Special Report

The Metro With the Worst Health Insurance Coverage in Every State

Hawaii: Kahului-Wailuku-Lahaina
> Americans under 65, no health insurance: 7.4% (Hawaii: 5.0%)
> Americans under 65, Medicare coverage (or multiple types): 1.7% (Hawaii: 2.0%)
> Americans under 65, Medicaid coverage (or multiple types): 21.4% (Hawaii: 19.5%)
> Americans under 65, VA coverage (or multiple types): 0.4% (Hawaii: 1.5%)
> Americans under 65, employer-based insurance (or multiple types): 65.5% (Hawaii: 66.9%)
> Americans under 65, direct-purchase insurance (or multiple types): 14.3% (Hawaii: 9.9%)
> Americans under 65, Tricare/military insurance (or many types): 0.8% (Hawaii: 7.6%)

Source: peeterv / iStock via Getty Images

Idaho: Twin Falls
> Americans under 65, no health insurance: 15.4% (Idaho: 12.8%)
> Americans under 65, Medicare coverage (or multiple types): 2.3% (Idaho: 2.7%)
> Americans under 65, Medicaid coverage (or multiple types): 21.3% (Idaho: 17.3%)
> Americans under 65, VA coverage (or multiple types): 0.8% (Idaho: 1.6%)
> Americans under 65, employer-based insurance (or multiple types): 56.9% (Idaho: 58.7%)
> Americans under 65, direct-purchase insurance (or multiple types): 9.7% (Idaho: 12.9%)
> Americans under 65, Tricare/military insurance (or many types): 0.4% (Idaho: 2.5%)

Source: RudyBalasko / Getty Images

Illinois: Chicago-Naperville-Elgin
> Americans under 65, no health insurance: 9.4% (Illinois: 8.6%)
> Americans under 65, Medicare coverage (or multiple types): 2.1% (Illinois: 2.5%)
> Americans under 65, Medicaid coverage (or multiple types): 18.3% (Illinois: 19.7%)
> Americans under 65, VA coverage (or multiple types): 0.7% (Illinois: 0.8%)
> Americans under 65, employer-based insurance (or multiple types): 65.9% (Illinois: 64.9%)
> Americans under 65, direct-purchase insurance (or multiple types): 7.9% (Illinois: 8.3%)
> Americans under 65, Tricare/military insurance (or many types): 0.6% (Illinois: 1.0%)

Source: BOB WESTON / iStock via Getty Images

Indiana: Elkhart-Goshen
> Americans under 65, no health insurance: 18.4% (Indiana: 10.3%)
> Americans under 65, Medicare coverage (or multiple types): 2.2% (Indiana: 3.2%)
> Americans under 65, Medicaid coverage (or multiple types): 17.8% (Indiana: 19.1%)
> Americans under 65, VA coverage (or multiple types): 0.4% (Indiana: 1.1%)
> Americans under 65, employer-based insurance (or multiple types): 59.5% (Indiana: 64.4%)
> Americans under 65, direct-purchase insurance (or multiple types): 6.0% (Indiana: 7.8%)
> Americans under 65, Tricare/military insurance (or many types): 0.6% (Indiana: 1.3%)

Source: harmantasdc / Getty Images

Iowa: Iowa City
> Americans under 65, no health insurance: 8.7% (Iowa: 6.0%)
> Americans under 65, Medicare coverage (or multiple types): 2.2% (Iowa: 2.7%)
> Americans under 65, Medicaid coverage (or multiple types): 14.9% (Iowa: 21.3%)
> Americans under 65, VA coverage (or multiple types): 1.0% (Iowa: 1.3%)
> Americans under 65, employer-based insurance (or multiple types): 70.5% (Iowa: 67.6%)
> Americans under 65, direct-purchase insurance (or multiple types): 10.4% (Iowa: 8.5%)
> Americans under 65, Tricare/military insurance (or many types): 1.4% (Iowa: 1.3%)