CMS Medicare enrollment · April 2026
Alabama Medicare Enrollment
State and county enrollment from CMS, including Original Medicare, Medicare Advantage and Other Health Plans, and Part D coverage.
Informational only. These enrollment counts do not compare plans or provide medical, financial, or enrollment advice.
Alabama enrollment figures
- Total Medicare enrollment
- 1.1M
- Original Medicare
- 438.9K
- MA & Other share
- 61.5%
- Part D coverage
- 80.2%
1,139,966
438,873 beneficiaries
CMS combined delivery-system measure
914,440 beneficiaries
County enrollment
68 CMS county rows for Alabama. Unavailable values remain marked as not reported rather than estimated.
| County | Total | Original Medicare | MA & Other | MA & Other share | Part D share |
|---|---|---|---|---|---|
| Autauga County | 12,355 | 4,765 | 7,590 | 61.4% | 74.1% |
| Baldwin County | 66,703 | 28,015 | 38,688 | 58% | 81.2% |
| Barbour County | 6,223 | 1,935 | 4,288 | 68.9% | 83.3% |
| Bibb County | 4,774 | 1,442 | 3,332 | 69.8% | 80.8% |
| Blount County | 12,517 | 3,995 | 8,522 | 68.1% | 83.6% |
| Bullock County | 2,348 | 654 | 1,694 | 72.1% | 86% |
| Butler County | 4,994 | 1,664 | 3,330 | 66.7% | 83.9% |
| Calhoun County | 28,071 | 11,966 | 16,105 | 57.4% | 75.4% |
| Chambers County | 9,117 | 3,007 | 6,110 | 67% | 83.6% |
| Cherokee County | 7,747 | 2,936 | 4,811 | 62.1% | 83.9% |
| Chilton County | 9,943 | 2,687 | 7,256 | 73% | 86% |
| Choctaw County | 3,789 | 1,525 | 2,264 | 59.8% | 84.4% |
| Clarke County | 6,415 | 1,968 | 4,447 | 69.3% | 84.6% |
| Clay County | 3,756 | 1,315 | 2,441 | 65% | 82.2% |
| Cleburne County | 3,691 | 1,704 | 1,987 | 53.8% | 80.3% |
| Coffee County | 11,869 | 5,450 | 6,419 | 54.1% | 65.4% |
| Colbert County | 14,594 | 6,151 | 8,443 | 57.9% | 83.5% |
| Conecuh County | 3,505 | 1,211 | 2,294 | 65.4% | 83.1% |
| Coosa County | 3,114 | 1,009 | 2,105 | 67.6% | 84.2% |
| Covington County | 10,279 | 4,236 | 6,043 | 58.8% | 79.4% |
| Crenshaw County | 3,629 | 1,200 | 2,429 | 66.9% | 80.7% |
| Cullman County | 21,372 | 8,510 | 12,862 | 60.2% | 83.3% |
| Dale County | 11,696 | 4,909 | 6,787 | 58% | 68% |
| Dallas County | 9,949 | 2,759 | 7,190 | 72.3% | 86.2% |
| Dekalb County | 16,153 | 6,550 | 9,603 | 59.5% | 83.1% |
| Elmore County | 20,621 | 8,134 | 12,487 | 60.6% | 74.8% |
| Escambia County | 9,133 | 3,376 | 5,757 | 63% | 83.4% |
| Etowah County | 26,762 | 9,250 | 17,512 | 65.4% | 83.2% |
| Fayette County | 4,580 | 2,058 | 2,522 | 55.1% | 78.2% |
| Franklin County | 6,791 | 3,114 | 3,677 | 54.1% | 83.9% |
| Geneva County | 7,278 | 2,846 | 4,432 | 60.9% | 77.2% |
| Greene County | 2,282 | 615 | 1,667 | 73% | 85.5% |
| Hale County | 4,225 | 1,375 | 2,850 | 67.5% | 83.3% |
| Henry County | 5,253 | 1,810 | 3,443 | 65.5% | 81.5% |
| Houston County | 26,248 | 10,229 | 16,019 | 61% | 78.7% |
| Jackson County | 14,080 | 6,207 | 7,873 | 55.9% | 82.4% |
| Jefferson County | 138,955 | 45,885 | 93,070 | 67% | 82.5% |
| Lamar County | 3,811 | 2,134 | 1,677 | 44% | 79.9% |
| Lauderdale County | 23,826 | 10,820 | 13,006 | 54.6% | 83.9% |
| Lawrence County | 7,729 | 3,087 | 4,642 | 60.1% | 85.6% |
| Lee County | 29,846 | 12,704 | 17,142 | 57.4% | 77.2% |
| Limestone County | 22,255 | 10,751 | 11,504 | 51.7% | 77.1% |
| Lowndes County | 3,065 | 786 | 2,279 | 74.4% | 82.8% |
| Macon County | 4,700 | 1,593 | 3,107 | 66.1% | 79.6% |
| Madison County | 80,296 | 43,013 | 37,283 | 46.4% | 70.2% |
| Marengo County | 5,317 | 1,810 | 3,507 | 66% | 84.5% |
| Marion County | 7,276 | 3,514 | 3,762 | 51.7% | 80.3% |
| Marshall County | 22,389 | 9,733 | 12,656 | 56.5% | 79.8% |
| Mobile County | 90,447 | 26,305 | 64,142 | 70.9% | 84.8% |
| Monroe County | 5,238 | 1,615 | 3,623 | 69.2% | 84.9% |
| Montgomery County | 46,255 | 16,953 | 29,302 | 63.3% | 76% |
| Morgan County | 27,940 | 12,684 | 15,256 | 54.6% | 81.9% |
| Perry County | 2,504 | 675 | 1,829 | 73% | 86.5% |
| Pickens County | 4,999 | 1,923 | 3,076 | 61.5% | 82.2% |
| Pike County | 6,965 | 2,290 | 4,675 | 67.1% | 80.4% |
| Randolph County | 6,393 | 2,635 | 3,758 | 58.8% | 81.4% |
| Russell County | 12,370 | 4,902 | 7,468 | 60.4% | 73.4% |
| Shelby County | 45,357 | 17,466 | 27,891 | 61.5% | 81.8% |
| St. Clair County | 21,327 | 6,942 | 14,385 | 67.4% | 82.4% |
| Sumter County | 3,200 | 1,043 | 2,157 | 67.4% | 83.8% |
| Talladega County | 20,572 | 6,668 | 13,904 | 67.6% | 83.4% |
| Tallapoosa County | 11,696 | 4,390 | 7,306 | 62.5% | 83.1% |
| Tuscaloosa County | 38,308 | 15,402 | 22,906 | 59.8% | 79% |
| Unknown | Not reported | Not reported | Not reported | Not reported | Not reported |
| Walker County | 16,921 | 5,385 | 11,536 | 68.2% | 79% |
| Washington County | 4,503 | 1,610 | 2,893 | 64.2% | 83.3% |
| Wilcox County | 3,236 | 895 | 2,341 | 72.3% | 87.6% |
| Winston County | 6,413 | 2,683 | 3,730 | 58.2% | 81.4% |
Source and interpretation
CMS Medicare Monthly Enrollment, April 2026, published 2026-07-23. “MA & Other” retains the official combined CMS field label.
- CMS suppresses some small counts with an asterisk; suppressed values remain null in this snapshot.
- Medicare Advantage and Other Health Plans is the CMS-published combined measure and is not limited to Medicare Advantage alone.
- Enrollment counts describe a reporting month and do not compare plan benefits, provider networks, quality, or personal costs.