RANKING · 2024 ACS · 100 SHOWN OF 100

Highest Medicare coverage, North Carolina counties

North Carolina 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 100 counties in North Carolina that qualify, ranked against each other statewide. The median across all 100 is 24.1%. Biggest climber in the top 100 since 2020: Hyde County, NC, up 18 places to #36.

North CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01▲5Tyrrell County, NCNC3,53737.8%+5.6 pts

02▼1Clay County, NCNC12,23935.7%−1.2 pts

03Brunswick County, NCNC174,70235.4%+1.5 pts

04▼2Pamlico County, NCNC12,75834.6%0.0 pts

05▼1Cherokee County, NCNC30,83034.5%+0.6 pts

06▲5Alleghany County, NCNC11,47934.0%+3.8 pts

07▼2Polk County, NCNC20,53333.7%−0.1 pts

08▲5Northampton County, NCNC16,49132.8%+3.7 pts

09▼1Transylvania County, NCNC34,21132.6%+0.6 pts

10Warren County, NCNC18,89832.2%+0.9 pts

11▲4Bertie County, NCNC17,08631.9%+3.7 pts

12▼3Perquimans County, NCNC13,49031.9%+0.5 pts

13▼6Macon County, NCNC39,23231.3%−0.7 pts

14▲10Graham County, NCNC8,19030.4%+3.0 pts

15▲7Washington County, NCNC10,63830.4%+2.9 pts

16▼2Yancey County, NCNC19,08429.6%+0.7 pts

17▲3Ashe County, NCNC27,51429.5%+2.0 pts

18▲5Carteret County, NCNC70,46928.8%+1.4 pts

19▲11Martin County, NCNC21,60128.5%+2.7 pts

20▼4Bladen County, NCNC30,00728.5%+0.5 pts

21▼3Haywood County, NCNC63,36928.2%+0.2 pts

22▼10Jones County, NCNC9,57528.1%−1.1 pts

23▲2Chowan County, NCNC14,08228.0%+0.8 pts

24▼7Mitchell County, NCNC15,06227.9%−0.1 pts

25▲4Beaufort County, NCNC44,67027.6%+1.6 pts

26▼5Avery County, NCNC18,11027.4%−0.1 pts

27▼8Henderson County, NCNC122,37527.4%−0.5 pts

28▲8Halifax County, NCNC46,53426.9%+1.9 pts

29▲5Wilkes County, NCNC66,23326.7%+1.4 pts

30▲7Hertford County, NCNC19,01526.7%+1.7 pts

31▼5Caswell County, NCNC22,56326.6%−0.1 pts

32▲10Lenoir County, NCNC55,83726.6%+2.5 pts

33▼5Columbus County, NCNC50,48726.3%+0.2 pts

34▲16Stokes County, NCNC46,12626.3%+3.4 pts

35▼3Rutherford County, NCNC65,74526.2%+0.8 pts

36▲18Hyde County, NCNC4,55426.1%+3.7 pts

37▼10Moore County, NCNC110,61926.1%−0.5 pts

38▼5McDowell County, NCNC45,19826.0%+0.6 pts

39▲16Dare County, NCNC38,24525.8%+3.7 pts

40▼5Chatham County, NCNC85,11125.4%+0.4 pts

41▼1Rockingham County, NCNC94,19525.3%+1.2 pts

42▲7Davie County, NCNC45,85524.9%+1.9 pts

43▼4Gates County, NCNC10,23424.9%+0.7 pts

44Montgomery County, NCNC26,40324.9%+1.2 pts

45▼14Madison County, NCNC22,55324.8%−0.9 pts

46▲1Alexander County, NCNC36,95824.8%+1.5 pts

47▲1Craven County, NCNC105,02524.7%+1.7 pts

48▼3Anson County, NCNC21,75824.5%+0.9 pts

49▼6Caldwell County, NCNC81,10524.3%+0.6 pts

50▼12Burke County, NCNC88,65524.1%−0.6 pts

51▼5Edgecombe County, NCNC49,12123.9%+0.6 pts

52▼11Surry County, NCNC72,28723.7%−0.4 pts

53▲4Person County, NCNC40,63623.2%+1.4 pts

54▼2Scotland County, NCNC33,32223.2%+0.5 pts

55▼2Yadkin County, NCNC38,32523.1%+0.6 pts

56▲3Buncombe County, NCNC277,41723.0%+1.4 pts

57▼1Richmond County, NCNC42,04122.7%+0.7 pts

58▼7Cleveland County, NCNC103,32522.3%−0.4 pts

59▲3Vance County, NCNC42,63822.1%+0.5 pts

60▲7Davidson County, NCNC180,18221.6%+0.9 pts

61▼3Nash County, NCNC99,36521.6%−0.1 pts

62▲9Pasquotank County, NCNC42,20121.6%+1.0 pts

63▲10Wilson County, NCNC81,15021.5%+0.9 pts

64▼1Jackson County, NCNC45,03921.3%0.0 pts

65▲4Duplin County, NCNC51,57121.3%+0.6 pts

66Stanly County, NCNC68,83021.3%+0.3 pts

67▲7Granville County, NCNC61,42121.1%+0.8 pts

68▼8Greene County, NCNC20,70021.0%−0.6 pts

69▼4Pender County, NCNC72,11121.0%0.0 pts

70▲9Lincoln County, NCNC98,65420.8%+1.1 pts

71▲7Catawba County, NCNC170,17220.7%+0.9 pts

72▲3New Hanover County, NCNC245,95920.6%+0.4 pts

73▼12Swain County, NCNC14,02420.5%−1.1 pts

74▼2Randolph County, NCNC149,51620.4%−0.2 pts

75▼11Sampson County, NCNC61,50420.3%−0.9 pts

76▲1Wayne County, NCNC122,27820.2%+0.3 pts

77▼9Rowan County, NCNC155,09620.0%−0.7 pts

78▼2Franklin County, NCNC82,03719.8%−0.3 pts

79▲4Currituck County, NCNC33,15819.4%+0.4 pts

80▲4Robeson County, NCNC119,94119.3%+0.3 pts

81▲6Watauga County, NCNC54,78619.0%+1.7 pts

82▼2Gaston County, NCNC246,55818.7%−0.5 pts

83▼1Lee County, NCNC70,25818.7%−0.4 pts

84▲1Forsyth County, NCNC401,71818.6%+0.5 pts

85▼4Alamance County, NCNC186,17718.6%−0.6 pts

86Iredell County, NCNC211,79818.2%+0.1 pts

87▼17Camden County, NCNC11,31517.5%−3.1 pts

88Guilford County, NCNC562,23417.4%+0.2 pts

89▲1Cumberland County, NCNC338,47316.8%+1.0 pts

90▲1Harnett County, NCNC150,13716.5%+1.0 pts

91▲1Pitt County, NCNC182,93616.2%+1.0 pts

92▲2Orange County, NCNC152,49815.9%+1.2 pts

93▼4Johnston County, NCNC256,44815.6%−0.4 pts

94▲1Durham County, NCNC347,24015.3%+1.0 pts

95▲1Hoke County, NCNC56,93915.2%+1.1 pts

96▼3Cabarrus County, NCNC249,72514.9%0.0 pts

97▲1Onslow County, NCNC217,17514.8%+1.2 pts

98▼1Union County, NCNC267,67414.2%+0.5 pts

99Wake County, NCNC1,257,23513.2%+0.9 pts

100Mecklenburg County, NCNC1,233,38312.6%+0.5 pts

SHOWING 1–100 OF 100

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