19 of 20 US counties with lowest health insurance coverage located in Texas

AUSTIN (KXAN) — A recent study found some individuals may be forgoing health insurance and instead making the tradeoff for their financial well-being.

SmartAsset, a financial technology company, said it ranked U.S. counties based on the rate of people under age 65 who were insured in 2024. Of the top 20, 19 counties with the least health insurance coverage were in Texas.

“In 2024, the average annual premium for a single individual was nearly $9,000 – and an estimated $25,500 for a family of four,” SmartAsset said.