RANKING · 2024 ACS · 66 SHOWN OF 66

Highest Medicare coverage, South Dakota counties

South Dakota 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 66 counties in South Dakota that qualify, ranked against each other statewide. The median across all 66 is 21.7%. Biggest climber in the top 100 since 2020: Haakon County, SD, up 23 places to #4.

South DakotaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01▲1Custer County, SDSD9,43135.5%+3.8 pts

02▲1Fall River County, SDSD7,46732.6%+2.3 pts

03▲1McPherson County, SDSD2,34730.2%+1.2 pts

04▲23Haakon County, SDSD1,80229.8%+8.5 pts

05▼4Jerauld County, SDSD1,65429.7%−2.6 pts

06Potter County, SDSD2,37729.6%+2.7 pts

07▲11Hyde County, SDSD1,19129.2%+5.9 pts

08▲3Perkins County, SDSD2,85328.2%+3.1 pts

09▼2Campbell County, SDSD1,37727.6%+1.5 pts

10▼2Day County, SDSD5,48426.2%+0.3 pts

11▲5Lawrence County, SDSD29,45926.0%+2.3 pts

12▼2Gregory County, SDSD4,03725.4%+0.2 pts

13▲9Tripp County, SDSD5,70825.3%+2.7 pts

14Bon Homme County, SDSD7,24424.9%+0.7 pts

15▲19Jones County, SDSD91324.7%+4.2 pts

16▲1Lake County, SDSD10,99324.6%+1.2 pts

17▼12Faulk County, SDSD2,17824.5%−3.6 pts

18▲7Spink County, SDSD6,15524.5%+2.7 pts

19▲10Miner County, SDSD2,28124.4%+3.2 pts

20▼5Stanley County, SDSD3,01824.2%+0.4 pts

21▼12Hand County, SDSD3,12123.8%−1.7 pts

22▼3Kingsbury County, SDSD5,28423.7%+0.5 pts

23▲5Yankton County, SDSD23,63523.1%+1.8 pts

24▲8Clark County, SDSD4,03123.0%+2.3 pts

25▼12Walworth County, SDSD5,21722.8%−1.8 pts

26▼6Deuel County, SDSD4,40822.5%−0.3 pts

27▼4Grant County, SDSD7,53422.5%+0.2 pts

28▲20Edmunds County, SDSD4,02222.4%+4.7 pts

29▲4Marshall County, SDSD4,42622.4%+1.7 pts

30▼18Sully County, SDSD1,47922.3%−2.8 pts

31▼1Pennington County, SDSD116,79222.1%+1.1 pts

32▼6Douglas County, SDSD2,88821.8%+0.2 pts

33▼12Hutchinson County, SDSD7,41321.7%−1.0 pts

34▲4Davison County, SDSD20,06921.6%+1.9 pts

35▲5Brule County, SDSD5,27821.5%+2.5 pts

36▼1Roberts County, SDSD10,25521.4%+0.9 pts

37▼13Butte County, SDSD10,85620.5%−1.3 pts

38▼2Harding County, SDSD1,33120.3%+0.4 pts

39▼8Turner County, SDSD9,31420.1%−0.9 pts

40▼1Sanborn County, SDSD2,38820.0%+0.3 pts

41▲1Codington County, SDSD29,56219.8%+1.3 pts

42▼5Moody County, SDSD6,63219.8%−0.1 pts

43▲2Beadle County, SDSD19,62419.7%+1.6 pts

44Aurora County, SDSD2,80119.2%+1.1 pts

45▼4Charles Mix County, SDSD9,30318.9%+0.2 pts

46Hughes County, SDSD17,57018.9%+1.0 pts

47Union County, SDSD17,40218.8%+0.9 pts

48▼5Brown County, SDSD37,56118.5%+0.1 pts

49▲4Meade County, SDSD30,71118.5%+1.5 pts

50▼1Hanson County, SDSD3,45618.4%+0.8 pts

51▼1Lyman County, SDSD3,69418.2%+0.8 pts

52McCook County, SDSD5,96417.5%+0.3 pts

53▼2Mellette County, SDSD2,13716.6%−0.8 pts

54▲3Lincoln County, SDSD77,14515.1%+1.4 pts

55▲5Bennett County, SDSD3,30715.0%+2.2 pts

56▼1Minnehaha County, SDSD212,69115.0%+0.4 pts

57▲2Brookings County, SDSD37,63514.7%+1.7 pts

58▲4Corson County, SDSD3,78114.5%+2.4 pts

59▼3Hamlin County, SDSD6,90013.3%−1.0 pts

60▼2Clay County, SDSD15,03113.1%0.0 pts

61▼7Jackson County, SDSD2,66612.6%−2.2 pts

62▼1Buffalo County, SDSD1,80211.8%−0.8 pts

63▲2Ziebach County, SDSD2,38911.7%+1.6 pts

64▼1Dewey County, SDSD5,41911.2%+0.3 pts

65▼1Todd County, SDSD8,86310.4%−0.1 pts

66Oglala Lakota County, SDSD13,3388.5%−0.8 pts

SHOWING 1–66 OF 66

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