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RANKING · 2024 ACS · 100 SHOWN OF 100

Highest Medicaid coverage, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide.

North CarolinaAll statesAll rankings
SAME RANKING BYCitiesStatesMetrosZIP codes
RELATEDLargest foreign-born populationMost residents with a disabilityLargest veteran populationMost uninsured peopleLargest senior populationMost unmarried people
YEAR20202024
Highest Medicaid coverage by state
All USAlaskaAlabamaArkansasArizonaCaliforniaColoradoFloridaGeorgiaIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
RANKPLACESTATEPOPMEDICAIDVS 2020
01Robeson County, NCNC119,94135.4%+2.2 pts
02Scotland County, NCNC33,32235.3%+3.1 pts
03Washington County, NCNC10,63834.9%+10.0 pts
04Richmond County, NCNC42,04134.5%+4.9 pts
05Vance County, NCNC42,63834.0%+1.6 pts
06Halifax County, NCNC46,53433.8%+4.3 pts
07Lenoir County, NCNC55,83732.2%+1.7 pts
08Anson County, NCNC21,75831.7%+4.6 pts
09Hertford County, NCNC19,01531.7%+2.8 pts
10Edgecombe County, NCNC49,12131.3%+0.6 pts
11Columbus County, NCNC50,48729.5%+1.2 pts
12Greene County, NCNC20,70029.5%+3.3 pts
13Bladen County, NCNC30,00729.2%−1.2 pts
14Graham County, NCNC8,19028.8%+2.0 pts
15Northampton County, NCNC16,49127.2%+7.4 pts
16Wayne County, NCNC122,27827.0%+3.1 pts
17Warren County, NCNC18,89826.9%+0.9 pts
18Montgomery County, NCNC26,40326.7%+2.4 pts
19Sampson County, NCNC61,50426.7%+0.2 pts
20Cumberland County, NCNC338,47326.6%+3.1 pts
21Cleveland County, NCNC103,32526.5%+3.5 pts
22Rockingham County, NCNC94,19526.5%+3.3 pts
23Caswell County, NCNC22,56326.3%+3.7 pts
24Chowan County, NCNC14,08226.1%+3.3 pts
25Wilkes County, NCNC66,23326.0%+6.1 pts
26Hoke County, NCNC56,93925.3%+3.6 pts
27Duplin County, NCNC51,57125.3%−1.1 pts
28Beaufort County, NCNC44,67025.2%+1.4 pts
29Wilson County, NCNC81,15024.6%−1.5 pts
30Bertie County, NCNC17,08624.4%−2.4 pts
31Person County, NCNC40,63624.4%+5.0 pts
32Hyde County, NCNC4,55424.3%+2.7 pts
33McDowell County, NCNC45,19824.0%+2.0 pts
34Martin County, NCNC21,60123.9%−0.9 pts
35Jones County, NCNC9,57523.9%−1.2 pts
36Randolph County, NCNC149,51623.5%+1.7 pts
37Rowan County, NCNC155,09623.5%+0.6 pts
38Rutherford County, NCNC65,74523.3%−0.4 pts
39Caldwell County, NCNC81,10523.2%+1.6 pts
40Swain County, NCNC14,02423.2%+0.7 pts
41Tyrrell County, NCNC3,53723.0%+0.3 pts
42Alexander County, NCNC36,95822.7%+2.3 pts
43Surry County, NCNC72,28722.6%+2.4 pts
44Stokes County, NCNC46,12622.2%+4.0 pts
45Lee County, NCNC70,25822.2%+0.4 pts
46Yadkin County, NCNC38,32522.1%+2.8 pts
47Granville County, NCNC61,42121.9%+3.3 pts
48Alleghany County, NCNC11,47921.4%−2.2 pts
49Gaston County, NCNC246,55821.4%+1.4 pts
50Onslow County, NCNC217,17521.3%+2.4 pts
51Pasquotank County, NCNC42,20121.2%+1.4 pts
52Stanly County, NCNC68,83021.2%+3.2 pts
53Craven County, NCNC105,02521.1%+2.5 pts
54Gates County, NCNC10,23421.1%+5.5 pts
55Ashe County, NCNC27,51421.0%+3.3 pts
56Burke County, NCNC88,65521.0%−0.9 pts
57Franklin County, NCNC82,03721.0%+0.6 pts
58Nash County, NCNC99,36521.0%−1.7 pts
59Harnett County, NCNC150,13721.0%+0.3 pts
60Forsyth County, NCNC401,71820.5%+1.6 pts
61Guilford County, NCNC562,23420.4%+1.9 pts
62Pamlico County, NCNC12,75820.3%−0.5 pts
63Alamance County, NCNC186,17720.3%+1.6 pts
64Davidson County, NCNC180,18220.0%+2.0 pts
65Haywood County, NCNC63,36919.9%+2.3 pts
66Perquimans County, NCNC13,49019.8%−1.8 pts
67Cherokee County, NCNC30,83019.7%−1.7 pts
68Jackson County, NCNC45,03919.7%+3.0 pts
69Pitt County, NCNC182,93619.7%+2.5 pts
70Yancey County, NCNC19,08419.5%+0.3 pts
71Madison County, NCNC22,55319.4%+0.6 pts
72Mitchell County, NCNC15,06219.3%+0.3 pts
73Catawba County, NCNC170,17219.3%+0.7 pts
74Johnston County, NCNC256,44819.1%+0.2 pts
75Pender County, NCNC72,11118.5%−1.2 pts
76Henderson County, NCNC122,37518.5%+3.5 pts
77Cabarrus County, NCNC249,72518.1%+3.2 pts
78Avery County, NCNC18,11018.0%+2.9 pts
79Macon County, NCNC39,23217.6%−2.1 pts
80Polk County, NCNC20,53316.6%+0.9 pts
81Transylvania County, NCNC34,21116.6%+0.3 pts
82Lincoln County, NCNC98,65416.5%+0.0 pts
83Buncombe County, NCNC277,41716.0%+0.8 pts
84Davie County, NCNC45,85515.9%−0.2 pts
85Iredell County, NCNC211,79815.9%+0.6 pts
86Carteret County, NCNC70,46915.8%+1.9 pts
87Clay County, NCNC12,23915.4%−2.7 pts
88Mecklenburg County, NCNC1,233,38315.2%+0.3 pts
89Durham County, NCNC347,24015.2%−0.6 pts
90Moore County, NCNC110,61914.6%+0.8 pts
91Brunswick County, NCNC174,70214.5%−0.5 pts
92New Hanover County, NCNC245,95914.1%+1.0 pts
93Union County, NCNC267,67413.4%+1.0 pts
94Chatham County, NCNC85,11111.8%−1.2 pts
95Watauga County, NCNC54,78611.7%+0.6 pts
96Currituck County, NCNC33,15811.5%−0.7 pts
97Wake County, NCNC1,257,23511.3%+0.0 pts
98Dare County, NCNC38,24510.1%−0.8 pts
99Camden County, NCNC11,3159.5%−2.5 pts
100Orange County, NCNC152,4989.4%+0.3 pts
SHOWING 1–100 OF 100
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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES