RANKING · 2020 CENSUS · 133 SHOWN OF 133

Highest Medicaid coverage, Virginia counties · 2020

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

VirginiaAll 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 –

01Emporia, VAVA5,44738.0%–

02Norton, VAVA3,47733.0%–

03Martinsville, VAVA13,84932.0%–

04Lee County, VAVA21,64231.2%–

05Hopewell, VAVA23,26130.5%–

06Petersburg, VAVA33,73430.2%–

07Danville, VAVA41,64728.3%–

08Franklin, VAVA8,47827.4%–

09Brunswick County, VAVA15,72727.3%–

10Dickenson County, VAVA13,23626.7%–

11Henry County, VAVA49,24226.1%–

12Bristol, VAVA16,41825.7%–

13Charlotte County, VAVA11,40124.8%–

14Wise County, VAVA34,82424.4%–

15Buchanan County, VAVA18,49224.0%–

16Greensville County, VAVA11,18123.6%–

17Galax, VAVA6,67023.4%–

18Essex County, VAVA10,65423.2%–

19Smyth County, VAVA28,88223.2%–

20Roanoke, VAVA99,11123.1%–

21Portsmouth, VAVA96,77722.5%–

22Buckingham County, VAVA17,13722.3%–

23Nottoway County, VAVA15,79622.3%–

24Halifax County, VAVA33,44721.7%–

25Tazewell County, VAVA38,63521.4%–

26Russell County, VAVA25,33221.3%–

27Northampton County, VAVA11,87921.1%–

28Richmond, VAVA237,25721.1%–

29Lunenburg County, VAVA12,05820.6%–

30Patrick County, VAVA17,42420.6%–

31Norfolk, VAVA231,01320.5%–

32Richmond County, VAVA9,29420.4%–

33Westmoreland County, VAVA19,71520.4%–

34Buena Vista, VAVA6,67220.2%–

35Scott County, VAVA21,20020.1%–

36Mecklenburg County, VAVA30,74719.9%–

37Southampton County, VAVA18,11019.9%–

38Accomack County, VAVA33,85919.7%–

39Pittsylvania County, VAVA59,49019.7%–

40Waynesboro, VAVA23,95119.7%–

41Appomattox County, VAVA17,17219.5%–

42Sussex County, VAVA10,75519.4%–

43Newport News, VAVA183,23019.1%–

44Carroll County, VAVA29,29918.9%–

45Lynchburg, VAVA81,34718.9%–

46Bland County, VAVA6,15118.8%–

47Middlesex County, VAVA10,84118.6%–

48Hampton, VAVA137,31518.1%–

49Grayson County, VAVA15,23018.0%–

50Alleghany County, VAVA14,54617.9%–

51Craig County, VAVA4,80017.8%–

52Bath County, VAVA4,07617.7%–

53Winchester, VAVA28,27217.7%–

54Surry County, VAVA6,60317.4%–

55Amelia County, VAVA13,63217.3%–

56Louisa County, VAVA42,92417.3%–

57Lancaster County, VAVA10,99517.2%–

58Shenandoah County, VAVA45,83917.1%–

59Warren County, VAVA42,74016.9%–

60Washington County, VAVA53,89816.7%–

61Cumberland County, VAVA10,35216.5%–

62Pulaski County, VAVA33,58616.5%–

63Staunton, VAVA26,80116.5%–

64Wythe County, VAVA27,98316.3%–

65Manassas Park, VAVA16,56016.3%–

66Culpeper County, VAVA57,66616.2%–

67Covington, VAVA5,68016.1%–

68Page County, VAVA23,76216.0%–

69Franklin County, VAVA55,52615.8%–

70Highland County, VAVA2,31815.7%–

71Prince Edward County, VAVA22,39115.6%–

72Manassas, VAVA44,33215.6%–

73Suffolk, VAVA104,69915.1%–

74Charles City County, VAVA6,62314.9%–

75Fredericksburg, VAVA30,39314.9%–

76Campbell County, VAVA55,62914.8%–

77Dinwiddie County, VAVA28,89614.7%–

78Rockbridge County, VAVA22,66314.5%–

79Nelson County, VAVA14,92014.4%–

80Colonial Heights, VAVA18,73814.4%–

81Northumberland County, VAVA12,55713.9%–

82Harrisonburg, VAVA50,83913.8%–

83Orange County, VAVA40,08313.7%–

84King and Queen County, VAVA6,74313.5%–

85Greene County, VAVA21,95813.2%–

86Prince George County, VAVA43,93613.0%–

87Amherst County, VAVA31,96212.9%–

88Caroline County, VAVA34,41312.7%–

89Giles County, VAVA16,56412.7%–

90Radford, VAVA17,24312.4%–

91Spotsylvania County, VAVA155,38812.2%–

92Augusta County, VAVA78,94012.0%–

93Henrico County, VAVA342,77511.8%–

94Gloucester County, VAVA40,09711.6%–

95Charlottesville, VAVA44,38811.4%–

96King George County, VAVA29,64611.3%–

97Madison County, VAVA14,23711.3%–

98Chesterfield County, VAVA397,14811.1%–

99Frederick County, VAVA99,95511.1%–

100Rockingham County, VAVA89,31611.1%–

101Mathews County, VAVA8,52911.0%–

102Rappahannock County, VAVA7,43911.0%–

103Isle of Wight County, VAVA41,32111.0%–

104Floyd County, VAVA15,78910.9%–

105Chesapeake, VAVA255,33210.8%–

106Bedford County, VAVA83,05910.7%–

107King William County, VAVA19,61710.4%–

108Fluvanna County, VAVA28,97510.3%–

109Prince William County, VAVA502,96610.0%–

110Alexandria, VAVA160,6629.9%–

111Virginia Beach, VAVA453,7379.5%–

112Roanoke County, VAVA97,1509.3%–

113Salem, VAVA25,8169.1%–

114Montgomery County, VAVA98,4348.9%–

115Stafford County, VAVA170,8038.4%–

116Hanover County, VAVA116,4238.2%–

117James City County, VAVA83,3267.8%–

118Botetourt County, VAVA34,1447.6%–

119Powhatan County, VAVA32,5917.6%–

120Albemarle County, VAVA118,3567.4%–

121Fairfax County, VAVA1,167,8737.4%–

122Lexington, VAVA7,7697.4%–

123Williamsburg, VAVA15,8617.4%–

124Fauquier County, VAVA76,5036.9%–

125Fairfax, VAVA26,7726.5%–

126Loudoun County, VAVA449,7495.5%–

127York County, VAVA71,3745.4%–

128New Kent County, VAVA28,0225.3%–

129Poquoson, VAVA13,2925.2%–

130Clarke County, VAVA15,6094.4%–

131Goochland County, VAVA29,1874.4%–

132Arlington County, VAVA243,9314.3%–

133Falls Church, VAVA15,1592.0%–

SHOWING 1–133 OF 133

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