RANKING · 2020 CENSUS · 67 SHOWN OF 67

Highest Medicaid coverage, Alabama counties · 2020

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

AlabamaAll states All rankings

SAME RANKING BYCities 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 –

01Wilcox County, ALAL9,66637.3%–

02Perry County, ALAL7,42535.6%–

03Bullock County, ALAL9,78034.4%–

04Sumter County, ALAL11,58834.2%–

05Dallas County, ALAL35,14034.1%–

06Lowndes County, ALAL9,35933.7%–

07Barbour County, ALAL24,60732.6%–

08Hale County, ALAL15,19431.9%–

09Greene County, ALAL7,06730.3%–

10Pickens County, ALAL18,22129.0%–

11Crenshaw County, ALAL13,17526.7%–

12Macon County, ALAL18,13226.6%–

13Clarke County, ALAL22,01426.1%–

14Russell County, ALAL58,89825.8%–

15Winston County, ALAL23,82925.8%–

16Fayette County, ALAL15,87225.5%–

17Conecuh County, ALAL10,89925.1%–

18Monroe County, ALAL18,96525.1%–

19Geneva County, ALAL27,55425.0%–

20Choctaw County, ALAL11,90424.4%–

21Clay County, ALAL14,20724.2%–

22Bibb County, ALAL22,26224.0%–

23DeKalb County, ALAL74,08524.0%–

24Montgomery County, ALAL225,89124.0%–

25Marion County, ALAL29,09723.9%–

26Marengo County, ALAL18,31123.7%–

27Butler County, ALAL18,10023.6%–

28Chambers County, ALAL34,25323.5%–

29Talladega County, ALAL81,60323.3%–

30Marshall County, ALAL103,53723.1%–

31Franklin County, ALAL32,44922.9%–

32Mobile County, ALAL411,65822.9%–

33Lamar County, ALAL13,58722.7%–

34Dale County, ALAL49,91222.6%–

35Tallapoosa County, ALAL40,95322.4%–

36Houston County, ALAL110,31822.2%–

37Jackson County, ALAL54,28121.9%–

38Calhoun County, ALAL115,83421.9%–

39Henry County, ALAL18,39421.8%–

40Washington County, ALAL14,82221.3%–

41Chilton County, ALAL47,70821.1%–

42Randolph County, ALAL23,16320.9%–

43Etowah County, ALAL103,88620.7%–

44Walker County, ALAL65,14020.7%–

45Pike County, ALAL33,68820.2%–

46Jefferson County, ALAL665,74219.7%–

47Escambia County, ALAL36,66519.5%–

48Coffee County, ALAL56,95319.4%–

49Covington County, ALAL37,94719.2%–

50Morgan County, ALAL126,48319.1%–

51Lawrence County, ALAL33,84318.9%–

52Coosa County, ALAL10,16118.7%–

53Cullman County, ALAL94,00918.3%–

54Colbert County, ALAL59,47418.0%–

55Cherokee County, ALAL26,41317.8%–

56Autauga County, ALAL61,92017.4%–

57Tuscaloosa County, ALAL241,36817.4%–

58Cleburne County, ALAL15,97017.2%–

59Blount County, ALAL60,15616.8%–

60Lauderdale County, ALAL97,13516.5%–

61Limestone County, ALAL122,92816.5%–

62St. Clair County, ALAL98,20615.3%–

63Baldwin County, ALAL267,76115.3%–

64Elmore County, ALAL91,57714.8%–

65Lee County, ALAL189,88114.1%–

66Madison County, ALAL433,51613.2%–

67Shelby County, ALAL238,5529.6%–

SHOWING 1–67 OF 67

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU DECENNIAL CENSUS