Special Report

The Metro With the Worst Health Insurance Coverage in Every State

Source: leezsnow / Getty Images

Montana: Great Falls
> Americans under 65, no health insurance: 8.6% (Montana: 10.2%)
> Americans under 65, Medicare coverage (or multiple types): 3.3% (Montana: 3.0%)
> Americans under 65, Medicaid coverage (or multiple types): 29.6% (Montana: 23.6%)
> Americans under 65, VA coverage (or multiple types): 3.3% (Montana: 2.2%)
> Americans under 65, employer-based insurance (or multiple types): 48.2% (Montana: 55.0%)
> Americans under 65, direct-purchase insurance (or multiple types): 8.9% (Montana: 13.6%)
> Americans under 65, Tricare/military insurance (or many types): 11.0% (Montana: 3.0%)

Source: Public Domain / Wikimedia Commons

Nebraska: Grand Island
> Americans under 65, no health insurance: 12.5% (Nebraska: 9.8%)
> Americans under 65, Medicare coverage (or multiple types): 2.4% (Nebraska: 2.2%)
> Americans under 65, Medicaid coverage (or multiple types): 17.8% (Nebraska: 13.4%)
> Americans under 65, VA coverage (or multiple types): 1.3% (Nebraska: 1.2%)
> Americans under 65, employer-based insurance (or multiple types): 62.9% (Nebraska: 67.2%)
> Americans under 65, direct-purchase insurance (or multiple types): 10.8% (Nebraska: 12.1%)
> Americans under 65, Tricare/military insurance (or many types): 0.9% (Nebraska: 2.6%)

Source: DenisTangneyJr / Getty Images

Nevada: Carson City
> Americans under 65, no health insurance: 18.7% (Nevada: 13.4%)
> Americans under 65, Medicare coverage (or multiple types): 2.9% (Nevada: 2.4%)
> Americans under 65, Medicaid coverage (or multiple types): 18.2% (Nevada: 18.9%)
> Americans under 65, VA coverage (or multiple types): 1.5% (Nevada: 1.8%)
> Americans under 65, employer-based insurance (or multiple types): 53.9% (Nevada: 59.4%)
> Americans under 65, direct-purchase insurance (or multiple types): 9.3% (Nevada: 8.7%)
> Americans under 65, Tricare/military insurance (or many types): 0.5% (Nevada: 2.6%)

Source: DenisTangneyJr / Getty Images

New Hampshire: Manchester-Nashua*
> Americans under 65, no health insurance: 7.9% (New Hampshire: 7.6%)
> Americans under 65, Medicare coverage (or multiple types): 3.1% (New Hampshire: 3.2%)
> Americans under 65, Medicaid coverage (or multiple types): 15.7% (New Hampshire: 14.6%)
> Americans under 65, VA coverage (or multiple types): 1.1% (New Hampshire: 1.2%)
> Americans under 65, employer-based insurance (or multiple types): 69.4% (New Hampshire: 68.8%)
> Americans under 65, direct-purchase insurance (or multiple types): 7.5% (New Hampshire: 9.1%)
> Americans under 65, Tricare/military insurance (or many types): 1.4% (New Hampshire: 1.5%)

*Because Manchester-Nashua is the only eligible metro in New Hampshire, it is the metro with the worst health insurance coverage by default.

Source: shakzu / Getty Images

New Jersey: Vineland-Bridgeton
> Americans under 65, no health insurance: 10.8% (New Jersey: 9.2%)
> Americans under 65, Medicare coverage (or multiple types): 4.5% (New Jersey: 2.5%)
> Americans under 65, Medicaid coverage (or multiple types): 34.6% (New Jersey: 17.4%)
> Americans under 65, VA coverage (or multiple types): 0.4% (New Jersey: 0.5%)
> Americans under 65, employer-based insurance (or multiple types): 52.2% (New Jersey: 66.4%)
> Americans under 65, direct-purchase insurance (or multiple types): 10.0% (New Jersey: 8.7%)
> Americans under 65, Tricare/military insurance (or many types): 0.6% (New Jersey: 0.7%)