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Alabama Medicare plans by county — 2026
67 counties in Alabama are served by 4,376 Medicare plans from 10 carriers in 2026. 1,384 Medicare Advantage plans have a $0 premium. 904,259 residents are 65 or older.
| County | Plans | Carriers | $0 premium | Avg. stars | Residents 65+ | Plans vs. prior year |
| Autauga County | 76 | 10 | 25 | 3.9 | 9,759 | |
| Baldwin County | 76 | 10 | 27 | 3.9 | 53,523 | |
| Barbour County | 63 | 9 | 19 | 3.8 | 4,955 | |
| Bibb County | 76 | 10 | 27 | 3.9 | 3,846 | |
| Blount County | 76 | 10 | 25 | 3.9 | 11,067 | |
| Bullock County | 69 | 10 | 22 | 3.9 | 1,867 | |
| Butler County | 65 | 9 | 21 | 3.8 | 4,101 | |
| Calhoun County | 58 | 9 | 16 | 4.0 | 21,156 | |
| Chambers County | 68 | 10 | 22 | 3.8 | 6,939 | |
| Cherokee County | 69 | 10 | 21 | 3.9 | 6,220 | |
| Chilton County | 76 | 10 | 27 | 3.9 | 7,802 | |
| Choctaw County | 54 | 8 | 16 | 3.9 | 3,016 | |
| Clarke County | 54 | 8 | 16 | 3.9 | 4,748 | |
| Clay County | 63 | 9 | 19 | 3.8 | 2,918 | |
| Cleburne County | 63 | 9 | 19 | 3.8 | 3,103 | |
| Coffee County | 54 | 8 | 16 | 3.9 | 9,446 | |
| Colbert County | 73 | 10 | 23 | 3.9 | 11,853 | |
| Conecuh County | 48 | 8 | 12 | 3.9 | 2,809 | |
| Coosa County | 71 | 9 | 23 | 3.9 | 2,607 | |
| Covington County | 54 | 8 | 16 | 3.9 | 8,355 | |
| Crenshaw County | 69 | 10 | 22 | 3.9 | 2,649 | |
| Cullman County | 77 | 10 | 27 | 3.9 | 17,234 | |
| Dale County | 57 | 9 | 17 | 3.9 | 8,969 | |
| Dallas County | 74 | 10 | 25 | 3.9 | 7,515 | |
| DeKalb County | 65 | 9 | 19 | 3.8 | 12,748 | |
| Elmore County | 75 | 10 | 25 | 3.9 | 14,803 | |
| Escambia County | 63 | 9 | 21 | 3.8 | 6,955 | |
| Etowah County | 76 | 10 | 27 | 3.9 | 20,340 | |
| Fayette County | 58 | 9 | 17 | 4.0 | 3,509 | |
| Franklin County | 59 | 9 | 17 | 3.9 | 5,328 | |
| Geneva County | 55 | 9 | 17 | 3.9 | 5,452 | |
| Greene County | 54 | 8 | 16 | 3.9 | 1,864 | |
| Hale County | 54 | 8 | 16 | 3.9 | 2,965 | |
| Henry County | 55 | 9 | 17 | 3.9 | 4,202 | |
| Houston County | 56 | 9 | 17 | 3.9 | 20,206 | |
| Jackson County | 70 | 10 | 19 | 3.9 | 11,082 | |
| Jefferson County | 77 | 10 | 27 | 3.9 | 112,068 | |
| Lamar County | 52 | 8 | 16 | 3.8 | 3,069 | |
| Lauderdale County | 75 | 10 | 23 | 3.9 | 19,645 | |
| Lawrence County | 70 | 9 | 22 | 3.9 | 6,336 | |
| Lee County | 57 | 9 | 17 | 3.9 | 24,021 | |
| Limestone County | 74 | 10 | 24 | 3.9 | 17,314 | |
| Lowndes County | 74 | 10 | 24 | 3.9 | 2,023 | |
| Macon County | 68 | 10 | 22 | 3.9 | 3,967 | |
| Madison County | 78 | 10 | 26 | 3.9 | 63,754 | |
| Marengo County | 54 | 8 | 16 | 3.9 | 3,885 | |
| Marion County | 64 | 9 | 19 | 3.8 | 6,251 | |
| Marshall County | 75 | 10 | 22 | 3.9 | 17,050 | |
| Mobile County | 79 | 10 | 29 | 3.9 | 71,563 | |
| Monroe County | 48 | 8 | 12 | 3.9 | 4,194 | |
| Montgomery County | 74 | 10 | 25 | 3.9 | 36,690 | |
| Morgan County | 74 | 10 | 24 | 3.9 | 22,372 | |
| Perry County | 60 | 8 | 18 | 3.9 | 1,736 | |
| Pickens County | 54 | 8 | 16 | 3.9 | 3,723 | |
| Pike County | 69 | 10 | 22 | 3.9 | 5,140 | |
| Randolph County | 60 | 9 | 19 | 3.7 | 4,921 | |
| Russell County | 67 | 9 | 22 | 3.8 | 8,979 | |
| Shelby County | 75 | 10 | 26 | 3.9 | 38,766 | |
| St. Clair County | 78 | 10 | 27 | 3.9 | 16,832 | |
| Sumter County | 48 | 8 | 12 | 3.9 | 2,354 | |
| Talladega County | 77 | 10 | 27 | 3.9 | 15,700 | |
| Tallapoosa County | 67 | 10 | 22 | 3.8 | 9,534 | |
| Tuscaloosa County | 55 | 9 | 14 | 4.0 | 33,117 | |
| Walker County | 77 | 10 | 28 | 3.9 | 12,743 | |
| Washington County | 54 | 8 | 16 | 3.9 | 3,184 | |
| Wilcox County | 54 | 8 | 16 | 3.9 | 2,207 | |
| Winston County | 65 | 9 | 20 | 3.8 | 5,210 | |
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This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.