The number of uninsured American residents in every state

The number of uninsured American residents in every state
Claudio_Scott / Pixabay

Millions of Americans receive healthcare insurance through an employer-based plan, Medicare, Medicaid or other type of program, but more than 27 million Americans remain uninsured. As a health data management firm interested in where those uninsured residents live, Harmony Healthcare IT analyzed health insurance data from every state as well as the 100 most populous metro areas in the country.

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Uninsured Residents In Every State

Interestingly enough, they found that Millennials are the demographic with the highest percentage of uninsured with more than 6 million millennials between the age of 26 and 34 without health insurance. Among the top 17 states with the highest percentage of uninsured residents (10% or more), 11 are located in the South or the Southwest.

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Texas is currently home to the highest percentage of uninsured residents with more than 5 million Texans or 18% of the population, uninsured. After Texas, Oklahoma is the next state with the most uninsured residents at 14% of it’s population currently uninsured. Oklahoma is followed by Georgia (14%), Florida (13%) and Alaska (13%) rounding out the top five states with the most uninsured residents.

Texas is also home to the metro area with the largest number of uninsured residents in the country. Not only that, but Texas is also home to the five metro areas in the country with the highest percentages of uninsured residents. That’s certainly a lot of uninsured residents in Texas.

Listed below is the top metro areas with the most uninsured people in the US:

  1. McAllen-Edinburg-Mission, TX (31%)
  2. El Paso, TX (22%)
  3. Houston-The Woodlands-Sugar Land TX (19%)
  4. Dallas-Fort Worth-Arlington, TX (17%)
  5. San Antonio-New Braunfels (16%)
  6. Miami-Fort Lauderdale-West Palm Beach, FL (15%)
  7. Cape Coral-Fort Myers, FL (14%)
  8. Tulsa, OK (13%)
  9. Atlanta-Sandy Springs-Roswell, GA (13%)
  10. Oklahoma City, OK (13%)
  11. Sarasota-Bradenton, FL (13%)
  12. Austin-Round Rock, TX (13%)
  13. Lakeland-Winter Haven, FL (12%)
  14. Tampa-St. Petersburg-Clearwater, FL (12%)
  15. Orlando-Kissimmee-Sanford, FL (12%)

In terms of states with the most insured residents, Massachusetts ranks #1 with only 3% of its population uninsured. Massachusetts is followed by Vermont (4%), Hawaii (4%), Rhode Island (4%) and Minnesota (4%). Massachusetts passed legislation in 2006 to make it the first state to provide near-universal healthcare coverage which is a big reason why it is ranked #1 on our list.

The analysis also uninsured millennials which is the demographic hit hardest by being uninsured. They analyzed uninsured millennials by state as well as uninsured millennials by city. The full breakdown and graphics from Harmony Healthcare IT can be seen below.

Uninsured States

uninsured American residents

Uninsured Cities

uninsured American residents

Updated on

Jacob Wolinsky is the founder of, a popular value investing and hedge fund focused investment website. Jacob worked as an equity analyst first at a micro-cap focused private equity firm, followed by a stint at a smid cap focused research shop. Jacob lives with his wife and four kids in Passaic NJ. - Email: jacob(at) - Twitter username: JacobWolinsky - Full Disclosure: I do not purchase any equities anymore to avoid even the appearance of a conflict of interest and because at times I may receive grey areas of insider information. I have a few existing holdings from years ago, but I have sold off most of the equities and now only purchase mutual funds and some ETFs. I also own a few grams of Gold and Silver
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