State Trivia & Facts

Ranking the Best and Worst States for Military Retiree Healthcare

Retirement marks a significant transition, especially for military personnel stepping back into civilian life. 

Unlike typical career shifts, military retirement involves navigating a unique set of challenges and opportunities. One of the most critical decisions is choosing the right state to call home. 

The economic landscape, quality of life, and access to healthcare vary dramatically across the United States, significantly impacting the well-being of military retirees.

This guide provides a comprehensive analysis to help you make an informed decision, leveraging insights from a recent WalletHub study that ranks states based on factors crucial to military retirees. 

We delve into economic conditions, quality of life, and healthcare to reveal the best and worst states for military retirement, ensuring you can optimize your post-service life.

Understanding the Ranking Methodology: How States Were Evaluated for Military Retiree Friendliness?

WalletHub’s study assessed all 50 states and Washington, D.C. using a detailed methodology focused on the elements most relevant to military retirees.

The ranking system employs a total score, where higher scores indicate more favorable states. Additionally, states are ranked within three key categories:

  • Economic Environment: This assesses factors such as state income tax policies, job opportunities, and the cost of living.
  • Quality of Life: This includes access to recreational activities, social support networks, community engagement, and overall safety.
  • Health Care: This evaluates the availability and quality of VA hospitals and medical facilities, as well as general healthcare services.

In these categories, lower ranks signify better conditions, with “1” being the best and “51” the worst. This comprehensive approach ensures a balanced evaluation, capturing the multifaceted aspects of retirement life.

The Top 9 States for Military Retirees: Where You Can Thrive

Here’s a detailed look at the top states that offer a supportive and enriching environment for military retirees:

1. South Carolina: The #1 Choice

With a total score of 63.82, South Carolina leads the nation as the most favorable state for military retirees. The state excels in several key areas:

  • Economic Environment Rank: 5
  • Quality of Life Rank: 3
  • Health Care Rank: 9

South Carolina’s appeal is boosted by its significant military presence, with 15 military bases and a high number of active-duty personnel. 

Moreover, it is one of 11 states that only partially tax military benefits, enhancing its economic attractiveness. 

The state also boasts a strong veterans community, ranking sixth in the number of veterans residing within its borders.

2. Florida: A Sunshine State Favorite

Florida, with a total score of 59.80, is another top destination for military retirees, offering a blend of economic benefits and lifestyle advantages.

  • Economic Environment Rank: 11
  • Quality of Life Rank: 4
  • Health Care Rank: 18

The absence of state income tax is a major draw for retirees, maximizing their monthly benefits. 

The warm climate, numerous recreational opportunities, and a large community of fellow veterans contribute to a high quality of life. 

However, healthcare access, while adequate, is not as highly ranked as in other top states.

3. Virginia: A Close Third

Virginia, scoring a total of 59.36, is praised for its strong performance across all ranking categories.

  • Economic Environment Rank: 10
  • Quality of Life Rank: 5
  • Health Care Rank: 19

The state’s robust economy and access to high-quality healthcare make it an attractive option. 

Virginia’s commitment to supporting its veteran population through various state programs and initiatives further enhances its appeal. 

The presence of numerous military installations and a strong sense of community also contribute to its high ranking.

4. Maryland

Maryland achieves a total score of 58.58, standing out for its exceptional quality of life.

  • Economic Environment Rank: 17
  • Quality of Life Rank: 1
  • Health Care Rank: 32

The state’s top ranking in quality of life is a significant advantage, offering retirees a rich blend of cultural, recreational, and social opportunities.

However, its healthcare system is less competitive compared to other top states, which may be a point of consideration for those with specific medical needs.

5. North Dakota

North Dakota, with a total score of 58.10, balances a strong economic environment with a reasonable quality of life.

  • Economic Environment Rank: 2
  • Quality of Life Rank: 26
  • Health Care Rank: 13

The state’s robust economic standing, characterized by low taxes and job opportunities, appeals to retirees looking for financial stability. 

While its quality of life ranking is lower than other top states, it still offers a peaceful and secure environment with access to essential services.

6. Alaska (Total Score: 57.97)

Known for its unique lifestyle and economic opportunities, with an economic environment rank of 8, quality of life rank of 6, and healthcare rank of 28.

7. Connecticut (Total Score: 57.83)

Excels in healthcare, ranking first in the nation, but has a higher economic environment rank at 43, and a quality of life rank of 20.

8. New Hampshire (Total Score: 57.13)

Offers a balanced environment with an economic environment rank of 23, quality of life rank of 10, and healthcare rank of 11.

9. South Dakota (Total Score: 56.18)

Provides a solid economic and healthcare landscape, with an economic environment rank of 14, quality of life rank of 27, and healthcare rank of 10.

5 States Where Military Retirees May Struggle: Proceed with Caution

Conversely, some states present considerable challenges for military retirees. Here are some of the least favorable options:

1. Oregon: The Least Favorable State

Oregon ranks as the worst state for military retirees, with a total score of just 37.26. The state struggles across multiple dimensions:

  • Economic Environment Rank: 45
  • Quality of Life Rank: 51
  • Health Care Rank: 35

Oregon’s high taxes, declining quality of life, and subpar healthcare system contribute to its low ranking. 

The quality of veteran affairs facilities is a significant concern, with the Portland VA hospital receiving a score of 2 out of 5. 

This confluence of negative factors makes Oregon a challenging environment for military retirees.

2. New Mexico

New Mexico, with a total score of 40.66, is another state where military retirees may face difficulties.

  • Economic Environment Rank: 48
  • Quality of Life Rank: 29
  • Health Care Rank: 50

The state’s economic challenges, combined with a poor healthcare system, result in a less than ideal retirement destination. 

Limited access to quality medical care and economic instability can significantly impact retirees’ well-being.

3. Vermont

Vermont, scoring a total of 41.24, presents its own set of hurdles for military retirees.

  • Economic Environment Rank: 47
  • Quality of Life Rank: 44
  • Health Care Rank: 42

The state’s high cost of living, combined with limited economic opportunities, can strain retirees’ financial resources. 

The quality of life, while generally high, may not fully cater to the needs and preferences of military retirees.

4. Nevada

Nevada, with a total score of 42.98, struggles particularly in healthcare and quality of life.

  • Economic Environment Rank: 29
  • Quality of Life Rank: 45
  • Health Care Rank: 48

The state’s healthcare system is a significant concern, with limited access to quality medical services. 

While Nevada’s economic environment is more favorable, the overall quality of life and healthcare challenges make it a less attractive option for military retirees.

5. Washington

Washington, achieving a total score of 43.39, faces challenges in both healthcare and economic stability.

  • Economic Environment Rank: 36
  • Quality of Life Rank: 31
  • Health Care Rank: 51

The state’s healthcare system is notably weak, ranking last in the nation.

This, combined with a moderately challenging economic environment, makes Washington a difficult choice for military retirees seeking comprehensive support and care.

Key Factors Influencing State Rankings: Diving Deeper

Understanding the critical factors that influence state rankings is essential for making an informed decision:

Economic Environment

  • State Income Tax Policies: States with no income tax, such as Florida and Texas, can significantly enhance retirees’ financial well-being, allowing them to retain more of their monthly benefits.
  • Taxation of Military Benefits: The extent to which a state taxes military retirement benefits is a crucial consideration. States like California, Montana, Rhode Island, Utah, and Vermont tax military retirement pay to its fullest, which can be a significant financial burden.
  • Cost of Living: The overall cost of living, including housing, utilities, and groceries, impacts retirees’ financial stability. States with a lower cost of living allow retirees to stretch their income further.

Quality of Life

  • Access to Recreational Activities: Access to outdoor activities, cultural events, and social gatherings enhances retirees’ overall well-being and social engagement.
  • Social Support Networks: Strong community ties and access to veteran support organizations provide retirees with a sense of belonging and camaraderie.
  • Community and Neighborliness: A welcoming and supportive community fosters a higher quality of life, making it easier for retirees to integrate and thrive.

Health Care

  • Availability of VA Hospitals and Facilities: Proximity to VA hospitals and medical centers ensures retirees have access to specialized healthcare services tailored to their needs.
  • Quality of Healthcare Services: The quality of healthcare services, including the expertise of medical professionals and the availability of advanced treatments, significantly impacts retirees’ health outcomes.
  • Access to Specialized Care: Access to specialized medical care, such as mental health services and rehabilitation programs, is crucial for addressing specific health challenges faced by military retirees.

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Alicia Richards

Nationally syndicated travel writer and direct publisher for MSN.com with bylines on AP Wire. Based in Hamden, Connecticut, delivering captivating travel insights and stories that engage a wide audience. A self-employed professional dedicated to exploring destinations and sharing experiences that inspire wanderlust and discovery. LinkedIn

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