RANKING · 2024 ACS · 175 SHOWN OF 175

Highest Medicare coverage, North Carolina cities

North Carolina 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 175 cities in North Carolina that qualify, ranked against each other statewide. The median across all 175 is 18.9%. Biggest climber in the top 100 since 2020: Stokesdale, NC, up 87 places to #84.

North CarolinaAll statesPop > 5KAll rankings

SAME RANKING BYCounties States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01St. James, NCNC7,31865.8%+0.5 pts

02Carolina Shores, NCNC5,54053.5%−1.9 pts

03▲2Oak Island, NCNC9,33744.2%+6.0 pts

04▼1Pinehurst, NCNC18,67042.7%−1.0 pts

05▼1Black Mountain, NCNC8,49137.4%−2.1 pts

06▲2Hendersonville, NCNC15,86734.5%+0.8 pts

07▲11Porters Neck, NCNC7,65433.3%+6.8 pts

08▲1Brevard, NCNC8,09832.4%+2.3 pts

09▲6Tarboro, NCNC10,97932.3%+3.3 pts

10▲4Kinston, NCNC19,70530.8%+1.7 pts

11▲2Waynesville, NCNC11,00628.7%−0.5 pts

12▼6Etowah, NCNC7,96827.9%−10.1 pts

13▼3Reidsville, NCNC14,69227.8%−1.9 pts

14▲2Leland, NCNC35,73127.6%−1.1 pts

15▲6Washington, NCNC9,91027.5%+1.1 pts

16▼5Mount Airy, NCNC10,68227.4%−2.0 pts

17▲21Lenoir, NCNC18,37226.6%+3.2 pts

18▲2Southern Pines, NCNC17,35726.6%+0.2 pts

19▲23Oxford, NCNC8,98526.5%+3.6 pts

20▲17Smithfield, NCNC13,11426.5%+3.0 pts

21▲4Archdale, NCNC12,25426.3%+1.3 pts

22▲8New Bern, NCNC34,72426.1%+1.9 pts

23▲5Mills River, NCNC7,50425.5%+1.0 pts

24▼5Marion, NCNC7,44025.4%−1.0 pts

25▲23Roxboro, NCNC8,38025.0%+2.8 pts

26▲37Forest City, NCNC7,41024.8%+4.4 pts

27▲2Morehead City, NCNC10,43424.7%+0.3 pts

28▲3Goldsboro, NCNC35,01224.4%+0.3 pts

29▲5Clinton, NCNC8,46624.3%+0.4 pts

30▲13Ayden, NCNC5,26324.2%+1.5 pts

31▼8Dunn, NCNC8,81424.2%−1.6 pts

32▼15Shelby, NCNC23,30924.0%−3.1 pts

33Locust, NCNC6,12024.0%+0.1 pts

34▼7Lake Norman of Catawba, NCNC9,90623.8%−0.7 pts

35▲24Boiling Spring Lakes, NCNC6,87523.7%+3.1 pts

36▲20Midway, NCNC5,10423.7%+2.4 pts

37▼2Long View, NCNC5,38723.6%−0.3 pts

38▲2Rockingham, NCNC8,81523.2%+0.1 pts

39▼27Shallotte, NCNC5,33523.1%−6.1 pts

40▲10Roanoke Rapids, NCNC14,38623.0%+1.2 pts

41▲28King, NCNC7,97722.8%+2.7 pts

42▲5Laurinburg, NCNC14,58222.8%+0.5 pts

43▲64Mocksville, NCNC6,28222.8%+5.2 pts

44▲79Nashville, NCNC5,91122.8%+7.5 pts

45▼19Eden, NCNC15,50022.7%−1.9 pts

46▼7Fletcher, NCNC8,37322.7%−0.5 pts

47▲42St. Stephens, NCNC9,45722.5%+3.4 pts

48▲1Albemarle, NCNC17,76922.3%+0.2 pts

49▲4Williamston, NCNC5,08622.2%+0.7 pts

50▼4Rocky Mount, NCNC55,12022.0%−0.4 pts

51▼7Silver Lake, NCNC6,56321.9%−0.5 pts

52▼28Trinity, NCNC7,27421.9%−3.4 pts

53▲17Asheville, NCNC93,52321.7%+1.7 pts

54▲1Newton, NCNC13,82221.7%+0.4 pts

55▲24Carolina Beach, NCNC6,87021.6%+1.9 pts

56▲8Henderson, NCNC15,01321.6%+1.3 pts

57▲17Mint Hill, NCNC29,47621.2%+1.3 pts

58▼36Wadesboro, NCNC5,03521.2%−5.0 pts

59▼2Morganton, NCNC17,84921.1%+0.1 pts

60▲13Ogden, NCNC8,24921.0%+1.1 pts

61▼16Butner, NCNC8,11221.0%−1.4 pts

62▲54Elizabeth City, NCNC19,62221.0%+4.9 pts

63▼12Cherryville, NCNC6,52320.8%−0.8 pts

64▼3Westport, NCNC5,91520.6%+0.1 pts

65▲48Angier, NCNC9,41020.6%+4.1 pts

66▲40Cornelius, NCNC35,09420.5%+2.9 pts

67▲4Wilmington, NCNC126,80920.3%+0.3 pts

68▼8Hamlet, NCNC5,87020.2%−0.3 pts

69▲43Kill Devil Hills, NCNC7,73120.2%+3.7 pts

70▼38Kings Mountain, NCNC12,11720.2%−3.8 pts

71▼17Walkertown, NCNC6,12020.2%−1.2 pts

72▲5Kings Grant, NCNC9,00320.0%+0.3 pts

73▲29Gibsonville, NCNC9,87620.0%+2.2 pts

74▼22Graham, NCNC20,13120.0%−1.6 pts

75▼34Sawmills, NCNC5,10520.0%−3.0 pts

76▲16Thomasville, NCNC27,73320.0%+1.3 pts

77▲32Matthews, NCNC32,76919.9%+3.0 pts

78Wilson, NCNC49,57219.9%+0.2 pts

79▼7Lexington, NCNC20,23819.8%−0.1 pts

80▲31Archer Lodge, NCNC5,64919.8%+3.1 pts

81▲29Woodfin, NCNC8,22919.7%+2.8 pts

82▼20Burlington, NCNC61,49619.6%−0.9 pts

83▼76Pleasant Garden, NCNC5,16519.5%−15.1 pts

84▲87Stokesdale, NCNC6,13319.4%+11.9 pts

85▲13Bessemer City, NCNC5,83419.3%+1.4 pts

86▼20Surf City, NCNC5,14219.0%−1.3 pts

87▼7Lincolnton, NCNC12,46518.9%−0.7 pts

88▼4Asheboro, NCNC27,99018.9%−0.5 pts

89▼14Clemmons, NCNC22,80818.8%−1.0 pts

90▲15Hickory, NCNC45,97518.7%+1.1 pts

91▼55Pittsboro, NCNC5,05418.6%−5.2 pts

92▲1Salisbury, NCNC36,87918.5%−0.1 pts

93▼11Kernersville, NCNC29,12818.4%−1.1 pts

94▲26Lake Norman of Iredell, NCNC12,49418.4%+2.5 pts

95▼10Lumberton, NCNC18,95518.2%−1.2 pts

96▼9Wrightsboro, NCNC6,28718.0%−1.2 pts

97▼6Myrtle Grove, NCNC12,63717.9%−0.8 pts

98▼10Conover, NCNC8,93817.8%−1.4 pts

99▲29Belmont, NCNC16,41517.7%+3.3 pts

100▲24Garner, NCNC41,56217.7%+2.4 pts

101▼34Swannanoa, NCNC6,90117.5%−2.7 pts

102▲56Creedmoor, NCNC5,04617.5%+6.7 pts

103▼4Kannapolis, NCNC61,70817.5%−0.4 pts

104▲4Winston-Salem, NCNC257,27117.4%+0.4 pts

105▼8High Point, NCNC120,57117.4%−0.5 pts

106▼25Selma, NCNC7,40617.4%−2.2 pts

107▼17Briar Chapel, NCNC6,04917.3%−1.5 pts

108▼13Statesville, NCNC32,18117.3%−1.1 pts

109▲8Fayetteville, NCNC209,12017.0%+0.9 pts

110▼27Hampstead, NCNC9,29216.8%−2.6 pts

111▲14Wesley Chapel, NCNC9,56616.8%+1.7 pts

112▼18Hillsborough, NCNC9,77816.7%−1.7 pts

113▲17East Flat Rock, NCNC6,32316.4%+2.2 pts

114▲13Stallings, NCNC17,76016.4%+1.9 pts

115▼1Dallas, NCNC6,39216.3%0.0 pts

116▼20Gastonia, NCNC87,06716.3%−1.8 pts

117▼2Whispering Pines, NCNC5,50516.2%0.0 pts

118▼53Wendell, NCNC19,68716.0%−4.3 pts

119▼1Murraysville, NCNC16,33915.9%−0.1 pts

120▲1Greensboro, NCNC308,66715.9%+0.4 pts

121▼18Lewisville, NCNC14,42115.8%−1.8 pts

122Winterville, NCNC10,97315.8%+0.5 pts

123▲6Summerfield, NCNC11,32715.8%+1.4 pts

124▲16Holly Ridge, NCNC5,90815.5%+2.2 pts

125▲13Mebane, NCNC21,95215.5%+1.9 pts

126▲5Sanford, NCNC34,13815.5%+1.3 pts

127▼41Aberdeen, NCNC10,06615.4%−3.9 pts

128▲39Spout Springs, NCNC11,24215.4%+6.7 pts

129▲4Half Moon, NCNC7,37815.1%+1.2 pts

130▲16Jacksonville, NCNC72,73215.1%+2.5 pts

131▲10Hope Mills, NCNC18,32415.0%+1.7 pts

132▲15Fuquay-Varina, NCNC48,53615.0%+2.4 pts

133▼32Elon, NCNC11,36614.8%−3.0 pts

134▲18Piney Green, NCNC14,07814.6%+3.1 pts

135Davidson, NCNC16,66214.5%+0.7 pts

136▼2Monroe, NCNC42,64414.4%+0.5 pts

137▼5Cramerton, NCNC5,71314.2%+0.1 pts

138▲7Durham, NCNC305,56114.2%+1.3 pts

139▼2Oak Ridge, NCNC7,89614.0%+0.4 pts

140▲4Huntersville, NCNC68,53513.7%+0.6 pts

141▲7Cary, NCNC183,58213.6%+1.2 pts

142▼6Mount Holly, NCNC19,03313.6%−0.1 pts

143▼75Zebulon, NCNC11,93313.5%−6.7 pts

144▼1Mooresville, NCNC55,84213.3%+0.2 pts

145▼45Unionville, NCNC7,32213.2%−4.7 pts

146▲8Wake Forest, NCNC58,14713.2%+1.9 pts

147▲2Weddington, NCNC14,51713.0%+0.8 pts

148▼9Concord, NCNC114,59812.9%−0.6 pts

149▲12Spring Lake, NCNC11,25212.9%+2.4 pts

150▼46Pineville, NCNC11,85112.8%−4.8 pts

151▼25Rolesville, NCNC12,83912.8%−2.0 pts

152▼94Northchase, NCNC5,89612.6%−8.3 pts

153▲2Greenville, NCNC96,44312.6%+1.5 pts

154▼4Raleigh, NCNC506,30612.5%+0.5 pts

155▼36Siler City, NCNC8,15512.4%−3.5 pts

156Chapel Hill, NCNC63,56512.4%+1.4 pts

157Havelock, NCNC17,43012.3%+1.4 pts

158▲1Moyock, NCNC5,68412.0%+1.3 pts

159▼6Charlotte, NCNC964,78411.9%+0.5 pts

160▼84Lillington, NCNC5,04011.8%−7.9 pts

161▲2Midland, NCNC5,15111.8%+1.8 pts

162Harrisburg, NCNC20,74210.9%+0.7 pts

163▲3Knightdale, NCNC23,14410.9%+1.9 pts

164▲4Marvin, NCNC7,04010.6%+2.0 pts

165▼1Anderson Creek, NCNC13,92710.3%+0.7 pts

166▼24Clayton, NCNC32,63310.3%−3.0 pts

167▼16Carrboro, NCNC20,96210.1%−1.9 pts

168▼8Indian Trail, NCNC44,3039.8%−0.7 pts

169Barbecue, NCNC5,9109.5%–

170▼1Apex, NCNC80,4199.2%+1.0 pts

171▼1Holly Springs, NCNC50,2889.1%+1.1 pts

172▼7Waxhaw, NCNC23,1409.1%−0.2 pts

173Boone, NCNC19,9299.0%+3.1 pts

174▼2Morrisville, NCNC32,4667.0%0.0 pts

175▼1Cullowhee, NCNC7,9734.1%+2.9 pts

SHOWING 1–175 OF 175

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