RANKING · 2024 ACS · 67 SHOWN OF 67

Highest Medicaid coverage, Alabama counties

Alabama counties 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 67 counties in Alabama that qualify, ranked against each other statewide.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Bullock County, ALAL9,78041.0%+6.6 pts

02Perry County, ALAL7,42539.7%+4.1 pts

03Dallas County, ALAL35,14038.1%+4.0 pts

04Wilcox County, ALAL9,66637.7%+0.4 pts

05Conecuh County, ALAL10,89936.5%+11.4 pts

06Greene County, ALAL7,06735.9%+5.6 pts

07Lowndes County, ALAL9,35932.3%−1.4 pts

08Sumter County, ALAL11,58830.4%−3.8 pts

09Clarke County, ALAL22,01430.2%+4.1 pts

10Barbour County, ALAL24,60729.7%−2.9 pts

11Hale County, ALAL15,19429.0%−2.9 pts

12Winston County, ALAL23,82928.5%+2.7 pts

13Monroe County, ALAL18,96528.1%+3.0 pts

14Geneva County, ALAL27,55428.0%+3.0 pts

15Butler County, ALAL18,10027.6%+4.0 pts

16Macon County, ALAL18,13226.9%+0.3 pts

17Marengo County, ALAL18,31126.9%+3.2 pts

18Fayette County, ALAL15,87226.7%+1.2 pts

19Marion County, ALAL29,09726.5%+2.6 pts

20Chambers County, ALAL34,25326.4%+2.9 pts

21Pickens County, ALAL18,22126.2%−2.8 pts

22DeKalb County, ALAL74,08526.1%+2.1 pts

23Escambia County, ALAL36,66526.1%+6.6 pts

24Lamar County, ALAL13,58725.4%+2.7 pts

25Choctaw County, ALAL11,90425.1%+0.7 pts

26Calhoun County, ALAL115,83425.1%+3.2 pts

27Russell County, ALAL58,89825.0%−0.8 pts

28Dale County, ALAL49,91224.9%+2.3 pts

29Talladega County, ALAL81,60324.9%+1.6 pts

30Covington County, ALAL37,94724.2%+5.0 pts

31Franklin County, ALAL32,44924.0%+1.1 pts

32Montgomery County, ALAL225,89124.0%+0.0 pts

33Coosa County, ALAL10,16123.9%+5.2 pts

34Bibb County, ALAL22,26223.8%−0.2 pts

35Crenshaw County, ALAL13,17523.8%−2.9 pts

36Houston County, ALAL110,31823.8%+1.6 pts

37Etowah County, ALAL103,88623.1%+2.4 pts

38Jackson County, ALAL54,28122.6%+0.7 pts

39Walker County, ALAL65,14022.5%+1.8 pts

40Mobile County, ALAL411,65822.3%−0.6 pts

41Marshall County, ALAL103,53722.1%−1.0 pts

42Pike County, ALAL33,68822.1%+1.9 pts

43Henry County, ALAL18,39422.1%+0.3 pts

44Clay County, ALAL14,20722.0%−2.2 pts

45Tallapoosa County, ALAL40,95321.8%−0.6 pts

46Cherokee County, ALAL26,41321.4%+3.6 pts

47Randolph County, ALAL23,16321.2%+0.3 pts

48Chilton County, ALAL47,70821.1%+0.0 pts

49Blount County, ALAL60,15621.0%+4.2 pts

50Colbert County, ALAL59,47420.8%+2.8 pts

51Jefferson County, ALAL665,74220.8%+1.1 pts

52Cleburne County, ALAL15,97019.7%+2.5 pts

53Lawrence County, ALAL33,84319.2%+0.3 pts

54Morgan County, ALAL126,48319.0%−0.1 pts

55Washington County, ALAL14,82218.7%−2.6 pts

56Cullman County, ALAL94,00918.6%+0.3 pts

57Coffee County, ALAL56,95318.3%−1.1 pts

58St. Clair County, ALAL98,20617.8%+2.5 pts

59Tuscaloosa County, ALAL241,36817.1%−0.3 pts

60Autauga County, ALAL61,92016.2%−1.2 pts

61Elmore County, ALAL91,57716.2%+1.4 pts

62Lauderdale County, ALAL97,13516.0%−0.5 pts

63Limestone County, ALAL122,92814.5%−2.0 pts

64Baldwin County, ALAL267,76114.5%−0.8 pts

65Lee County, ALAL189,88113.4%−0.7 pts

66Madison County, ALAL433,51612.9%−0.3 pts

67Shelby County, ALAL238,5529.8%+0.2 pts

SHOWING 1–67 OF 67

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES