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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. The median across all 51 is 19.1%. Biggest climber in the top 100 since 2020: Wyoming, WY, up 9 places to #21.

All statesAll rankings
RANKPLACESTATEPOPMEDICAREVS 2020
USUnited States334,922,49918.4%–
01▲1Maine, MEME1,387,81724.2%+1.2 pts
02▼1West Virginia, WVWV1,778,37324.2%+0.6 pts
03▲1Vermont, VTVT647,10623.0%+1.7 pts
04▼1Florida, FLFL22,416,07722.3%+0.3 pts
05Delaware, DEDE1,021,19122.0%+1.3 pts
06Montana, MTMT1,116,87521.4%+1.0 pts
07▲4New Mexico, NMNM2,120,24621.4%+1.6 pts
08▲5New Hampshire, NHNH1,394,86821.2%+1.5 pts
09▲7Hawaii, HIHI1,445,23521.2%+1.9 pts
10▼1South Carolina, SCSC5,296,22521.0%+0.7 pts
11▼1Pennsylvania, PAPA13,018,63920.7%+0.8 pts
12▼5Arkansas, ARAR3,049,39120.5%+0.1 pts
13▼5Alabama, ALAL5,086,76820.5%+0.2 pts
14Michigan, MIMI10,077,76120.5%+1.0 pts
15▲2Oregon, OROR4,254,29320.4%+1.2 pts
16▼1Mississippi, MSMS2,946,77920.3%+0.9 pts
17▲3Rhode Island, RIRI1,101,80120.0%+1.0 pts
18▼6Kentucky, KYKY4,534,82420.0%+0.2 pts
19▲5Wisconsin, WIWI5,914,87219.8%+1.3 pts
20▼1Arizona, AZAZ7,378,83819.8%+0.7 pts
21▲9Wyoming, WYWY582,39719.7%+2.0 pts
22▼4Missouri, MOMO6,191,81419.7%+0.5 pts
23▼1Ohio, OHOH11,810,29319.6%+0.8 pts
24▲1Iowa, IAIA3,210,50719.1%+0.9 pts
25▲3Connecticut, CTCT3,624,50819.1%+1.1 pts
26▲3Louisiana, LALA4,611,96119.1%+1.1 pts
27▼4North Carolina, NCNC10,730,40419.1%+0.5 pts
28▼1South Dakota, SDSD907,42818.9%+0.9 pts
29▼8Tennessee, TNTN7,066,38318.9%+0.1 pts
30▲2New York, NYNY19,852,36618.9%+1.2 pts
31▼5Oklahoma, OKOK4,028,63418.5%+0.3 pts
32▲1Idaho, IDID1,934,26218.4%+0.8 pts
33▼2Indiana, 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
38▲3Minnesota, MNMN5,739,44517.9%+1.2 pts
39▲3Illinois, ILIL12,694,79817.7%+1.1 pts
40Nebraska, NENE1,978,70717.6%+0.9 pts
41▼2Washington, WAWA7,816,11617.6%+0.8 pts
42▼4New 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
48▲2Alaska, AKAK735,70614.9%+1.8 pts
49▼1Texas, TXTX30,188,42414.2%+0.6 pts
50▼1District of Columbia, DCDC681,29413.2%0.0 pts
51Utah, UTUT3,392,33112.3%+0.5 pts
SHOWING 1–51 OF 51

UPDATED 2026-09-11 · 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).