Ranking of Ohio 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 Ohio population without a health insurance coverage was 6.34% (i.e. 735,559 people). Percentagewise, among all Ohio counties, Holmes County had the highest percentage of its population with no health insurance coverage (41.88%), followed by Wayne County (14.14%), and Harrison County (12.27%).

In numerical terms, Franklin County had the highest number of people without a health insurance coverage (102,395), followed by Cuyahoga County (68,368), and Hamilton County (46,383).

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 Ohio counties.

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

You can also see similar information for other states.

Ranking of Ohio Counties By Percentage of Population With No Health Insurance Coverage in 2021
Holmes County
Wayne County
Harrison County
Coshocton County
Morrow County
Hardin County
Gallia County
Highland County
Guernsey County
Knox County
Ranking of Ohio Counties By Number of People With No Health Insurance Coverage in 2021
Franklin County
Cuyahoga County
Hamilton County
Montgomery County
Summit County
Lucas County
Butler County
Stark County
Holmes County
Wayne County
Ranking of Ohio Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Holmes County 41.88
2 Wayne County 14.14
3 Harrison County 12.27
4 Coshocton County 11.20
5 Morrow County 11.01
6 Hardin County 10.91
7 Gallia County 10.58
8 Highland County 10.53
9 Guernsey County 10.37
10 Knox County 9.62
11 Ashtabula County 9.60
12 Carroll County 9.37
13 Vinton County 8.81
14 Ashland County 8.61
15 Adams County 8.59
16 Geauga County 8.35
17 Tuscarawas County 8.26
18 Monroe County 8.18
19 Meigs County 7.86
20 Franklin County 7.84
21 Richland County 7.67
22 Noble County 7.55
23 Fayette County 7.22
24 Brown County 7.00
25 Washington County 6.97
26 Darke County 6.96
26 Trumbull County 6.96
27 Morgan County 6.91
28 Montgomery County 6.79
29 Perry County 6.72
30 Jackson County 6.61
31 Allen County 6.59
32 Crawford County 6.52
33 Clark County 6.51
34 Columbiana County 6.44
35 Hocking County 6.36
36 Scioto County 6.31
37 Huron County 6.29
38 Defiance County 6.28
39 Muskingum County 6.26
40 Madison County 6.23
41 Butler County 6.21
42 Stark County 6.19
43 Clinton County 6.17
44 Fairfield County 6.16
45 Belmont County 6.04
45 Sandusky County 6.04
46 Ross County 6.03
47 Athens County 6.00
48 Lucas County 5.97
49 Pickaway County 5.94
50 Erie County 5.80
51 Licking County 5.74
52 Hamilton County 5.67
53 Portage County 5.65
54 Clermont County 5.62
55 Marion County 5.61
56 Summit County 5.55
57 Paulding County 5.52
58 Cuyahoga County 5.47
59 Henry County 5.43
60 Fulton County 5.42
61 Jefferson County 5.39
62 Lorain County 5.34
63 Seneca County 5.28
64 Williams County 5.27
65 Lawrence County 5.18
66 Lake County 5.13
67 Preble County 5.07
68 Mahoning County 5.01
69 Champaign County 4.93
70 Greene County 4.91
71 Miami County 4.87
71 Shelby County 4.87
72 Logan County 4.86
73 Hancock County 4.72
74 Union County 4.69
75 Delaware County 4.35
76 Wood County 4.30
77 Pike County 4.12
78 Mercer County 4.06
79 Van Wert County 4.05
80 Wyandot County 3.99
81 Auglaize County 3.97
81 Ottawa County 3.97
82 Warren County 3.61
83 Medina County 3.49
84 Putnam County 2.74
Ranking of Ohio Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Franklin County 102395
2 Cuyahoga County 68368
3 Hamilton County 46383
4 Montgomery County 35835
5 Summit County 29667
6 Lucas County 25480
7 Butler County 23858
8 Stark County 22923
9 Holmes County 18176
10 Wayne County 16375
11 Lorain County 16332
12 Trumbull County 13821
13 Lake County 11817
14 Clermont County 11585
15 Mahoning County 11258
16 Licking County 10111
17 Fairfield County 9523
18 Delaware County 9144
19 Ashtabula County 9130
20 Portage County 9100
21 Richland County 9046
22 Clark County 8748
23 Warren County 8364
24 Greene County 8000
25 Geauga County 7906
26 Tuscarawas County 7607
27 Allen County 6579
28 Columbiana County 6368
29 Medina County 6283
30 Knox County 5932
31 Wood County 5621
32 Muskingum County 5351
33 Miami County 5201
34 Scioto County 4521
35 Highland County 4495
36 Ashland County 4486
37 Erie County 4327
38 Ross County 4318
39 Washington County 4137
40 Coshocton County 4063
41 Guernsey County 3956
42 Belmont County 3826
43 Morrow County 3816
44 Athens County 3730
45 Huron County 3656
46 Darke County 3571
47 Sandusky County 3511
48 Hancock County 3506
49 Jefferson County 3501
50 Marion County 3371
51 Hardin County 3334
52 Pickaway County 3224
53 Gallia County 3068
54 Brown County 3020
55 Lawrence County 3003
56 Seneca County 2867
57 Union County 2748
58 Crawford County 2704
59 Clinton County 2574
60 Carroll County 2495
61 Madison County 2427
62 Defiance County 2391
63 Perry County 2365
64 Adams County 2345
65 Shelby County 2333
66 Fulton County 2292
67 Logan County 2214
68 Jackson County 2129
69 Fayette County 2066
69 Preble County 2066
70 Williams County 1902
71 Champaign County 1884
72 Auglaize County 1819
73 Hocking County 1769
74 Harrison County 1759
75 Meigs County 1743
76 Mercer County 1694
77 Ottawa County 1590
78 Henry County 1478
79 Van Wert County 1155
80 Vinton County 1126
81 Pike County 1115
82 Monroe County 1095
83 Paulding County 1036
84 Morgan County 952
85 Putnam County 934
86 Noble County 900
87 Wyandot County 865