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. The median across all 120 is 31.5%. Biggest climber in the top 100 since 2020: Livingston County, KY, up 37 places to #68.

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

03▲4Breathitt County, KYKY12,55854.5%+6.4 pts

04▲2Knox County, KYKY29,53252.5%+4.2 pts

05▼1McCreary County, KYKY17,12451.8%+1.9 pts

06▲5Magoffin County, KYKY11,11051.4%+5.7 pts

07▲15Perry County, KYKY26,55549.6%+8.8 pts

08▲1Lee County, KYKY7,29749.3%+2.1 pts

09▲28Martin County, KYKY10,69749.0%+13.9 pts

10▼7Clay County, KYKY19,46547.6%−6.2 pts

11▼1Letcher County, KYKY19,95247.4%+1.4 pts

12Harlan County, KYKY24,72546.4%+0.7 pts

13▲10Johnson County, KYKY22,05145.4%+5.6 pts

14▼1Leslie County, KYKY9,62745.1%+0.5 pts

15▲2Elliott County, KYKY7,26544.7%+1.6 pts

16▼8Knott County, KYKY13,32144.5%−3.6 pts

17▼12Bell County, KYKY22,82943.6%−5.2 pts

18▼2Menifee County, KYKY6,43043.3%+0.1 pts

19▲5Fulton County, KYKY6,21842.6%+3.1 pts

20▲13Russell County, KYKY18,60842.1%+6.2 pts

21▲13Lawrence County, KYKY15,76541.6%+5.8 pts

22▼7Floyd County, KYKY34,40141.5%−1.8 pts

23▼4Estill County, KYKY13,96241.4%+0.3 pts

24▲4Whitley County, KYKY37,29741.3%+4.5 pts

25▼7Lewis County, KYKY12,90141.1%−0.9 pts

26▲21Cumberland County, KYKY5,99240.8%+8.1 pts

27▲2Robertson County, KYKY2,32540.4%+3.7 pts

28▲20Wayne County, KYKY19,59740.3%+7.7 pts

29▼15Clinton County, KYKY9,13940.1%−4.3 pts

30▲6Metcalfe County, KYKY10,58340.0%+4.6 pts

31▲7Powell County, KYKY12,81239.0%+3.9 pts

32▲11Pike County, KYKY54,72137.6%+3.7 pts

33▼8Rockcastle County, KYKY16,14836.8%−1.9 pts

34▲17Lincoln County, KYKY25,35336.7%+4.8 pts

35▲9Laurel County, KYKY63,74636.4%+2.6 pts

36▼5Casey County, KYKY16,20536.4%−0.2 pts

37▲2Hart County, KYKY20,11736.4%+1.5 pts

38▼17Jackson County, KYKY13,32536.2%−4.7 pts

39▲16Hickman County, KYKY4,37236.0%+4.7 pts

40▲5Pulaski County, KYKY67,38435.9%+2.2 pts

41Monroe County, KYKY11,19135.8%+1.4 pts

42▼12Morgan County, KYKY14,41535.7%−0.9 pts

43▼17Green County, KYKY11,64435.1%−3.2 pts

44▲28Mason County, KYKY16,93635.0%+7.9 pts

45▲31Bracken County, KYKY8,51134.9%+8.3 pts

46▼14Grayson County, KYKY27,40634.9%−1.3 pts

47▼7Fleming County, KYKY15,78734.6%+0.1 pts

48▲6Adair County, KYKY19,42334.5%+3.1 pts

49▼3Ohio County, KYKY23,93433.9%+0.4 pts

50▼30Nicholas County, KYKY7,94933.3%−7.7 pts

51▼16Carlisle County, KYKY4,74733.1%−2.4 pts

52▲18Hopkins County, KYKY45,12732.8%+4.5 pts

53▼26Bath County, KYKY13,17632.7%−5.4 pts

54▲2Montgomery County, KYKY28,82232.7%+1.8 pts

55▲2Edmonson County, KYKY12,74932.3%+1.6 pts

56▲2Carroll County, KYKY11,14132.3%+1.9 pts

57▲4Breckinridge County, KYKY21,50332.2%+2.3 pts

58▼6Barren County, KYKY45,64131.9%0.0 pts

59▲5Taylor County, KYKY26,76331.9%+2.3 pts

60▼10Boyd County, KYKY47,75131.5%−0.5 pts

61▲29Garrard County, KYKY18,20731.5%+7.0 pts

62Butler County, KYKY12,52030.7%+0.9 pts

63▲4Henderson County, KYKY44,25530.5%+1.9 pts

64▲7Clark County, KYKY37,88830.4%+2.2 pts

65▲34Washington County, KYKY12,36830.0%+7.2 pts

66Graves County, KYKY37,05029.9%+0.9 pts

67▲6Muhlenberg County, KYKY30,63429.9%+2.8 pts

68▲37Livingston County, KYKY8,86329.7%+7.9 pts

69▼27Carter County, KYKY26,14929.5%−4.7 pts

70▼21Marion County, KYKY20,11529.3%−3.3 pts

71▲8Bourbon County, KYKY20,24329.2%+3.6 pts

72▼3Henry County, KYKY16,44728.9%+0.6 pts

73▼8Grant County, KYKY26,18128.7%−0.6 pts

74▲6Hancock County, KYKY9,05028.6%+3.0 pts

75▲10Pendleton County, KYKY14,80028.5%+3.4 pts

76▲7Owen County, KYKY11,60128.3%+3.0 pts

77▲5Harrison County, KYKY19,62728.1%+2.7 pts

78▲20Mercer County, KYKY23,73328.1%+5.1 pts

79▼16Christian County, KYKY70,11528.0%−1.6 pts

80▼27Rowan County, KYKY24,47627.8%−3.9 pts

81▼21Larue County, KYKY15,18427.8%−2.2 pts

82▼7McCracken County, KYKY67,55327.8%+1.0 pts

83▲6Logan County, KYKY28,66927.7%+3.2 pts

84▼3Daviess County, KYKY104,89827.3%+1.9 pts

85▲6Greenup County, KYKY35,21327.1%+2.7 pts

86▼2Crittenden County, KYKY8,80727.0%+1.9 pts

87▼1Madison County, KYKY101,69626.9%+2.0 pts

88▼11Trimble County, KYKY8,70126.7%+0.2 pts

89▼15Webster County, KYKY12,92926.5%−0.3 pts

90▲3Warren County, KYKY149,37526.4%+2.7 pts

91▼32Allen County, KYKY22,53626.3%−3.7 pts

92▲4Trigg County, KYKY14,51226.1%+2.9 pts

93▼15Todd County, KYKY12,97225.8%−0.5 pts

94▼6Boyle County, KYKY31,63225.6%+0.9 pts

95▲6Jessamine County, KYKY57,14725.4%+2.9 pts

96▼1Jefferson County, KYKY795,22225.1%+1.9 pts

97▲11Franklin County, KYKY52,64924.2%+3.7 pts

98▼1Caldwell County, KYKY12,60923.8%+0.7 pts

99▲3Calloway County, KYKY39,42123.7%+1.3 pts

100▼13Hardin County, KYKY113,48223.7%−1.1 pts

101▼33Ballard County, KYKY7,59423.5%−4.9 pts

102▼8Gallatin County, KYKY8,84023.5%−0.1 pts

103▲3Simpson County, KYKY20,78823.4%+2.4 pts

104▼12Anderson County, KYKY25,22522.9%−1.1 pts

105▼1Meade County, KYKY30,69922.9%+0.7 pts

106▼3Union County, KYKY12,83922.4%0.0 pts

107▲7Nelson County, KYKY49,03621.8%+3.6 pts

108▼1Marshall County, KYKY31,65921.7%+0.9 pts

109▲2Fayette County, KYKY329,75120.4%+1.3 pts

110▼1Shelby County, KYKY51,24320.0%+0.2 pts

111▲1Kenton County, KYKY175,77919.9%+1.1 pts

112▲1Bullitt County, KYKY86,45419.8%+1.1 pts

113▼13McLean County, KYKY9,06419.2%−3.3 pts

114▲2Spencer County, KYKY20,99818.2%+2.6 pts

115▼5Woodford County, KYKY27,88317.3%−2.0 pts

116▼1Lyon County, KYKY9,12317.3%−0.2 pts

117▲2Scott County, KYKY62,26216.7%+3.0 pts

118▼1Boone County, KYKY145,31615.8%+0.3 pts

119▼1Campbell County, KYKY95,44115.4%+0.5 pts

120Oldham County, KYKY70,98611.5%+1.1 pts

SHOWING 1–120 OF 120

Download CSV (full list, 120 rows)

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