Ranking of Tennessee 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 Tennessee population without a health insurance coverage was 10.07% (i.e. 680,094 people). Percentagewise, among all Tennessee counties, Van Buren County had the highest percentage of its population with no health insurance coverage (18.35%), followed by Bledsoe County (18.05%), and Perry County (15.67%).

In numerical terms, Shelby County had the highest number of people without a health insurance coverage (109,423), followed by Davidson County (85,802), and Knox County (37,436).

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 Tennessee counties.

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

You can also see similar information for other states.

Ranking of Tennessee Counties By Percentage of Population With No Health Insurance Coverage in 2021
Van Buren County
Bledsoe County
Perry County
Polk County
Grundy County
Lake County
Sevier County
Warren County
Hardin County
Lewis County
Ranking of Tennessee Counties By Number of People With No Health Insurance Coverage in 2021
Shelby County
Davidson County
Knox County
Hamilton County
Rutherford County
Montgomery County
Sumner County
Sullivan County
Sevier County
Washington County
Ranking of Tennessee Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Van Buren County 18.35
2 Bledsoe County 18.05
3 Perry County 15.67
4 Polk County 15.11
5 Grundy County 14.85
6 Lake County 14.19
7 Sevier County 14.15
8 Warren County 13.96
9 Hardin County 13.42
10 Lewis County 13.18
11 Lawrence County 13.12
12 Johnson County 12.83
13 Bedford County 12.75
14 Chester County 12.64
15 Crockett County 12.26
16 Davidson County 12.23
17 Carter County 12.22
18 Meigs County 12.21
19 Sequatchie County 12.11
20 Hamblen County 12.10
21 Wayne County 11.98
22 Cocke County 11.96
23 Shelby County 11.93
24 Weakley County 11.85
25 Scott County 11.82
26 Campbell County 11.75
27 Morgan County 11.74
28 Rhea County 11.63
29 White County 11.60
30 Henry County 11.55
31 Benton County 11.51
32 Haywood County 11.47
33 Cannon County 11.28
34 Grainger County 11.15
35 Carroll County 11.05
36 Bradley County 10.99
37 McMinn County 10.88
38 Henderson County 10.80
39 DeKalb County 10.72
40 Jackson County 10.48
41 Hardeman County 10.37
42 Cheatham County 10.36
43 Madison County 10.34
44 Clay County 10.26
45 Lauderdale County 10.24
46 Coffee County 10.21
46 Houston County 10.21
47 McNairy County 10.13
48 Jefferson County 10.04
48 Monroe County 10.04
49 Hancock County 9.84
50 Macon County 9.77
51 Washington County 9.69
52 Hamilton County 9.66
53 Greene County 9.63
54 Lincoln County 9.61
55 Franklin County 9.60
56 Gibson County 9.57
57 Anderson County 9.56
58 Blount County 9.45
59 Stewart County 9.44
60 Decatur County 9.23
61 Dickson County 9.22
62 Maury County 9.20
63 Rutherford County 9.18
64 Sullivan County 9.14
65 Moore County 9.10
66 Trousdale County 8.96
67 Fayette County 8.95
68 Robertson County 8.94
69 Cumberland County 8.93
70 Claiborne County 8.89
70 Hawkins County 8.89
71 Loudon County 8.86
72 Humphreys County 8.74
73 Union County 8.70
74 Putnam County 8.68
75 Hickman County 8.62
76 Obion County 8.59
77 Marion County 8.54
78 Giles County 8.53
79 Tipton County 8.51
80 Unicoi County 8.34
81 Fentress County 8.25
82 Montgomery County 8.21
83 Smith County 8.16
84 Sumner County 7.96
85 Knox County 7.94
85 Overton County 7.94
86 Dyer County 7.89
87 Roane County 7.76
88 Marshall County 7.64
89 Wilson County 7.24
90 Pickett County 6.89
91 Williamson County 4.61
Ranking of Tennessee Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Shelby County 109423
2 Davidson County 85802
3 Knox County 37436
4 Hamilton County 34791
5 Rutherford County 30592
6 Montgomery County 16668
7 Sumner County 15249
8 Sullivan County 14258
9 Sevier County 13745
10 Washington County 12637
11 Blount County 12551
12 Bradley County 11744
13 Williamson County 11145
14 Wilson County 10398
15 Madison County 10036
16 Maury County 9018
17 Hamblen County 7668
18 Anderson County 7233
19 Putnam County 6773
20 Carter County 6754
21 Greene County 6616
22 Robertson County 6388
23 Bedford County 6295
24 Coffee County 5781
25 Lawrence County 5705
26 McMinn County 5688
27 Warren County 5624
28 Jefferson County 5370
29 Cumberland County 5359
30 Tipton County 5097
31 Hawkins County 4995
32 Dickson County 4945
33 Loudon County 4786
34 Gibson County 4719
35 Monroe County 4564
36 Campbell County 4551
37 Cocke County 4257
38 Cheatham County 4200
39 Roane County 4087
40 Franklin County 4048
41 Weakley County 3857
42 Rhea County 3777
43 Henry County 3679
44 Fayette County 3671
45 Hardin County 3530
46 Lincoln County 3328
47 White County 3106
48 Carroll County 3084
49 Henderson County 2961
50 Dyer County 2880
51 Claiborne County 2791
52 Polk County 2609
53 Obion County 2604
54 Grainger County 2592
55 McNairy County 2588
56 Marshall County 2568
57 Scott County 2548
58 Giles County 2543
59 Bledsoe County 2452
60 Marion County 2429
61 Macon County 2404
62 Lauderdale County 2341
63 Hardeman County 2263
64 Morgan County 2178
65 Chester County 2144
66 DeKalb County 2107
67 Johnson County 2050
68 Haywood County 2031
69 Hickman County 1990
70 Grundy County 1977
71 Sequatchie County 1876
72 Benton County 1810
73 Overton County 1755
74 Wayne County 1719
75 Crockett County 1691
76 Union County 1689
77 Humphreys County 1631
78 Lewis County 1625
79 Smith County 1602
80 Cannon County 1599
81 Meigs County 1529
82 Fentress County 1503
83 Unicoi County 1464
84 Perry County 1279
85 Stewart County 1264
86 Jackson County 1197
87 Van Buren County 1097
88 Decatur County 1038
89 Trousdale County 845
90 Houston County 821
91 Clay County 767
92 Lake County 650
93 Hancock County 643
94 Moore County 581
95 Pickett County 341