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15 States Where the Most People Have Health Insurance

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More than 9 in 10 people in the U.S. had some type of health insurance coverage in 2021, according to the latest data from the U.S. Census Bureau. Nationwide, 8.3% of Americans went uninsured for the full year.

However, the rates of coverage can vary widely from state to state.

Following are the states with the smallest proportion of uninsured residents and, therefore, the biggest share of people covered by health insurance.

For a look at the states at the opposite end of this spectrum, check out “15 States Where the Most People Lack Health Insurance.”

14. Delaware (three-way tie)

New Jersey from Delaware
Felix Mizioznikov / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.7%
  • 2019: 6.6%
  • 2010: 9.7%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

14. Maine (three-way tie)

Portland Maine lighthouse
E.J.Johnson Photography / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.7%
  • 2019: 8.0%
  • 2010: 10.1%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

14. Kentucky (three-way tie)

Louisville Kentucky
Sean Pavone / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.7%
  • 2019: 6.4%
  • 2010: 15.3%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

13. Pennsylvania

Harrisburg, Pennsylvania
Jon Bilous / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.5%
  • 2019: 5.8%
  • 2010: 10.2%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

12. Wisconsin

Milwaukee, Wisconsin
f11photo / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.4%
  • 2019: 5.7%
  • 2010: 9.4%

State’s Medicaid expansion status as of Jan. 1, 2021: Not expanded

10. New York (tie)

Rochester New York
TarnPisessith / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.2%
  • 2019: 5.2%
  • 2010: 11.9%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

10. Connecticut (tie)

Hartford, Connecticut
Sean Pavone / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.2%
  • 2019: 5.9%
  • 2010: 9.1%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

9. New Hampshire

Concord, New Hampshire
Wangkun Jia / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.1%
  • 2019: 6.3%
  • 2010: 11.1%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

8. Michigan

Monroe, Michigan
Cozyartz Digital Media / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 5.0%
  • 2019: 5.8%
  • 2010: 12.4%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

7. Iowa

Sheldon, Iowa
Joel McCartan / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 4.8%
  • 2019: 5.0%
  • 2010: 9.3%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

6. Minnesota

Minneapolis, Minnesota
nikitsin.smugmug.com / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 4.5%
  • 2019: 4.9%
  • 2010: 9.1%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

5. Rhode Island

Providence, Rhode Island
Sean Pavone / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 4.3%
  • 2019: 4.1%
  • 2010: 12.2%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

4. Hawaii

Lanikai Beach in Kailua, Hawaii
segawa7 / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 3.9%
  • 2019: 4.2%
  • 2010: 7.9%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

2. District of Columbia (tie)

U.S. Capitol
Orhan Cam / Shutterstock.com

District’s population without health insurance coverage in:

  • 2021: 3.7%
  • 2019: 3.5%
  • 2010: 7.6%

District’s Medicaid expansion status as of Jan. 1, 2021: Expanded

2. Vermont (tie)

Lake Memphremagog in Newport, Vermont
NEKVT / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 3.7%
  • 2019: 4.5%
  • 2010: 8.0%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

1. Massachusetts

Boston, Massachusetts
f11photo / Shutterstock.com

State’s population without health insurance coverage in:

  • 2021: 2.5%
  • 2019: 3.0%
  • 2010: 4.4%

State’s Medicaid expansion status as of Jan. 1, 2021: Expanded

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