RANKING · 2024 ACS · 95 SHOWN OF 95

Highest Medicaid coverage, Tennessee counties

Tennessee 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 95 counties in Tennessee that qualify, ranked against each other statewide. The median across all 95 is 23.5%. Biggest climber in the top 100 since 2020: Jackson County, TN, up 45 places to #12.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01▲2Lake County, TNTN6,24940.1%+5.7 pts

02▼1Hancock County, TNTN7,07537.1%−0.7 pts

03▲13Clay County, TNTN7,82134.1%+6.2 pts

04▲9Hardeman County, TNTN25,27433.0%+4.3 pts

05Scott County, TNTN22,67132.4%−0.1 pts

06▲3Lauderdale County, TNTN24,61731.4%+1.0 pts

07▲4Pickett County, TNTN5,21931.2%+1.4 pts

08▼6Fentress County, TNTN20,32230.6%−4.7 pts

09▲3Haywood County, TNTN17,04230.6%+1.7 pts

10▼3Hardin County, TNTN27,98329.9%−0.8 pts

11▼1Cocke County, TNTN37,88929.2%−1.0 pts

12▲45Jackson County, TNTN12,46628.9%+5.9 pts

13▲6Warren County, TNTN43,71728.7%+1.3 pts

14▲8Decatur County, TNTN11,82028.6%+1.7 pts

15▲21Dyer County, TNTN36,32028.0%+2.4 pts

16▲7Overton County, TNTN23,78727.8%+0.9 pts

17▲22Grundy County, TNTN14,11627.8%+2.7 pts

18▼10Campbell County, TNTN40,29027.6%−2.9 pts

19▲12Monroe County, TNTN49,73027.1%+1.2 pts

20▲12DeKalb County, TNTN21,87327.0%+1.2 pts

21▲8Hamblen County, TNTN68,84327.0%+0.8 pts

22▼7Johnson County, TNTN18,71826.6%−1.6 pts

23▲21Gibson County, TNTN51,77926.6%+1.8 pts

24▲2Unicoi County, TNTN17,85626.5%+0.1 pts

25▼8Henderson County, TNTN28,51826.3%−1.6 pts

26▼6Macon County, TNTN27,66326.3%−0.9 pts

27▲18White County, TNTN29,61226.1%+1.5 pts

28▲23Carroll County, TNTN29,20025.7%+2.0 pts

29▼11Union County, TNTN21,45025.7%−2.0 pts

30▲16Greene County, TNTN73,83125.6%+1.0 pts

31▲35Wayne County, TNTN16,41625.5%+3.2 pts

32▲6McNairy County, TNTN26,23625.1%0.0 pts

33▼9Claiborne County, TNTN33,22925.0%−1.6 pts

34▼9Humphreys County, TNTN19,64624.8%−1.6 pts

35▼1Sequatchie County, TNTN17,86124.8%−0.9 pts

36▲14Madison County, TNTN100,79024.7%+0.8 pts

37Crockett County, TNTN14,00624.5%−0.9 pts

38▲9Henry County, TNTN32,89624.5%0.0 pts

39▼6McMinn County, TNTN57,40424.4%−1.3 pts

40▼10Benton County, TNTN16,18324.1%−2.0 pts

41▲23Coffee County, TNTN62,41924.0%+1.6 pts

42▼14Obion County, TNTN30,06724.0%−2.2 pts

43▼37Lewis County, TNTN13,48723.9%−8.3 pts

44▼30Houston County, TNTN8,47923.8%−4.4 pts

45▲8Shelby County, TNTN910,22623.7%+0.4 pts

46▲9Carter County, TNTN57,36123.6%+0.5 pts

47▼26Morgan County, TNTN22,16023.6%−3.5 pts

48▲6Chester County, TNTN17,99423.5%+0.2 pts

49▲9Hawkins County, TNTN59,55923.4%+0.4 pts

50▲6Anderson County, TNTN82,06623.2%+0.2 pts

51▲12Cumberland County, TNTN66,30023.1%+0.6 pts

52▲9Sullivan County, TNTN163,75922.9%+0.3 pts

53▲17Marion County, TNTN29,80422.9%+1.5 pts

54▼27Bledsoe County, TNTN15,92022.6%−3.7 pts

55▼15Rhea County, TNTN34,84422.5%−2.5 pts

56▼52Perry County, TNTN9,12622.5%−11.1 pts

57▼9Weakley County, TNTN33,26122.1%−2.3 pts

58▲1Meigs County, TNTN14,18622.0%−0.8 pts

59▼7Hickman County, TNTN26,21922.0%−1.5 pts

60▲16Trousdale County, TNTN12,62321.9%+2.6 pts

61▼20Lawrence County, TNTN46,91421.6%−3.4 pts

62▼19Grainger County, TNTN25,73921.6%−3.3 pts

63▲9Tipton County, TNTN62,28721.5%+0.9 pts

64▲9Jefferson County, TNTN60,02420.9%+0.5 pts

65▲3Roane County, TNTN57,39520.6%−1.5 pts

66▼24Smith County, TNTN20,98120.6%−4.3 pts

67▼7Giles County, TNTN31,43320.5%−2.2 pts

68▼1Putnam County, TNTN86,61220.0%−2.2 pts

69▲2Bradley County, TNTN115,46520.0%−1.2 pts

70▼35Bedford County, TNTN55,27319.7%−5.9 pts

71▲3Cannon County, TNTN15,29619.5%+0.1 pts

72▼10Sevier County, TNTN101,34219.1%−3.4 pts

73▲6Lincoln County, TNTN36,85319.1%+0.7 pts

74▲3Franklin County, TNTN45,57918.4%−0.4 pts

75Polk County, TNTN18,59218.2%−1.1 pts

76▲11Moore County, TNTN6,92018.1%+1.6 pts

77▲3Montgomery County, TNTN249,93517.9%−0.3 pts

78▼13Stewart County, TNTN14,43917.7%−4.6 pts

79▲14Loudon County, TNTN63,76417.6%+3.1 pts

80▲3Washington County, TNTN141,19917.6%+0.2 pts

81▼3Dickson County, TNTN58,66217.5%−0.9 pts

82▲3Maury County, TNTN118,13117.4%+0.3 pts

83▼14Marshall County, TNTN38,07117.1%−4.5 pts

84▼35Van Buren County, TNTN6,87416.6%−7.6 pts

85▲3Hamilton County, TNTN390,83316.5%+0.2 pts

86▼2Davidson County, TNTN745,90416.3%−1.0 pts

87▼6Fayette County, TNTN45,07115.8%−1.9 pts

88▲4Rutherford County, TNTN386,35215.8%+1.2 pts

89▼3Blount County, TNTN143,82015.8%−1.1 pts

90▼8Robertson County, TNTN80,17515.6%−2.1 pts

91▼2Sumner County, TNTN215,53815.2%−0.9 pts

92▼1Knox County, TNTN511,45315.2%−0.3 pts

93▼3Cheatham County, TNTN42,77813.3%−2.8 pts

94Wilson County, TNTN175,03311.7%−2.1 pts

95Williamson County, TNTN272,0616.8%+0.6 pts

SHOWING 1–95 OF 95

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