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RANKING · 2024 ACS · 102 SHOWN OF 102

Highest Medicaid coverage, Illinois counties

Illinois 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 102 counties in Illinois that qualify, ranked against each other statewide. The median across all 102 is 21.9%. Biggest climber in the top 100 since 2020: Edgar County, IL, up 33 places to #10.

Highest Medicaid coverage by state
RANKPLACESTATEPOPMEDICAIDVS 2020
01Pulaski County, ILIL4,82042.0%+4.4 pts
02Alexander County, ILIL4,57037.1%+0.5 pts
03▲11Union County, ILIL16,65632.7%+6.1 pts
04Franklin County, ILIL36,91631.5%+1.0 pts
05▲4Vermilion County, ILIL71,25930.8%+1.7 pts
06▲1Gallatin County, ILIL4,61630.5%+0.9 pts
07▲8Clay County, ILIL12,79330.3%+3.7 pts
08▼3Hardin County, ILIL3,58829.9%−0.1 pts
09▼6Saline County, ILIL22,77229.4%−2.2 pts
10▲33Edgar County, ILIL16,32328.1%+6.6 pts
11▼5Marion County, ILIL36,38228.1%−1.7 pts
12White County, ILIL13,25028.0%+1.1 pts
13▲4Greene County, ILIL11,31327.6%+1.4 pts
14▲7Coles County, ILIL46,60727.4%+1.8 pts
15▲11Jackson County, ILIL52,50127.2%+2.6 pts
16▲19Warren County, ILIL16,22227.1%+4.5 pts
17▲1Winnebago County, ILIL283,67426.9%+1.0 pts
18▼10Perry County, ILIL20,16026.8%−2.4 pts
19▲10Lawrence County, ILIL13,79026.5%+3.3 pts
20▼9Jefferson County, ILIL36,14726.2%−1.0 pts
21▼1Massac County, ILIL13,50226.2%+0.4 pts
22▲3Wabash County, ILIL10,90726.2%+1.4 pts
23▲16Scott County, ILIL4,86626.1%+4.1 pts
24▲26Johnson County, ILIL13,36326.0%+4.9 pts
25▼15Pope County, ILIL3,67225.9%−2.0 pts
26▼3Fayette County, ILIL20,79025.8%+0.7 pts
27▲3Fulton County, ILIL32,90125.8%+2.8 pts
28▼1Macon County, ILIL99,30025.2%+1.1 pts
29▼16Pike County, ILIL14,23125.1%−1.6 pts
30▼14Ford County, ILIL13,21624.8%−1.7 pts
31▼9Richland County, ILIL15,21924.6%−0.9 pts
32▲22Edwards County, ILIL5,89824.5%+3.6 pts
33▼9Stephenson County, ILIL43,22024.4%−0.5 pts
34▲8Williamson County, ILIL67,22524.3%+2.7 pts
35▲32Schuyler County, ILIL6,65723.9%+5.3 pts
36▲30Montgomery County, ILIL28,07623.8%+5.0 pts
37▲3Peoria County, ILIL178,55323.8%+2.0 pts
38▲8Christian County, ILIL33,44323.6%+2.3 pts
39▼11Knox County, ILIL47,76723.2%−0.7 pts
40▲9Wayne County, ILIL15,88223.2%+2.0 pts
41▼7Macoupin County, ILIL43,74823.0%+0.4 pts
42▲27Henderson County, ILIL5,98422.4%+4.0 pts
43▲1Kankakee County, ILIL105,52522.4%+0.9 pts
44▼25Mason County, ILIL12,41122.4%−3.4 pts
45▼12Cass County, ILIL12,46322.3%−0.3 pts
46▲5Clark County, ILIL15,11422.3%+1.3 pts
47▼10Randolph County, ILIL29,92122.2%−0.1 pts
48▼16St. Clair County, ILIL250,70822.1%−0.7 pts
49▼11Iroquois County, ILIL26,15022.1%−0.2 pts
50▲2LaSalle County, ILIL107,77322.1%+1.1 pts
51▼10Rock Island County, ILIL141,86921.9%+0.2 pts
52▼7Cook County, ILIL5,194,62521.8%+0.4 pts
53▼5Crawford County, ILIL18,64821.6%+0.4 pts
54▲9DeKalb County, ILIL101,83521.4%+2.0 pts
55▲7Logan County, ILIL27,18221.4%+2.0 pts
56▲5Boone County, ILIL53,56821.3%+1.7 pts
57▼26Morgan County, ILIL32,51521.2%−1.7 pts
58▲24Shelby County, ILIL20,57621.2%+4.6 pts
59▼6Stark County, ILIL5,31921.1%+0.2 pts
60▲23Carroll County, ILIL15,41920.9%+4.4 pts
61▼2Bond County, ILIL16,95920.6%+0.9 pts
62▲6Livingston County, ILIL35,05720.5%+2.0 pts
63▼7Sangamon County, ILIL194,17020.4%+0.4 pts
64▲23Moultrie County, ILIL14,37120.4%+4.8 pts
65▲13Marshall County, ILIL11,47320.3%+3.6 pts
66▼2Hancock County, ILIL16,80320.2%+0.8 pts
67▼2Cumberland County, ILIL10,20820.1%+1.0 pts
68▼13Adams County, ILIL64,26719.9%−0.2 pts
69▼12Bureau County, ILIL32,51019.7%−0.2 pts
70McDonough County, ILIL25,91619.6%+1.4 pts
71▼13Effingham County, ILIL34,51919.5%−0.3 pts
72▲5Hamilton County, ILIL7,85919.5%+2.7 pts
73▼1Whiteside County, ILIL54,12119.2%+1.2 pts
74▼14Lee County, ILIL32,91418.8%−0.9 pts
75▼1Madison County, ILIL263,11018.1%+1.0 pts
76▲5Ogle County, ILIL51,39918.0%+1.4 pts
77▲3Menard County, ILIL11,86317.7%+1.1 pts
78▲1Tazewell County, ILIL130,04917.6%+0.9 pts
79▼8Henry County, ILIL48,09517.3%−0.9 pts
80▲16Jo Daviess County, ILIL21,59417.3%+4.9 pts
81▼34Jasper County, ILIL9,03217.2%−4.1 pts
82▼9De Witt County, ILIL15,11816.7%−0.5 pts
83▲5Champaign County, ILIL209,97216.4%+1.1 pts
84▼8Kane County, ILIL525,75716.2%−0.6 pts
85▼1Calhoun County, ILIL4,30015.8%−0.7 pts
86▼1Mercer County, ILIL15,22915.6%−0.3 pts
87▲3Jersey County, ILIL21,16015.5%+1.4 pts
88▼13Douglas County, ILIL19,88015.4%−1.5 pts
89▼53Brown County, ILIL6,40115.3%−7.0 pts
90▲2Washington County, ILIL13,56415.1%+1.2 pts
91▲3Lake County, ILIL719,33914.5%+0.9 pts
92▲1Will County, ILIL712,25314.2%+0.5 pts
93▼2Grundy County, ILIL54,05213.9%−0.1 pts
94▼8Putnam County, ILIL5,61913.9%−1.9 pts
95▼6Clinton County, ILIL37,12813.1%−1.4 pts
96▲5Kendall County, ILIL145,47013.1%+2.5 pts
97▲1McHenry County, ILIL317,75112.8%+1.6 pts
98▼3McLean County, ILIL171,41912.6%−0.3 pts
99Piatt County, ILIL16,79111.9%+1.1 pts
100DuPage County, ILIL934,29811.7%+1.1 pts
101▼4Woodford County, ILIL38,11111.2%−1.1 pts
102Monroe County, ILIL34,8409.3%+1.9 pts
SHOWING 1–102 OF 102

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