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RANKING · 2024 ACS · 121 SHOWN OF 121

Highest Medicaid coverage, Alabama cities

Alabama cities ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). This list covers the 121 cities in Alabama that qualify, ranked against each other statewide. The median across all 121 is 19.8%. Biggest climber in the top 100 since 2020: Andalusia, AL, up 62 places to #9.

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Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01Prichard, ALAL18,82540.4%−2.0 pts
02Selma, ALAL16,07740.4%+1.9 pts
03▲4Chickasaw, ALAL6,16636.8%+5.5 pts
04▼1Tarrant, ALAL5,63934.0%−2.3 pts
05▲31Fairfield, ALAL9,48333.7%+10.0 pts
06Bessemer, ALAL24,98433.3%+1.1 pts
07▲18Saks, ALAL10,68132.6%+7.5 pts
08▲7Gadsden, ALAL33,36732.3%+4.4 pts
09▲62Andalusia, ALAL8,76331.6%+14.2 pts
10▼6Eufaula, ALAL12,43731.4%−3.6 pts
11Sylacauga, ALAL12,05531.3%+2.3 pts
12▲8Lanett, ALAL6,78131.1%+3.9 pts
13▼3Talladega, ALAL14,84030.7%+1.4 pts
14▲7Russellville, ALAL10,90430.1%+3.6 pts
15▲29Bay Minette, ALAL8,55530.0%+7.4 pts
16▲18Ozark, ALAL14,26929.9%+6.0 pts
17▲23Greenville, ALAL6,91229.8%+6.4 pts
18▼9Monroeville, ALAL5,75829.7%−0.5 pts
19▼14Atmore, ALAL8,36029.5%−4.7 pts
20▼7Center Point, ALAL15,53829.4%+1.0 pts
21▼2Anniston, ALAL20,93029.3%+2.0 pts
22▲19Roanoke, ALAL5,44029.1%+5.8 pts
23▼11Birmingham, ALAL195,89328.8%+0.2 pts
24▲15Valley, ALAL10,29428.8%+5.4 pts
25▲26Tuscumbia, ALAL9,33228.7%+8.1 pts
26▼9Tuskegee, ALAL8,64428.4%+0.7 pts
27▲5Fort Payne, ALAL15,18928.1%+4.1 pts
28▲3Boaz, ALAL10,61928.1%+4.0 pts
29▲14Hueytown, ALAL16,15928.0%+5.1 pts
30▲7Opp, ALAL6,73828.0%+4.4 pts
31▲4Hamilton, ALAL6,76927.9%+4.1 pts
32▼24Demopolis, ALAL6,64127.7%−2.6 pts
33▼19Albertville, ALAL23,71027.6%−0.4 pts
34▲13Smiths Station, ALAL5,59627.4%+5.8 pts
35▼7Alexander City, ALAL14,51527.0%+2.2 pts
36▼9Phenix City, ALAL38,34425.7%+0.9 pts
37▼13Montgomery, ALAL195,30025.7%+0.1 pts
38▼15Sheffield, ALAL9,41625.6%−0.8 pts
39▲25Rainbow City, ALAL10,40625.3%+6.2 pts
40▼14Scottsboro, ALAL16,12324.8%−0.3 pts
41▲4Dothan, ALAL72,06024.4%+2.3 pts
42▲27Pell City, ALAL14,32023.9%+6.1 pts
43▲15Oneonta, ALAL7,02223.9%+4.0 pts
44▲22Forestdale, ALAL9,74223.8%+5.2 pts
45▼16Guntersville, ALAL9,39423.8%−0.7 pts
46▼13Mobile, ALAL200,82423.7%−0.2 pts
47▲8Holtville, ALAL5,15823.5%+3.5 pts
48▲9Clanton, ALAL9,28923.4%+3.5 pts
49▼33Attalla, ALAL5,80723.2%−4.6 pts
50▲15Fultondale, ALAL9,30722.7%+3.6 pts
51▼29Columbiana, ALAL5,10622.5%−3.9 pts
52▲7Pinson, ALAL7,83022.3%+2.4 pts
53▼7Tillmans Corner, ALAL17,67721.5%−0.2 pts
54▲6Clay, ALAL10,19821.1%+1.6 pts
55▼17Arab, ALAL9,06121.1%−2.5 pts
56Jasper, ALAL14,58520.9%+0.9 pts
57▼8Decatur, ALAL58,05620.8%+0.1 pts
58▲42Pleasant Grove, ALAL9,34620.1%+10.5 pts
59▼17Robertsdale, ALAL7,76120.0%−3.3 pts
60▼10Jacksonville, ALAL14,40019.8%−0.9 pts
61▲7Oxford, ALAL22,19919.8%+2.0 pts
62▼8Grayson Valley, ALAL6,07719.1%−0.9 pts
63Florence, ALAL42,58119.0%−0.4 pts
64▲30Odenville, ALAL6,02318.9%+6.9 pts
65▲2Tuscaloosa, ALAL114,31618.6%+0.6 pts
66▼4Opelika, ALAL35,76518.5%−1.0 pts
67▼6Margaret, ALAL7,14918.4%−1.1 pts
68▲11Troy, ALAL18,02218.2%+2.4 pts
69▲1Northport, ALAL31,64818.1%+0.5 pts
70▲6Hartselle, ALAL16,31218.1%+1.7 pts
71▲9Brewton, ALAL5,11318.0%+2.2 pts
72▼19Enterprise, ALAL31,21117.7%−2.3 pts
73▼25Lincoln, ALAL8,11017.7%−3.1 pts
74▲14Montevallo, ALAL7,87217.7%+4.7 pts
75▲26Semmes, ALAL6,25917.5%+7.9 pts
76▲21Gardendale, ALAL16,42517.4%+5.4 pts
77▲36Glencoe, ALAL5,42617.3%+11.3 pts
78▼4Leeds, ALAL12,83116.9%0.0 pts
79▼1Saraland, ALAL16,65216.3%+0.5 pts
80▲13Muscle Shoals, ALAL17,66615.8%+3.6 pts
81▼6Huntsville, ALAL233,62715.7%−0.8 pts
82▼9Irondale, ALAL13,54515.7%−1.6 pts
83▲9Harvest, ALAL5,95515.5%+3.2 pts
84Cullman, ALAL20,79915.2%+1.0 pts
85▼8Prattville, ALAL40,58215.1%−0.9 pts
86▼14Athens, ALAL34,20914.6%−2.7 pts
87▼35Loxley, ALAL6,13114.4%−5.7 pts
88▼3Millbrook, ALAL17,62314.1%+0.3 pts
89▲6Foley, ALAL30,35413.9%+1.9 pts
90▲1Calera, ALAL18,99213.6%+1.2 pts
91▼10Daphne, ALAL31,39613.0%−2.6 pts
92▲4McCalla, ALAL13,25312.5%+0.5 pts
93▲25Springville, ALAL5,59712.4%+8.4 pts
94▼64Wetumpka, ALAL7,53512.3%−12.1 pts
95▼8Moody, ALAL13,55912.2%−0.9 pts
96▼13Headland, ALAL5,60311.9%−2.5 pts
97▼8Southside, ALAL9,71811.7%−1.2 pts
98Alabaster, ALAL34,74811.6%−0.2 pts
99▼17Satsuma, ALAL6,85110.5%−4.3 pts
100▼10Moores Mill, ALAL6,37810.4%−2.2 pts
101▲5Orange Beach, ALAL8,79810.2%+1.7 pts
102▲6Vestavia Hills, ALAL38,30610.1%+2.8 pts
103▲14Homewood, ALAL28,1189.5%+4.7 pts
104▼86Rainsville, ALAL6,0209.4%−18.1 pts
105▼3Fairhope, ALAL26,6259.3%0.0 pts
106▲8Pelham, ALAL25,6649.3%+4.0 pts
107▼2Hoover, ALAL93,5508.7%+0.1 pts
108▼5Gulf Shores, ALAL17,3948.1%−1.0 pts
109▲7Trussville, ALAL27,2737.8%+2.8 pts
110▼1Auburn, ALAL85,1137.7%+0.7 pts
111▼7Triana, ALAL5,2447.1%−1.6 pts
112▼13Helena, ALAL23,3887.0%−3.1 pts
113▼6Chelsea, ALAL17,7166.9%−0.8 pts
114▼2Meridianville, ALAL11,1506.7%+0.1 pts
115▼29Spanish Fort, ALAL11,2036.7%−7.0 pts
116▼6Madison, ALAL67,9686.1%−0.6 pts
117▲3Meadowbrook, ALAL9,1174.8%+2.6 pts
118▼3Brook Highland, ALAL8,1464.8%−0.5 pts
119▼8Pike Road, ALAL11,8994.7%−2.0 pts
120▲1Mountain Brook, ALAL21,6614.1%+2.2 pts
121▼2Highland Lakes, ALAL5,8662.0%−0.5 pts
SHOWING 1–121 OF 121

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES