RANKING · 2020 CENSUS · 100 SHOWN OF 100

Highest Medicaid coverage, North Carolina counties · 2020

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 (2020 ACS). This list covers the 100 counties in North Carolina that qualify, ranked against each other statewide.

North CarolinaAll 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 –

01Robeson County, NCNC119,94133.2%–

02Vance County, NCNC42,63832.4%–

03Scotland County, NCNC33,32232.2%–

04Edgecombe County, NCNC49,12130.7%–

05Lenoir County, NCNC55,83730.5%–

06Bladen County, NCNC30,00730.4%–

07Richmond County, NCNC42,04129.6%–

08Halifax County, NCNC46,53429.5%–

09Hertford County, NCNC19,01528.9%–

10Columbus County, NCNC50,48728.3%–

11Anson County, NCNC21,75827.1%–

12Bertie County, NCNC17,08626.8%–

13Graham County, NCNC8,19026.8%–

14Sampson County, NCNC61,50426.5%–

15Duplin County, NCNC51,57126.4%–

16Greene County, NCNC20,70026.2%–

17Wilson County, NCNC81,15026.1%–

18Warren County, NCNC18,89826.0%–

19Jones County, NCNC9,57525.1%–

20Washington County, NCNC10,63824.9%–

21Martin County, NCNC21,60124.8%–

22Montgomery County, NCNC26,40324.3%–

23Wayne County, NCNC122,27823.9%–

24Beaufort County, NCNC44,67023.8%–

25Rutherford County, NCNC65,74523.7%–

26Alleghany County, NCNC11,47923.6%–

27Cumberland County, NCNC338,47323.5%–

28Rockingham County, NCNC94,19523.2%–

29Cleveland County, NCNC103,32523.0%–

30Rowan County, NCNC155,09622.9%–

31Chowan County, NCNC14,08222.8%–

32Nash County, NCNC99,36522.7%–

33Tyrrell County, NCNC3,53722.7%–

34Caswell County, NCNC22,56322.6%–

35Swain County, NCNC14,02422.5%–

36McDowell County, NCNC45,19822.0%–

37Burke County, NCNC88,65521.9%–

38Randolph County, NCNC149,51621.8%–

39Lee County, NCNC70,25821.8%–

40Hoke County, NCNC56,93921.7%–

41Caldwell County, NCNC81,10521.6%–

42Hyde County, NCNC4,55421.6%–

43Perquimans County, NCNC13,49021.6%–

44Cherokee County, NCNC30,83021.4%–

45Pamlico County, NCNC12,75820.8%–

46Harnett County, NCNC150,13720.7%–

47Franklin County, NCNC82,03720.4%–

48Alexander County, NCNC36,95820.4%–

49Surry County, NCNC72,28720.2%–

50Gaston County, NCNC246,55820.0%–

51Wilkes County, NCNC66,23319.9%–

52Northampton County, NCNC16,49119.8%–

53Pasquotank County, NCNC42,20119.8%–

54Macon County, NCNC39,23219.7%–

55Pender County, NCNC72,11119.7%–

56Person County, NCNC40,63619.4%–

57Yadkin County, NCNC38,32519.3%–

58Yancey County, NCNC19,08419.2%–

59Mitchell County, NCNC15,06219.0%–

60Forsyth County, NCNC401,71818.9%–

61Johnston County, NCNC256,44818.9%–

62Onslow County, NCNC217,17518.9%–

63Madison County, NCNC22,55318.8%–

64Alamance County, NCNC186,17718.7%–

65Craven County, NCNC105,02518.6%–

66Granville County, NCNC61,42118.6%–

67Catawba County, NCNC170,17218.6%–

68Guilford County, NCNC562,23418.5%–

69Stokes County, NCNC46,12618.2%–

70Clay County, NCNC12,23918.1%–

71Davidson County, NCNC180,18218.0%–

72Stanly County, NCNC68,83018.0%–

73Ashe County, NCNC27,51417.7%–

74Haywood County, NCNC63,36917.6%–

75Pitt County, NCNC182,93617.2%–

76Jackson County, NCNC45,03916.7%–

77Lincoln County, NCNC98,65416.5%–

78Transylvania County, NCNC34,21116.3%–

79Davie County, NCNC45,85516.1%–

80Durham County, NCNC347,24015.8%–

81Polk County, NCNC20,53315.7%–

82Gates County, NCNC10,23415.6%–

83Iredell County, NCNC211,79815.3%–

84Buncombe County, NCNC277,41715.2%–

85Avery County, NCNC18,11015.1%–

86Brunswick County, NCNC174,70215.0%–

87Henderson County, NCNC122,37515.0%–

88Cabarrus County, NCNC249,72514.9%–

89Mecklenburg County, NCNC1,233,38314.9%–

90Carteret County, NCNC70,46913.9%–

91Moore County, NCNC110,61913.8%–

92New Hanover County, NCNC245,95913.1%–

93Chatham County, NCNC85,11113.0%–

94Union County, NCNC267,67412.4%–

95Currituck County, NCNC33,15812.2%–

96Camden County, NCNC11,31512.0%–

97Wake County, NCNC1,257,23511.3%–

98Watauga County, NCNC54,78611.1%–

99Dare County, NCNC38,24510.9%–

100Orange County, NCNC152,4989.1%–

SHOWING 1–100 OF 100

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