CensusEasy
CensusEasy
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. The median across all 133 is 19.5%. Biggest climber in the top 100 since 2020: King and Queen County, VA, up 54 places to #30.

Highest Medicaid coverage by state
All USAlaskaAlabamaArkansasArizonaCaliforniaColoradoFloridaGeorgiaIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming
RANKPLACESTATEPOPMEDICAIDVS 2020
01Emporia, VAVA5,44746.3%+8.3 pts
02▲6Franklin, VAVA8,47838.0%+10.6 pts
03▲14Galax, VAVA6,67037.9%+14.5 pts
04▲3Danville, VAVA41,64737.7%+9.4 pts
05▼2Martinsville, VAVA13,84937.7%+5.7 pts
06Petersburg, VAVA33,73437.4%+7.2 pts
07▼3Lee County, VAVA21,64236.1%+4.9 pts
08▼3Hopewell, VAVA23,26135.8%+5.3 pts
09▼7Norton, VAVA3,47735.8%+2.8 pts
10▲4Wise County, VAVA34,82433.8%+9.4 pts
11▲4Buchanan County, VAVA18,49231.2%+7.2 pts
12▲14Russell County, VAVA25,33231.0%+9.7 pts
13▼3Dickenson County, VAVA13,23630.4%+3.7 pts
14▼3Henry County, VAVA49,24230.4%+4.3 pts
15▲5Roanoke, VAVA99,11129.8%+6.7 pts
16▲5Portsmouth, VAVA96,77729.6%+7.1 pts
17▼1Greensville County, VAVA11,18129.0%+5.4 pts
18▲6Halifax County, VAVA33,44728.8%+7.1 pts
19▲23Sussex County, VAVA10,75527.9%+8.5 pts
20▲15Scott County, VAVA21,20027.9%+7.8 pts
21▼8Charlotte County, VAVA11,40127.6%+2.8 pts
22▲45Covington, VAVA5,68027.4%+11.3 pts
23▼4Smyth County, VAVA28,88227.3%+4.1 pts
24▲10Buena Vista, VAVA6,67227.3%+7.1 pts
25▲5Patrick County, VAVA17,42426.3%+5.7 pts
26▲13Pittsylvania County, VAVA59,49026.3%+6.6 pts
27▲2Lunenburg County, VAVA12,05826.1%+5.5 pts
28▼16Bristol, VAVA16,41826.1%+0.4 pts
29▲19Hampton, VAVA137,31525.3%+7.2 pts
30▲54King and Queen County, VAVA6,74325.2%+11.7 pts
31▲12Newport News, VAVA183,23025.1%+6.0 pts
32▼23Brunswick County, VAVA15,72724.9%−2.4 pts
33▼5Richmond, VAVA237,25724.8%+3.7 pts
34▼7Northampton County, VAVA11,87924.7%+3.6 pts
35▼10Tazewell County, VAVA38,63524.3%+2.9 pts
36▼5Norfolk, VAVA231,01324.2%+3.7 pts
37▲15Bath County, VAVA4,07624.1%+6.4 pts
38▲3Appomattox County, VAVA17,17223.9%+4.4 pts
39▼21Essex County, VAVA10,65423.9%+0.7 pts
40▼18Buckingham County, VAVA17,13723.6%+1.3 pts
41▲8Grayson County, VAVA15,23023.6%+5.6 pts
42▲21Staunton, VAVA26,80123.4%+6.9 pts
43▼6Southampton County, VAVA18,11023.3%+3.4 pts
44▼8Mecklenburg County, VAVA30,74723.2%+3.3 pts
45▼1Carroll County, VAVA29,29923.1%+4.2 pts
46▲25Prince Edward County, VAVA22,39123.0%+7.4 pts
47▼14Westmoreland County, VAVA19,71523.0%+2.6 pts
48▼3Lynchburg, VAVA81,34723.0%+4.1 pts
49▲2Craig County, VAVA4,80022.8%+5.0 pts
50▼10Waynesboro, VAVA23,95122.1%+2.4 pts
51▲26Dinwiddie County, VAVA28,89621.9%+7.2 pts
52▲1Winchester, VAVA28,27221.9%+4.2 pts
53▲8Cumberland County, VAVA10,35221.8%+5.3 pts
54▲14Page County, VAVA23,76221.6%+5.6 pts
55▲14Franklin County, VAVA55,52621.4%+5.6 pts
56▲8Wythe County, VAVA27,98321.4%+5.1 pts
57▼34Nottoway County, VAVA15,79621.3%−1.0 pts
58▼20Accomack County, VAVA33,85921.2%+1.5 pts
59▲21Colonial Heights, VAVA18,73821.2%+6.8 pts
60▼2Shenandoah County, VAVA45,83920.7%+3.6 pts
61▲15Campbell County, VAVA55,62920.6%+5.8 pts
62▲8Highland County, VAVA2,31820.5%+4.8 pts
63▼1Pulaski County, VAVA33,58620.5%+4.0 pts
64▼4Washington County, VAVA53,89820.4%+3.7 pts
65▼9Louisa County, VAVA42,92420.0%+2.7 pts
66▼7Warren County, VAVA42,74019.8%+2.9 pts
67▲20Amherst County, VAVA31,96219.5%+6.6 pts
68▼21Middlesex County, VAVA10,84119.4%+0.8 pts
69▼12Lancaster County, VAVA10,99519.1%+1.9 pts
70▲12Harrisonburg, VAVA50,83919.0%+5.2 pts
71▲26Madison County, VAVA14,23718.9%+7.6 pts
72▲6Rockbridge County, VAVA22,66318.6%+4.1 pts
73▲17Radford, VAVA17,24318.6%+6.2 pts
74▲27Mathews County, VAVA8,52918.2%+7.2 pts
75▼1Charles City County, VAVA6,62317.9%+3.0 pts
76▲12Caroline County, VAVA34,41317.6%+4.9 pts
77▼22Amelia County, VAVA13,63217.4%+0.1 pts
78▲16Gloucester County, VAVA40,09717.3%+5.7 pts
79▼4Fredericksburg, VAVA30,39317.3%+2.4 pts
80▼7Suffolk, VAVA104,69917.3%+2.2 pts
81▲21Rappahannock County, VAVA7,43916.9%+5.9 pts
82▼32Alleghany County, VAVA14,54616.7%−1.2 pts
83▼11Manassas, VAVA44,33216.6%+1.0 pts
84▼19Manassas Park, VAVA16,56016.6%+0.3 pts
85▲28Salem, VAVA25,81616.6%+7.5 pts
86▼20Culpeper County, VAVA57,66616.4%+0.2 pts
87▼41Bland County, VAVA6,15116.0%−2.8 pts
88▼34Surry County, VAVA6,60315.9%−1.5 pts
89▼3Prince George County, VAVA43,93615.9%+2.9 pts
90▼5Greene County, VAVA21,95815.9%+2.7 pts
91▼12Nelson County, VAVA14,92015.8%+1.4 pts
92▲20Roanoke County, VAVA97,15015.8%+6.5 pts
93▼61Richmond County, VAVA9,29415.7%−4.7 pts
94▼1Henrico County, VAVA342,77515.5%+3.7 pts
95▼14Northumberland County, VAVA12,55715.4%+1.5 pts
96▼5Spotsylvania County, VAVA155,38815.4%+3.2 pts
97▲8Chesapeake, VAVA255,33215.4%+4.6 pts
98▲1Frederick County, VAVA99,95515.2%+4.1 pts
99▲5Floyd County, VAVA15,78915.0%+4.1 pts
100▼5Charlottesville, VAVA44,38814.9%+3.5 pts
101▼18Orange County, VAVA40,08314.7%+1.0 pts
102▼2Rockingham County, VAVA89,31614.4%+3.3 pts
103▼5Chesterfield County, VAVA397,14814.3%+3.2 pts
104▼15Giles County, VAVA16,56414.3%+1.6 pts
105▲1Bedford County, VAVA83,05913.9%+3.2 pts
106▼14Augusta County, VAVA78,94013.8%+1.8 pts
107▲2Prince William County, VAVA502,96613.7%+3.7 pts
108▲3Virginia Beach, VAVA453,73713.5%+4.0 pts
109▼1Fluvanna County, VAVA28,97512.4%+2.1 pts
110▲7James City County, VAVA83,32612.2%+4.4 pts
111▲12Williamsburg, VAVA15,86111.9%+4.5 pts
112▼2Alexandria, VAVA160,66211.7%+1.8 pts
113▼10Isle of Wight County, VAVA41,32111.7%+0.7 pts
114▼18King George County, VAVA29,64611.4%+0.1 pts
115▲14Poquoson, VAVA13,29211.4%+6.2 pts
116▲2Botetourt County, VAVA34,14410.9%+3.3 pts
117▲7Fauquier County, VAVA76,50310.9%+4.0 pts
118▲2Albemarle County, VAVA118,35610.5%+3.1 pts
119▼4Stafford County, VAVA170,80310.5%+2.1 pts
120▼1Powhatan County, VAVA32,59110.0%+2.4 pts
121▲1Lexington, VAVA7,7699.8%+2.4 pts
122▼1Fairfax County, VAVA1,167,8739.7%+2.3 pts
123▼7Hanover County, VAVA116,4239.7%+1.5 pts
124▼10Montgomery County, VAVA98,4349.6%+0.7 pts
125▼18King William County, VAVA19,6179.3%−1.1 pts
126▼1Fairfax, VAVA26,7729.2%+2.7 pts
127York County, VAVA71,3748.6%+3.2 pts
128New Kent County, VAVA28,0228.4%+3.1 pts
129▲2Goochland County, VAVA29,1877.7%+3.3 pts
130Clarke County, VAVA15,6097.4%+3.0 pts
131▼5Loudoun 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

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