Insurance - Uninsured Adults

The lack of health insurance is considered a key driver of health status.

This indicator reports the percentage of adults age 18 to 64 without health insurance coverage. This indicator is relevant because lack of insurance is a primary barrier to healthcare access including regular primary care, specialty care, and other health services that contributes to poor health status.
Report Area Total Population
Age 18 - 64
Population with Medical Insurance Percent Population with Medical Insurance Population without Medical Insurance Percent Population without Medical Insurance
Franklin County, PA 89,668 80,133 89.37% 9,535 10.63%
Pennsylvania 7,651,209 6,973,720 91.15% 677,489 8.85%
United States 194,584,952 168,884,012 86.79% 25,700,940 13.21%
Note: This Indicator is compared with the state average.
Data Source: US Census Bureau, American Community Survey. 2015. Source geography: County

Uninsured Population Age 18 - 64 by Race/Ethnicity, Percent
Report Area Non-Hispanic White Non-Hispanic Black Hispanic / Latino
Pennsylvania 7.07% 12.93% 22.31%
United States 8.93% 15.42% 27.61%

Uninsured Population Age 18 - 64, Percent by Year, 2010 through 2015
Report Area 2010 2011 2012 2013 2014 2015
Franklin County, PA 16.7% 17.1% 15.9% 16% 14.6% 10.60%
Pennsylvania 14.54% 14.32% 13.97% 13.83% 11.87% 8.83%
United States 21.52% 21.11% 20.76% 20.44% 16.37% 13.21%
Website Updated December 11 2017 Site Reviewed January 05 2018

Insurance - Uninsured Adults

Data Background

The Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. It is currently the only dataset providing complete health-insurance coverage estimates. The models predict state and county level insurance estimates for total populations, as well as population groups defined by age, sex, race and income.

The SAHIE program models health insurance coverage by combining survey data with population estimates and administrative records. SAHIE estimates are a product of the US Census Bureau with funding from the Centers for Disease Control and Prevention.

The SAHIE health insurance models use data from the following sources:

  • American Community Survey
  • Internal Revenue Service: Federal Tax Returns
  • Supplemental Nutrition Assistance Program (SNAP): Participation Records
  • County Business Patterns
  • Medicaid and Children's Health Insurance Program (CHIP): Participation Records
  • US Census 2010


Counts of the number of persons without medical insurance are modelled for the Small Area Income and Health Insurance Estimates (SAHIE) datasets by the Census Bureau using both survey and census data. In this reporting platform, indicator percentages are summarized from the SAHIE estimates based on the following formula:

Percentage = SUM [Uninsured Population] / SUM [Total Population] * 100

For more information about the data used in these estimates, please visit the Small Area Health Insurance Estimates website and view the provided Data Inputs page.


Race and Ethnicity
Race and ethnicity (Hispanic origin) are collected as two separate categories based on methods established by the U.S. Office of Management and Budget (OMB) in 1997. Data reported from the US Census Bureau's Small Area Health Insurance Estimates (SAHIE) program is available by combined race and ethnicity, and is reported only for state and national data summaries. County level statistics by race and ethnicity are not provided for this indicator from the data source. Detailed race/ethnicity data may be available from a local source.

Courtesy: Community Commons, <>, December 2017