Medicare in Alabama by county

Most people with Medicare

Across Alabama, 1,144,565 people had Medicare in July 2026, 61% of them in Medicare Advantage or another Medicare health plan. The counties with the most:

1. Jefferson County 139,143 with Medicare · 67% in Medicare Advantage · 34 Advantage plans with drug coverage
2. Mobile County 90,802 with Medicare · 71% in Medicare Advantage · 37 Advantage plans with drug coverage
3. Madison County 81,036 with Medicare · 47% in Medicare Advantage · 34 Advantage plans with drug coverage
4. Baldwin County 67,345 with Medicare · 58% in Medicare Advantage · 35 Advantage plans with drug coverage
5. Montgomery County 46,273 with Medicare · 63% in Medicare Advantage · 32 Advantage plans with drug coverage
6. Shelby County 45,972 with Medicare · 61% in Medicare Advantage · 34 Advantage plans with drug coverage
7. Tuscaloosa County 38,362 with Medicare · 60% in Medicare Advantage · 16 Advantage plans with drug coverage
8. Lee County 30,124 with Medicare · 57% in Medicare Advantage · 23 Advantage plans with drug coverage
9. Calhoun County 28,066 with Medicare · 57% in Medicare Advantage · 24 Advantage plans with drug coverage
10. Morgan County 28,029 with Medicare · 55% in Medicare Advantage · 31 Advantage plans with drug coverage

All 67 counties, A to Z

• Autauga County12,428 with Medicare · 62% in Medicare Advantage · 31 Advantage plans with drug coverage
• Baldwin County67,345 with Medicare · 58% in Medicare Advantage · 35 Advantage plans with drug coverage
• Barbour County6,175 with Medicare · 69% in Medicare Advantage · 24 Advantage plans with drug coverage
• Bibb County4,753 with Medicare · 70% in Medicare Advantage · 31 Advantage plans with drug coverage
• Blount County12,586 with Medicare · 68% in Medicare Advantage · 33 Advantage plans with drug coverage
• Bullock County2,341 with Medicare · 72% in Medicare Advantage · 28 Advantage plans with drug coverage
• Butler County5,005 with Medicare · 67% in Medicare Advantage · 26 Advantage plans with drug coverage
• Calhoun County28,066 with Medicare · 57% in Medicare Advantage · 24 Advantage plans with drug coverage
• Chambers County9,091 with Medicare · 67% in Medicare Advantage · 29 Advantage plans with drug coverage
• Cherokee County7,750 with Medicare · 62% in Medicare Advantage · 28 Advantage plans with drug coverage
• Chilton County9,906 with Medicare · 73% in Medicare Advantage · 32 Advantage plans with drug coverage
• Choctaw County3,787 with Medicare · 60% in Medicare Advantage · 19 Advantage plans with drug coverage
• Clarke County6,422 with Medicare · 69% in Medicare Advantage · 20 Advantage plans with drug coverage
• Clay County3,773 with Medicare · 65% in Medicare Advantage · 24 Advantage plans with drug coverage
• Cleburne County3,701 with Medicare · 54% in Medicare Advantage · 23 Advantage plans with drug coverage
• Coffee County11,849 with Medicare · 54% in Medicare Advantage · 19 Advantage plans with drug coverage
• Colbert County14,707 with Medicare · 58% in Medicare Advantage · 29 Advantage plans with drug coverage
• Conecuh County3,511 with Medicare · 66% in Medicare Advantage · 18 Advantage plans with drug coverage
• Coosa County3,092 with Medicare · 68% in Medicare Advantage · 27 Advantage plans with drug coverage
• Covington County10,318 with Medicare · 59% in Medicare Advantage · 19 Advantage plans with drug coverage
• Crenshaw County3,637 with Medicare · 67% in Medicare Advantage · 28 Advantage plans with drug coverage
• Cullman County21,457 with Medicare · 60% in Medicare Advantage · 31 Advantage plans with drug coverage
• Dale County11,760 with Medicare · 58% in Medicare Advantage · 21 Advantage plans with drug coverage
• Dallas County9,989 with Medicare · 72% in Medicare Advantage · 30 Advantage plans with drug coverage
• DeKalb County16,178 with Medicare · 59% in Medicare Advantage · 27 Advantage plans with drug coverage
• Elmore County20,834 with Medicare · 60% in Medicare Advantage · 28 Advantage plans with drug coverage
• Escambia County9,167 with Medicare · 63% in Medicare Advantage · 26 Advantage plans with drug coverage
• Etowah County26,800 with Medicare · 66% in Medicare Advantage · 29 Advantage plans with drug coverage
• Fayette County4,640 with Medicare · 55% in Medicare Advantage · 21 Advantage plans with drug coverage
• Franklin County6,742 with Medicare · 54% in Medicare Advantage · 24 Advantage plans with drug coverage
• Geneva County7,308 with Medicare · 61% in Medicare Advantage · 21 Advantage plans with drug coverage
• Greene County2,285 with Medicare · 73% in Medicare Advantage · 19 Advantage plans with drug coverage
• Hale County4,224 with Medicare · 68% in Medicare Advantage · 19 Advantage plans with drug coverage
• Henry County5,273 with Medicare · 66% in Medicare Advantage · 21 Advantage plans with drug coverage
• Houston County26,357 with Medicare · 61% in Medicare Advantage · 24 Advantage plans with drug coverage
• Jackson County14,114 with Medicare · 56% in Medicare Advantage · 30 Advantage plans with drug coverage
• Jefferson County139,143 with Medicare · 67% in Medicare Advantage · 34 Advantage plans with drug coverage
• Lamar County3,817 with Medicare · 44% in Medicare Advantage · 23 Advantage plans with drug coverage
• Lauderdale County23,986 with Medicare · 55% in Medicare Advantage · 29 Advantage plans with drug coverage
• Lawrence County7,731 with Medicare · 60% in Medicare Advantage · 28 Advantage plans with drug coverage
• Lee County30,124 with Medicare · 57% in Medicare Advantage · 23 Advantage plans with drug coverage
• Limestone County22,419 with Medicare · 52% in Medicare Advantage · 31 Advantage plans with drug coverage
• Lowndes County3,092 with Medicare · 74% in Medicare Advantage · 30 Advantage plans with drug coverage
• Macon County4,709 with Medicare · 66% in Medicare Advantage · 29 Advantage plans with drug coverage
• Madison County81,036 with Medicare · 47% in Medicare Advantage · 34 Advantage plans with drug coverage
• Marengo County5,303 with Medicare · 66% in Medicare Advantage · 19 Advantage plans with drug coverage
• Marion County7,310 with Medicare · 52% in Medicare Advantage · 27 Advantage plans with drug coverage
• Marshall County22,433 with Medicare · 57% in Medicare Advantage · 27 Advantage plans with drug coverage
• Mobile County90,802 with Medicare · 71% in Medicare Advantage · 37 Advantage plans with drug coverage
• Monroe County5,220 with Medicare · 70% in Medicare Advantage · 18 Advantage plans with drug coverage
• Montgomery County46,273 with Medicare · 63% in Medicare Advantage · 32 Advantage plans with drug coverage
• Morgan County28,029 with Medicare · 55% in Medicare Advantage · 31 Advantage plans with drug coverage
• Perry County2,505 with Medicare · 73% in Medicare Advantage · 22 Advantage plans with drug coverage
• Pickens County4,994 with Medicare · 62% in Medicare Advantage · 22 Advantage plans with drug coverage
• Pike County7,008 with Medicare · 67% in Medicare Advantage · 29 Advantage plans with drug coverage
• Randolph County6,437 with Medicare · 59% in Medicare Advantage · 22 Advantage plans with drug coverage
• Russell County12,435 with Medicare · 60% in Medicare Advantage · 28 Advantage plans with drug coverage
• Shelby County45,972 with Medicare · 61% in Medicare Advantage · 34 Advantage plans with drug coverage
• St. Clair County21,491 with Medicare · 67% in Medicare Advantage · 32 Advantage plans with drug coverage
• Sumter County3,193 with Medicare · 68% in Medicare Advantage · 18 Advantage plans with drug coverage
• Talladega County20,609 with Medicare · 68% in Medicare Advantage · 28 Advantage plans with drug coverage
• Tallapoosa County11,709 with Medicare · 62% in Medicare Advantage · 28 Advantage plans with drug coverage
• Tuscaloosa County38,362 with Medicare · 60% in Medicare Advantage · 16 Advantage plans with drug coverage
• Walker County16,866 with Medicare · 68% in Medicare Advantage · 35 Advantage plans with drug coverage
• Washington County4,496 with Medicare · 65% in Medicare Advantage · 22 Advantage plans with drug coverage
• Wilcox County3,258 with Medicare · 72% in Medicare Advantage · 18 Advantage plans with drug coverage
• Winston County6,431 with Medicare · 58% in Medicare Advantage · 24 Advantage plans with drug coverage

Sources: CMS Medicare Monthly Enrollment, July 2026, and the CMS 2027 plan landscape. Medicare Advantage here includes other Medicare health plans, such as cost plans and PACE. Before you meet any agent, check their Alabama license.

Keep reading

• How to find a good Medicare agent near youWhere to look for a local Medicare agent, how to narrow the list to one or two, and the five-minute checks to do before you share anything.
• Medicare Open Enrollment checklist: what to check before December 7A step-by-step checklist for the October 15 to December 7, 2026 Open Enrollment Period: what to read in your plan's letter, what's changing for 2027, what you can switch, and what happens if you do nothing.
• Moving to another state with Medicare: what changes and what to doOriginal Medicare moves with you; most Medicare Advantage and drug plans don't. What happens to each kind of coverage when you move, your window to switch, and why your agent must be licensed in your new state.