RANKING · 2024 ACS · 254 SHOWN OF 254

Highest Medicare coverage, Texas counties

Texas 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 254 counties in Texas that qualify, ranked against each other statewide. The median across all 254 is 20.2%. Biggest climber in the top 100 since 2020: King County, TX, up 226 places to #11.

TexasAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01Loving County, TXTX5281.8%+36.5 pts

02▲54Kenedy County, TXTX31944.8%+20.5 pts

03▲7Real County, TXTX2,74543.5%+11.7 pts

04▲1Menard County, TXTX1,95641.7%+5.0 pts

05▲16Kent County, TXTX67439.3%+10.1 pts

06▼4Terrell County, TXTX70238.4%−5.0 pts

07▲13Mason County, TXTX3,99038.3%+9.0 pts

08▼5Llano County, TXTX23,35337.7%−2.1 pts

09▼3Sabine County, TXTX10,01233.9%−0.8 pts

10▼6Jeff Davis County, TXTX1,71132.3%−7.1 pts

11▲226King County, TXTX19232.2%+20.7 pts

12▲4Bandera County, TXTX22,87631.5%+1.7 pts

13▲15Kimble County, TXTX4,43831.2%+2.8 pts

14▲1Wood County, TXTX49,68831.0%+1.2 pts

15▼2Dickens County, TXTX1,69230.7%+0.5 pts

16▼5Gillespie County, TXTX28,52730.3%−0.6 pts

17▼3Trinity County, TXTX14,38430.3%+0.2 pts

18▼1Kerr County, TXTX54,03730.2%+0.5 pts

19▼10Kinney County, TXTX3,12830.2%−1.8 pts

20▼12Motley County, TXTX1,04330.1%−3.2 pts

21▼2Coke County, TXTX3,41229.9%+0.5 pts

22▼15Foard County, TXTX1,04429.6%−4.3 pts

23▲1Marion County, TXTX9,89629.5%+0.5 pts

24▲73Stonewall County, TXTX1,18629.5%+7.9 pts

25▼3Aransas County, TXTX26,14629.4%+0.3 pts

26▲7Coleman County, TXTX7,91529.3%+1.9 pts

27Red River County, TXTX11,81628.8%+0.2 pts

28▼5Mills County, TXTX4,58028.0%−1.1 pts

29▼4San Augustine County, TXTX7,72227.8%−1.2 pts

30▲8Houston County, TXTX22,31627.6%+1.0 pts

31▲174Culberson County, TXTX2,26727.4%+12.7 pts

32▲16Fayette County, TXTX25,45927.4%+2.2 pts

33▼15Tyler County, TXTX20,44327.4%−2.1 pts

34▲12Blanco County, TXTX13,58127.3%+1.9 pts

35▼9Throckmorton County, TXTX1,55427.3%−1.6 pts

36▼6Baylor County, TXTX3,47227.1%−0.6 pts

37▼3Rains County, TXTX13,54227.1%−0.1 pts

38▲15Hall County, TXTX2,73726.9%+2.5 pts

39▼27Concho County, TXTX3,60726.9%−4.0 pts

40▼1Briscoe County, TXTX1,47426.4%−0.1 pts

41▲1Goliad County, TXTX7,20826.3%+0.3 pts

42▲5Bosque County, TXTX18,91826.2%+0.9 pts

43▼8Schleicher County, TXTX2,24526.1%−1.0 pts

44Leon County, TXTX16,89426.0%+0.1 pts

45▲110Collingsworth County, TXTX2,48726.0%+8.1 pts

46▲6McCulloch County, TXTX7,47225.8%+1.0 pts

47▼2Hood County, TXTX70,50125.7%0.0 pts

48▲9Newton County, TXTX11,95425.5%+1.2 pts

49▼18San Saba County, TXTX5,78725.5%−2.1 pts

50▲1Clay County, TXTX10,76425.3%+0.4 pts

51▼15Hamilton County, TXTX8,68025.3%−1.6 pts

52▼20Hardeman County, TXTX3,29225.1%−2.5 pts

53▲9Cass County, TXTX28,65124.9%+1.0 pts

54▼17Haskell County, TXTX5,49924.9%−1.9 pts

55▲30Lampasas County, TXTX23,65724.9%+2.5 pts

56▼6Henderson County, TXTX88,59524.8%−0.2 pts

57▲42Brewster County, TXTX9,45824.8%+3.3 pts

58▲17Donley County, TXTX3,21324.7%+1.7 pts

59▲86Armstrong County, TXTX1,84324.6%+6.1 pts

60▲11Burleson County, TXTX20,54924.6%+1.3 pts

61▲18Eastland County, TXTX18,14324.6%+1.8 pts

62▲8Colorado County, TXTX21,43924.4%+1.1 pts

63▼5Burnet County, TXTX57,01524.3%0.0 pts

64▼21San Jacinto County, TXTX29,48824.1%−1.9 pts

65▼16Comanche County, TXTX14,43224.0%−1.1 pts

66▲101Childress County, TXTX6,64323.9%+6.9 pts

67▲1Lavaca County, TXTX20,65123.9%+0.5 pts

68▲18Falls County, TXTX17,86923.8%+1.5 pts

69▼5Polk County, TXTX53,43423.7%+0.1 pts

70▲109Crockett County, TXTX2,76923.7%+7.3 pts

71▲17Cottle County, TXTX1,22423.6%+1.4 pts

72▼12Delta County, TXTX5,54923.5%−0.6 pts

73▼7Montague County, TXTX21,96623.5%−0.1 pts

74▼11Morris County, TXTX12,13323.5%−0.4 pts

75▲8Stephens County, TXTX9,38023.5%+1.0 pts

76▼9Freestone County, TXTX20,81123.5%−0.1 pts

77▲13Washington County, TXTX38,28823.5%+1.4 pts

78▼9Callahan County, TXTX14,49123.2%−0.1 pts

79▼1Milam County, TXTX26,25823.2%+0.4 pts

80▲24Wilbarger County, TXTX12,48123.2%+2.3 pts

81▲17Brown County, TXTX38,71123.2%+1.6 pts

82▼27Jones County, TXTX20,86123.1%−1.2 pts

83▼29Jasper County, TXTX33,07522.9%−1.5 pts

84▲7Young County, TXTX18,15422.9%+0.9 pts

85▲18Robertson County, TXTX17,83922.8%+1.6 pts

86▼9Archer County, TXTX9,12922.7%−0.2 pts

87▼22Fisher County, TXTX3,69222.7%−0.9 pts

88▲49Wheeler County, TXTX4,77322.7%+3.9 pts

89▼28Brooks County, TXTX6,57922.6%−1.3 pts

90▼16Refugio County, TXTX6,65722.6%−0.4 pts

91▼10Van Zandt County, TXTX66,13022.6%0.0 pts

92▲4Panola County, TXTX23,01822.5%+0.8 pts

93▼17Franklin County, TXTX10,99422.5%−0.5 pts

94▲93Upton County, TXTX3,13122.4%+6.3 pts

95▼6Garza County, TXTX4,51022.3%+0.2 pts

96▲98Bailey County, TXTX6,96322.2%+6.6 pts

97▲80Hemphill County, TXTX3,08322.2%+5.6 pts

98▼14Hill County, TXTX39,50322.1%−0.3 pts

99▲1Limestone County, TXTX22,84922.0%+0.6 pts

100▲17Austin County, TXTX33,62521.9%+1.8 pts

101▼42Live Oak County, TXTX11,92921.9%−2.3 pts

102▼9Runnels County, TXTX9,69321.9%0.0 pts

103▼16Shackelford County, TXTX3,19721.8%−0.5 pts

104▲55Sutton County, TXTX3,20321.7%+4.2 pts

105▲13Lee County, TXTX18,72921.5%+1.5 pts

106▼12DeWitt County, TXTX20,30921.4%−0.4 pts

107▼15Lamar County, TXTX51,50321.3%−0.7 pts

108▼13Palo Pinto County, TXTX30,79121.3%−0.5 pts

109▲1Duval County, TXTX9,40221.2%+0.7 pts

110▲14Nolan County, TXTX14,11721.2%+1.6 pts

111▲3Cherokee County, TXTX53,33721.1%+0.9 pts

112▲13Grimes County, TXTX34,25220.9%+1.4 pts

113▲2Jackson County, TXTX15,39320.9%+0.7 pts

114▲5Somervell County, TXTX10,26120.8%+0.9 pts

115▼2Upshur County, TXTX44,41020.8%+0.5 pts

116▼11Crosby County, TXTX4,85220.7%−0.2 pts

117▲22Lynn County, TXTX6,01720.6%+1.9 pts

118▲13Rusk County, TXTX54,85420.6%+1.5 pts

119▼17Floyd County, TXTX4,88120.5%−0.8 pts

120▼11Hopkins County, TXTX39,06320.4%−0.2 pts

121▼39Jack County, TXTX9,56320.4%−2.1 pts

122▼15Shelby County, TXTX24,28620.4%−0.3 pts

123▲6Medina County, TXTX56,88120.3%+1.0 pts

124▲16Wharton County, TXTX42,06020.3%+1.6 pts

125▼3Anderson County, TXTX59,80520.2%+0.6 pts

126▼86Edwards County, TXTX1,37020.2%−5.9 pts

127Kendall County, TXTX53,28920.2%+0.8 pts

128▼2Comal County, TXTX209,16620.1%+0.7 pts

129▼23Irion County, TXTX1,46320.1%−0.7 pts

130▲90McMullen County, TXTX54420.1%+6.7 pts

131▲15Matagorda County, TXTX36,46320.1%+1.6 pts

132▲10Gonzales County, TXTX20,15919.8%+1.2 pts

133▲5Calhoun County, TXTX19,59919.7%+1.0 pts

134▲1Karnes County, TXTX15,01819.7%+0.9 pts

135▲19Hutchinson County, TXTX19,63319.7%+1.8 pts

136▼16Knox County, TXTX3,19219.6%−0.3 pts

137▼29Fannin County, TXTX39,26519.5%−1.1 pts

138▼26Grayson County, TXTX153,61319.5%−0.8 pts

139▼5Bowie County, TXTX92,69619.4%+0.5 pts

140▼12Cooke County, TXTX44,46119.4%+0.1 pts

141▼40La Salle County, TXTX6,51719.3%−2.0 pts

142▲10Carson County, TXTX5,80519.2%+1.3 pts

143▼11Angelina County, TXTX88,15419.1%+0.1 pts

144▼72Presidio County, TXTX5,43319.1%−4.1 pts

145▼65Swisher County, TXTX6,70319.1%−3.5 pts

146▲5Gray County, TXTX20,91919.0%+0.9 pts

147▲13Castro County, TXTX7,29519.0%+1.5 pts

148▼15Hardin County, TXTX58,72319.0%0.0 pts

149▼19Harrison County, TXTX71,95619.0%−0.2 pts

150Smith County, TXTX252,54918.7%+0.5 pts

151▲10Terry County, TXTX11,72018.7%+1.3 pts

152▼4Uvalde County, TXTX24,96318.7%+0.4 pts

153▲18Tom Green County, TXTX120,60218.6%+1.7 pts

154▼43Camp County, TXTX13,38018.5%−1.8 pts

155▲3Victoria County, TXTX92,65618.5%+0.9 pts

156▲6Hartley County, TXTX4,90418.3%+1.0 pts

157▲16Wilson County, TXTX56,13918.3%+1.4 pts

158▼9Jim Wells County, TXTX38,80418.2%0.0 pts

159▼43Mitchell County, TXTX8,94718.2%−2.0 pts

160▼24Navarro County, TXTX57,18118.1%−0.7 pts

161▼20Wichita County, TXTX129,55518.0%−0.7 pts

162▲1Gregg County, TXTX126,09517.7%+0.6 pts

163▲11Dimmit County, TXTX8,02417.7%+0.9 pts

164▼43Dawson County, TXTX11,77617.7%−2.1 pts

165▼9Lamb County, TXTX12,57917.6%−0.2 pts

166▲20Nueces County, TXTX352,99217.6%+1.5 pts

167▼14Orange County, TXTX86,26617.6%−0.3 pts

168▲16Walker County, TXTX83,84217.6%+1.4 pts

169▲1Jefferson County, TXTX254,32117.5%+0.6 pts

170▲5Randall County, TXTX152,35117.5%+0.8 pts

171▼28Hunt County, TXTX123,33617.4%−1.2 pts

172▲10Lipscomb County, TXTX2,95517.4%+1.1 pts

173▼26Zavala County, TXTX9,03717.4%−0.9 pts

174▼9San Patricio County, TXTX72,05317.4%+0.3 pts

175▼146Borden County, TXTX56717.3%−10.9 pts

176▲19Coryell County, TXTX85,59217.3%+1.7 pts

177▼54Madison County, TXTX14,22617.2%−2.4 pts

178▲2Sherman County, TXTX2,78117.2%+0.8 pts

179▼3Wise County, TXTX83,77817.2%+0.5 pts

180▼14Willacy County, TXTX19,97117.1%0.0 pts

181▼108Hudspeth County, TXTX3,43317.0%−6.1 pts

182▼38Scurry County, TXTX16,16217.0%−1.6 pts

183▼26Cochran County, TXTX2,54616.8%−0.9 pts

184▲5Hockley County, TXTX21,60016.8%+0.9 pts

185▼4Taylor County, TXTX150,07716.8%+0.4 pts

186▼22Parker County, TXTX184,76716.7%−0.4 pts

187▼146Roberts County, TXTX86716.7%−9.4 pts

188▲15Hale County, TXTX31,81916.6%+1.8 pts

189▲10Titus County, TXTX31,56316.6%+1.1 pts

190▼12Nacogdoches County, TXTX66,03516.5%0.0 pts

191▲2Galveston County, TXTX372,20716.4%+0.7 pts

192▼1Atascosa County, TXTX53,59016.2%+0.4 pts

193▲4Howard County, TXTX30,50416.1%+0.5 pts

194▼6Bastrop County, TXTX118,90815.9%0.0 pts

195▼12McLennan County, TXTX272,02015.8%−0.4 pts

196▼27Bee County, TXTX32,51515.7%−1.2 pts

197▲9Erath County, TXTX43,91115.7%+1.0 pts

198▲2Guadalupe County, TXTX201,11115.7%+0.4 pts

199▼14Caldwell County, TXTX55,15015.6%−0.5 pts

200▲9Parmer County, TXTX9,67815.6%+1.3 pts

201▼3Val Verde County, TXTX47,83515.6%0.0 pts

202▲8Potter County, TXTX114,45315.2%+1.0 pts

203▲8Zapata County, TXTX13,75315.2%+1.1 pts

204▼32Frio County, TXTX18,82315.0%−1.9 pts

205▲10Ward County, TXTX11,12515.0%+1.1 pts

206▼2Cameron County, TXTX433,94614.9%+0.2 pts

207▼6Deaf Smith County, TXTX18,62614.9%−0.3 pts

208▼6Johnson County, TXTX218,04814.8%−0.4 pts

209▲44Sterling County, TXTX1,34914.7%+5.1 pts

210▲28Glasscock County, TXTX1,12814.5%+3.1 pts

211▲6Lubbock County, TXTX328,90614.5%+0.8 pts

212▲6Bell County, TXTX402,24814.4%+0.8 pts

213▼17Kleberg County, TXTX30,31514.4%−1.2 pts

214▼2Bexar County, TXTX2,160,08814.3%+0.4 pts

215▲4El Paso County, TXTX877,85814.3%+0.7 pts

216▼2Montgomery County, TXTX781,19414.3%+0.4 pts

217▼25Hansford County, TXTX4,94414.2%−1.6 pts

218▲7Maverick County, TXTX58,82314.1%+1.5 pts

219▼12Pecos County, TXTX14,56013.9%−0.6 pts

220▲1Starr County, TXTX66,31913.7%+0.5 pts

221▲1Brazoria County, TXTX419,08013.6%+0.5 pts

222▼54Oldham County, TXTX1,78313.5%−3.5 pts

223▼10Reeves County, TXTX12,13813.5%−0.4 pts

224▲7Crane County, TXTX4,55413.4%+1.4 pts

225▼9Ellis County, TXTX240,86713.3%−0.5 pts

226▼36Liberty County, TXTX121,36413.3%−2.6 pts

227▼1Chambers County, TXTX57,59413.2%+0.7 pts

228▼4Williamson County, TXTX752,82713.2%+0.4 pts

229▲10Ochiltree County, TXTX9,28413.0%+1.7 pts

230▲4Hays County, TXTX304,39012.9%+1.1 pts

231▼2Rockwall County, TXTX140,73812.9%+0.7 pts

232▼5Hidalgo County, TXTX921,54912.7%+0.3 pts

233Tarrant County, TXTX2,248,46612.6%+0.7 pts

234▲2Dallas County, TXTX2,661,39712.4%+0.7 pts

235▼5Dallam County, TXTX7,50812.2%+0.1 pts

236▼1Winkler County, TXTX7,54012.2%+0.5 pts

237▲3Fort Bend County, TXTX975,19112.2%+1.1 pts

238▲3Harris County, TXTX5,045,02612.0%+1.0 pts

239▲15Yoakum County, TXTX7,43812.0%+2.6 pts

240▼12Waller County, TXTX69,85812.0%−0.4 pts

241▼18Kaufman County, TXTX209,23511.8%−1.3 pts

242▼34Jim Hogg County, TXTX4,55511.7%−2.6 pts

243▲3Denton County, TXTX1,069,34611.6%+1.1 pts

244▼12Martin County, TXTX5,28411.6%−0.3 pts

245▲3Travis County, TXTX1,389,67011.3%+1.0 pts

246▼1Collin County, TXTX1,297,17911.3%+0.6 pts

247▼3Midland County, TXTX187,85511.0%+0.3 pts

248▲2Brazos County, TXTX249,08810.9%+0.8 pts

249▲3Reagan County, TXTX3,16610.9%+1.2 pts

250▼7Gaines County, TXTX23,95610.9%+0.1 pts

251▼2Webb County, TXTX281,22410.9%+0.7 pts

252▼10Ector County, TXTX173,80110.8%−0.1 pts

253▼6Moore County, TXTX21,89110.8%+0.4 pts

254▼3Andrews County, TXTX18,91410.6%+0.6 pts

SHOWING 1–254 OF 254

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