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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. The median across all 67 is 23.8%. Biggest climber in the top 100 since 2020: Escambia County, AL, up 24 places to #23.

Highest Medicaid coverage by state
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RANKPLACESTATEPOPMEDICAIDVS 2020
01▲2Bullock County, ALAL9,78041.0%+6.6 pts
02Perry County, ALAL7,42539.7%+4.1 pts
03▲2Dallas County, ALAL35,14038.1%+4.0 pts
04▼3Wilcox County, ALAL9,66637.7%+0.4 pts
05▲12Conecuh County, ALAL10,89936.5%+11.4 pts
06▲3Greene County, ALAL7,06735.9%+5.6 pts
07▼1Lowndes County, ALAL9,35932.3%−1.4 pts
08▼4Sumter County, ALAL11,58830.4%−3.8 pts
09▲4Clarke County, ALAL22,01430.2%+4.1 pts
10▼3Barbour County, ALAL24,60729.7%−2.9 pts
11▼3Hale County, ALAL15,19429.0%−2.9 pts
12▲3Winston County, ALAL23,82928.5%+2.7 pts
13▲5Monroe County, ALAL18,96528.1%+3.0 pts
14▲5Geneva County, ALAL27,55428.0%+3.0 pts
15▲12Butler County, ALAL18,10027.6%+4.0 pts
16▼4Macon County, ALAL18,13226.9%+0.3 pts
17▲9Marengo County, ALAL18,31126.9%+3.2 pts
18▼2Fayette County, ALAL15,87226.7%+1.2 pts
19▲6Marion County, ALAL29,09726.5%+2.6 pts
20▲8Chambers County, ALAL34,25326.4%+2.9 pts
21▼11Pickens County, ALAL18,22126.2%−2.8 pts
22▲1DeKalb County, ALAL74,08526.1%+2.1 pts
23▲24Escambia County, ALAL36,66526.1%+6.6 pts
24▲9Lamar County, ALAL13,58725.4%+2.7 pts
25▼5Choctaw County, ALAL11,90425.1%+0.7 pts
26▲12Calhoun County, ALAL115,83425.1%+3.2 pts
27▼13Russell County, ALAL58,89825.0%−0.8 pts
28▲6Dale County, ALAL49,91224.9%+2.3 pts
29Talladega County, ALAL81,60324.9%+1.6 pts
30▲19Covington County, ALAL37,94724.2%+5.0 pts
31Franklin County, ALAL32,44924.0%+1.1 pts
32▼8Montgomery County, ALAL225,89124.0%0.0 pts
33▲19Coosa County, ALAL10,16123.9%+5.2 pts
34▼12Bibb County, ALAL22,26223.8%−0.2 pts
35▼24Crenshaw County, ALAL13,17523.8%−2.9 pts
36Houston County, ALAL110,31823.8%+1.6 pts
37▲6Etowah County, ALAL103,88623.1%+2.4 pts
38▼1Jackson County, ALAL54,28122.6%+0.7 pts
39▲5Walker County, ALAL65,14022.5%+1.8 pts
40▼8Mobile County, ALAL411,65822.3%−0.6 pts
41▼11Marshall County, ALAL103,53722.1%−1.0 pts
42▲3Pike County, ALAL33,68822.1%+1.9 pts
43▼4Henry County, ALAL18,39422.1%+0.3 pts
44▼23Clay County, ALAL14,20722.0%−2.2 pts
45▼10Tallapoosa County, ALAL40,95321.8%−0.6 pts
46▲9Cherokee County, ALAL26,41321.4%+3.6 pts
47▼5Randolph County, ALAL23,16321.2%+0.3 pts
48▼7Chilton County, ALAL47,70821.1%0.0 pts
49▲10Blount County, ALAL60,15621.0%+4.2 pts
50▲4Colbert County, ALAL59,47420.8%+2.8 pts
51▼5Jefferson County, ALAL665,74220.8%+1.1 pts
52▲6Cleburne County, ALAL15,97019.7%+2.5 pts
53▼2Lawrence County, ALAL33,84319.2%+0.3 pts
54▼4Morgan County, ALAL126,48319.0%−0.1 pts
55▼15Washington County, ALAL14,82218.7%−2.6 pts
56▼3Cullman County, ALAL94,00918.6%+0.3 pts
57▼9Coffee County, ALAL56,95318.3%−1.1 pts
58▲4St. Clair County, ALAL98,20617.8%+2.5 pts
59▼2Tuscaloosa County, ALAL241,36817.1%−0.3 pts
60▼4Autauga County, ALAL61,92016.2%−1.2 pts
61▲3Elmore County, ALAL91,57716.2%+1.4 pts
62▼2Lauderdale County, ALAL97,13516.0%−0.5 pts
63▼2Limestone County, ALAL122,92814.5%−2.0 pts
64▼1Baldwin 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

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