Ranking of Virginia 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 Virginia population without a health insurance coverage was 7.88% (i.e. 658,732 people). Percentagewise, among all Virginia counties, Manassas Park city had the highest percentage of its population with no health insurance coverage (17.66%), followed by Manassas city (17.50%), and Galax city (14.41%).

In numerical terms, Fairfax County had the highest number of people without a health insurance coverage (86,118), followed by Prince William County (49,405), and Virginia Beach city (30,857).

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 Virginia counties.

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

You can also see similar information for other states.

Ranking of Virginia Counties By Percentage of Population With No Health Insurance Coverage in 2021
Manassas Park city
Manassas city
Galax city
Rappahannock County
Nottoway County
Grayson County
Bristol city
Page County
Accomack County
Winchester city
Ranking of Virginia Counties By Number of People With No Health Insurance Coverage in 2021
Fairfax County
Prince William County
Virginia Beach city
Chesterfield County
Richmond city
Henrico County
Loudoun County
Norfolk city
Newport News city
Chesapeake city
Ranking of Virginia Counties By Percentage of Population With No Health Insurance Coverage in 2021
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Rank County Percentage of Population (%)
1 Manassas Park city 17.66
2 Manassas city 17.50
3 Galax city 14.41
4 Rappahannock County 13.54
5 Nottoway County 13.37
6 Grayson County 13.25
7 Bristol city 13.18
8 Page County 12.45
9 Accomack County 12.27
10 Winchester city 12.10
11 Buckingham County 11.77
12 Warren County 11.37
13 Harrisonburg city 11.11
14 Westmoreland County 10.99
15 Lee County 10.85
15 Petersburg city 10.85
16 Norfolk city 10.79
17 Northampton County 10.78
18 Richmond city 10.68
19 Greensville County 10.56
20 Prince William County 10.54
21 Roanoke city 10.53
22 Rockingham County 10.26
23 Charlotte County 10.21
24 Mathews County 10.19
25 Essex County 10.14
25 Fredericksburg city 10.14
26 Norton city 10.13
27 Martinsville city 9.92
28 Carroll County 9.78
29 Newport News city 9.67
30 Waynesboro city 9.59
31 Cumberland County 9.54
31 Lunenburg County 9.54
32 Danville city 9.43
33 Franklin County 9.26
34 Alexandria city 9.21
35 Wise County 9.19
35 Portsmouth city 9.19
36 Sussex County 9.16
37 Culpeper County 9.08
38 Surry County 9.07
39 Scott County 8.97
40 Appomattox County 8.96
41 Henry County 8.89
42 Amherst County 8.88
43 Staunton city 8.74
44 Washington County 8.68
45 Giles County 8.45
46 Frederick County 8.39
47 Buchanan County 8.31
48 Prince Edward County 8.26
49 Mecklenburg County 8.24
50 Nelson County 8.23
50 Patrick County 8.23
51 Northumberland County 8.22
51 Smyth County 8.22
52 Greene County 8.17
53 Highland County 8.12
54 Augusta County 8.05
55 Campbell County 8.02
56 Fluvanna County 8.01
57 Covington city 7.99
58 Clarke County 7.94
58 Buena Vista city 7.94
59 Lancaster County 7.85
60 Colonial Heights city 7.84
61 Charles City County 7.83
62 Amelia County 7.80
63 Louisa County 7.79
64 Halifax County 7.78
65 Hopewell city 7.74
66 Fauquier County 7.66
67 Pittsylvania County 7.65
68 Fairfax County 7.61
68 Spotsylvania County 7.61
69 Hampton city 7.59
70 Lynchburg city 7.57
71 Chesterfield County 7.53
72 Emporia city 7.41
73 Tazewell County 7.34
73 Wythe County 7.34
74 Russell County 7.33
75 Bath County 7.18
76 Stafford County 7.17
77 Virginia Beach city 7.12
78 Floyd County 7.10
78 Orange County 7.10
79 Charlottesville city 7.05
80 Dickenson County 6.97
81 Henrico County 6.93
81 Fairfax city 6.93
82 Pulaski County 6.89
83 Caroline County 6.82
84 Rockbridge County 6.75
84 Shenandoah County 6.75
85 Alleghany County 6.74
85 Chesapeake city 6.74
85 Williamsburg city 6.74
86 Radford city 6.69
87 Middlesex County 6.61
88 Bedford County 6.48
89 Suffolk city 6.44
90 Isle of Wight County 6.26
91 Richmond County 6.07
92 Dinwiddie County 6.06
93 Salem city 6.01
94 Arlington County 5.96
95 Montgomery County 5.86
96 Madison County 5.83
97 Albemarle County 5.72
97 Brunswick County 5.72
98 Gloucester County 5.71
99 Botetourt County 5.54
100 Loudoun County 5.50
101 Southampton County 5.45
102 Bland County 5.40
103 King William County 5.38
104 King and Queen County 5.29
105 James City County 5.19
106 Prince George County 5.15
107 Hanover County 4.89
108 Powhatan County 4.88
109 Roanoke County 4.82
110 King George County 4.74
111 New Kent County 4.38
112 Franklin city 4.35
113 Goochland County 3.93
114 Craig County 3.71
115 York County 3.62
116 Poquoson city 2.93
117 Lexington city 2.04
118 Falls Church city 1.06
Ranking of Virginia Counties By Number of People With NO Health Insurance Coverage in 2021
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Rank County Number of People
1 Fairfax County 86118
2 Prince William County 49405
3 Virginia Beach city 30857
4 Chesterfield County 26861
5 Richmond city 23836
6 Henrico County 22810
7 Loudoun County 22633
8 Norfolk city 22348
9 Newport News city 16862
10 Chesapeake city 15818
11 Alexandria city 14230
12 Arlington County 13760
13 Stafford County 10619
14 Spotsylvania County 10470
15 Roanoke city 10358
16 Hampton city 9886
17 Rockingham County 8490
18 Portsmouth city 8389
19 Frederick County 7440
20 Manassas city 7435
21 Albemarle County 6303
22 Augusta County 5881
23 Lynchburg city 5861
24 Suffolk city 5845
25 Montgomery County 5784
26 Harrisonburg city 5721
27 Fauquier County 5521
28 Hanover County 5314
29 Bedford County 5104
30 Franklin County 5047
31 Washington County 4609
32 Culpeper County 4598
33 Warren County 4575
34 Pittsylvania County 4555
35 Roanoke County 4553
36 Henry County 4472
37 Campbell County 4422
38 Accomack County 4042
39 James City County 3951
40 Danville city 3917
41 Petersburg city 3504
42 Winchester city 3381
43 Charlottesville city 3260
44 Wise County 3155
45 Manassas Park city 3017
46 Shenandoah County 2952
47 Page County 2931
48 Tazewell County 2889
49 Louisa County 2884
50 Carroll County 2835
51 Fredericksburg city 2829
52 Amherst County 2771
53 Halifax County 2602
54 Orange County 2512
55 Mecklenburg County 2432
56 Smyth County 2420
57 York County 2364
58 Isle of Wight County 2363
59 Lee County 2280
60 Pulaski County 2254
61 Bristol city 2216
62 Gloucester County 2169
62 Staunton city 2169
63 Waynesboro city 2105
64 Wythe County 2071
65 Fluvanna County 2066
66 Westmoreland County 1989
67 Caroline County 1969
68 Grayson County 1927
69 Russell County 1884
70 Nottoway County 1866
71 Scott County 1865
72 Prince George County 1864
73 Botetourt County 1839
74 Buckingham County 1752
75 Hopewell city 1750
76 Prince Edward County 1698
77 Dinwiddie County 1672
78 Greene County 1654
79 Buchanan County 1644
80 Fairfax city 1632
81 Rockbridge County 1513
82 Salem city 1471
83 Appomattox County 1432
84 Patrick County 1423
85 Giles County 1408
86 Colonial Heights city 1403
87 Powhatan County 1363
88 Martinsville city 1297
89 Northampton County 1295
90 King George County 1232
91 Nelson County 1215
92 Charlotte County 1171
93 Clarke County 1153
94 Floyd County 1095
95 Radford city 1075
96 Essex County 1067
97 Lunenburg County 1056
98 Amelia County 1025
99 Williamsburg city 1016
100 Alleghany County 1012
101 Rappahannock County 1002
102 Northumberland County 983
103 Dickenson County 961
104 New Kent County 954
105 King William County 940
106 Galax city 932
107 Cumberland County 922
108 Goochland County 915
109 Southampton County 906
110 Greensville County 886
111 Sussex County 866
112 Mathews County 861
113 Lancaster County 841
114 Madison County 793
115 Brunswick County 788
116 Middlesex County 687
117 Surry County 594
118 Charles City County 533
119 Buena Vista city 522
120 Covington city 449
121 Richmond County 440
122 Emporia city 414
123 Norton city 369
124 Poquoson city 358
125 Franklin city 355
126 King and Queen County 354
127 Bath County 299
128 Bland County 287
129 Craig County 182
130 Highland County 181
131 Falls Church city 152
132 Lexington city 148