RANKING · 2024 ACS · 99 SHOWN OF 99

Highest Medicare coverage, Iowa counties

Iowa 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 99 counties in Iowa that qualify, ranked against each other statewide. The median across all 99 is 22.2%. Biggest climber in the top 100 since 2020: Jefferson County, IA, up 32 places to #2.

IowaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01Dickinson County, IAIA18,07729.9%+3.0 pts

02▲32Jefferson County, IAIA15,29128.2%+5.4 pts

03▲3Page County, IAIA14,85627.2%+2.1 pts

04▲20Fremont County, IAIA6,52227.0%+3.7 pts

05▼3Monona County, IAIA8,53927.0%+1.1 pts

06▲1Clayton County, IAIA16,84526.9%+1.9 pts

07▲1Calhoun County, IAIA9,56226.7%+1.9 pts

08▼3Kossuth County, IAIA14,32226.3%+1.1 pts

09▼6Appanoose County, IAIA12,07726.1%+0.4 pts

10▲1Cass County, IAIA12,96026.1%+1.6 pts

11▼2Cherokee County, IAIA11,36926.0%+1.3 pts

12▲2Greene County, IAIA8,65825.9%+1.7 pts

13▲4Adams County, IAIA3,61725.9%+2.1 pts

14▼10Audubon County, IAIA5,50925.9%+0.5 pts

15▼5Van Buren County, IAIA7,13125.5%+0.9 pts

16▲31Emmet County, IAIA9,10725.3%+3.5 pts

17▲4Cerro Gordo County, IAIA42,37224.9%+1.4 pts

18▲18Pocahontas County, IAIA6,81924.8%+2.1 pts

19▲6Guthrie County, IAIA10,78224.6%+1.3 pts

20Butler County, IAIA14,04924.5%+0.9 pts

21▲6Lee County, IAIA32,30624.4%+1.2 pts

22▲4Montgomery County, IAIA10,00224.4%+1.1 pts

23▼8Sac County, IAIA9,52524.4%+0.3 pts

24▼1Floyd County, IAIA14,90124.2%+0.9 pts

25▼7Taylor County, IAIA5,83524.1%+0.5 pts

26▲7Fayette County, IAIA19,04723.9%+1.1 pts

27▲3Lucas County, IAIA8,84723.9%+0.9 pts

28▼12Ringgold County, IAIA4,64223.9%0.0 pts

29▼7Union County, IAIA11,82923.8%+0.4 pts

30▲31Hardin County, IAIA16,45523.8%+2.9 pts

31Allamakee County, IAIA14,23823.7%+0.8 pts

32▲10Hancock County, IAIA10,52823.7%+1.5 pts

33▼5Des Moines County, IAIA38,07723.6%+0.6 pts

34▲9Worth County, IAIA7,33823.6%+1.4 pts

35▲4Keokuk County, IAIA9,79723.5%+0.9 pts

36▼24Shelby County, IAIA11,68923.4%−1.0 pts

37▼8Jones County, IAIA21,25323.3%+0.3 pts

38▲6Osceola County, IAIA5,98023.3%+1.4 pts

39▼4Palo Alto County, IAIA8,89923.3%+0.5 pts

40▼27Wright County, IAIA12,80123.3%−1.1 pts

41Jackson County, IAIA19,28823.2%+0.9 pts

42▼23Adair County, IAIA7,40323.1%−0.5 pts

43▲3Poweshiek County, IAIA18,36822.9%+1.1 pts

44▼7Wayne County, IAIA6,73822.9%+0.2 pts

45▲7Chickasaw County, IAIA11,66322.8%+1.4 pts

46▼6Clay County, IAIA16,20222.7%+0.2 pts

47▲17Winneshiek County, IAIA19,73322.7%+2.0 pts

48▲6Carroll County, IAIA20,30322.6%+1.3 pts

49▼11Humboldt County, IAIA9,40922.6%0.0 pts

50▲13Cedar County, IAIA18,35922.2%+1.5 pts

51▼6Winnebago County, IAIA10,25122.2%+0.3 pts

52▲6Decatur County, IAIA7,65522.1%+1.1 pts

53▼21O'Brien County, IAIA14,22022.1%−0.8 pts

54▲3Jasper County, IAIA38,15321.9%+0.6 pts

55▲10Tama County, IAIA16,79621.9%+1.4 pts

56▲18Delaware County, IAIA17,67421.8%+2.4 pts

57▼8Henry County, IAIA19,34921.8%0.0 pts

58▲1Mills County, IAIA14,79321.8%+0.8 pts

59▼8Franklin County, IAIA9,86821.6%0.0 pts

60Clarke County, IAIA9,57421.5%+0.6 pts

61▲1Webster County, IAIA36,83821.4%+0.6 pts

62▼12Mitchell County, IAIA10,65021.3%−0.4 pts

63▼8Clinton County, IAIA46,00221.3%0.0 pts

64▼8Grundy County, IAIA12,36121.3%0.0 pts

65▼17Hamilton County, IAIA14,94421.2%−0.6 pts

66▲1Bremer County, IAIA25,29621.0%+0.8 pts

67▲11Louisa County, IAIA10,41620.7%+1.6 pts

68▼15Ida County, IAIA6,77720.6%−0.8 pts

69▲1Mahaska County, IAIA21,88020.6%+1.0 pts

70▲3Benton County, IAIA26,00420.5%+1.1 pts

71▼2Iowa County, IAIA16,50420.4%+0.6 pts

72▼6Wapello County, IAIA35,21020.4%+0.1 pts

73▲3Dubuque County, IAIA99,38120.3%+1.0 pts

74▲8Marion County, IAIA34,19220.2%+1.3 pts

75▲8Plymouth County, IAIA25,69720.2%+1.4 pts

76▼4Pottawattamie County, IAIA92,99620.1%+0.6 pts

77▼9Howard County, IAIA9,41520.1%0.0 pts

78▼7Monroe County, IAIA7,40620.1%+0.5 pts

79▼2Washington County, IAIA22,66720.1%+0.8 pts

80▲1Boone County, IAIA26,79920.0%+1.1 pts

81▼6Harrison County, IAIA14,62319.7%+0.3 pts

82▲2Black Hawk County, IAIA131,53219.6%+1.2 pts

83▼3Buchanan County, IAIA20,88319.5%+0.5 pts

84▲6Muscatine County, IAIA41,85318.9%+1.5 pts

85▲2Crawford County, IAIA16,23718.8%+1.1 pts

86▼7Lyon County, IAIA12,35418.5%−0.6 pts

87▲2Scott County, IAIA175,25918.5%+0.9 pts

88▼3Marshall County, IAIA39,89018.2%−0.1 pts

89▲2Linn County, IAIA232,02817.9%+1.1 pts

90▼4Madison County, IAIA17,27017.9%0.0 pts

91▲1Woodbury County, IAIA106,64917.7%+1.1 pts

92▼4Davis County, IAIA9,23017.4%−0.2 pts

93Warren County, IAIA57,33117.1%+0.9 pts

94Buena Vista County, IAIA20,44917.0%+1.3 pts

95Sioux County, IAIA36,77416.6%+0.9 pts

96Polk County, IAIA516,54615.0%+0.7 pts

97Story County, IAIA101,29113.6%+1.2 pts

98▲1Johnson County, IAIA160,04413.5%+1.4 pts

99▼1Dallas County, IAIA118,45713.1%+0.8 pts

SHOWING 1–99 OF 99

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