RANKING · 2020 CENSUS · 87 SHOWN OF 87

Highest Medicare coverage, Iowa cities · 2020

Iowa cities ranked by the share of people covered by Medicare, alone or in combination with other coverage (2020 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 19.1%.

IowaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS –

01Clear Lake, IAIA7,60129.2%–

02Algona, IAIA5,30928.3%–

03Charles City, IAIA7,01326.5%–

04Centerville, IAIA5,32725.5%–

05Maquoketa, IAIA6,02725.5%–

06Oelwein, IAIA5,75724.9%–

07Manchester, IAIA5,35724.9%–

08Webster City, IAIA7,81524.7%–

09Vinton, IAIA5,00424.6%–

10Anamosa, IAIA5,90124.5%–

11Grinnell, IAIA9,43024.0%–

12Clarinda, IAIA5,27324.0%–

13Glenwood, IAIA5,28723.9%–

14Keokuk, IAIA9,51023.7%–

15Knoxville, IAIA7,46923.6%–

16Spencer, IAIA11,21823.5%–

17Creston, IAIA7,33523.5%–

18Burlington, IAIA23,33623.3%–

19Cherokee, IAIA5,12223.3%–

20Spirit Lake, IAIA5,52523.3%–

21Mason City, IAIA26,85322.9%–

22Iowa Falls, IAIA5,01322.9%–

23Atlantic, IAIA6,67622.9%–

24Clinton, IAIA24,04922.7%–

25Red Oak, IAIA5,38822.5%–

26Newton, IAIA15,74122.4%–

27Carroll, IAIA10,08521.8%–

28Washington, IAIA7,26121.7%–

29Fort Madison, IAIA9,93521.5%–

30Windsor Heights, IAIA5,05921.4%–

31Decorah, IAIA7,41721.2%–

32Fort Dodge, IAIA24,83721.2%–

33Fairfield, IAIA9,22021.2%–

34Independence, IAIA6,31221.1%–

35Dubuque, IAIA59,14820.9%–

36Mount Pleasant, IAIA8,50020.7%–

37Orange City, IAIA6,46820.6%–

38Osceola, IAIA5,67920.4%–

39Perry, IAIA8,20820.3%–

40Oskaloosa, IAIA11,49320.2%–

41Sheldon, IAIA5,57520.2%–

42Nevada, IAIA6,97419.8%–

43Council Bluffs, IAIA62,68019.4%–

44Waterloo, IAIA66,91919.1%–

45Waverly, IAIA10,56118.8%–

46Ottumwa, IAIA25,31918.5%–

47Bettendorf, IAIA40,71018.2%–

48Estherville, IAIA5,80718.2%–

49Pella, IAIA10,99217.9%–

50Le Mars, IAIA10,76017.8%–

51Marshalltown, IAIA27,53617.5%–

52Cedar Rapids, IAIA137,93517.2%–

53Pleasant Hill, IAIA11,23917.1%–

54Davenport, IAIA100,35817.1%–

55Marion, IAIA42,73216.9%–

56Indianola, IAIA16,82916.8%–

57Muscatine, IAIA23,16416.5%–

58Winterset, IAIA5,52016.2%–

59Asbury, IAIA6,03515.9%–

60Clive, IAIA19,86115.7%–

61Boone, IAIA12,47115.6%–

62DeWitt, IAIA5,70415.6%–

63Cedar Falls, IAIA41,24015.4%–

64Johnston, IAIA25,06515.3%–

65Altoona, IAIA22,79615.3%–

66Urbandale, IAIA48,57015.2%–

67Eldridge, IAIA6,95415.0%–

68Sioux City, IAIA86,35614.9%–

69Des Moines, IAIA212,08614.1%–

70West Des Moines, IAIA74,22414.0%–

71Adel, IAIA7,09813.8%–

72Hiawatha, IAIA7,43213.0%–

73Norwalk, IAIA15,00412.9%–

74Denison, IAIA8,21412.6%–

75Sioux Center, IAIA8,86412.4%–

76Iowa City, IAIA76,22912.0%–

77Sergeant Bluff, IAIA5,32411.8%–

78Coralville, IAIA23,96011.5%–

79Waukee, IAIA34,89011.3%–

80Ankeny, IAIA77,83310.8%–

81Storm Lake, IAIA11,59010.8%–

82Ames, IAIA68,22010.1%–

83Tiffin, IAIA7,1569.3%–

84Grimes, IAIA17,4058.7%–

85Bondurant, IAIA9,6477.2%–

86Polk City, IAIA6,6305.8%–

87North Liberty, IAIA21,9765.8%–

SHOWING 1–87 OF 87

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS