People Without Health Insurance

What does this measure?

The percentage of people under 65 who are not covered by some form of health insurance, including public sources of health coverage such as Medicaid and Medicare.

Why is this important?

Health insurance is critical to accessing medical care and financial stability. People without insurance may delay necessary care and forgo preventive care altogether, which can lead to more serious and costly medical problems in the future. A major illness or injury can financially ruin an uninsured family.

How does our county compare?

In 2020, 14% of Lancaster County residents under 65 were uninsured. This is higher than statewide rate of 8% and the national rate of 10%. Between 2008 and 2020, the county's uninsured rate fluctuated from a high of 15% in 2012 to a low of 11% in 2015, 2016 and 2019. After lingering around 12% for several years, Pennsylvania's uninsured rate improved starting in 2014 to a low of 7% in 2019. The U.S. rate similarly improved starting in 2014 from several years of around 17% uninsured to 10% uninsured in 2018 and 2020.

Lancaster County had the highest percentage of uninsured people under 65 in 2020 compared to surrounding counties. Lebanon has the next highest uninsured rate at 10%, with the remaining counties clustered at 6-9%.

Notes about the data

Figures are for individuals under 65. Data from before 2008 is not comparable due to a change in the national survey used to collect the information. Data for this indicator are released annually in March, with a 2-year lag.

People Without Health Insurance
Lancaster County13%14%14%14%15%14%13%11%11%12%12%11%14%
Cumberland County9%10%10%10%10%10%9%7%6%7%6%7%7%
Chester County8%9%10%9%9%9%9%6%6%6%6%6%6%
York County10%10%11%12%11%11%9%7%6%7%6%6%7%
Dauphin County10%12%12%12%12%12%10%7%7%7%7%8%9%
Lebanon County12%12%12%11%12%13%11%9%7%9%8%8%10%
Berks County10%12%12%13%13%12%12%9%7%8%7%8%9%

Source: U.S. Census Bureau
Notes: Figures are for people under 65. Figures prior to 2008 are not comparable.

Number of People Without Health Insurance
Lancaster County55,34158,90962,22962,01263,30160,90658,55748,54647,02952,83652,92748,81060,872
Cumberland County17,03717,96218,20318,14218,25418,15416,81713,12611,36512,87111,62813,40314,717
Chester County33,23436,46240,31540,27837,41337,37536,81027,41727,10027,01925,45825,43025,591
York County37,34237,21940,79742,94139,89539,84230,93725,81523,24423,69523,58022,18426,776
Dauphin County22,10626,15426,75826,80826,31527,15923,05916,83115,43115,10315,31617,49219,974
Lebanon County12,20112,39713,09512,11313,38713,62812,0979,5228,1689,5949,1939,08011,401
Berks County34,93341,86742,42543,33144,60341,71539,62829,08025,19025,41025,25225,57531,284

Source: U.S. Census Bureau
Notes: Figures prior to 2008 are not comparable.