Ranking of Nebraska 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 Nebraska population without a health insurance coverage was 8.03% (i.e. 154,395 people). Percentagewise, among all Nebraska counties, Thurston County had the highest percentage of its population with no health insurance coverage (18.05%), followed by Kimball County (14.55%), and Grant County (14.09%).

In numerical terms, Douglas County had the highest number of people without a health insurance coverage (52,787), followed by Lancaster County (21,969), and Sarpy County (10,030).

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 Nebraska counties.

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

You can also see similar information for other states.

Ranking of Nebraska Counties By Percentage of Population With No Health Insurance Coverage in 2021
Thurston County
Kimball County
Grant County
Deuel County
Garden County
Pawnee County
Sheridan County
Hall County
Sioux County
Colfax County
Ranking of Nebraska Counties By Number of People With No Health Insurance Coverage in 2021
Douglas County
Lancaster County
Sarpy County
Hall County
Buffalo County
Platte County
Scotts Bluff County
Lincoln County
Madison County
Dodge County
Ranking of Nebraska Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Thurston County 18.05
2 Kimball County 14.55
3 Grant County 14.09
4 Deuel County 13.52
5 Garden County 13.36
6 Pawnee County 13.18
7 Sheridan County 12.85
8 Hall County 11.94
9 Sioux County 11.66
10 Colfax County 11.22
11 Burt County 10.64
12 Richardson County 10.59
13 Polk County 10.48
14 Platte County 10.44
15 Brown County 10.40
16 Wheeler County 10.34
17 Saline County 10.13
18 Rock County 10.11
19 Valley County 10.04
20 Scotts Bluff County 9.87
21 Logan County 9.83
22 Dawson County 9.74
23 Dawes County 9.72
24 Nuckolls County 9.69
25 Jefferson County 9.66
26 Dundy County 9.61
27 Red Willow County 9.48
28 Douglas County 9.22
29 Chase County 9.21
29 Dakota County 9.21
30 Boyd County 9.00
31 Box Butte County 8.94
32 Lincoln County 8.93
33 Arthur County 8.69
34 Nemaha County 8.62
35 Blaine County 8.38
36 Frontier County 8.33
37 Madison County 8.32
38 Cuming County 8.28
39 Keith County 8.18
40 Morrill County 8.17
41 Merrick County 8.16
42 Custer County 8.15
43 Sherman County 8.13
44 Hitchcock County 8.08
45 Howard County 7.98
46 Clay County 7.94
47 Furnas County 7.93
48 Dodge County 7.86
49 Cheyenne County 7.60
50 Cass County 7.40
51 Buffalo County 7.37
52 Cherry County 7.34
53 Gosper County 7.02
53 Harlan County 7.02
54 Lancaster County 6.96
55 Holt County 6.79
56 Antelope County 6.78
57 Gage County 6.73
58 Franklin County 6.71
59 Dixon County 6.66
60 Pierce County 6.64
61 Loup County 6.47
62 Hayes County 6.29
63 Hamilton County 6.15
64 Johnson County 6.12
65 Thayer County 6.06
66 Keya Paha County 6.03
67 Webster County 6.01
68 Phelps County 5.97
69 Adams County 5.82
70 Knox County 5.77
71 Greeley County 5.56
72 Kearney County 5.51
73 Cedar County 5.47
74 Boone County 5.46
74 Perkins County 5.46
75 Sarpy County 5.45
75 York County 5.45
76 Fillmore County 5.40
77 Otoe County 5.38
78 Hooker County 5.35
79 Seward County 5.30
80 Butler County 5.19
81 Nance County 4.95
82 Stanton County 4.92
83 Washington County 4.80
84 Saunders County 4.68
85 Thomas County 4.63
86 Garfield County 4.02
87 McPherson County 3.58
88 Wayne County 3.41
89 Banner County 3.31
Ranking of Nebraska Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Douglas County 52787
2 Lancaster County 21969
3 Sarpy County 10030
4 Hall County 7390
5 Buffalo County 3624
6 Platte County 3537
7 Scotts Bluff County 3517
8 Lincoln County 3089
9 Madison County 2915
10 Dodge County 2889
11 Dawson County 2317
12 Dakota County 1942
13 Cass County 1941
14 Adams County 1807
15 Gage County 1444
16 Saline County 1437
17 Thurston County 1222
18 Colfax County 1173
19 Saunders County 1014
20 Red Willow County 996
21 Washington County 986
22 Box Butte County 954
23 Seward County 920
24 Custer County 859
25 Otoe County 846
26 Richardson County 823
27 Dawes County 809
28 Cuming County 738
28 York County 738
29 Cheyenne County 721
30 Burt County 705
31 Jefferson County 688
32 Holt County 682
33 Keith County 676
34 Sheridan County 653
35 Merrick County 620
36 Nemaha County 599
37 Hamilton County 569
38 Polk County 540
39 Phelps County 523
40 Howard County 515
41 Kimball County 514
42 Clay County 478
42 Knox County 478
43 Pierce County 476
44 Cedar County 453
45 Butler County 427
46 Antelope County 424
47 Cherry County 401
48 Valley County 400
49 Nuckolls County 394
50 Dixon County 370
51 Morrill County 365
52 Furnas County 364
53 Kearney County 363
54 Chase County 335
55 Pawnee County 334
56 Wayne County 326
57 Thayer County 299
58 Boone County 291
59 Fillmore County 289
60 Stanton County 286
61 Brown County 283
62 Johnson County 261
63 Deuel County 253
64 Sherman County 239
65 Garden County 227
66 Harlan County 223
67 Hitchcock County 210
68 Frontier County 207
69 Webster County 203
70 Franklin County 192
71 Dundy County 180
72 Nance County 164
73 Boyd County 161
74 Perkins County 155
75 Rock County 131
76 Sioux County 126
77 Gosper County 125
78 Greeley County 122
79 Grant County 101
80 Logan County 85
81 Wheeler County 76
82 Garfield County 74
83 Keya Paha County 57
84 Hayes County 56
85 Loup County 43
86 Arthur County 41
87 Hooker County 37
88 Blaine County 29
89 Thomas County 26
90 Banner County 20
91 McPherson County 17