Patient Advocacy Without the Call Center
The data layer behind our Kentucky guide and all 57 city pages, in one place: CMS enrollment, Census demographics, and federal shortage designations, county by county.
Coverage data 2024. Plan networks change - we confirm exactly what your plan covers before any work begins.
Counties covered by our city pages (40 counties, 701,308 beneficiaries). Each county links to its anchor city page.
| County | Medicare beneficiaries | Medicare Advantage share | Dual-eligible | Residents 65+ | Shortage designations |
|---|---|---|---|---|---|
| Jefferson County | 161,217 | 49.9% | 23,496 | 131,237 | 6 |
| Fayette County | 55,257 | 53.6% | 7,170 | 46,194 | 4 |
| Kenton County | 32,320 | 56% | 3,826 | 26,080 | 0 |
| Boone County | 25,659 | 55.2% | 2,214 | 19,967 | 0 |
| Warren County | 24,245 | 51.4% | 4,066 | 18,185 | 2 |
| Daviess County | 23,744 | 49.7% | 3,717 | 17,915 | 1 |
| Hardin County | 23,618 | 43.9% | 3,324 | 16,456 | 2 |
| Campbell County | 19,320 | 55.2% | 1,918 | 15,918 | 2 |
| Madison County | 19,117 | 58.6% | 3,303 | 13,719 | 5 |
| Pulaski County | 18,059 | 57.7% | 3,917 | 12,652 | 3 |
| Bullitt County | 17,296 | 52.5% | 1,838 | 14,042 | 1 |
| McCracken County | 17,179 | 46.3% | 2,552 | 13,614 | 2 |
| Pike County | 15,714 | 64.2% | 3,642 | 11,287 | 3 |
| Franklin County | 14,909 | 58.4% | 4,271 | 9,485 | 1 |
| Laurel County | 14,218 | 59.6% | 3,295 | 10,511 | 8 |
| Boyd County | 11,992 | 57% | 2,180 | 9,715 | 2 |
| Christian County | 11,983 | 50.3% | 2,366 | 9,124 | 5 |
| Oldham County | 11,868 | 42.1% | 689 | 9,643 | 1 |
| Nelson County | 11,385 | 44.7% | 1,564 | 7,918 | 3 |
| Jessamine County | 11,343 | 55.5% | 1,463 | 8,563 | 0 |
| Hopkins County | 11,122 | 52.1% | 1,935 | 8,525 | 1 |
| Henderson County | 10,769 | 55% | 1,690 | 8,359 | 1 |
| Barren County | 10,750 | 51.3% | 2,151 | 8,002 | 1 |
| Scott County | 10,317 | 55.5% | 1,168 | 7,556 | 0 |
| Shelby County | 9,959 | 50% | 943 | 8,183 | 1 |
| Whitley County | 9,903 | 59.6% | 3,005 | 5,779 | 8 |
| Floyd County | 9,876 | 66.8% | 2,699 | 6,874 | 4 |
| Graves County | 8,952 | 54% | 1,567 | 6,709 | 1 |
| Clark County | 8,673 | 60% | 1,456 | 6,722 | 2 |
| Calloway County | 8,570 | 49.1% | 1,228 | 6,357 | 1 |
| Muhlenberg County | 7,718 | 57.6% | 1,479 | 6,142 | 2 |
| Boyle County | 7,455 | 54.1% | 1,073 | 5,731 | 2 |
| Perry County | 6,867 | 62% | 1,957 | 4,919 | 4 |
| Woodford County | 6,714 | 54.8% | 549 | 5,423 | 0 |
| Taylor County | 6,491 | 48.5% | 1,329 | 4,660 | 3 |
| Bell County | 6,370 | 58.2% | 2,190 | 4,494 | 3 |
| Mercer County | 5,836 | 57.1% | 827 | 4,386 | 1 |
| Anderson County | 5,297 | 61.1% | 594 | 3,927 | 2 |
| Bourbon County | 4,758 | 57.2% | 773 | 3,937 | 1 |
| Simpson County | 4,468 | 50.4% | 682 | 3,167 | 2 |
Statewide, 54.4% of beneficiaries chose Medicare Advantage in 2025, one of the higher rates in the country. Counties above that line see more prior authorizations and more denials worth appealing; counties below it lean on Medigap rights, which in Kentucky are unusually strong: under HB 345 (KRS 304.14-525, effective January 1, 2024) every insurer must offer all of its Medigap plans to under-65 disability and ESRD beneficiaries at no more than the weighted average of its 65-and-older rates, and Kentucky added a 60-day birthday rule for switching insurers on the same plan. About 12.3% of Kentucky seniors live below the poverty line, the group most likely to qualify for unclaimed help: Extra Help and the Medicare Savings Programs. For the full rundown, sources included, see our Kentucky patient advocacy hub.
One dedicated advocate for the bills, appeals, appointments, and paperwork, serving every Kentucky county virtually, usually at $0 with Medicare.
Or start from your city: every Kentucky city we serve.
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Read moreSources: CMS Medicare Monthly Enrollment (2025); US Census Bureau ACS 2023 5-year; CMS Care Compare Timely & Effective Care (median ER minutes, period ending 09/30/2025); HRSA Health Professional Shortage Area designation file. Data retrieved 2026-09-10. Understood Care is an independent private advocacy service, not a government agency.