RANKING · 2024 ACS · 133 SHOWN OF 133

Highest Medicare coverage, Virginia counties

Virginia 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 133 counties in Virginia that qualify, ranked against each other statewide.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01Lancaster County, VAVA10,99540.9%+0.5 pts

02Northumberland County, VAVA12,55738.6%−0.7 pts

03Highland County, VAVA2,31838.1%−5.5 pts

04Middlesex County, VAVA10,84137.7%+3.6 pts

05Buchanan County, VAVA18,49234.2%−0.3 pts

06Mathews County, VAVA8,52933.7%+3.0 pts

07Bath County, VAVA4,07633.5%−0.5 pts

08Dickenson County, VAVA13,23633.5%−0.9 pts

09Lee County, VAVA21,64231.9%+1.7 pts

10Tazewell County, VAVA38,63531.7%+1.4 pts

11Northampton County, VAVA11,87931.3%+1.3 pts

12Patrick County, VAVA17,42431.3%+0.9 pts

13Nelson County, VAVA14,92031.2%+3.2 pts

14Westmoreland County, VAVA19,71530.6%+2.1 pts

15Grayson County, VAVA15,23030.5%+0.7 pts

16Scott County, VAVA21,20030.4%−0.3 pts

17Craig County, VAVA4,80030.3%+3.4 pts

18Mecklenburg County, VAVA30,74730.1%+1.4 pts

19Russell County, VAVA25,33229.9%−0.5 pts

20Covington, VAVA5,68029.8%+0.3 pts

21Bland County, VAVA6,15129.7%+0.8 pts

22Lunenburg County, VAVA12,05829.4%+2.5 pts

23Carroll County, VAVA29,29929.2%−0.8 pts

24Alleghany County, VAVA14,54629.1%−0.7 pts

25Washington County, VAVA53,89828.9%+2.2 pts

26Henry County, VAVA49,24228.4%−0.1 pts

27Rockbridge County, VAVA22,66328.3%+0.7 pts

28Charles City County, VAVA6,62328.2%+1.2 pts

29Essex County, VAVA10,65428.1%+3.4 pts

30Pittsylvania County, VAVA59,49028.1%+1.9 pts

31Surry County, VAVA6,60328.0%+2.9 pts

32Accomack County, VAVA33,85928.0%+2.8 pts

33Smyth County, VAVA28,88227.8%−0.8 pts

34Charlotte County, VAVA11,40127.5%+1.9 pts

35Franklin County, VAVA55,52627.5%+0.2 pts

36James City County, VAVA83,32627.5%+1.6 pts

37Rappahannock County, VAVA7,43927.5%+0.7 pts

38Pulaski County, VAVA33,58627.4%+0.4 pts

39Halifax County, VAVA33,44727.0%+0.4 pts

40Brunswick County, VAVA15,72726.9%−0.2 pts

41Wise County, VAVA34,82426.8%−0.3 pts

42Wythe County, VAVA27,98326.6%+1.3 pts

43Bristol, VAVA16,41826.4%+1.7 pts

44Botetourt County, VAVA34,14426.2%+0.9 pts

45King and Queen County, VAVA6,74325.9%+2.3 pts

46Norton, VAVA3,47725.8%−1.1 pts

47Floyd County, VAVA15,78925.6%+1.7 pts

48Buckingham County, VAVA17,13725.5%+0.8 pts

49Madison County, VAVA14,23725.5%−0.7 pts

50Bedford County, VAVA83,05925.3%+1.4 pts

51Goochland County, VAVA29,18725.3%+1.0 pts

52Page County, VAVA23,76225.3%+0.6 pts

53Southampton County, VAVA18,11025.0%+1.7 pts

54Augusta County, VAVA78,94024.7%+0.8 pts

55Greensville County, VAVA11,18124.7%−0.6 pts

56Staunton, VAVA26,80124.7%+1.6 pts

57Richmond County, VAVA9,29424.6%−2.0 pts

58Amherst County, VAVA31,96224.5%+1.5 pts

59Cumberland County, VAVA10,35224.5%+1.1 pts

60Danville, VAVA41,64724.5%+0.0 pts

61Giles County, VAVA16,56424.5%−2.8 pts

62Clarke County, VAVA15,60924.1%+2.4 pts

63Shenandoah County, VAVA45,83924.1%+0.1 pts

64Roanoke County, VAVA97,15024.0%+0.5 pts

65Campbell County, VAVA55,62923.8%+0.8 pts

66Fluvanna County, VAVA28,97523.6%+2.5 pts

67Appomattox County, VAVA17,17223.4%+0.4 pts

68Amelia County, VAVA13,63223.3%+3.1 pts

69Sussex County, VAVA10,75523.0%+0.8 pts

70Galax, VAVA6,67023.0%+1.8 pts

71Louisa County, VAVA42,92422.9%+0.0 pts

72Gloucester County, VAVA40,09722.4%+1.5 pts

73Buena Vista, VAVA6,67221.8%+1.1 pts

74Nottoway County, VAVA15,79621.7%−1.0 pts

75Orange County, VAVA40,08321.5%−0.7 pts

76Dinwiddie County, VAVA28,89621.4%+1.1 pts

77Isle of Wight County, VAVA41,32121.2%+0.3 pts

78Franklin, VAVA8,47820.9%−2.4 pts

79Powhatan County, VAVA32,59120.9%+0.6 pts

80Rockingham County, VAVA89,31620.8%+0.5 pts

81Waynesboro, VAVA23,95120.6%+1.1 pts

82Martinsville, VAVA13,84920.3%−2.2 pts

83Albemarle County, VAVA118,35620.2%+1.4 pts

84Salem, VAVA25,81620.2%+1.2 pts

85Hanover County, VAVA116,42320.1%+1.1 pts

86Roanoke, VAVA99,11120.1%+0.6 pts

87Colonial Heights, VAVA18,73819.7%−0.6 pts

88Petersburg, VAVA33,73419.7%−0.4 pts

89Poquoson, VAVA13,29219.5%−1.2 pts

90Frederick County, VAVA99,95519.4%+0.4 pts

91Prince Edward County, VAVA22,39119.3%−0.3 pts

92Hampton, VAVA137,31519.2%+0.7 pts

93York County, VAVA71,37419.1%+2.3 pts

94Winchester, VAVA28,27219.1%−0.3 pts

95New Kent County, VAVA28,02219.0%+0.4 pts

96Greene County, VAVA21,95819.0%+1.4 pts

97Portsmouth, VAVA96,77718.9%+0.5 pts

98Prince George County, VAVA43,93618.8%+1.6 pts

99Warren County, VAVA42,74018.7%+1.6 pts

100Emporia, VAVA5,44718.7%+3.2 pts

101Caroline County, VAVA34,41318.4%−0.9 pts

102Hopewell, VAVA23,26117.8%+0.7 pts

103Williamsburg, VAVA15,86117.8%+1.6 pts

104Fauquier County, VAVA76,50317.6%+0.9 pts

105Virginia Beach, VAVA453,73717.6%+1.7 pts

106King William County, VAVA19,61717.5%−0.5 pts

107Henrico County, VAVA342,77517.4%+1.0 pts

108Suffolk, VAVA104,69917.4%+1.1 pts

109Lexington, VAVA7,76917.3%+2.5 pts

110Culpeper County, VAVA57,66617.2%−0.2 pts

111Chesterfield County, VAVA397,14817.0%+1.1 pts

112Newport News, VAVA183,23016.6%+1.3 pts

113Norfolk, VAVA231,01316.4%+1.6 pts

114Chesapeake, VAVA255,33216.1%+0.8 pts

115Richmond, VAVA237,25716.1%+0.1 pts

116Spotsylvania County, VAVA155,38815.8%+0.3 pts

117King George County, VAVA29,64615.3%+0.7 pts

118Montgomery County, VAVA98,43415.1%−0.1 pts

119Lynchburg, VAVA81,34715.0%−0.6 pts

120Fairfax County, VAVA1,167,87314.5%+1.2 pts

121Falls Church, VAVA15,15914.3%+2.3 pts

122Charlottesville, VAVA44,38814.1%+1.9 pts

123Fredericksburg, VAVA30,39312.9%+0.6 pts

124Alexandria, VAVA160,66212.7%+1.4 pts

125Fairfax, VAVA26,77212.3%−2.1 pts

126Stafford County, VAVA170,80311.9%+0.7 pts

127Prince William County, VAVA502,96611.6%+1.2 pts

128Arlington County, VAVA243,93111.3%+0.7 pts

129Radford, VAVA17,24310.9%−1.8 pts

130Manassas, VAVA44,33210.8%+0.5 pts

131Harrisonburg, VAVA50,83910.5%+0.0 pts

132Loudoun County, VAVA449,74910.3%+1.3 pts

133Manassas Park, VAVA16,56010.3%+0.9 pts

SHOWING 1–133 OF 133

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UPDATED 2026-08-08 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES