Professional Documents
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Prepared for:
This chartbook was prepared for the U.S. Department of Health and Human Services Health
Resources and Services Administration’s State Health Access Program (SHAP) by the State
Health Access Data Assistance Center (SHADAC).
Introduction
This chartbook of health insurance coverage estimates is designed to be an easily accessed resource for
State Health Access Program (SHAP) grantees. Estimates for key population groups within your state
are provided in summary map format, with detailed tables for reference. Data provided in this
chartbook are from the 2008 American Community Survey (ACS).
Maps of uninsurance estimates for children and adults, as well as children and adults under
200% FPL
Tables of health insurance coverage estimates for the above mentioned population groups, with
variance information
County-level estimates of uninsurance
Demographic profiles of state populations
Summary Statistics
Any source of health insurance coverage for West Virginia is shown in Exhibit 1. In 2008, 81.9% of the
total population age 0-64 had health insurance coverage. Nearly two thirds (65.1%) had private
coverage, while 21.4% reported having government coverage. This is in contrast to individuals under
200% of the Federal Poverty Level (FPL), of which only 69.0% had insurance, with 32.7% having private
coverage, and 40.8% having government coverage.
Exhibit 1: Any Source of Health Insurance Coverage by Poverty Level, Age 0-64, ACS 2008
90% 81.9%
80%
69.0%
70% 65.1%
60%
50% 40.8%
40% 31.0% 32.7%
30% 21.4%
18.1%
20%
10%
0%
Uninsured Insured Private Coverage Government
Coverage
Total < 200% FPL
Exhibit 2.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-64, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 19 33.1 8.93 66.9 8.93 53.0 8.49 20.3 5.55
White Alone 1,412 17.8 0.53 82.2 0.53 65.9 0.78 20.9 0.56
Black Alone 52 21.0 2.97 79.0 2.97 53.4 4.43 30.6 3.71
Asian Alone 8 20.6 5.89 79.4 5.89 74.0 6.87 5.3 2.66
Multiple/other
27 16.1 2.77 83.9 2.77 49.8 4.96 37.6 4.70
non-Hispanic
Total 1,518 18.1 0.52 81.9 0.52 65.1 0.77 21.4 0.55
Age
0-18 403 7.2 0.70 92.8 0.70 60.4 1.38 36.1 1.34
19-24 138 34.1 1.91 65.9 1.91 56.3 2.06 11.1 1.18
25-44 456 27.7 1.05 72.3 1.05 62.9 1.12 11.6 0.68
45-64 520 13.9 0.65 86.1 0.65 72.8 0.84 21.4 0.70
Total 1,518 18.1 0.52 81.9 0.52 65.1 0.77 21.4 0.55
P o ve r t y L e ve l
0-99% FPL 266 34.1 1.44 65.9 1.44 19.4 1.28 50.5 1.50
100-199% FPL 305 28.3 1.24 71.7 1.24 44.3 1.73 32.3 1.26
200-399% FPL 497 13.6 0.84 86.4 0.84 79.6 1.07 12.0 0.74
400%+ FPL 427 6.6 0.61 93.4 0.61 91.3 0.74 6.3 0.52
Total 1,495 18.3 0.53 81.7 0.53 65.0 0.77 21.4 0.56
Se x
Male 756 17.9 0.62 82.1 0.62 65.0 0.87 23.0 0.71
Female 761 18.3 0.64 81.7 0.64 65.1 0.88 19.9 0.65
Total 1,518 18.1 0.52 81.9 0.52 65.1 0.77 21.4 0.55
Work Status
Not working 303 21.2 0.97 78.8 0.97 46.4 1.23 43.3 1.15
Part-time 164 33.0 1.59 67.0 1.59 58.3 1.67 11.5 1.03
Full-time 673 19.3 0.71 80.7 0.71 78.2 0.74 5.2 0.34
Total 1,140 21.8 0.60 78.2 0.60 66.9 0.71 16.3 0.46
Exhibit 2.3: Sub-State Uninsurance Estimates, Age 0-64, <200% FPL, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 9 52.7 13.23 47.3 13.23 21.5 7.56 32.7 10.94
White Alone 521 31.0 0.98 69.0 0.98 33.2 1.24 40.3 1.03
Black Alone 25 28.4 4.39 71.6 4.39 29.2 4.59 46.9 5.15
Asian Alone * 3 -- -- -- -- -- -- -- --
Multiple/other
14 21.8 4.48 78.2 4.48 22.7 5.94 60.0 6.18
non-Hispanic
Total 571 31.0 0.96 69.0 0.96 32.7 1.18 40.8 1.01
Age
0-18 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
19-24 66 47.5 2.95 52.5 2.95 37.3 2.93 16.6 2.06
25-44 170 47.1 1.82 52.9 1.82 31.0 1.68 23.8 1.47
45-64 152 31.0 1.55 69.0 1.55 34.7 1.63 42.4 1.60
Total 571 31.0 0.96 69.0 0.96 32.7 1.18 40.8 1.01
P o ve r t y L e ve l
0-99% FPL 266 34.1 1.44 65.9 1.44 19.4 1.28 50.5 1.50
100-199% FPL 305 28.3 1.24 71.7 1.24 44.3 1.73 32.3 1.26
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 571 31.0 0.96 69.0 0.96 32.7 1.18 40.8 1.01
Se x
Male 272 29.4 1.23 70.6 1.23 32.5 1.43 43.5 1.36
Female 299 32.5 1.19 67.5 1.19 32.9 1.32 38.4 1.22
Total 571 31.0 0.96 69.0 0.96 32.7 1.18 40.8 1.01
Work Status
Not working 175 28.7 1.43 71.3 1.43 24.1 1.40 54.0 1.56
Part-time 73 55.6 2.49 44.4 2.49 29.6 2.22 17.3 1.85
Full-time 150 46.5 1.81 53.5 1.81 46.6 1.81 9.0 0.94
Total 398 40.4 1.14 59.6 1.14 33.6 1.14 30.3 0.98
Exhibit 2.5: Sub-State Uninsurance Estimates, Age 0-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
<200% FPL
Levels
% SE % SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel 14.6 * 1.6 28.1 3.4
Doddridge, Harrison, Marion, Taylor 21.8 2.1 35.5 3.5
Monongalia, Preston 15.5 1.8 29.3 3.6
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton 15.1 1.4 30.7 3.2
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur 23.6 * 2.5 37.3 4.4
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d 18.8 1.6 31.8 2.8
Cabell, Mason 16.9 1.9 28.9 3.5
Boone, Clay, Kanawha, Putnam 16.0 1.1 29.8 2.2
Fayette, Greenbrier, Nicholas, Pocahontas, Webster 22.8 * 2.2 34.2 3.3
M o n r o e , R a l e i g h , Su m m e r s 17.1 2.3 22.1 * 3.1
McDowell, Mercer, Wyoming 21.2 2.2 34.2 3.4
Lincoln, Logan, Mingo, Wayne 20.0 2.3 29.2 3.4
Exhibit 3.2: Demographic Profile by Source of Health Insurance Coverage, Age 0-18, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 8 24.6 11.57 75.4 11.57 53.2 11.23 28.5 9.57
White Alone 367 7.1 0.70 92.9 0.70 61.6 1.43 35.2 1.38
Black Alone 14 2.6 1.55 97.4 1.55 49.3 8.23 52.3 8.37
Asian Alone * 1 -- -- -- -- -- -- -- --
Multiple/other
13 4.3 2.06 95.7 2.06 43.0 7.15 52.7 7.20
non-Hispanic
Total 403 7.2 0.70 92.8 0.70 60.4 1.38 36.1 1.34
Age
0-18 403 7.2 0.70 92.8 0.70 60.4 1.38 36.1 1.34
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 403 7.2 0.70 92.8 0.70 60.4 1.38 36.1 1.34
P o ve r t y L e ve l
0-99% FPL 86 10.7 2.10 89.3 2.10 16.6 2.07 78.2 2.49
100-199% FPL 96 9.4 1.40 90.6 1.40 43.6 2.88 51.5 2.88
200-399% FPL 135 6.9 1.17 93.1 1.17 81.8 1.84 14.3 1.63
400%+ FPL 74 1.7 0.64 98.3 0.64 95.2 1.06 5.7 1.35
Total 391 7.4 0.72 92.6 0.72 60.6 1.40 35.9 1.36
Se x
Male 208 6.0 0.82 94.0 0.82 61.2 1.70 36.6 1.68
Female 195 8.4 0.94 91.6 0.94 59.6 1.69 35.7 1.62
Total 403 7.2 0.70 92.8 0.70 60.4 1.38 36.1 1.34
Work Status
Not working 11 7.9 2.70 92.1 2.70 63.0 6.14 34.8 6.13
Part-time 10 7.8 3.31 92.2 3.31 83.7 4.26 8.5 2.88
Full-time* 4 -- -- -- -- -- -- -- --
Total 25 8.5 1.97 91.5 1.97 72.7 3.72 21.7 3.52
Exhibit 3.3: Sub-State Uninsurance Estimates, Age 0-18, <200% FPL, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic* 4 -- -- -- -- -- -- -- --
White Alone 163 9.7 1.21 90.3 1.21 32.2 2.05 63.3 2.08
Black Alone 8 3.1 2.26 96.9 2.26 23.5 6.37 79.1 6.60
Asian Alone * 0 -- -- -- -- -- -- -- --
Multiple/other
7 2.4 1.79 97.6 1.79 16.6 7.29 81.0 7.45
non-Hispanic
Total 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
Age
0-18 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
19-24 -- -- -- -- -- -- -- -- --
25-44 -- -- -- -- -- -- -- -- --
45-64 -- -- -- -- -- -- -- -- --
Total 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
P o ve r t y L e ve l
0-99% FPL 86 10.7 2.10 89.3 2.10 16.6 2.07 78.2 2.49
100-199% FPL 96 9.4 1.40 90.6 1.40 43.6 2.88 51.5 2.88
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
Se x
Male 95 8.4 1.54 91.6 1.54 31.1 2.40 65.5 2.54
Female 87 11.8 1.61 88.2 1.61 30.6 2.32 62.7 2.42
Total 182 10.0 1.24 90.0 1.24 30.9 1.91 64.2 1.98
Work Status
Not working 6 14.1 5.27 85.9 5.27 31.0 7.70 60.6 8.31
Part-time* 2 -- -- -- -- -- -- -- --
Full-time* 1 -- -- -- -- -- -- -- --
Total 9 17.1 4.65 82.9 4.65 38.3 6.96 48.1 7.10
Exhibit 3.5: Sub-State Uninsurance Estimates, Age 0-18 by Federal Poverty Level (FPL), ACS 2008
All Poverty
<200% FPL
Levels
% SE % SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel 5.1 1.8 6.8 3.6
Doddridge, Harrison, Marion, Taylor 12.6 3.2 15.4 5.0
Monongalia, Preston 4.9 1.7 8.4 4.1
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton 6.7 1.8 12.3 4.0
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur 13.3 4.8 18.4 7.8
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d 6.9 2.2 8.3 3.5
Cabell, Mason 2.8 * 1.2 4.6 * 2.2
Boone, Clay, Kanawha, Putnam 4.2 * 1.1 5.9 1.9
Fayette, Greenbrier, Nicholas, Pocahontas, Webster 8.1 2.5 13.4 4.5
M o n r o e , R a l e i g h , Su m m e r s 6.7 3.0 4.0 * 2.2
McDowell, Mercer, Wyoming 11.1 3.4 14.7 5.6
Lincoln, Logan, Mingo, Wayne 8.1 2.9 6.7 2.5
Exhibit 4.2: Demographic Profile by Source of Health Insurance Coverage, Age 19-64, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic 10 39.8 9.00 60.2 9.00 52.8 8.39 13.9 4.53
White Alone 1,046 21.6 0.62 78.4 0.62 67.4 0.73 15.9 0.47
Black Alone 38 27.6 3.79 72.4 3.79 54.9 4.26 22.8 3.30
Asian Alone 7 22.3 6.47 77.7 6.47 75.0 6.80 2.7 1.81
Multiple/other
14 27.8 4.80 72.2 4.80 56.5 5.54 22.7 4.40
non-Hispanic
Total 1,115 22.1 0.61 77.9 0.61 66.7 0.71 16.1 0.46
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 138 34.1 1.91 65.9 1.91 56.3 2.06 11.1 1.18
25-44 456 27.7 1.05 72.3 1.05 62.9 1.12 11.6 0.68
45-64 520 13.9 0.65 86.1 0.65 72.8 0.84 21.4 0.70
Total 1,115 22.1 0.61 77.9 0.61 66.7 0.71 16.1 0.46
P o ve r t y L e ve l
0-99% FPL 180 45.4 1.68 54.6 1.68 20.7 1.39 37.2 1.55
100-199% FPL 209 37.0 1.54 63.0 1.54 44.6 1.68 23.5 1.21
200-399% FPL 362 16.1 0.91 83.9 0.91 78.7 1.03 11.2 0.68
400%+ FPL 353 7.7 0.68 92.3 0.68 90.5 0.80 6.5 0.51
Total 1,103 22.1 0.61 77.9 0.61 66.6 0.72 16.3 0.47
Se x
Male 548 22.4 0.74 77.6 0.74 66.4 0.85 17.9 0.65
Female 566 21.7 0.73 78.3 0.73 67.0 0.84 14.4 0.57
Total 1,115 22.1 0.61 77.9 0.61 66.7 0.71 16.1 0.46
Work Status
Not working 292 21.7 0.99 78.3 0.99 45.7 1.24 43.7 1.16
Part-time 154 34.7 1.65 65.3 1.65 56.6 1.71 11.7 1.08
Full-time 669 19.3 0.71 80.7 0.71 78.2 0.75 5.2 0.34
Total 1,115 22.1 0.61 77.9 0.61 66.7 0.71 16.1 0.46
Exhibit 4.3: Sub-State Uninsurance Estimates, Age 19-64, <200% FPL, ACS 2008
Private Government
Population Uninsured Insured
Coverage Coverage
(000) % SE % SE % SE % SE
Race and Ethnicity
Hispanic* 5 -- -- -- -- -- -- -- --
White Alone 357 40.7 1.19 59.3 1.19 33.7 1.20 29.8 1.02
Black Alone 18 39.0 5.63 61.0 5.63 31.6 5.07 33.3 5.15
Asian Alone 2 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00
Multiple/other
7 42.4 7.58 57.6 7.58 29.1 7.68 37.8 7.21
non-Hispanic
Total 389 40.9 1.15 59.1 1.15 33.5 1.15 29.9 0.98
Age
0-18 -- -- -- -- -- -- -- -- --
19-24 66 47.5 2.95 52.5 2.95 37.3 2.93 16.6 2.06
25-44 170 47.1 1.82 52.9 1.82 31.0 1.68 23.8 1.47
45-64 152 31.0 1.55 69.0 1.55 34.7 1.63 42.4 1.60
Total 389 40.9 1.15 59.1 1.15 33.5 1.15 29.9 0.98
P o ve r t y L e ve l
0-99% FPL 180 45.4 1.68 54.6 1.68 20.7 1.39 37.2 1.55
100-199% FPL 209 37.0 1.54 63.0 1.54 44.6 1.68 23.5 1.21
200-399% FPL -- -- -- -- -- -- -- -- --
400%+ FPL -- -- -- -- -- -- -- -- --
Total 389 40.9 1.15 59.1 1.15 33.5 1.15 29.9 0.98
Se x
Male 177 40.7 1.52 59.3 1.52 33.2 1.48 31.6 1.41
Female 212 41.1 1.42 58.9 1.42 33.8 1.35 28.4 1.23
Total 389 40.9 1.15 59.1 1.15 33.5 1.15 29.9 0.98
Work Status
Not working 169 29.2 1.45 70.8 1.45 23.9 1.42 53.8 1.59
Part-time 70 56.6 2.53 43.4 2.53 29.1 2.25 16.8 1.89
Full-time 149 46.7 1.82 53.3 1.82 46.5 1.82 8.9 0.95
Total 389 40.9 1.15 59.1 1.15 33.5 1.15 29.9 0.98
Exhibit 4.5: Sub-State Uninsurance Estimates, Age 19-64 by Federal Poverty Level (FPL), ACS 2008
All Poverty
<200% FPL
Levels
% SE % SE
County
Brooke, Hancock, Marshall, Ohio, Wetzel 18.0 * 1.8 38.0 4.2
Doddridge, Harrison, Marion, Taylor 25.4 2.3 47.8 4.1
Monongalia, Preston 18.8 2.3 36.5 5.0
Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan,
Pendleton 18.5 * 1.6 40.4 3.8
Barbour, Braxton, Gilmer, Lewis, Randolph, Tucker, Upshur 27.1 2.6 47.0 4.2
C a l h o u n , J a c k s o n , P l e a s a n t s , R i t c h i e , R o a n e , T y le r , W ir t , W o o d 22.9 2.0 41.6 3.5
Cabell, Mason 21.7 2.4 39.9 4.6
Boone, Clay, Kanawha, Putnam 20.3 1.4 40.9 3.0
Fayette, Greenbrier, Nicholas, Pocahontas, Webster 27.7 * 2.6 42.5 3.7
M o n r o e , R a l e i g h , Su m m e r s 21.1 2.5 30.9 * 4.1
McDowell, Mercer, Wyoming 24.6 2.4 42.1 3.8
Lincoln, Logan, Mingo, Wayne 24.4 2.6 40.3 4.3
Data Assistance
Several SHADAC resources are available to help SHAP grantees access and utilize data relating to health
insurance coverage estimates, access to care, and understanding available data-specific technical
assistance resources. Resources include: SHADAC’s Data Center, an online table and chart generator;
issue briefs and technical briefs; and information on how to access microdata.
Web page: http://www.shadac.org/shap/technical-assistance/data
HRSA Benchmarks
SHADAC will also assist states in reporting HSRA benchmark data.
Web page: http://www.shadac.org/shap/technical-assistance/HRSA-Benchmarks
Evaluation
SHADAC staff are available to help SHAP grantees refine and implement evaluation plans, to ensure the
fidelity and success of SHAP-funded programs.
Web page: http://www.shadac.org/shap/technical-assistance/evaluations
Surveys
SHADAC has a variety of resources to help SHAP grantees conduct survey research and apply the results
to relevant audiences. SHADAC’s technical assistance can facilitate the sharing of information and
expertise among grantees, help policy makers understand the unique characteristics of state sub-
populations, and provide assistance in developing survey tools and methods.
Definitions: '%' = Percent; 'SE' = Standard error as a percent. Confidence intervals can be calculated
from the standard errors; for example, the 95% confidence interval is ±(1.96 * SE).
Insurance coverage note: Listed Medicaid rates include SCHIP and state-specific public programs. Those
who report multiple types of insurance coverage (i.e., private or public) are included in each category;
therefore, row totals may add to more than 100 percent. Active duty military coverage (e.g., TRICARE) is
considered employer-sponsored insurance, while VA coverage is considered government coverage.
ACS methodology note: The ACS asks respondents about their health insurance coverage at the time of
the interview.
For technical documentation on the ACS please visit http://www.shadac.org/content/acs-info-and-
resources.
Brooke
Hancock
00100 Marshall
Ohio
Wetzel
Doddridge
Harrison
00200
Marion
Taylor
Monongalia
00300
Preston
Berkeley
Grant
Hampshire
Hardy
00400
Jefferson
Mineral
Morgan
Pendleton
Barbour
Braxton
Gilmer
00500 Lewis
Randolph
Tucker
Upshur
Calhoun
Jackson
Pleasants
Ritchie
00600
Roane
Tyler
Wirt
Wood
Cabell
00700
Mason
00800 Boone
Clay
00800 (cont.) Kanawha
Putnam
Fayette
Greenbrier
00900 Nicholas
Pocahontas
Webster
Monroe
01000 Raleigh
Summers
McDowell
01100 Mercer
Wyoming
Lincoln
Logan
01200
Mingo
Wayne
^ Sub-state areas are labeled according to Census Bureau-defined geographical areas known
at PUMAs (Public Use Microdata Areas). For more information on these areas, contact
SHADAC.