RANKING · 2020 CENSUS · 133 SHOWN OF 133

Highest Medicare coverage, Virginia counties · 2020

Virginia counties ranked by the share of people covered by Medicare, alone or in combination with other coverage (2020 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 22.9%.

VirginiaAll states All rankings

SAME RANKING BYCities States Metros ZIP codes

RELATEDLargest foreign-born population Most residents with a disability Largest veteran population Most uninsured people Largest senior population Most unmarried people

RANKPLACESTATEPOPMEDICAREVS –

01Highland County, VAVA2,31843.6%–

02Lancaster County, VAVA10,99540.4%–

03Northumberland County, VAVA12,55739.3%–

04Buchanan County, VAVA18,49234.5%–

05Dickenson County, VAVA13,23634.4%–

06Middlesex County, VAVA10,84134.1%–

07Bath County, VAVA4,07634.0%–

08Mathews County, VAVA8,52930.7%–

09Scott County, VAVA21,20030.7%–

10Patrick County, VAVA17,42430.4%–

11Russell County, VAVA25,33230.4%–

12Tazewell County, VAVA38,63530.3%–

13Lee County, VAVA21,64230.2%–

14Carroll County, VAVA29,29930.0%–

15Northampton County, VAVA11,87930.0%–

16Alleghany County, VAVA14,54629.8%–

17Grayson County, VAVA15,23029.8%–

18Covington, VAVA5,68029.5%–

19Bland County, VAVA6,15128.9%–

20Mecklenburg County, VAVA30,74728.7%–

21Smyth County, VAVA28,88228.6%–

22Henry County, VAVA49,24228.5%–

23Westmoreland County, VAVA19,71528.5%–

24Nelson County, VAVA14,92028.0%–

25Rockbridge County, VAVA22,66327.6%–

26Franklin County, VAVA55,52627.3%–

27Giles County, VAVA16,56427.3%–

28Wise County, VAVA34,82427.1%–

29Brunswick County, VAVA15,72727.1%–

30Charles City County, VAVA6,62327.0%–

31Pulaski County, VAVA33,58627.0%–

32Craig County, VAVA4,80026.9%–

33Lunenburg County, VAVA12,05826.9%–

34Norton, VAVA3,47726.9%–

35Rappahannock County, VAVA7,43926.8%–

36Washington County, VAVA53,89826.7%–

37Halifax County, VAVA33,44726.6%–

38Richmond County, VAVA9,29426.6%–

39Madison County, VAVA14,23726.2%–

40Pittsylvania County, VAVA59,49026.2%–

41James City County, VAVA83,32625.9%–

42Charlotte County, VAVA11,40125.6%–

43Botetourt County, VAVA34,14425.3%–

44Greensville County, VAVA11,18125.3%–

45Wythe County, VAVA27,98325.3%–

46Accomack County, VAVA33,85925.2%–

47Surry County, VAVA6,60325.1%–

48Buckingham County, VAVA17,13724.7%–

49Essex County, VAVA10,65424.7%–

50Page County, VAVA23,76224.7%–

51Bristol, VAVA16,41824.7%–

52Danville, VAVA41,64724.5%–

53Goochland County, VAVA29,18724.3%–

54Shenandoah County, VAVA45,83924.0%–

55Augusta County, VAVA78,94023.9%–

56Bedford County, VAVA83,05923.9%–

57Floyd County, VAVA15,78923.9%–

58King and Queen County, VAVA6,74323.6%–

59Roanoke County, VAVA97,15023.5%–

60Cumberland County, VAVA10,35223.4%–

61Southampton County, VAVA18,11023.3%–

62Franklin, VAVA8,47823.3%–

63Staunton, VAVA26,80123.1%–

64Amherst County, VAVA31,96223.0%–

65Appomattox County, VAVA17,17223.0%–

66Campbell County, VAVA55,62923.0%–

67Louisa County, VAVA42,92422.9%–

68Nottoway County, VAVA15,79622.7%–

69Martinsville, VAVA13,84922.5%–

70Orange County, VAVA40,08322.2%–

71Sussex County, VAVA10,75522.2%–

72Clarke County, VAVA15,60921.7%–

73Galax, VAVA6,67021.2%–

74Fluvanna County, VAVA28,97521.1%–

75Gloucester County, VAVA40,09720.9%–

76Isle of Wight County, VAVA41,32120.9%–

77Poquoson, VAVA13,29220.7%–

78Buena Vista, VAVA6,67220.7%–

79Dinwiddie County, VAVA28,89620.3%–

80Rockingham County, VAVA89,31620.3%–

81Colonial Heights, VAVA18,73820.3%–

82Powhatan County, VAVA32,59120.3%–

83Amelia County, VAVA13,63220.2%–

84Petersburg, VAVA33,73420.1%–

85Prince Edward County, VAVA22,39119.6%–

86Roanoke, VAVA99,11119.5%–

87Waynesboro, VAVA23,95119.5%–

88Winchester, VAVA28,27219.4%–

89Caroline County, VAVA34,41319.3%–

90Frederick County, VAVA99,95519.0%–

91Hanover County, VAVA116,42319.0%–

92Salem, VAVA25,81619.0%–

93Albemarle County, VAVA118,35618.8%–

94New Kent County, VAVA28,02218.6%–

95Hampton, VAVA137,31518.5%–

96Portsmouth, VAVA96,77718.4%–

97King William County, VAVA19,61718.0%–

98Greene County, VAVA21,95817.6%–

99Culpeper County, VAVA57,66617.4%–

100Prince George County, VAVA43,93617.2%–

101Warren County, VAVA42,74017.1%–

102Hopewell, VAVA23,26117.1%–

103York County, VAVA71,37416.8%–

104Fauquier County, VAVA76,50316.7%–

105Henrico County, VAVA342,77516.4%–

106Suffolk, VAVA104,69916.3%–

107Williamsburg, VAVA15,86116.2%–

108Richmond, VAVA237,25716.0%–

109Chesterfield County, VAVA397,14815.9%–

110Virginia Beach, VAVA453,73715.9%–

111Lynchburg, VAVA81,34715.6%–

112Spotsylvania County, VAVA155,38815.5%–

113Emporia, VAVA5,44715.5%–

114Chesapeake, VAVA255,33215.3%–

115Newport News, VAVA183,23015.3%–

116Montgomery County, VAVA98,43415.2%–

117Lexington, VAVA7,76914.8%–

118Norfolk, VAVA231,01314.8%–

119King George County, VAVA29,64614.6%–

120Fairfax, VAVA26,77214.4%–

121Fairfax County, VAVA1,167,87313.3%–

122Radford, VAVA17,24312.7%–

123Fredericksburg, VAVA30,39312.3%–

124Charlottesville, VAVA44,38812.2%–

125Falls Church, VAVA15,15912.0%–

126Alexandria, VAVA160,66211.3%–

127Stafford County, VAVA170,80311.2%–

128Arlington County, VAVA243,93110.6%–

129Harrisonburg, VAVA50,83910.5%–

130Prince William County, VAVA502,96610.4%–

131Manassas, VAVA44,33210.3%–

132Manassas Park, VAVA16,5609.4%–

133Loudoun County, VAVA449,7499.0%–

SHOWING 1–133 OF 133

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UPDATED 2026-09-11 · DATA: US CENSUS BUREAU DECENNIAL CENSUS