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US Counties With the Lowest Medicare Advantage Shares

3,127 US counties ranked by Medicare Advantage share, from lowest to highest. First are Loving County, TX (0), Kusilvak Census Area, AK (0) and Lake and Peninsula Borough, AK (0). The middle one of the 3,127 has 45.8.

What this measures

The percentage of people with full Medicare coverage who chose a Medicare Advantage plan. These are private insurance plans that take the place of traditional Medicare. About half of all people on Medicare now have one. Before 2014 it counts anyone in a plan at any time in the year; from 2014, anyone in a plan all year. Source: CMS Medicare Geographic Variation Public Use File.

For most measures, a national ranking mostly sorts places by income and by how urban they are. Each county’s own page compares it with the 50 counties most like it instead, which is often the fairer view.

The 100 lowest counties

RankCounty% of enrollees
1Loving County, TX0
2Kusilvak Census Area, AK0
3Lake and Peninsula Borough, AK0
4Yakutat City and Borough, AK0
5Juneau City and Borough, AK1.07
6Sitka City and Borough, AK1.09
7Kodiak Island Borough, AK1.23
8Cherry County, NE1.29
9Petersburg Borough, AK1.45
10Ketchikan Gateway Borough, AK1.66
11Prince of Wales-Hyder Census Area, AK1.77
12Blaine County, MT1.88
13Fairbanks North Star Borough, AK1.95
14Wrangell City and Borough, AK2.16
15Southeast Fairbanks Census Area, AK2.6
16Lander County, NV2.63
17Brown County, NE2.68
18Anchorage Municipality, AK2.89
19Matanuska-Susitna Borough, AK2.93
20Wichita County, KS2.98
21Wallace County, KS3.2
22Pershing County, NV3.27
23Custer County, ID3.31
24Lemhi County, ID3.39
25Daniels County, MT3.48
26Butte County, ID3.9
27Haines Borough, AK3.95
28Fallon County, MT4.15
29Roosevelt County, MT4.17
30Kenai Peninsula Borough, AK4.17
31Lewis County, ID4.18
32Siskiyou County, CA4.27
33Denali Borough, AK4.32
34Del Norte County, CA4.48
35Glacier County, MT4.55
36Humboldt County, NV4.56
37Elko County, NV4.61
38Hill County, MT4.65
39Sheridan County, KS4.75
40Oglala Lakota County, SD4.76
41Teton County, ID4.78
42Modoc County, CA4.89
43Lane County, KS4.95
44Comanche County, KS4.96
45Richland County, MT5.12
46Trego County, KS5.14
47Clearwater County, ID5.17
48Trinity County, CA5.17
49White Pine County, NV5.18
50Sublette County, WY5.2
51Clark County, KS5.56
52Eureka County, NV5.6
53Big Horn County, WY5.72
54Stanton County, KS5.73
55Nantucket County, MA5.81
56Hodgeman County, KS5.84
57Kimball County, NE5.96
58Lassen County, CA5.98
59Garfield County, MT5.99
60Carter County, MT6.21
61Scott County, KS6.22
62Esmeralda County, NV6.22
63Valley County, MT6.23
64Hayes County, NE6.25
65Buffalo County, SD6.25
66Gray County, KS6.39
67Grand County, UT6.4
68San Juan County, UT6.44
69Keya Paha County, NE6.47
70Yuma County, CO6.5
71Phillips County, MT6.51
72Baca County, CO6.53
73Toole County, MT6.64
74McKenzie County, ND6.82
75Wibaux County, MT6.84
76Mono County, CA6.84
77Chase County, NE6.95
78Park County, WY6.99
79Richardson County, NE7.02
80Klickitat County, WA7.04
81Dukes County, MA7.1
82Ellis County, KS7.21
83Mitchell County, KS7.21
84Nemaha County, KS7.3
85Grant County, NE7.33
86Phillips County, CO7.34
87Logan County, KS7.37
88Prairie County, MT7.43
89Sedgwick County, CO7.43
90Gove County, KS7.46
91Graham County, KS7.48
92Powder River County, MT7.73
93Rawlins County, KS7.75
94Todd County, SD7.83
95Box Butte County, NE7.85
96Red Willow County, NE7.87
97Rooks County, KS7.95
98Kiowa County, CO7.99
99Converse County, WY8.01
100Garfield County, WA8.04

Every state, lowest first

Each state’s own published figure, not an average of its counties.

RankState% of enrollees
1Alaska2.62
2Wyoming13.7
3Maryland24.5
4Montana29.3
5Delaware31.7
6Vermont32.7
7North Dakota33.3
8Kansas33.6
9Nebraska34.1
10South Dakota35.6
11New Hampshire36.1
12District of Columbia36.5
13Iowa36.8
14Massachusetts36.9
15Virginia39.5
16Mississippi41.1
17Oklahoma41.1
18New Jersey43.3
19Illinois44.2
20Arkansas45.5
21South Carolina45.9
22Washington49.5
23Idaho49.5
24Indiana50.2
25New Mexico52.9
26Arizona53.3
27West Virginia54.1
28Nevada54.3
29Utah54.4
30Tennessee54.6
31Missouri54.7
32New York54.9
33Colorado55.3
34Kentucky55.4
35California55.4
36Pennsylvania55.6
37North Carolina56.1
38Texas56.6
39Louisiana57.4
40Oregon57.5
41Georgia57.5
42Ohio57.8
43Florida58.2
44Wisconsin58.3
45Maine59.2
46Connecticut59.7
47Hawaii60.9
48Alabama61.7
49Minnesota62.1
50Michigan62.6
51Rhode Island63.9
52Puerto Rico95.7

More on Medicare Advantage share

A ranking describes places, not the people in them, and a high or low place does not by itself say why. All US rankings.