RANKING · 2024 ACS · 27 SHOWN OF 27

Highest Medicaid coverage, Montana cities

Montana 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 27 cities in Montana that qualify, ranked against each other statewide. The median across all 27 is 21.3%. Biggest climber in the top 100 since 2020: Lewistown, MT, up 10 places to #6.

MontanaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

RANKPLACESTATEPOPMEDICAIDVS 2020

01▲7Great Falls, MTMT60,20827.0%+1.8 pts

02▲1Anaconda-Deer Lodge County, MTMT9,70927.0%−1.1 pts

03▲8Polson, MTMT5,65326.5%+2.3 pts

04Evergreen, MTMT9,61125.8%−1.6 pts

05▼4Hamilton, MTMT5,45125.5%−12.4 pts

06▲10Lewistown, MTMT6,17925.2%+4.3 pts

07Havre, MTMT9,26424.5%−1.9 pts

08▲4Miles City, MTMT8,45024.1%+0.5 pts

09▼7Kalispell, MTMT31,85124.1%−6.1 pts

10▼1Butte-Silver Bow, MTMT35,46923.6%−0.9 pts

11▲8Lockwood, MTMT7,18123.5%+4.4 pts

12▼7Columbia Falls, MTMT5,75323.3%−3.7 pts

13▼7Helena Valley Southeast, MTMT9,10822.7%−3.8 pts

14▼4Helena Valley West Central, MTMT8,05621.3%−3.1 pts

15▼2Livingston, MTMT9,29020.4%−2.9 pts

16▲1Billings, MTMT121,23920.3%−0.1 pts

17▼2Laurel, MTMT7,20520.1%−0.8 pts

18▲3Helena, MTMT35,13820.0%+2.4 pts

19▼5Belgrade, MTMT13,10718.8%−2.7 pts

20▼2Sidney, MTMT6,21717.8%−1.8 pts

21▲2Orchard Homes, MTMT5,58817.8%+3.2 pts

22▼2Missoula, MTMT78,90317.5%−1.5 pts

23▼1Bigfork, MTMT5,56515.7%+0.8 pts

24▲3Helena Valley Northwest, MTMT5,18315.6%+6.9 pts

25▼1Four Corners, MTMT5,79113.3%−0.6 pts

26▼1Whitefish, MTMT9,35812.9%+0.4 pts

27▼1Bozeman, MTMT58,81411.6%−0.8 pts

SHOWING 1–27 OF 27

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