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. The median across all 133 is 23.4%. Biggest climber in the top 100 since 2020: Essex County, VA, up 20 places to #29.

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SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

01▲1Lancaster County, VAVA10,99540.9%+0.5 pts

02▲1Northumberland County, VAVA12,55738.6%−0.7 pts

03▼2Highland County, VAVA2,31838.1%−5.5 pts

04▲2Middlesex County, VAVA10,84137.7%+3.6 pts

05▼1Buchanan County, VAVA18,49234.2%−0.3 pts

06▲2Mathews County, VAVA8,52933.7%+3.0 pts

07Bath County, VAVA4,07633.5%−0.5 pts

08▼3Dickenson County, VAVA13,23633.5%−0.9 pts

09▲4Lee County, VAVA21,64231.9%+1.7 pts

10▲2Tazewell County, VAVA38,63531.7%+1.4 pts

11▲4Northampton County, VAVA11,87931.3%+1.3 pts

12▼2Patrick County, VAVA17,42431.3%+0.9 pts

13▲11Nelson County, VAVA14,92031.2%+3.2 pts

14▲9Westmoreland County, VAVA19,71530.6%+2.1 pts

15▲2Grayson County, VAVA15,23030.5%+0.7 pts

16▼7Scott County, VAVA21,20030.4%−0.3 pts

17▲15Craig County, VAVA4,80030.3%+3.4 pts

18▲2Mecklenburg County, VAVA30,74730.1%+1.4 pts

19▼8Russell County, VAVA25,33229.9%−0.5 pts

20▼2Covington, VAVA5,68029.8%+0.3 pts

21▼2Bland County, VAVA6,15129.7%+0.8 pts

22▲11Lunenburg County, VAVA12,05829.4%+2.5 pts

23▼9Carroll County, VAVA29,29929.2%−0.8 pts

24▼8Alleghany County, VAVA14,54629.1%−0.7 pts

25▲11Washington County, VAVA53,89828.9%+2.2 pts

26▼4Henry County, VAVA49,24228.4%−0.1 pts

27▼2Rockbridge County, VAVA22,66328.3%+0.7 pts

28▲2Charles City County, VAVA6,62328.2%+1.2 pts

29▲20Essex County, VAVA10,65428.1%+3.4 pts

30▲10Pittsylvania County, VAVA59,49028.1%+1.9 pts

31▲16Surry County, VAVA6,60328.0%+2.9 pts

32▲14Accomack County, VAVA33,85928.0%+2.8 pts

33▼12Smyth County, VAVA28,88227.8%−0.8 pts

34▲8Charlotte County, VAVA11,40127.5%+1.9 pts

35▼9Franklin County, VAVA55,52627.5%+0.2 pts

36▲5James City County, VAVA83,32627.5%+1.6 pts

37▼2Rappahannock County, VAVA7,43927.5%+0.7 pts

38▼7Pulaski County, VAVA33,58627.4%+0.4 pts

39▼2Halifax County, VAVA33,44727.0%+0.4 pts

40▼11Brunswick County, VAVA15,72726.9%−0.2 pts

41▼13Wise County, VAVA34,82426.8%−0.3 pts

42▲3Wythe County, VAVA27,98326.6%+1.3 pts

43▲8Bristol, VAVA16,41826.4%+1.7 pts

44▼1Botetourt County, VAVA34,14426.2%+0.9 pts

45▲13King and Queen County, VAVA6,74325.9%+2.3 pts

46▼12Norton, VAVA3,47725.8%−1.1 pts

47▲10Floyd County, VAVA15,78925.6%+1.7 pts

48Buckingham County, VAVA17,13725.5%+0.8 pts

49▼10Madison County, VAVA14,23725.5%−0.7 pts

50▲6Bedford County, VAVA83,05925.3%+1.4 pts

51▲2Goochland County, VAVA29,18725.3%+1.0 pts

52▼2Page County, VAVA23,76225.3%+0.6 pts

53▲8Southampton County, VAVA18,11025.0%+1.7 pts

54▲1Augusta County, VAVA78,94024.7%+0.8 pts

55▼11Greensville County, VAVA11,18124.7%−0.6 pts

56▲7Staunton, VAVA26,80124.7%+1.6 pts

57▼19Richmond County, VAVA9,29424.6%−2.0 pts

58▲6Amherst County, VAVA31,96224.5%+1.5 pts

59▲1Cumberland County, VAVA10,35224.5%+1.1 pts

60▼8Danville, VAVA41,64724.5%0.0 pts

61▼34Giles County, VAVA16,56424.5%−2.8 pts

62▲10Clarke County, VAVA15,60924.1%+2.4 pts

63▼9Shenandoah County, VAVA45,83924.1%+0.1 pts

64▼5Roanoke County, VAVA97,15024.0%+0.5 pts

65▲1Campbell County, VAVA55,62923.8%+0.8 pts

66▲8Fluvanna County, VAVA28,97523.6%+2.5 pts

67▼2Appomattox County, VAVA17,17223.4%+0.4 pts

68▲15Amelia County, VAVA13,63223.3%+3.1 pts

69▲2Sussex County, VAVA10,75523.0%+0.8 pts

70▲3Galax, VAVA6,67023.0%+1.8 pts

71▼4Louisa County, VAVA42,92422.9%0.0 pts

72▲3Gloucester County, VAVA40,09722.4%+1.5 pts

73▲5Buena Vista, VAVA6,67221.8%+1.1 pts

74▼6Nottoway County, VAVA15,79621.7%−1.0 pts

75▼5Orange County, VAVA40,08321.5%−0.7 pts

76▲3Dinwiddie County, VAVA28,89621.4%+1.1 pts

77▼1Isle of Wight County, VAVA41,32121.2%+0.3 pts

78▼16Franklin, VAVA8,47820.9%−2.4 pts

79▲3Powhatan County, VAVA32,59120.9%+0.6 pts

80Rockingham County, VAVA89,31620.8%+0.5 pts

81▲6Waynesboro, VAVA23,95120.6%+1.1 pts

82▼13Martinsville, VAVA13,84920.3%−2.2 pts

83▲10Albemarle County, VAVA118,35620.2%+1.4 pts

84▲8Salem, VAVA25,81620.2%+1.2 pts

85▲6Hanover County, VAVA116,42320.1%+1.1 pts

86Roanoke, VAVA99,11120.1%+0.6 pts

87▼6Colonial Heights, VAVA18,73819.7%−0.6 pts

88▼4Petersburg, VAVA33,73419.7%−0.4 pts

89▼12Poquoson, VAVA13,29219.5%−1.2 pts

90Frederick County, VAVA99,95519.4%+0.4 pts

91▼6Prince Edward County, VAVA22,39119.3%−0.3 pts

92▲3Hampton, VAVA137,31519.2%+0.7 pts

93▲10York County, VAVA71,37419.1%+2.3 pts

94▼6Winchester, VAVA28,27219.1%−0.3 pts

95▼1New Kent County, VAVA28,02219.0%+0.4 pts

96▲2Greene County, VAVA21,95819.0%+1.4 pts

97▼1Portsmouth, VAVA96,77718.9%+0.5 pts

98▲2Prince George County, VAVA43,93618.8%+1.6 pts

99▲2Warren County, VAVA42,74018.7%+1.6 pts

100▲13Emporia, VAVA5,44718.7%+3.2 pts

101▼12Caroline County, VAVA34,41318.4%−0.9 pts

102Hopewell, VAVA23,26117.8%+0.7 pts

103▲4Williamsburg, VAVA15,86117.8%+1.6 pts

104Fauquier County, VAVA76,50317.6%+0.9 pts

105▲5Virginia Beach, VAVA453,73717.6%+1.7 pts

106▼9King William County, VAVA19,61717.5%−0.5 pts

107▼2Henrico County, VAVA342,77517.4%+1.0 pts

108▼2Suffolk, VAVA104,69917.4%+1.1 pts

109▲8Lexington, VAVA7,76917.3%+2.5 pts

110▼11Culpeper County, VAVA57,66617.2%−0.2 pts

111▼2Chesterfield County, VAVA397,14817.0%+1.1 pts

112▲3Newport News, VAVA183,23016.6%+1.3 pts

113▲5Norfolk, VAVA231,01316.4%+1.6 pts

114Chesapeake, VAVA255,33216.1%+0.8 pts

115▼7Richmond, VAVA237,25716.1%+0.1 pts

116▼4Spotsylvania County, VAVA155,38815.8%+0.3 pts

117▲2King George County, VAVA29,64615.3%+0.7 pts

118▼2Montgomery County, VAVA98,43415.1%−0.1 pts

119▼8Lynchburg, VAVA81,34715.0%−0.6 pts

120▲1Fairfax County, VAVA1,167,87314.5%+1.2 pts

121▲4Falls Church, VAVA15,15914.3%+2.3 pts

122▲2Charlottesville, VAVA44,38814.1%+1.9 pts

123Fredericksburg, VAVA30,39312.9%+0.6 pts

124▲2Alexandria, VAVA160,66212.7%+1.4 pts

125▼5Fairfax, VAVA26,77212.3%−2.1 pts

126▲1Stafford County, VAVA170,80311.9%+0.7 pts

127▲3Prince William County, VAVA502,96611.6%+1.2 pts

128Arlington County, VAVA243,93111.3%+0.7 pts

129▼7Radford, VAVA17,24310.9%−1.8 pts

130▲1Manassas, VAVA44,33210.8%+0.5 pts

131▼2Harrisonburg, VAVA50,83910.5%0.0 pts

132▲1Loudoun County, VAVA449,74910.3%+1.3 pts

133▼1Manassas Park, VAVA16,56010.3%+0.9 pts

SHOWING 1–133 OF 133

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