Special Report

The County With the Worst Health Insurance Coverage in Every State

Source: formulanone / Flickr

Alabama: Escambia County
> Americans under 65, no health insurance: 17.4% (Alabama: 11.3%)
> Americans under 65, Medicare coverage (or multiple types): 4.7% (Alabama: 4.9%)
> Americans under 65, Medicaid coverage (or multiple types): 20.3% (Alabama: 20.9%)
> Americans under 65, VA coverage (or multiple types): 1.1% (Alabama: 1.7%)
> Americans under 65, employer-based insurance (or multiple types): 54.8% (Alabama: 57.8%)
> Americans under 65, direct-purchase insurance (or multiple types): 7.2% (Alabama: 10.5%)
> Americans under 65, Tricare/military insurance (or many types): 1.8% (Alabama: 3.3%)

Source: Public Domain / Wikimedia Commons

Alaska: Aleutians East Borough
> Americans under 65, no health insurance: 50.6% (Alaska: 15.3%)
> Americans under 65, Medicare coverage (or multiple types): 0.9% (Alaska: 1.9%)
> Americans under 65, Medicaid coverage (or multiple types): 13.7% (Alaska: 21.1%)
> Americans under 65, VA coverage (or multiple types): 0.4% (Alaska: 3.0%)
> Americans under 65, employer-based insurance (or multiple types): 31.8% (Alaska: 54.4%)
> Americans under 65, direct-purchase insurance (or multiple types): 4.0% (Alaska: 6.9%)
> Americans under 65, Tricare/military insurance (or many types): 0.3% (Alaska: 9.6%)

Source: Oralleff / Getty Images

Arizona: Apache County
> Americans under 65, no health insurance: 28.7% (Arizona: 12.4%)
> Americans under 65, Medicare coverage (or multiple types): 3.6% (Arizona: 2.6%)
> Americans under 65, Medicaid coverage (or multiple types): 37.3% (Arizona: 24.1%)
> Americans under 65, VA coverage (or multiple types): 0.6% (Arizona: 1.5%)
> Americans under 65, employer-based insurance (or multiple types): 31.4% (Arizona: 55.1%)
> Americans under 65, direct-purchase insurance (or multiple types): 2.0% (Arizona: 9.7%)
> Americans under 65, Tricare/military insurance (or many types): 0.8% (Arizona: 2.4%)

Source: BOB WESTON / iStock via Getty Images

Arkansas: Sevier County
> Americans under 65, no health insurance: 19.1% (Arkansas: 10.1%)
> Americans under 65, Medicare coverage (or multiple types): 2.6% (Arkansas: 5.1%)
> Americans under 65, Medicaid coverage (or multiple types): 33.2% (Arkansas: 28.6%)
> Americans under 65, VA coverage (or multiple types): 0.8% (Arkansas: 1.8%)
> Americans under 65, employer-based insurance (or multiple types): 42.9% (Arkansas: 51.8%)
> Americans under 65, direct-purchase insurance (or multiple types): 7.1% (Arkansas: 10.2%)
> Americans under 65, Tricare/military insurance (or many types): 1.3% (Arkansas: 2.3%)

Source: Public Domain / Wikimedia Commons

California: Mono County
> Americans under 65, no health insurance: 17.9% (California: 8.6%)
> Americans under 65, Medicare coverage (or multiple types): 2.6% (California: 2.2%)
> Americans under 65, Medicaid coverage (or multiple types): 16.6% (California: 27.1%)
> Americans under 65, VA coverage (or multiple types): 1.9% (California: 0.9%)
> Americans under 65, employer-based insurance (or multiple types): 51.9% (California: 55.7%)
> Americans under 65, direct-purchase insurance (or multiple types): 15.0% (California: 10.9%)
> Americans under 65, Tricare/military insurance (or many types): 2.9% (California: 1.4%)