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.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01Clarinda, IAIA5,27329.8%+5.8 pts

02Clear Lake, IAIA7,60128.4%−0.8 pts

03Fairfield, IAIA9,22028.0%+6.8 pts

04Manchester, IAIA5,35727.5%+2.6 pts

05Atlantic, IAIA6,67627.2%+4.3 pts

06Cherokee, IAIA5,12226.8%+3.5 pts

07Algona, IAIA5,30926.6%−1.7 pts

08Centerville, IAIA5,32726.4%+0.9 pts

09Oelwein, IAIA5,75726.1%+1.2 pts

10Charles City, IAIA7,01325.8%−0.7 pts

11Carroll, IAIA10,08525.7%+3.9 pts

12Iowa Falls, IAIA5,01324.9%+2.0 pts

13Glenwood, IAIA5,28724.8%+0.9 pts

14Mason City, IAIA26,85324.6%+1.7 pts

15Burlington, IAIA23,33624.6%+1.3 pts

16Fort Madison, IAIA9,93524.4%+2.9 pts

17Estherville, IAIA5,80724.1%+5.9 pts

18Vinton, IAIA5,00424.1%−0.5 pts

19Decorah, IAIA7,41723.8%+2.6 pts

20Anamosa, IAIA5,90123.8%−0.7 pts

21Creston, IAIA7,33523.6%+0.1 pts

22Newton, IAIA15,74123.4%+1.0 pts

23Maquoketa, IAIA6,02723.1%−2.4 pts

24Spirit Lake, IAIA5,52523.1%−0.2 pts

25Knoxville, IAIA7,46922.9%−0.7 pts

26Clinton, IAIA24,04922.9%+0.2 pts

27Pleasant Hill, IAIA11,23922.7%+5.6 pts

28Washington, IAIA7,26122.6%+0.9 pts

29Grinnell, IAIA9,43022.5%−1.5 pts

30Dubuque, IAIA59,14821.9%+1.0 pts

31Spencer, IAIA11,21821.7%−1.8 pts

32Keokuk, IAIA9,51021.7%−2.0 pts

33Oskaloosa, IAIA11,49321.4%+1.2 pts

34Osceola, IAIA5,67921.3%+0.9 pts

35Winterset, IAIA5,52021.1%+4.9 pts

36Fort Dodge, IAIA24,83720.9%−0.3 pts

37Mount Pleasant, IAIA8,50020.8%+0.1 pts

38Sheldon, IAIA5,57520.8%+0.6 pts

39Independence, IAIA6,31220.7%−0.4 pts

40Waverly, IAIA10,56120.3%+1.5 pts

41Windsor Heights, IAIA5,05920.1%−1.3 pts

42Red Oak, IAIA5,38820.0%−2.5 pts

43Waterloo, IAIA66,91920.0%+0.9 pts

44Council Bluffs, IAIA62,68019.7%+0.3 pts

45Muscatine, IAIA23,16419.4%+2.9 pts

46Nevada, IAIA6,97419.4%−0.4 pts

47Pella, IAIA10,99219.4%+1.5 pts

48Bettendorf, IAIA40,71019.2%+1.0 pts

49Le Mars, IAIA10,76018.9%+1.1 pts

50Eldridge, IAIA6,95418.6%+3.6 pts

51Indianola, IAIA16,82918.4%+1.6 pts

52Ottumwa, IAIA25,31918.4%−0.1 pts

53Marion, IAIA42,73218.3%+1.4 pts

54Boone, IAIA12,47117.9%+2.3 pts

55Orange City, IAIA6,46817.9%−2.7 pts

56Webster City, IAIA7,81517.8%−6.9 pts

57Davenport, IAIA100,35817.7%+0.6 pts

58Altoona, IAIA22,79617.4%+2.1 pts

59Cedar Rapids, IAIA137,93517.4%+0.2 pts

60DeWitt, IAIA5,70417.1%+1.5 pts

61Cedar Falls, IAIA41,24016.7%+1.3 pts

62Sioux City, IAIA86,35616.7%+1.8 pts

63Clive, IAIA19,86116.2%+0.5 pts

64Marshalltown, IAIA27,53615.9%−1.6 pts

65Perry, IAIA8,20815.6%−4.7 pts

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

67Johnston, IAIA25,06515.2%−0.1 pts

68Asbury, IAIA6,03514.8%−1.1 pts

69Hiawatha, IAIA7,43214.8%+1.8 pts

70Urbandale, IAIA48,57014.7%−0.5 pts

71Denison, IAIA8,21414.5%+1.9 pts

72Des Moines, IAIA212,08614.5%+0.4 pts

73Adel, IAIA7,09814.3%+0.5 pts

74Norwalk, IAIA15,00414.1%+1.2 pts

75Coralville, IAIA23,96013.7%+2.2 pts

76Polk City, IAIA6,63013.3%+7.5 pts

77Storm Lake, IAIA11,59013.0%+2.2 pts

78Iowa City, IAIA76,22912.6%+0.6 pts

79Sergeant Bluff, IAIA5,32412.6%+0.8 pts

80Sioux Center, IAIA8,86412.5%+0.1 pts

81Ankeny, IAIA77,83312.0%+1.2 pts

82Ames, IAIA68,22011.4%+1.3 pts

83Waukee, IAIA34,89010.9%−0.4 pts

84Tiffin, IAIA7,15610.2%+0.9 pts

85Grimes, IAIA17,4058.4%−0.3 pts

86North Liberty, IAIA21,9767.8%+2.0 pts

87Bondurant, IAIA9,6477.3%+0.1 pts

SHOWING 1–87 OF 87

Download CSV (full list, 87 rows)

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