RANKING · 2024 ACS · 67 SHOWN OF 67

Highest Medicare coverage, Alabama counties

Alabama counties 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 67 counties in Alabama that qualify, ranked against each other statewide. The median across all 67 is 23.5%. Biggest climber in the top 100 since 2020: Bullock County, AL, up 34 places to #17.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01▲1Greene County, ALAL7,06731.2%+2.7 pts

02▲1Choctaw County, ALAL11,90430.6%+2.3 pts

03▲8Conecuh County, ALAL10,89930.1%+3.6 pts

04▼3Coosa County, ALAL10,16129.5%−1.0 pts

05▼1Cherokee County, ALAL26,41329.1%+1.2 pts

06▼1Henry County, ALAL18,39428.6%+1.1 pts

07▲9Lamar County, ALAL13,58727.8%+2.2 pts

08▲4Tallapoosa County, ALAL40,95327.6%+1.3 pts

09▼3Pickens County, ALAL18,22127.3%−0.1 pts

10▼1Wilcox County, ALAL9,66627.2%+0.3 pts

11▲7Monroe County, ALAL18,96526.9%+1.6 pts

12▲20Perry County, ALAL7,42526.9%+3.5 pts

13▲6Clay County, ALAL14,20726.6%+1.6 pts

14▼4Marengo County, ALAL18,31126.4%−0.3 pts

15▼8Fayette County, ALAL15,87226.3%−0.9 pts

16▲12Butler County, ALAL18,10026.2%+2.1 pts

17▲34Bullock County, ALAL9,78026.2%+5.9 pts

18▼4Marion County, ALAL29,09726.1%−0.1 pts

19▼11Sumter County, ALAL11,58826.0%−1.2 pts

20▼3Barbour County, ALAL24,60725.7%+0.2 pts

21▲8Talladega County, ALAL81,60325.5%+1.4 pts

22▲8Clarke County, ALAL22,01425.1%+1.1 pts

23▲1Jackson County, ALAL54,28125.0%+0.3 pts

24▼2Washington County, ALAL14,82225.0%+0.2 pts

25▲14Escambia County, ALAL36,66524.9%+2.2 pts

26▲5Randolph County, ALAL23,16324.9%+1.0 pts

27▼12Winston County, ALAL23,82924.9%−1.0 pts

28▼15Macon County, ALAL18,13224.8%−1.4 pts

29▼3Covington County, ALAL37,94724.6%+0.2 pts

30▼10Hale County, ALAL15,19424.2%−0.8 pts

31▲15Dallas County, ALAL35,14024.1%+2.7 pts

32▼5Walker County, ALAL65,14024.1%−0.2 pts

33▲4Crenshaw County, ALAL13,17524.0%+1.2 pts

34▼9Colbert County, ALAL59,47423.5%−1.0 pts

35▼14Lowndes County, ALAL9,35923.5%−1.3 pts

36▼13Geneva County, ALAL27,55423.4%−1.3 pts

37▲4Baldwin County, ALAL267,76123.4%+0.7 pts

38▼2Lauderdale County, ALAL97,13523.1%+0.2 pts

39▼4Chambers County, ALAL34,25322.9%−0.2 pts

40▼6Etowah County, ALAL103,88622.9%−0.3 pts

41▼1Lawrence County, ALAL33,84322.9%+0.2 pts

42▼4Dale County, ALAL49,91222.8%+0.1 pts

43▲2Calhoun County, ALAL115,83422.6%+0.8 pts

44Bibb County, ALAL22,26222.5%+0.6 pts

45▼12Cleburne County, ALAL15,97022.1%−1.1 pts

46▼3Blount County, ALAL60,15622.0%0.0 pts

47▼5Cullman County, ALAL94,00921.9%−0.7 pts

48▼1Houston County, ALAL110,31821.4%0.0 pts

49▲5Coffee County, ALAL56,95321.3%+1.3 pts

50▼2Chilton County, ALAL47,70820.7%−0.3 pts

51▲5Autauga County, ALAL61,92020.5%+0.7 pts

52▼3Morgan County, ALAL126,48320.4%−0.4 pts

53▼1DeKalb County, ALAL74,08520.3%+0.2 pts

54▲3Mobile County, ALAL411,65820.2%+0.7 pts

55▼2Franklin County, ALAL32,44920.1%0.0 pts

56▼1St. Clair County, ALAL98,20619.9%−0.1 pts

57▼7Marshall County, ALAL103,53719.5%−1.2 pts

58▲5Pike County, ALAL33,68819.5%+1.4 pts

59Elmore County, ALAL91,57719.2%+0.3 pts

60Montgomery County, ALAL225,89119.0%+0.4 pts

61Jefferson County, ALAL665,74218.8%+0.3 pts

62Russell County, ALAL58,89818.7%+0.5 pts

63▼5Limestone County, ALAL122,92818.0%−1.0 pts

64Shelby County, ALAL238,55217.8%+0.4 pts

65Madison County, ALAL433,51616.8%0.0 pts

66Tuscaloosa County, ALAL241,36815.8%−0.4 pts

67Lee County, ALAL189,88115.3%+0.8 pts

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