
7 St. Charles County 17031
8 Jasper County 16358
9 Boone County 13163
10 Buchanan County 10216
11 Taney County 8727
12 Cass County 8629
13 Franklin County 7959
14 Newton County 7928
15 Christian County 7564
16 St. Francois County 6719
17 Howell County 6000
18 Pettis County 5949
19 Platte County 5897
20 Webster County 5872
21 Cape Girardeau County 5829
22 Butler County 5678
23 Camden County 5294
24 Cole County 5233
25 Lawrence County 5112
26 Morgan County 4875
27 McDonald County 4815
28 Dunklin County 4760
29 Lincoln County 4712
30 Johnson County 4590
31 Scott County 4491
32 Pulaski County 4489
33 Texas County 4376
34 Barry County 4363
35 Callaway County 4291
36 Laclede County 4193
37 Polk County 3958
38 Stoddard County 3949
39 Phelps County 3784
40 Crawford County 3324
41 Vernon County 3150
42 Audrain County 3044
43 Wright County 3037
44 Dallas County 2989
45 Stone County 2955
46 Miller County 2925
47 Washington County 2891
48 Warren County 2528
49 Ray County 2410
50 Randolph County 2394
51 New Madrid County 2326
52 Henry County 2293
53 Marion County 2292
54 Lafayette County 2282
55 Cedar County 2251
56 Moniteau County 2218
57 Benton County 2209
58 Dent County 2132
59 Adair County 2117
60 Pemiscot County 2043
61 Madison County 1821
62 Nodaway County 1820
63 Clinton County 1813
64 Grundy County 1695
65 Cooper County 1669
66 Ripley County 1663
67 Macon County 1638
68 Scotland County 1630
69 Douglas County 1624
70 Wayne County 1577
71 Oregon County 1567
72 Bates County 1559
73 Barton County 1474
74 Livingston County 1452
75 Mississippi County 1409
76 Saline County 1386
77 St. Clair County 1378
78 Hickory County 1357
79 Pike County 1256
80 Perry County 1254
81 Shannon County 1249
82 Ozark County 1235
83 Daviess County 1184
84 Montgomery County 1146
85 Linn County 1132
86 Gasconade County 1094
87 Iron County 1070
88 Andrew County 1044
89 Caldwell County 1012
90 Bollinger County 989
91 Howard County 981
92 Carter County 974
93 Clark County 937
94 Maries County 910
95 Knox County 904
96 Lewis County 898
96 Ralls County 898
97 Ste. Genevieve County 888
98 Monroe County 871
99 Dade County 842
100 Reynolds County 796
101 Gentry County 783
102 DeKalb County 709
103 Carroll County 695
104 Shelby County 681
105 Sullivan County 655
106 Osage County 653
107 Harrison County 650
108 Schuyler County 632
109 Chariton County 623
110 Atchison County 578
111 Putnam County 572
112 Mercer County 477
113 Holt County 397
114 Worth County 150