RANKING · 2024 ACS · 51 SHOWN OF 51

Highest Medicare coverage, US states

US states ranked by the share of people covered by Medicare, alone or in combination with other coverage (2024 ACS). A close proxy for retirement geography. Maine leads at 24.2%. 51 states qualify in total.

All statesAll rankings

SAME RANKING BYCities Counties Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAREVS 2020

USUnited States334,922,49918.4%–

01Maine, MEME1,387,81724.2%+1.2 pts

02West Virginia, WVWV1,778,37324.2%+0.6 pts

03Vermont, VTVT647,10623.0%+1.7 pts

04Florida, FLFL22,416,07722.3%+0.3 pts

05Delaware, DEDE1,021,19122.0%+1.3 pts

06Montana, MTMT1,116,87521.4%+1.0 pts

07New Mexico, NMNM2,120,24621.4%+1.6 pts

08New Hampshire, NHNH1,394,86821.2%+1.5 pts

09Hawaii, HIHI1,445,23521.2%+1.9 pts

10South Carolina, SCSC5,296,22521.0%+0.7 pts

11Pennsylvania, PAPA13,018,63920.7%+0.8 pts

12Arkansas, ARAR3,049,39120.5%+0.1 pts

13Alabama, ALAL5,086,76820.5%+0.2 pts

14Michigan, MIMI10,077,76120.5%+1.0 pts

15Oregon, OROR4,254,29320.4%+1.2 pts

16Mississippi, MSMS2,946,77920.3%+0.9 pts

17Rhode Island, RIRI1,101,80120.0%+1.0 pts

18Kentucky, KYKY4,534,82420.0%+0.2 pts

19Wisconsin, WIWI5,914,87219.8%+1.3 pts

20Arizona, AZAZ7,378,83819.8%+0.7 pts

21Wyoming, WYWY582,39719.7%+2.0 pts

22Missouri, MOMO6,191,81419.7%+0.5 pts

23Ohio, OHOH11,810,29319.6%+0.8 pts

24Iowa, IAIA3,210,50719.1%+0.9 pts

25Connecticut, CTCT3,624,50819.1%+1.1 pts

26Louisiana, LALA4,611,96119.1%+1.1 pts

27North Carolina, NCNC10,730,40419.1%+0.5 pts

28South Dakota, SDSD907,42818.9%+0.9 pts

29Tennessee, TNTN7,066,38318.9%+0.1 pts

30New York, NYNY19,852,36618.9%+1.2 pts

31Oklahoma, OKOK4,028,63418.5%+0.3 pts

32Idaho, IDID1,934,26218.4%+0.8 pts

33Indiana, ININ6,851,07318.3%+0.6 pts

34Massachusetts, MAMA7,044,05618.3%+1.0 pts

35Kansas, KSKS2,947,19718.0%+0.8 pts

36Nevada, NVNV3,184,61218.0%+0.9 pts

37Virginia, VAVA8,705,17018.0%+0.9 pts

38Minnesota, MNMN5,739,44517.9%+1.2 pts

39Illinois, ILIL12,694,79817.7%+1.1 pts

40Nebraska, NENE1,978,70717.6%+0.9 pts

41Washington, WAWA7,816,11617.6%+0.8 pts

42New Jersey, NJNJ9,343,80917.6%+0.5 pts

43Maryland, MDMD6,206,01117.4%+0.9 pts

44North Dakota, NDND784,84117.0%+0.9 pts

45Georgia, GAGA10,940,40716.5%+0.6 pts

46Colorado, COCO5,862,18916.3%+0.9 pts

47California, CACA39,287,37716.3%+1.0 pts

48Alaska, AKAK735,70614.9%+1.8 pts

49Texas, TXTX30,188,42414.2%+0.6 pts

50District of Columbia, DCDC681,29413.2%+0.0 pts

51Utah, UTUT3,392,33112.3%+0.5 pts

SHOWING 1–51 OF 51

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

Frequently asked

Which state has the highest medicare?

Maine ranks #1 with 24.2% (2024 American Community Survey).

What are the top 5 states by medicare?

Maine, West Virginia, Vermont, Florida, Delaware.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is medicare measured?

Share of the civilian noninstitutionalized population with Medicare coverage, alone or in combination (ACS S2704). Source: US Census Bureau, American Community Survey 5-year estimates (2024).