RANKING · 2020 CENSUS · 121 SHOWN OF 121

Highest Medicaid coverage, Alabama cities · 2020

Alabama cities ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2020 ACS). This list covers the 121 cities in Alabama that qualify, ranked against each other statewide. The median across all 121 is 19.5%.

AlabamaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS –

01Prichard, ALAL18,82542.4%–

02Selma, ALAL16,07738.5%–

03Tarrant, ALAL5,63936.3%–

04Eufaula, ALAL12,43735.0%–

05Atmore, ALAL8,36034.2%–

06Bessemer, ALAL24,98432.2%–

07Chickasaw, ALAL6,16631.3%–

08Demopolis, ALAL6,64130.3%–

09Monroeville, ALAL5,75830.2%–

10Talladega, ALAL14,84029.3%–

11Sylacauga, ALAL12,05529.0%–

12Birmingham, ALAL195,89328.6%–

13Center Point, ALAL15,53828.4%–

14Albertville, ALAL23,71028.0%–

15Gadsden, ALAL33,36727.9%–

16Attalla, ALAL5,80727.8%–

17Tuskegee, ALAL8,64427.7%–

18Rainsville, ALAL6,02027.5%–

19Anniston, ALAL20,93027.3%–

20Lanett, ALAL6,78127.2%–

21Russellville, ALAL10,90426.5%–

22Columbiana, ALAL5,10626.4%–

23Sheffield, ALAL9,41626.4%–

24Montgomery, ALAL195,30025.6%–

25Saks, ALAL10,68125.1%–

26Scottsboro, ALAL16,12325.1%–

27Phenix City, ALAL38,34424.8%–

28Alexander City, ALAL14,51524.8%–

29Guntersville, ALAL9,39424.5%–

30Wetumpka, ALAL7,53524.4%–

31Boaz, ALAL10,61924.1%–

32Fort Payne, ALAL15,18924.0%–

33Mobile, ALAL200,82423.9%–

34Ozark, ALAL14,26923.9%–

35Hamilton, ALAL6,76923.8%–

36Fairfield, ALAL9,48323.7%–

37Opp, ALAL6,73823.6%–

38Arab, ALAL9,06123.6%–

39Valley, ALAL10,29423.4%–

40Greenville, ALAL6,91223.4%–

41Roanoke, ALAL5,44023.3%–

42Robertsdale, ALAL7,76123.3%–

43Hueytown, ALAL16,15922.9%–

44Bay Minette, ALAL8,55522.6%–

45Dothan, ALAL72,06022.1%–

46Tillmans Corner, ALAL17,67721.7%–

47Smiths Station, ALAL5,59621.6%–

48Lincoln, ALAL8,11020.8%–

49Decatur, ALAL58,05620.7%–

50Jacksonville, ALAL14,40020.7%–

51Tuscumbia, ALAL9,33220.6%–

52Loxley, ALAL6,13120.1%–

53Enterprise, ALAL31,21120.0%–

54Grayson Valley, ALAL6,07720.0%–

55Holtville, ALAL5,15820.0%–

56Jasper, ALAL14,58520.0%–

57Clanton, ALAL9,28919.9%–

58Oneonta, ALAL7,02219.9%–

59Pinson, ALAL7,83019.9%–

60Clay, ALAL10,19819.5%–

61Margaret, ALAL7,14919.5%–

62Opelika, ALAL35,76519.5%–

63Florence, ALAL42,58119.4%–

64Rainbow City, ALAL10,40619.1%–

65Fultondale, ALAL9,30719.1%–

66Forestdale, ALAL9,74218.6%–

67Tuscaloosa, ALAL114,31618.0%–

68Oxford, ALAL22,19917.8%–

69Pell City, ALAL14,32017.8%–

70Northport, ALAL31,64817.6%–

71Andalusia, ALAL8,76317.4%–

72Athens, ALAL34,20917.3%–

73Irondale, ALAL13,54517.3%–

74Leeds, ALAL12,83116.9%–

75Huntsville, ALAL233,62716.5%–

76Hartselle, ALAL16,31216.4%–

77Prattville, ALAL40,58216.0%–

78Saraland, ALAL16,65215.8%–

79Troy, ALAL18,02215.8%–

80Brewton, ALAL5,11315.8%–

81Daphne, ALAL31,39615.6%–

82Satsuma, ALAL6,85114.8%–

83Headland, ALAL5,60314.4%–

84Cullman, ALAL20,79914.2%–

85Millbrook, ALAL17,62313.8%–

86Spanish Fort, ALAL11,20313.7%–

87Moody, ALAL13,55913.1%–

88Montevallo, ALAL7,87213.0%–

89Southside, ALAL9,71812.9%–

90Moores Mill, ALAL6,37812.6%–

91Calera, ALAL18,99212.4%–

92Harvest, ALAL5,95512.3%–

93Muscle Shoals, ALAL17,66612.2%–

94Odenville, ALAL6,02312.0%–

95Foley, ALAL30,35412.0%–

96McCalla, ALAL13,25312.0%–

97Gardendale, ALAL16,42512.0%–

98Alabaster, ALAL34,74811.8%–

99Helena, ALAL23,38810.1%–

100Pleasant Grove, ALAL9,3469.6%–

101Semmes, ALAL6,2599.6%–

102Fairhope, ALAL26,6259.3%–

103Gulf Shores, ALAL17,3949.1%–

104Triana, ALAL5,2448.7%–

105Hoover, ALAL93,5508.6%–

106Orange Beach, ALAL8,7988.5%–

107Chelsea, ALAL17,7167.7%–

108Vestavia Hills, ALAL38,3067.3%–

109Auburn, ALAL85,1137.0%–

110Madison, ALAL67,9686.7%–

111Pike Road, ALAL11,8996.7%–

112Meridianville, ALAL11,1506.6%–

113Glencoe, ALAL5,4266.0%–

114Pelham, ALAL25,6645.3%–

115Brook Highland, ALAL8,1465.3%–

116Trussville, ALAL27,2735.0%–

117Homewood, ALAL28,1184.8%–

118Springville, ALAL5,5974.0%–

119Highland Lakes, ALAL5,8662.5%–

120Meadowbrook, ALAL9,1172.2%–

121Mountain Brook, ALAL21,6611.9%–

SHOWING 1–121 OF 121

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS