RANKING · 2024 ACS · 120 SHOWN OF 120

Highest Medicaid coverage, Kentucky counties

Kentucky 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 120 counties in Kentucky that qualify, ranked against each other statewide.

KentuckyAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Wolfe County, KYKY6,29864.6%+1.4 pts

02Owsley County, KYKY3,93257.1%+2.2 pts

03Breathitt County, KYKY12,55854.5%+6.4 pts

04Knox County, KYKY29,53252.5%+4.2 pts

05McCreary County, KYKY17,12451.8%+1.9 pts

06Magoffin County, KYKY11,11051.4%+5.7 pts

07Perry County, KYKY26,55549.6%+8.8 pts

08Lee County, KYKY7,29749.3%+2.1 pts

09Martin County, KYKY10,69749.0%+13.9 pts

10Clay County, KYKY19,46547.6%−6.2 pts

11Letcher County, KYKY19,95247.4%+1.4 pts

12Harlan County, KYKY24,72546.4%+0.7 pts

13Johnson County, KYKY22,05145.4%+5.6 pts

14Leslie County, KYKY9,62745.1%+0.5 pts

15Elliott County, KYKY7,26544.7%+1.6 pts

16Knott County, KYKY13,32144.5%−3.6 pts

17Bell County, KYKY22,82943.6%−5.2 pts

18Menifee County, KYKY6,43043.3%+0.1 pts

19Fulton County, KYKY6,21842.6%+3.1 pts

20Russell County, KYKY18,60842.1%+6.2 pts

21Lawrence County, KYKY15,76541.6%+5.8 pts

22Floyd County, KYKY34,40141.5%−1.8 pts

23Estill County, KYKY13,96241.4%+0.3 pts

24Whitley County, KYKY37,29741.3%+4.5 pts

25Lewis County, KYKY12,90141.1%−0.9 pts

26Cumberland County, KYKY5,99240.8%+8.1 pts

27Robertson County, KYKY2,32540.4%+3.7 pts

28Wayne County, KYKY19,59740.3%+7.7 pts

29Clinton County, KYKY9,13940.1%−4.3 pts

30Metcalfe County, KYKY10,58340.0%+4.6 pts

31Powell County, KYKY12,81239.0%+3.9 pts

32Pike County, KYKY54,72137.6%+3.7 pts

33Rockcastle County, KYKY16,14836.8%−1.9 pts

34Lincoln County, KYKY25,35336.7%+4.8 pts

35Laurel County, KYKY63,74636.4%+2.6 pts

36Casey County, KYKY16,20536.4%−0.2 pts

37Hart County, KYKY20,11736.4%+1.5 pts

38Jackson County, KYKY13,32536.2%−4.7 pts

39Hickman County, KYKY4,37236.0%+4.7 pts

40Pulaski County, KYKY67,38435.9%+2.2 pts

41Monroe County, KYKY11,19135.8%+1.4 pts

42Morgan County, KYKY14,41535.7%−0.9 pts

43Green County, KYKY11,64435.1%−3.2 pts

44Mason County, KYKY16,93635.0%+7.9 pts

45Bracken County, KYKY8,51134.9%+8.3 pts

46Grayson County, KYKY27,40634.9%−1.3 pts

47Fleming County, KYKY15,78734.6%+0.1 pts

48Adair County, KYKY19,42334.5%+3.1 pts

49Ohio County, KYKY23,93433.9%+0.4 pts

50Nicholas County, KYKY7,94933.3%−7.7 pts

51Carlisle County, KYKY4,74733.1%−2.4 pts

52Hopkins County, KYKY45,12732.8%+4.5 pts

53Bath County, KYKY13,17632.7%−5.4 pts

54Montgomery County, KYKY28,82232.7%+1.8 pts

55Edmonson County, KYKY12,74932.3%+1.6 pts

56Carroll County, KYKY11,14132.3%+1.9 pts

57Breckinridge County, KYKY21,50332.2%+2.3 pts

58Barren County, KYKY45,64131.9%+0.0 pts

59Taylor County, KYKY26,76331.9%+2.3 pts

60Boyd County, KYKY47,75131.5%−0.5 pts

61Garrard County, KYKY18,20731.5%+7.0 pts

62Butler County, KYKY12,52030.7%+0.9 pts

63Henderson County, KYKY44,25530.5%+1.9 pts

64Clark County, KYKY37,88830.4%+2.2 pts

65Washington County, KYKY12,36830.0%+7.2 pts

66Graves County, KYKY37,05029.9%+0.9 pts

67Muhlenberg County, KYKY30,63429.9%+2.8 pts

68Livingston County, KYKY8,86329.7%+7.9 pts

69Carter County, KYKY26,14929.5%−4.7 pts

70Marion County, KYKY20,11529.3%−3.3 pts

71Bourbon County, KYKY20,24329.2%+3.6 pts

72Henry County, KYKY16,44728.9%+0.6 pts

73Grant County, KYKY26,18128.7%−0.6 pts

74Hancock County, KYKY9,05028.6%+3.0 pts

75Pendleton County, KYKY14,80028.5%+3.4 pts

76Owen County, KYKY11,60128.3%+3.0 pts

77Harrison County, KYKY19,62728.1%+2.7 pts

78Mercer County, KYKY23,73328.1%+5.1 pts

79Christian County, KYKY70,11528.0%−1.6 pts

80Rowan County, KYKY24,47627.8%−3.9 pts

81Larue County, KYKY15,18427.8%−2.2 pts

82McCracken County, KYKY67,55327.8%+1.0 pts

83Logan County, KYKY28,66927.7%+3.2 pts

84Daviess County, KYKY104,89827.3%+1.9 pts

85Greenup County, KYKY35,21327.1%+2.7 pts

86Crittenden County, KYKY8,80727.0%+1.9 pts

87Madison County, KYKY101,69626.9%+2.0 pts

88Trimble County, KYKY8,70126.7%+0.2 pts

89Webster County, KYKY12,92926.5%−0.3 pts

90Warren County, KYKY149,37526.4%+2.7 pts

91Allen County, KYKY22,53626.3%−3.7 pts

92Trigg County, KYKY14,51226.1%+2.9 pts

93Todd County, KYKY12,97225.8%−0.5 pts

94Boyle County, KYKY31,63225.6%+0.9 pts

95Jessamine County, KYKY57,14725.4%+2.9 pts

96Jefferson County, KYKY795,22225.1%+1.9 pts

97Franklin County, KYKY52,64924.2%+3.7 pts

98Caldwell County, KYKY12,60923.8%+0.7 pts

99Calloway County, KYKY39,42123.7%+1.3 pts

100Hardin County, KYKY113,48223.7%−1.1 pts

101Ballard County, KYKY7,59423.5%−4.9 pts

102Gallatin County, KYKY8,84023.5%−0.1 pts

103Simpson County, KYKY20,78823.4%+2.4 pts

104Anderson County, KYKY25,22522.9%−1.1 pts

105Meade County, KYKY30,69922.9%+0.7 pts

106Union County, KYKY12,83922.4%+0.0 pts

107Nelson County, KYKY49,03621.8%+3.6 pts

108Marshall County, KYKY31,65921.7%+0.9 pts

109Fayette County, KYKY329,75120.4%+1.3 pts

110Shelby County, KYKY51,24320.0%+0.2 pts

111Kenton County, KYKY175,77919.9%+1.1 pts

112Bullitt County, KYKY86,45419.8%+1.1 pts

113McLean County, KYKY9,06419.2%−3.3 pts

114Spencer County, KYKY20,99818.2%+2.6 pts

115Woodford County, KYKY27,88317.3%−2.0 pts

116Lyon County, KYKY9,12317.3%−0.2 pts

117Scott County, KYKY62,26216.7%+3.0 pts

118Boone County, KYKY145,31615.8%+0.3 pts

119Campbell County, KYKY95,44115.4%+0.5 pts

120Oldham County, KYKY70,98611.5%+1.1 pts

SHOWING 1–120 OF 120

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