The United States is the only industrialized country in the world without universal health care — and as a result, most Americans under age 65 receive employer-based health insurance coverage. Under this system, an estimated 28.9 million Americans under 65 were uninsured in 2019 — before the COVID-19 pandemic put over 22 million Americans out of work.
While most of those jobs have since been restored, the official nonelderly rate for Americans under 65 in 2020 will likely be higher than the 10.8% rate in 2019 — a continuation of the three-year trend of declining insurance coverage that began in 2017. Still, there are parts of the country where nearly every American under 65 is insured, either through their employer, Medicaid, or directly-purchased coverage.
Using data from the U.S. Census Bureau, 24/7 Wall St. identified the 50 metropolitan areas with the best health insurance coverage. Metro areas are ranked based on the share of residents under age 65 — the age of eligibility for Medicare — who are uninsured.
Nearly half of the metropolitan areas on this list are concentrated in the Northeastern United States, including all five metro areas in Massachusetts. Massachusetts was a national leader in health care reform, enacting laws that led to near-universal coverage almost half a decade before the Affordable Care Act was signed into law under the Obama Administration.
Click here to see the U.S. metros with the best health insurance coverage.
To determine the metros with the best health insurance coverage in the nation, 24/7 Wall St. reviewed one-year estimates of the percentage of the noninstitutionalized civilian population under 65 without health insurance from the U.S. Census Bureau’s 2019 American Community Survey.
We used the 384 metropolitan statistical areas as delineated by the United States Office of Management and Budget and used by the Census Bureau as our definition of metros.
We selected the under 65 age group because Americans become eligible for Medicare at age 65, and the uninsured rate for the population above this age is less than 1% nationwide. However, because the census doesn’t publish insurance coverage estimates specifically for the under 65 age group, we aggregated the data from more granular age breakdowns.
Each metro was ranked based on its under 65 uninsured rate. The share of the population covered by each type of insurance — Medicare, Medicaid, VA, employer, direct-purchase, and Tricare/military — are for the same cohort and are also aggregated from one-year ACS estimates. The estimates reflect people who are covered by that type of insurance alone or in combination with other types on the list. So, when a person is covered by more than one type of insurance, they are included in each group.
50. Fargo, ND-MN
> Adults under 65, no health insurance: 5.6%
> Adults under 65, Medicare coverage (or multiple types): 1.8% — 30th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 14.2% — 38th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.0% — 113th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 73.5% — 9th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 10.2% — 108th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 2.7% — 96th highest of 384 metros
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49. Corvallis, OR
> Adults under 65, no health insurance: 5.6%
> Adults under 65, Medicare coverage (or multiple types): 1.8% — 32nd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 14.8% — 50th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 76th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.3% — 47th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.8% — 66th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.5% — 157th lowest of 384 metros
48. Utica-Rome, NY
> Adults under 65, no health insurance: 5.6%
> Adults under 65, Medicare coverage (or multiple types): 4.2% — 74th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 30.2% — 51st highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 80th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 57.0% — 148th lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.8% — 189th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.6% — 185th lowest of 384 metros
47. Baltimore-Columbia-Towson, MD
> Adults under 65, no health insurance: 5.6%
> Adults under 65, Medicare coverage (or multiple types): 3.4% — 152nd highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 19.5% — 168th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.3% — 168th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 66.9% — 79th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.5% — 151st highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 3.5% — 72nd highest of 384 metros
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46. Vallejo, CA
> Adults under 65, no health insurance: 5.6%
> Adults under 65, Medicare coverage (or multiple types): 2.5% — 102nd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 20.2% — 183rd lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.7% — 104th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 67.1% — 76th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.6% — 102nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 4.7% — 59th highest of 384 metros
45. Midland, MI
> Adults under 65, no health insurance: 5.5%
> Adults under 65, Medicare coverage (or multiple types): 3.5% — 143rd highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 15.8% — 74th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.8% — 67th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 72.8% — 11th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.7% — 186th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.7% — 42nd lowest of 384 metros
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44. Elizabethtown-Fort Knox, KY
> Adults under 65, no health insurance: 5.5%
> Adults under 65, Medicare coverage (or multiple types): 5.3% — 31st highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 28.9% — 65th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 4.3% — 12th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 54.0% — 103rd lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 4.4% — 2nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 12.3% — 19th highest of 384 metros
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43. Norwich-New London, CT
> Adults under 65, no health insurance: 5.5%
> Adults under 65, Medicare coverage (or multiple types): 2.7% — 129th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 23.5% — 134th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.4% — 171st highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 61.8% — 160th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 6.6% — 52nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 6.8% — 38th highest of 384 metros
42. Bloomington, IL
> Adults under 65, no health insurance: 5.4%
> Adults under 65, Medicare coverage (or multiple types): 3.0% — 174th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 12.6% — 22nd lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.0% — 118th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 65.5% — 99th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 17.5% — 7th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.8% — 59th lowest of 384 metros
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41. San Jose-Sunnyvale-Santa Clara, CA
> Adults under 65, no health insurance: 5.4%
> Adults under 65, Medicare coverage (or multiple types): 1.5% — 13th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 15.5% — 66th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.5% — 9th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 72.2% — 16th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 10.0% — 120th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.4% — 6th lowest of 384 metros
40. Duluth, MN-WI
> Adults under 65, no health insurance: 5.3%
> Adults under 65, Medicare coverage (or multiple types): 3.3% — 172nd highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 21.4% — 178th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.3% — 172nd lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 65.9% — 93rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.6% — 145th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.6% — 187th lowest of 384 metros
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39. Kingston, NY
> Adults under 65, no health insurance: 5.3%
> Adults under 65, Medicare coverage (or multiple types): 3.7% — 129th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 27.9% — 75th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 83rd lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 60.4% — 181st highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.8% — 136th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.8% — 61st lowest of 384 metros
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38. Poughkeepsie-Newburgh-Middletown, NY
> Adults under 65, no health insurance: 5.3%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 140th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 21.4% — 176th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.6% — 29th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 67.1% — 75th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.5% — 172nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.5% — 167th lowest of 384 metros
37. York-Hanover, PA
> Adults under 65, no health insurance: 5.2%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 146th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 20.1% — 181st lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 84th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 68.9% — 51st highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.0% — 126th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.4% — 155th lowest of 384 metros
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36. Minneapolis-St. Paul-Bloomington, MN-WI
> Adults under 65, no health insurance: 5.2%
> Adults under 65, Medicare coverage (or multiple types): 1.7% — 23rd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 17.4% — 107th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.7% — 37th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 71.8% — 17th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.3% — 152nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 68th lowest of 384 metros
35. Des Moines-West Des Moines, IA
> Adults under 65, no health insurance: 5.2%
> Adults under 65, Medicare coverage (or multiple types): 2.1% — 63rd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 21.0% — 187th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.4% — 172nd highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 70.9% — 25th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 6.9% — 62nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.6% — 180th lowest of 384 metros
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34. Bismarck, ND
> Adults under 65, no health insurance: 5.1%
> Adults under 65, Medicare coverage (or multiple types): 1.6% — 16th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 9.1% — 3rd lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.5% — 147th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 76.1% — 4th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.8% — 65th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 2.8% — 89th highest of 384 metros
33. Dubuque, IA
> Adults under 65, no health insurance: 5.1%
> Adults under 65, Medicare coverage (or multiple types): 3.9% — 103rd highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 18.6% — 138th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.2% — 161st lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 71.0% — 23rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.7% — 182nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.3% — 144th lowest of 384 metros
32. San Francisco-Oakland-Berkeley, CA
> Adults under 65, no health insurance: 5.0%
> Adults under 65, Medicare coverage (or multiple types): 1.4% — 11th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 17.0% — 96th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.5% — 15th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 70.1% — 36th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.2% — 77th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.4% — 8th lowest of 384 metros
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31. Monroe, MI
> Adults under 65, no health insurance: 5.0%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 145th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 20.3% — 186th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.8% — 61st lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 70.7% — 31st highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 6.1% — 29th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.2% — 119th lowest of 384 metros
30. La Crosse-Onalaska, WI-MN
> Adults under 65, no health insurance: 5.0%
> Adults under 65, Medicare coverage (or multiple types): 1.3% — 8th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 14.9% — 54th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.8% — 102nd highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 74.3% — 5th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.3% — 82nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.4% — 152nd lowest of 384 metros
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29. Pittsburgh, PA
> Adults under 65, no health insurance: 4.9%
> Adults under 65, Medicare coverage (or multiple types): 3.6% — 139th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 18.9% — 151st lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.1% — 132nd lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.4% — 46th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 10.2% — 107th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 75th lowest of 384 metros
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28. Fond du Lac, WI
> Adults under 65, no health insurance: 4.9%
> Adults under 65, Medicare coverage (or multiple types): 2.4% — 96th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 14.2% — 39th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.8% — 71st lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 77.3% — 2nd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 6.0% — 23rd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.7% — 39th lowest of 384 metros
27. Binghamton, NY
> Adults under 65, no health insurance: 4.9%
> Adults under 65, Medicare coverage (or multiple types): 4.6% — 51st highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 29.5% — 60th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.7% — 52nd lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 59.1% — 183rd lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.2% — 165th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 76th lowest of 384 metros
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26. Grand Forks, ND-MN
> Adults under 65, no health insurance: 4.8%
> Adults under 65, Medicare coverage (or multiple types): 2.9% — 157th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 17.1% — 100th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 2.1% — 67th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 70.4% — 33rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.0% — 84th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 4.5% — 61st highest of 384 metros
25. Johnstown, PA
> Adults under 65, no health insurance: 4.8%
> Adults under 65, Medicare coverage (or multiple types): 4.7% — 48th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 26.3% — 86th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.2% — 157th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 63.0% — 133rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.9% — 118th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.9% — 163rd highest of 384 metros
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24. Morgantown, WV
> Adults under 65, no health insurance: 4.7%
> Adults under 65, Medicare coverage (or multiple types): 3.7% — 128th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 19.3% — 164th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.4% — 179th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.5% — 40th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.9% — 119th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 2.2% — 125th highest of 384 metros
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23. Hartford-East Hartford-Middletown, CT
> Adults under 65, no health insurance: 4.7%
> Adults under 65, Medicare coverage (or multiple types): 2.6% — 123rd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 21.9% — 165th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.8% — 60th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.4% — 44th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.1% — 134th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.8% — 53rd lowest of 384 metros
22. Champaign-Urbana, IL
> Adults under 65, no health insurance: 4.7%
> Adults under 65, Medicare coverage (or multiple types): 2.5% — 108th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 19.5% — 170th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 82nd lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 67.2% — 74th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 13.4% — 37th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 79th lowest of 384 metros
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21. Saginaw, MI
> Adults under 65, no health insurance: 4.6%
> Adults under 65, Medicare coverage (or multiple types): 5.2% — 35th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 32.1% — 38th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.6% — 127th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 58.5% — 173rd lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.1% — 133rd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.7% — 49th lowest of 384 metros
20. Cedar Rapids, IA
> Adults under 65, no health insurance: 4.6%
> Adults under 65, Medicare coverage (or multiple types): 2.3% — 84th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 19.1% — 155th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.8% — 97th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 72.7% — 13th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.1% — 71st lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.8% — 64th lowest of 384 metros
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19. Syracuse, NY
> Adults under 65, no health insurance: 4.5%
> Adults under 65, Medicare coverage (or multiple types): 3.2% — 185th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 25.2% — 103rd highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.4% — 173rd highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 64.5% — 122nd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 12.7% — 47th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.2% — 115th lowest of 384 metros
18. Urban Honolulu, HI
> Adults under 65, no health insurance: 4.4%
> Adults under 65, Medicare coverage (or multiple types): 1.8% — 37th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 16.5% — 84th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.7% — 107th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.4% — 43rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.4% — 157th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 10.5% — 26th highest of 384 metros
17. Providence-Warwick, RI-MA
> Adults under 65, no health insurance: 4.4%
> Adults under 65, Medicare coverage (or multiple types): 3.9% — 112th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 24.6% — 114th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.7% — 51st lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 65.4% — 100th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.0% — 83rd highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.1% — 111th lowest of 384 metros
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16. Burlington-South Burlington, VT
> Adults under 65, no health insurance: 4.3%
> Adults under 65, Medicare coverage (or multiple types): 2.6% — 122nd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 21.5% — 174th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 85th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 66.9% — 80th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 10.0% — 118th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.5% — 163rd lowest of 384 metros
15. Madison, WI
> Adults under 65, no health insurance: 4.3%
> Adults under 65, Medicare coverage (or multiple types): 1.9% — 42nd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 11.5% — 14th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.0% — 110th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 78.1% — 1st highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.2% — 169th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 78th lowest of 384 metros
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14. Ann Arbor, MI
> Adults under 65, no health insurance: 4.3%
> Adults under 65, Medicare coverage (or multiple types): 2.2% — 77th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 13.9% — 34th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.1% — 137th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 72.6% — 14th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.5% — 71st highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.0% — 99th lowest of 384 metros
13. Ithaca, NY
> Adults under 65, no health insurance: 4.3%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 152nd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 15.2% — 60th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 88th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 67.6% — 66th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 20.2% — 1st highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.4% — 11th lowest of 384 metros
12. Elmira, NY
> Adults under 65, no health insurance: 4.2%
> Adults under 65, Medicare coverage (or multiple types): 4.1% — 91st highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 32.9% — 31st highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.4% — 167th highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 56.5% — 136th lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.7% — 183rd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.6% — 188th lowest of 384 metros
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11. Barnstable Town, MA
> Adults under 65, no health insurance: 4.1%
> Adults under 65, Medicare coverage (or multiple types): 2.1% — 64th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 23.2% — 138th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.5% — 18th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 63.7% — 127th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.3% — 75th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 2.1% — 133rd highest of 384 metros
10. Springfield, MA
> Adults under 65, no health insurance: 4.0%
> Adults under 65, Medicare coverage (or multiple types): 3.5% — 147th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 30.7% — 46th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.7% — 44th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 60.6% — 178th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.9% — 178th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.0% — 101st lowest of 384 metros
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9. Rochester, NY
> Adults under 65, no health insurance: 4.0%
> Adults under 65, Medicare coverage (or multiple types): 3.8% — 123rd highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 26.1% — 89th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.7% — 38th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 62.7% — 142nd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 11.9% — 62nd highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.7% — 37th lowest of 384 metros
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8. Waterloo-Cedar Falls, IA
> Adults under 65, no health insurance: 3.8%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 155th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 22.8% — 147th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.0% — 116th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.5% — 39th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 7.6% — 103rd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.6% — 27th lowest of 384 metros
7. Pittsfield, MA
> Adults under 65, no health insurance: 3.8%
> Adults under 65, Medicare coverage (or multiple types): 5.4% — 27th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 29.2% — 61st highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.1% — 125th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 62.7% — 143rd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.8% — 192nd highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.9% — 83rd lowest of 384 metros
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6. Boston-Cambridge-Newton, MA-NH
> Adults under 65, no health insurance: 3.7%
> Adults under 65, Medicare coverage (or multiple types): 2.2% — 73rd lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 19.4% — 166th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.6% — 20th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 70.8% — 27th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 10.6% — 95th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 0.7% — 38th lowest of 384 metros
5. Worcester, MA-CT
> Adults under 65, no health insurance: 3.7%
> Adults under 65, Medicare coverage (or multiple types): 2.8% — 150th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 26.0% — 93rd highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 0.9% — 95th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 66.1% — 91st highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 8.0% — 122nd lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.1% — 112th lowest of 384 metros
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4. California-Lexington Park, MD
> Adults under 65, no health insurance: 3.6%
> Adults under 65, Medicare coverage (or multiple types): 4.0% — 101st highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 22.2% — 159th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 2.3% — 51st highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 61.4% — 168th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 4.6% — 4th lowest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 12.9% — 17th highest of 384 metros
3. Albany-Schenectady-Troy, NY
> Adults under 65, no health insurance: 3.5%
> Adults under 65, Medicare coverage (or multiple types): 3.0% — 170th lowest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 20.0% — 178th lowest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.0% — 104th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 69.4% — 42nd highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.9% — 127th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.4% — 147th lowest of 384 metros
2. Glens Falls, NY
> Adults under 65, no health insurance: 3.4%
> Adults under 65, Medicare coverage (or multiple types): 5.4% — 28th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 26.8% — 81st highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.5% — 151st highest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 59.0% — 178th lowest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 13.4% — 36th highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.6% — 183rd lowest of 384 metros
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1. Buffalo-Cheektowaga, NY
> Adults under 65, no health insurance: 3.2%
> Adults under 65, Medicare coverage (or multiple types): 3.2% — 179th highest of 384 metros
> Adults under 65, Medicaid coverage (or multiple types): 26.4% — 85th highest of 384 metros
> Adults under 65, VA coverage (or multiple types): 1.2% — 166th lowest of 384 metros
> Adults under 65, employer-based insurance (or multiple types): 65.1% — 107th highest of 384 metros
> Adults under 65, direct-purchase insurance (or multiple types): 9.3% — 163rd highest of 384 metros
> Adults under 65, Tricare/military insurance (or many types): 1.2% — 129th lowest of 384 metros
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