countyscore

Health · Alabama

Healthiest Counties in Alabama 2026

Ranked by life expectancy, uninsured rates, and health care access.

Top 10 — Health in Alabama

Score reflects health only — not overall county quality.

1Shelby County, AL
81.1
2Madison County, AL
63
3Baldwin County, AL
58.7
4Limestone County, AL
55.4
5Autauga County, AL
54.9
6Lee County, AL
53.6
7Elmore County, AL
49
8Lauderdale County, AL
46
9St. Clair County, AL
44.3
10Tuscaloosa County, AL
43.3

All Alabama Counties — Health Rankings

67 counties ranked by health score. Overall Score shown for context.

#CountyHealth ScoreOverall Score
1Shelby County, AL
81.1
58.5
2Madison County, AL
63
61.9
3Baldwin County, AL
58.7
48.6
4Limestone County, AL
55.4
42.9
5Autauga County, AL
54.9
41.9
6Lee County, AL
53.6
42.1
7Elmore County, AL
49
52.1
8Lauderdale County, AL
46
53.9
9St. Clair County, AL
44.3
49.4
10Tuscaloosa County, AL
43.3
39.7
11Coffee County, AL
39.8
44
12Jefferson County, AL
38
34.7
13Colbert County, AL
33.4
51.9
14Chilton County, AL
31.1
45.9
15Houston County, AL
30.9
53.7
16Dale County, AL
30.7
45.9
17Cherokee County, AL
30.3
49.9
18Winston County, AL
30.2
60.4
19Cullman County, AL
30
49.7
20Coosa County, AL
29.8
55.8
21Pike County, AL
29.4
47.3
22Lamar County, AL
29.1
66.3
23Henry County, AL
28.8
55.8
24Morgan County, AL
28.3
62.9
25Marshall County, AL
28.2
54.8
26Washington County, AL
27.7
65.4
27Marion County, AL
27.6
58.2
28Blount County, AL
26.9
52.9
29Bibb County, AL
26.6
49.2
30Tallapoosa County, AL
26.6
50.7
31Covington County, AL
26
55.6
32Calhoun County, AL
25.4
44.2
33Randolph County, AL
25.3
56.9
34Montgomery County, AL
25.2
48.5
35Choctaw County, AL
24.6
54.7
36Clay County, AL
24.6
60.4
37Etowah County, AL
23.9
47.7
38Mobile County, AL
23.9
33
39Cleburne County, AL
23.8
57.6
40Talladega County, AL
23.7
46.9
41Butler County, AL
22.8
45
42Pickens County, AL
22.7
66.6
43Macon County, AL
22.3
55.9
44Sumter County, AL
22.3
59.1
45Geneva County, AL
22
61.9
46Marengo County, AL
21.6
48.3
47Lawrence County, AL
20.5
59
48Greene County, AL
20.3
56.6
49Barbour County, AL
20
46
50Lowndes County, AL
18.9
55.6
51Fayette County, AL
18.8
54.2
52Monroe County, AL
18.5
52.2
53Jackson County, AL
18.4
61.9
54Dallas County, AL
18.3
49.1
55Conecuh County, AL
18.2
58.6
56Russell County, AL
18
55
57Crenshaw County, AL
17.8
55.9
58Chambers County, AL
17.6
44.8
59Hale County, AL
17.2
66.4
60Clarke County, AL
17.1
48.1
61Perry County, AL
16.7
67.4
62Bullock County, AL
16
52.6
63Franklin County, AL
16
55.6
64Escambia County, AL
15.7
46.3
65Walker County, AL
15.3
47
66DeKalb County, AL
13.7
62
67Wilcox County, AL
11.9
58.3

Explore More

Best overall counties in AlabamaFull Health data on HealthByCounty