RANKING · 2024 ACS · 46 SHOWN OF 46

Highest Medicare coverage, South Carolina counties

South 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 46 counties in South Carolina that qualify, ranked against each other statewide. The median across all 46 is 23.0%. Biggest climber in the top 100 since 2020: Newberry County, SC, up 10 places to #20.

South CarolinaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01McCormick County, SCSC10,21547.1%+3.6 pts

02Georgetown County, SCSC65,91233.2%+1.9 pts

03Beaufort County, SCSC204,43330.6%+1.0 pts

04Clarendon County, SCSC31,04330.3%+1.3 pts

05Horry County, SCSC427,55129.2%+1.8 pts

06▲5Lee County, SCSC15,73028.4%+3.0 pts

07▼1Oconee County, SCSC83,77527.8%+0.5 pts

08▲6Marlboro County, SCSC25,48827.0%+2.4 pts

09▼1Williamsburg County, SCSC29,66227.0%+0.8 pts

10▼3Allendale County, SCSC7,35526.8%−0.2 pts

11▲4Calhoun County, SCSC14,18826.5%+2.1 pts

12Marion County, SCSC28,24226.4%+1.7 pts

13▼3Bamberg County, SCSC12,79626.3%+0.7 pts

14▲2Fairfield County, SCSC20,34026.0%+2.4 pts

15▼6Union County, SCSC26,79925.5%−0.5 pts

16▲8Jasper County, SCSC38,53325.3%+3.0 pts

17▼4Abbeville County, SCSC24,83625.1%+0.4 pts

18▲3Edgefield County, SCSC29,80823.6%+0.9 pts

19▲9Orangeburg County, SCSC83,17723.6%+1.5 pts

20▲10Newberry County, SCSC39,56123.5%+1.7 pts

21▲1Hampton County, SCSC18,17423.2%+0.7 pts

22▼5Darlington County, SCSC62,88823.1%−0.3 pts

23▲6Aiken County, SCSC181,51523.0%+1.0 pts

24▼5Lancaster County, SCSC114,29622.9%+0.1 pts

25▼7Saluda County, SCSC19,68022.7%−0.3 pts

26▲6Colleton County, SCSC39,38222.0%+0.5 pts

27▼4Greenwood County, SCSC70,37921.9%−0.5 pts

28▼1Laurens County, SCSC71,84821.9%−0.3 pts

29▼3Barnwell County, SCSC20,65321.8%−0.4 pts

30▲1Chesterfield County, SCSC44,74021.8%+0.3 pts

31▼11Chester County, SCSC33,00121.7%−1.0 pts

32▼7Kershaw County, SCSC73,16621.4%−0.9 pts

33▲3Sumter County, SCSC105,06720.8%+0.9 pts

34▲1Anderson County, SCSC219,93020.7%+0.3 pts

35▼1Cherokee County, SCSC58,27520.7%+0.2 pts

36▲1Florence County, SCSC138,50420.5%+1.0 pts

37▼4Dillon County, SCSC27,45820.4%−0.9 pts

38▲1Pickens County, SCSC139,19819.3%+0.8 pts

39▲1Charleston County, SCSC436,20019.0%+1.1 pts

40▲1Lexington County, SCSC317,58818.9%+1.1 pts

41▼3Spartanburg County, SCSC380,85718.5%−0.5 pts

42Greenville County, SCSC583,12517.9%+0.4 pts

43Dorchester County, SCSC178,39717.5%+0.7 pts

44Berkeley County, SCSC274,66616.7%0.0 pts

45▲1Richland County, SCSC434,95616.4%+1.6 pts

46▼1York County, SCSC306,88716.4%+0.6 pts

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