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.

AlabamaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01Greene County, ALAL7,06731.2%+2.7 pts

02Choctaw County, ALAL11,90430.6%+2.3 pts

03Conecuh County, ALAL10,89930.1%+3.6 pts

04Coosa County, ALAL10,16129.5%−1.0 pts

05Cherokee County, ALAL26,41329.1%+1.2 pts

06Henry County, ALAL18,39428.6%+1.1 pts

07Lamar County, ALAL13,58727.8%+2.2 pts

08Tallapoosa County, ALAL40,95327.6%+1.3 pts

09Pickens County, ALAL18,22127.3%−0.1 pts

10Wilcox County, ALAL9,66627.2%+0.3 pts

11Monroe County, ALAL18,96526.9%+1.6 pts

12Perry County, ALAL7,42526.9%+3.5 pts

13Clay County, ALAL14,20726.6%+1.6 pts

14Marengo County, ALAL18,31126.4%−0.3 pts

15Fayette County, ALAL15,87226.3%−0.9 pts

16Butler County, ALAL18,10026.2%+2.1 pts

17Bullock County, ALAL9,78026.2%+5.9 pts

18Marion County, ALAL29,09726.1%−0.1 pts

19Sumter County, ALAL11,58826.0%−1.2 pts

20Barbour County, ALAL24,60725.7%+0.2 pts

21Talladega County, ALAL81,60325.5%+1.4 pts

22Clarke County, ALAL22,01425.1%+1.1 pts

23Jackson County, ALAL54,28125.0%+0.3 pts

24Washington County, ALAL14,82225.0%+0.2 pts

25Escambia County, ALAL36,66524.9%+2.2 pts

26Randolph County, ALAL23,16324.9%+1.0 pts

27Winston County, ALAL23,82924.9%−1.0 pts

28Macon County, ALAL18,13224.8%−1.4 pts

29Covington County, ALAL37,94724.6%+0.2 pts

30Hale County, ALAL15,19424.2%−0.8 pts

31Dallas County, ALAL35,14024.1%+2.7 pts

32Walker County, ALAL65,14024.1%−0.2 pts

33Crenshaw County, ALAL13,17524.0%+1.2 pts

34Colbert County, ALAL59,47423.5%−1.0 pts

35Lowndes County, ALAL9,35923.5%−1.3 pts

36Geneva County, ALAL27,55423.4%−1.3 pts

37Baldwin County, ALAL267,76123.4%+0.7 pts

38Lauderdale County, ALAL97,13523.1%+0.2 pts

39Chambers County, ALAL34,25322.9%−0.2 pts

40Etowah County, ALAL103,88622.9%−0.3 pts

41Lawrence County, ALAL33,84322.9%+0.2 pts

42Dale County, ALAL49,91222.8%+0.1 pts

43Calhoun County, ALAL115,83422.6%+0.8 pts

44Bibb County, ALAL22,26222.5%+0.6 pts

45Cleburne County, ALAL15,97022.1%−1.1 pts

46Blount County, ALAL60,15622.0%+0.0 pts

47Cullman County, ALAL94,00921.9%−0.7 pts

48Houston County, ALAL110,31821.4%+0.0 pts

49Coffee County, ALAL56,95321.3%+1.3 pts

50Chilton County, ALAL47,70820.7%−0.3 pts

51Autauga County, ALAL61,92020.5%+0.7 pts

52Morgan County, ALAL126,48320.4%−0.4 pts

53DeKalb County, ALAL74,08520.3%+0.2 pts

54Mobile County, ALAL411,65820.2%+0.7 pts

55Franklin County, ALAL32,44920.1%+0.0 pts

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

57Marshall County, ALAL103,53719.5%−1.2 pts

58Pike 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

63Limestone 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

SHOWING 1–67 OF 67

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