RANKING · 2024 ACS · 87 SHOWN OF 87

Highest Medicare coverage, Iowa cities

Iowa cities ranked by the share of people covered by Medicare, alone or in combination with other coverage (2024 ACS). A close proxy for retirement geography. This list covers the 87 cities in Iowa that qualify, ranked against each other statewide. The median across all 87 is 19.7%. Biggest climber in the top 100 since 2020: Estherville, IA, up 31 places to #17.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01▲11Clarinda, IAIA5,27329.8%+5.8 pts

02▼1Clear Lake, IAIA7,60128.4%−0.8 pts

03▲30Fairfield, IAIA9,22028.0%+6.8 pts

04▲3Manchester, IAIA5,35727.5%+2.6 pts

05▲18Atlantic, IAIA6,67627.2%+4.3 pts

06▲13Cherokee, IAIA5,12226.8%+3.5 pts

07▼5Algona, IAIA5,30926.6%−1.7 pts

08▼4Centerville, IAIA5,32726.4%+0.9 pts

09▼3Oelwein, IAIA5,75726.1%+1.2 pts

10▼7Charles City, IAIA7,01325.8%−0.7 pts

11▲16Carroll, IAIA10,08525.7%+3.9 pts

12▲10Iowa Falls, IAIA5,01324.9%+2.0 pts

13Glenwood, IAIA5,28724.8%+0.9 pts

14▲7Mason City, IAIA26,85324.6%+1.7 pts

15▲3Burlington, IAIA23,33624.6%+1.3 pts

16▲13Fort Madison, IAIA9,93524.4%+2.9 pts

17▲31Estherville, IAIA5,80724.1%+5.9 pts

18▼9Vinton, IAIA5,00424.1%−0.5 pts

19▼9Anamosa, IAIA5,90123.8%−0.7 pts

20▲11Decorah, IAIA7,41723.8%+2.6 pts

21▼4Creston, IAIA7,33523.6%+0.1 pts

22▲4Newton, IAIA15,74123.4%+1.0 pts

23▼18Maquoketa, IAIA6,02723.1%−2.4 pts

24▼4Spirit Lake, IAIA5,52523.1%−0.2 pts

25▼1Clinton, IAIA24,04922.9%+0.2 pts

26▼11Knoxville, IAIA7,46922.9%−0.7 pts

27▲26Pleasant Hill, IAIA11,23922.7%+5.6 pts

28Washington, IAIA7,26122.6%+0.9 pts

29▼18Grinnell, IAIA9,43022.5%−1.5 pts

30▲5Dubuque, IAIA59,14821.9%+1.0 pts

31▼17Keokuk, IAIA9,51021.7%−2.0 pts

32▼16Spencer, IAIA11,21821.7%−1.8 pts

33▲7Oskaloosa, IAIA11,49321.4%+1.2 pts

34▲4Osceola, IAIA5,67921.3%+0.9 pts

35▲23Winterset, IAIA5,52021.1%+4.9 pts

36▼4Fort Dodge, IAIA24,83720.9%−0.3 pts

37▼1Mount Pleasant, IAIA8,50020.8%+0.1 pts

38▲3Sheldon, IAIA5,57520.8%+0.6 pts

39▼5Independence, IAIA6,31220.7%−0.4 pts

40▲5Waverly, IAIA10,56120.3%+1.5 pts

41▼11Windsor Heights, IAIA5,05920.1%−1.3 pts

42▼17Red Oak, IAIA5,38820.0%−2.5 pts

43▲1Waterloo, IAIA66,91920.0%+0.9 pts

44▼1Council Bluffs, IAIA62,68019.7%+0.3 pts

45▼3Nevada, IAIA6,97419.4%−0.4 pts

46▲11Muscatine, IAIA23,16419.4%+2.9 pts

47▲2Pella, IAIA10,99219.4%+1.5 pts

48▼1Bettendorf, IAIA40,71019.2%+1.0 pts

49▲1Le Mars, IAIA10,76018.9%+1.1 pts

50▲17Eldridge, IAIA6,95418.6%+3.6 pts

51▼5Ottumwa, IAIA25,31918.4%−0.1 pts

52▲4Indianola, IAIA16,82918.4%+1.6 pts

53▲2Marion, IAIA42,73218.3%+1.4 pts

54▼17Orange City, IAIA6,46817.9%−2.7 pts

55▲6Boone, IAIA12,47117.9%+2.3 pts

56▼48Webster City, IAIA7,81517.8%−6.9 pts

57▼3Davenport, IAIA100,35817.7%+0.6 pts

58▲7Altoona, IAIA22,79617.4%+2.1 pts

59▼7Cedar Rapids, IAIA137,93517.4%+0.2 pts

60▲2DeWitt, IAIA5,70417.1%+1.5 pts

61▲2Cedar Falls, IAIA41,24016.7%+1.3 pts

62▲6Sioux City, IAIA86,35616.7%+1.8 pts

63▼3Clive, IAIA19,86116.2%+0.5 pts

64▼13Marshalltown, IAIA27,53615.9%−1.6 pts

65▼26Perry, IAIA8,20815.6%−4.7 pts

66▲4West Des Moines, IAIA74,22415.5%+1.5 pts

67▼3Johnston, IAIA25,06515.2%−0.1 pts

68▼9Asbury, IAIA6,03514.8%−1.1 pts

69▲3Hiawatha, IAIA7,43214.8%+1.8 pts

70▼4Urbandale, IAIA48,57014.7%−0.5 pts

71▼2Des Moines, IAIA212,08614.5%+0.4 pts

72▲2Denison, IAIA8,21414.5%+1.9 pts

73▼2Adel, IAIA7,09814.3%+0.5 pts

74▼1Norwalk, IAIA15,00414.1%+1.2 pts

75▲3Coralville, IAIA23,96013.7%+2.2 pts

76▲10Polk City, IAIA6,63013.3%+7.5 pts

77▲4Storm Lake, IAIA11,59013.0%+2.2 pts

78▼1Sergeant Bluff, IAIA5,32412.6%+0.8 pts

79▼3Iowa City, IAIA76,22912.6%+0.6 pts

80▼5Sioux Center, IAIA8,86412.5%+0.1 pts

81▼1Ankeny, IAIA77,83312.0%+1.2 pts

82Ames, IAIA68,22011.4%+1.3 pts

83▼4Waukee, IAIA34,89010.9%−0.4 pts

84▼1Tiffin, IAIA7,15610.2%+0.9 pts

85▼1Grimes, IAIA17,4058.4%−0.3 pts

86▲1North Liberty, IAIA21,9767.8%+2.0 pts

87▼2Bondurant, IAIA9,6477.3%+0.1 pts

SHOWING 1–87 OF 87

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