RANKING · 2024 ACS · 133 SHOWN OF 133

Highest Medicaid coverage, Virginia counties

Virginia 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 133 counties in Virginia that qualify, ranked against each other statewide.

VirginiaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

01Emporia, VAVA5,44746.3%+8.3 pts

02Franklin, VAVA8,47838.0%+10.6 pts

03Galax, VAVA6,67037.9%+14.5 pts

04Danville, VAVA41,64737.7%+9.4 pts

05Martinsville, VAVA13,84937.7%+5.7 pts

06Petersburg, VAVA33,73437.4%+7.2 pts

07Lee County, VAVA21,64236.1%+4.9 pts

08Hopewell, VAVA23,26135.8%+5.3 pts

09Norton, VAVA3,47735.8%+2.8 pts

10Wise County, VAVA34,82433.8%+9.4 pts

11Buchanan County, VAVA18,49231.2%+7.2 pts

12Russell County, VAVA25,33231.0%+9.7 pts

13Dickenson County, VAVA13,23630.4%+3.7 pts

14Henry County, VAVA49,24230.4%+4.3 pts

15Roanoke, VAVA99,11129.8%+6.7 pts

16Portsmouth, VAVA96,77729.6%+7.1 pts

17Greensville County, VAVA11,18129.0%+5.4 pts

18Halifax County, VAVA33,44728.8%+7.1 pts

19Sussex County, VAVA10,75527.9%+8.5 pts

20Scott County, VAVA21,20027.9%+7.8 pts

21Charlotte County, VAVA11,40127.6%+2.8 pts

22Covington, VAVA5,68027.4%+11.3 pts

23Smyth County, VAVA28,88227.3%+4.1 pts

24Buena Vista, VAVA6,67227.3%+7.1 pts

25Patrick County, VAVA17,42426.3%+5.7 pts

26Pittsylvania County, VAVA59,49026.3%+6.6 pts

27Lunenburg County, VAVA12,05826.1%+5.5 pts

28Bristol, VAVA16,41826.1%+0.4 pts

29Hampton, VAVA137,31525.3%+7.2 pts

30King and Queen County, VAVA6,74325.2%+11.7 pts

31Newport News, VAVA183,23025.1%+6.0 pts

32Brunswick County, VAVA15,72724.9%−2.4 pts

33Richmond, VAVA237,25724.8%+3.7 pts

34Northampton County, VAVA11,87924.7%+3.6 pts

35Tazewell County, VAVA38,63524.3%+2.9 pts

36Norfolk, VAVA231,01324.2%+3.7 pts

37Bath County, VAVA4,07624.1%+6.4 pts

38Appomattox County, VAVA17,17223.9%+4.4 pts

39Essex County, VAVA10,65423.9%+0.7 pts

40Buckingham County, VAVA17,13723.6%+1.3 pts

41Grayson County, VAVA15,23023.6%+5.6 pts

42Staunton, VAVA26,80123.4%+6.9 pts

43Southampton County, VAVA18,11023.3%+3.4 pts

44Mecklenburg County, VAVA30,74723.2%+3.3 pts

45Carroll County, VAVA29,29923.1%+4.2 pts

46Prince Edward County, VAVA22,39123.0%+7.4 pts

47Westmoreland County, VAVA19,71523.0%+2.6 pts

48Lynchburg, VAVA81,34723.0%+4.1 pts

49Craig County, VAVA4,80022.8%+5.0 pts

50Waynesboro, VAVA23,95122.1%+2.4 pts

51Dinwiddie County, VAVA28,89621.9%+7.2 pts

52Winchester, VAVA28,27221.9%+4.2 pts

53Cumberland County, VAVA10,35221.8%+5.3 pts

54Page County, VAVA23,76221.6%+5.6 pts

55Franklin County, VAVA55,52621.4%+5.6 pts

56Wythe County, VAVA27,98321.4%+5.1 pts

57Nottoway County, VAVA15,79621.3%−1.0 pts

58Accomack County, VAVA33,85921.2%+1.5 pts

59Colonial Heights, VAVA18,73821.2%+6.8 pts

60Shenandoah County, VAVA45,83920.7%+3.6 pts

61Campbell County, VAVA55,62920.6%+5.8 pts

62Highland County, VAVA2,31820.5%+4.8 pts

63Pulaski County, VAVA33,58620.5%+4.0 pts

64Washington County, VAVA53,89820.4%+3.7 pts

65Louisa County, VAVA42,92420.0%+2.7 pts

66Warren County, VAVA42,74019.8%+2.9 pts

67Amherst County, VAVA31,96219.5%+6.6 pts

68Middlesex County, VAVA10,84119.4%+0.8 pts

69Lancaster County, VAVA10,99519.1%+1.9 pts

70Harrisonburg, VAVA50,83919.0%+5.2 pts

71Madison County, VAVA14,23718.9%+7.6 pts

72Rockbridge County, VAVA22,66318.6%+4.1 pts

73Radford, VAVA17,24318.6%+6.2 pts

74Mathews County, VAVA8,52918.2%+7.2 pts

75Charles City County, VAVA6,62317.9%+3.0 pts

76Caroline County, VAVA34,41317.6%+4.9 pts

77Amelia County, VAVA13,63217.4%+0.1 pts

78Gloucester County, VAVA40,09717.3%+5.7 pts

79Fredericksburg, VAVA30,39317.3%+2.4 pts

80Suffolk, VAVA104,69917.3%+2.2 pts

81Rappahannock County, VAVA7,43916.9%+5.9 pts

82Alleghany County, VAVA14,54616.7%−1.2 pts

83Manassas, VAVA44,33216.6%+1.0 pts

84Manassas Park, VAVA16,56016.6%+0.3 pts

85Salem, VAVA25,81616.6%+7.5 pts

86Culpeper County, VAVA57,66616.4%+0.2 pts

87Bland County, VAVA6,15116.0%−2.8 pts

88Surry County, VAVA6,60315.9%−1.5 pts

89Prince George County, VAVA43,93615.9%+2.9 pts

90Greene County, VAVA21,95815.9%+2.7 pts

91Nelson County, VAVA14,92015.8%+1.4 pts

92Roanoke County, VAVA97,15015.8%+6.5 pts

93Richmond County, VAVA9,29415.7%−4.7 pts

94Henrico County, VAVA342,77515.5%+3.7 pts

95Northumberland County, VAVA12,55715.4%+1.5 pts

96Spotsylvania County, VAVA155,38815.4%+3.2 pts

97Chesapeake, VAVA255,33215.4%+4.6 pts

98Frederick County, VAVA99,95515.2%+4.1 pts

99Floyd County, VAVA15,78915.0%+4.1 pts

100Charlottesville, VAVA44,38814.9%+3.5 pts

101Orange County, VAVA40,08314.7%+1.0 pts

102Rockingham County, VAVA89,31614.4%+3.3 pts

103Chesterfield County, VAVA397,14814.3%+3.2 pts

104Giles County, VAVA16,56414.3%+1.6 pts

105Bedford County, VAVA83,05913.9%+3.2 pts

106Augusta County, VAVA78,94013.8%+1.8 pts

107Prince William County, VAVA502,96613.7%+3.7 pts

108Virginia Beach, VAVA453,73713.5%+4.0 pts

109Fluvanna County, VAVA28,97512.4%+2.1 pts

110James City County, VAVA83,32612.2%+4.4 pts

111Williamsburg, VAVA15,86111.9%+4.5 pts

112Alexandria, VAVA160,66211.7%+1.8 pts

113Isle of Wight County, VAVA41,32111.7%+0.7 pts

114King George County, VAVA29,64611.4%+0.1 pts

115Poquoson, VAVA13,29211.4%+6.2 pts

116Botetourt County, VAVA34,14410.9%+3.3 pts

117Fauquier County, VAVA76,50310.9%+4.0 pts

118Albemarle County, VAVA118,35610.5%+3.1 pts

119Stafford County, VAVA170,80310.5%+2.1 pts

120Powhatan County, VAVA32,59110.0%+2.4 pts

121Lexington, VAVA7,7699.8%+2.4 pts

122Fairfax County, VAVA1,167,8739.7%+2.3 pts

123Hanover County, VAVA116,4239.7%+1.5 pts

124Montgomery County, VAVA98,4349.6%+0.7 pts

125King William County, VAVA19,6179.3%−1.1 pts

126Fairfax, VAVA26,7729.2%+2.7 pts

127York County, VAVA71,3748.6%+3.2 pts

128New Kent County, VAVA28,0228.4%+3.1 pts

129Goochland County, VAVA29,1877.7%+3.3 pts

130Clarke County, VAVA15,6097.4%+3.0 pts

131Loudoun County, VAVA449,7497.3%+1.8 pts

132Arlington County, VAVA243,9317.1%+2.8 pts

133Falls Church, VAVA15,1594.9%+2.9 pts

SHOWING 1–133 OF 133

Download CSV (full list, 133 rows)

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