Medicare Advantage plans in O'Brien County, IA: what changed for 2027
For 2027, O'Brien County in Iowa has 8 Medicare Advantage plans that include drug coverage, compared with 9 in 2026, according to the CMS plan landscape files.
Companies no longer offering Advantage plans here in 2027
- Blue Cross Blue Shield of Michigan Mutual Ins. Co.
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
5 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 3 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 620 of the 3,546 people eligible for Medicare in O'Brien County were enrolled in a Medicare Advantage or other Medicare health plan, 17.5%. A year earlier it was 640 of 3,487 (18.4%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (8)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Value Care (HMO-POS) | Aetna Medicare | HMO-POS | $0 | $4,450 | 4 of 5 |
| HumanaChoice Giveback H5216-340 (PPO) | Humana | PPO | $0 | $5,000 | 4 of 5 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | $0 | $4,400 | 2.5 of 5 |
| HumanaChoice H5216-014 (PPO) | Humana | PPO | $51.00 | $7,500 | 4 of 5 |
| Align SecureChoice (PPO) | Align powered by Sanford Health Plan | PPO | $60.00 | $7,150 | 4 of 5 |
| Aetna Medicare Enhanced Classic Extra (PPO) | Aetna Medicare | PPO | $75.00 | $7,150 | 4 of 5 |
| Aetna Medicare Enhanced Extra (PPO) | Aetna Medicare | PPO | $75.00 | $7,150 | 4 of 5 |
| Align SecureChoice Gold (PPO) | Align powered by Sanford Health Plan | PPO | $100.00 | $6,500 | 4 of 5 |
Advantage plans without drug coverage for 2027 (2)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Eagle (HMO-POS) | Aetna Medicare | HMO-POS | Not listed | $6,750 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $4,700 | 4 of 5 |
Special Needs Plans for 2027 (8)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 2.5 of 5 |
| Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $7,100 | 2.5 of 5 |
| Molina Medicare Complete Care (HMO D-SNP) | Molina Healthcare of Iowa, Inc. | HMO D-SNP · Dual-Eligible | $0.60 | $9,850 | Plan Too New To Be Measured |
| Wellpoint Full Dual Advantage (HMO-POS D-SNP) | Wellpoint | HMO-POS D-SNP · Dual-Eligible | $12.00 | $9,850 | 3.5 of 5 |
| Iowa Health Advantage (HMO I-SNP) | Iowa Health Advantage | HMO I-SNP · Institutional | $24.60 | $9,850 | 4.5 of 5 |
| Iowa Health Advantage Choice (HMO I-SNP) | Iowa Health Advantage | HMO I-SNP · Institutional | $24.60 | $9,850 | 4.5 of 5 |
| UHC Dual Complete IA-S001 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $24.60 | $9,850 | 3.5 of 5 |
| Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $24.60 | $9,850 | 2.5 of 5 |
Cost plans for 2027 (3)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Medica Prime Solution Core (Cost) | Medica | Cost | Not listed | $5,900 | 3 of 5 |
| Medica Prime Solution Premier (Cost) | Medica | Cost | Not listed | $4,450 | 3 of 5 |
| Medica Prime Solution Thrift (Cost) | Medica | Cost | Not listed | $7,150 | 3 of 5 |
Stand-alone Part D drug plans are offered statewide: see Iowa drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.