Special Report

The County With the Worst Health Insurance Coverage in Every State

Source: grantreig / iStock via Getty Images

Massachusetts: Nantucket County
> Americans under 65, no health insurance: 5.2% (Massachusetts: 3.2%)
> Americans under 65, Medicare coverage (or multiple types): 3.3% (Massachusetts: 2.5%)
> Americans under 65, Medicaid coverage (or multiple types): 16.2% (Massachusetts: 24.0%)
> Americans under 65, VA coverage (or multiple types): 0.3% (Massachusetts: 0.6%)
> Americans under 65, employer-based insurance (or multiple types): 51.9% (Massachusetts: 67.5%)
> Americans under 65, direct-purchase insurance (or multiple types): 29.0% (Massachusetts: 9.9%)
> Americans under 65, Tricare/military insurance (or many types): 0.7% (Massachusetts: 0.8%)

Source: Notorious4life / Wikimedia Commons

Michigan: Oscoda County
> Americans under 65, no health insurance: 18.0% (Michigan: 6.5%)
> Americans under 65, Medicare coverage (or multiple types): 8.2% (Michigan: 3.7%)
> Americans under 65, Medicaid coverage (or multiple types): 30.6% (Michigan: 24.2%)
> Americans under 65, VA coverage (or multiple types): 2.1% (Michigan: 1.0%)
> Americans under 65, employer-based insurance (or multiple types): 39.9% (Michigan: 63.3%)
> Americans under 65, direct-purchase insurance (or multiple types): 10.5% (Michigan: 9.1%)
> Americans under 65, Tricare/military insurance (or many types): 2.1% (Michigan: 0.9%)

Source: Wikimedia Commons

Minnesota: Mahnomen County
> Americans under 65, no health insurance: 16.6% (Minnesota: 5.2%)
> Americans under 65, Medicare coverage (or multiple types): 2.3% (Minnesota: 2.1%)
> Americans under 65, Medicaid coverage (or multiple types): 46.5% (Minnesota: 19.4%)
> Americans under 65, VA coverage (or multiple types): 1.8% (Minnesota: 1.0%)
> Americans under 65, employer-based insurance (or multiple types): 32.3% (Minnesota: 68.6%)
> Americans under 65, direct-purchase insurance (or multiple types): 6.7% (Minnesota: 9.9%)
> Americans under 65, Tricare/military insurance (or many types): 0.5% (Minnesota: 1.0%)

Source: BOB WESTON / iStock via Getty Images

Mississippi: Sharkey County
> Americans under 65, no health insurance: 21.0% (Mississippi: 14.5%)
> Americans under 65, Medicare coverage (or multiple types): 8.7% (Mississippi: 4.7%)
> Americans under 65, Medicaid coverage (or multiple types): 35.7% (Mississippi: 25.1%)
> Americans under 65, VA coverage (or multiple types): 1.4% (Mississippi: 1.4%)
> Americans under 65, employer-based insurance (or multiple types): 33.6% (Mississippi: 51.2%)
> Americans under 65, direct-purchase insurance (or multiple types): 8.1% (Mississippi: 9.5%)
> Americans under 65, Tricare/military insurance (or many types): 1.0% (Mississippi: 3.0%)

Source: By Sector001 - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=21735128 / Wikimedia Commons

Missouri: Scotland County
> Americans under 65, no health insurance: 39.6% (Missouri: 11.1%)
> Americans under 65, Medicare coverage (or multiple types): 1.6% (Missouri: 3.8%)
> Americans under 65, Medicaid coverage (or multiple types): 14.7% (Missouri: 15.8%)
> Americans under 65, VA coverage (or multiple types): 0.3% (Missouri: 1.4%)
> Americans under 65, employer-based insurance (or multiple types): 42.8% (Missouri: 62.9%)
> Americans under 65, direct-purchase insurance (or multiple types): 7.6% (Missouri: 10.5%)
> Americans under 65, Tricare/military insurance (or many types): 0.5% (Missouri: 2.0%)