County Plan Watch
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Iowa

Medicare Advantage plans in Shelby County, IA: what changed for 2027

For 2027, Shelby County in Iowa has 14 Medicare Advantage plans that include drug coverage, compared with 16 in 2026, according to the CMS plan landscape files.

Advantage plans with drug coverage14-2 from 2026
Advantage plans without drug coverage3-1 from 2026
Special Needs Plans14+1 from 2026
$0 premium plans with drug coverage10-2 from 2026
Median out-of-pocket limit$6,5252026: $4,950
Plans rated 4 stars or more12+2 from 2026

Companies no longer offering Advantage plans here in 2027

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.

6 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, 811 of the 3,419 people eligible for Medicare in Shelby County were enrolled in a Medicare Advantage or other Medicare health plan, 23.7%. A year earlier it was 798 of 3,371 (23.7%).

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 (14)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Aetna Medicare Signature (HMO-POS)Aetna MedicareHMO-POS$0$4,4504 of 5
Aetna Medicare Signature (PPO)Aetna MedicarePPO$0$7,1504 of 5
Aetna Medicare Signature Classic (PPO)Aetna MedicarePPO$0$7,1504 of 5
Aetna Medicare Signature Extra (HMO-POS)Aetna MedicareHMO-POS$0$5,5004 of 5
Aetna Medicare Value Care (HMO-POS)Aetna MedicareHMO-POS$0$4,4504 of 5
DEVOTED CORE 034 IA (HMO)Devoted HealthHMO$0$4,7504.5 of 5
DEVOTED GIVEBACK 035 IA (HMO)Devoted HealthHMO$0$7,1504.5 of 5
DEVOTED GIVEBACK EXTRAS 108 IA (HMO)Devoted HealthHMO$0$5,9004.5 of 5
HumanaChoice Giveback H5216-340 (PPO)HumanaPPO$0$5,0004 of 5
Wellcare Simple (HMO-POS)WellcareHMO-POS$0$4,4002.5 of 5
HumanaChoice H5216-014 (PPO)HumanaPPO$51.00$7,5004 of 5
AARP Medicare Advantage from UHC NE-0002 (PPO)UnitedHealthcarePPO$61.00$7,1503 of 5
Aetna Medicare Enhanced Classic Extra (PPO)Aetna MedicarePPO$75.00$7,1504 of 5
Aetna Medicare Enhanced Extra (PPO)Aetna MedicarePPO$75.00$7,1504 of 5

Advantage plans without drug coverage for 2027 (3)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
AARP Medicare Advantage Patriot No Rx NE-MA01 (PPO)UnitedHealthcarePPONot listed$7,1503 of 5
Aetna Medicare Eagle (HMO-POS)Aetna MedicareHMO-POSNot listed$6,7504 of 5
Humana USAA Honor Giveback (PPO)HumanaPPONot listed$4,7004 of 5

Special Needs Plans for 2027 (14)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
DEVOTED C-SNP GIVEBACK EXTRAS 063 IA (HMO C-SNP)Devoted HealthHMO C-SNP · Chronic or Disabling Condition$0$5,9004.5 of 5
DEVOTED C-SNP PLUS 036 IA (HMO C-SNP)Devoted HealthHMO C-SNP · Chronic or Disabling Condition$0$9,8504.5 of 5
Humana Together in Health (PPO I-SNP)HumanaPPO I-SNP · Institutional$0$9,8504.5 of 5
Premier (HMO I-SNP)Align Senior CareHMO I-SNP · Institutional$0$4,500Plan Too New To Be Measured
Wellcare Iowa Total Care Dual Liberty Sync (HMO-POS D-SNP)WellcareHMO-POS D-SNP · Dual-Eligible$0$9,8502.5 of 5
Wellcare Iowa Total Care Dual Reserve (HMO-POS D-SNP)WellcareHMO-POS D-SNP · Dual-Eligible$0$7,1002.5 of 5
Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of Iowa, Inc.HMO D-SNP · Dual-Eligible$0.60$9,850Plan Too New To Be Measured
Great Plains Medicare Advantage (HMO I-SNP)Great Plains Medicare AdvantageHMO I-SNP · Institutional$5.00$9,850Not Enough Data Available
Wellpoint Full Dual Advantage (HMO-POS D-SNP)WellpointHMO-POS D-SNP · Dual-Eligible$12.00$9,8503.5 of 5
Iowa Health Advantage (HMO I-SNP)Iowa Health AdvantageHMO I-SNP · Institutional$24.60$9,8504.5 of 5
Iowa Health Advantage Choice (HMO I-SNP)Iowa Health AdvantageHMO I-SNP · Institutional$24.60$9,8504.5 of 5
Senior Care (HMO I-SNP)Align Senior CareHMO I-SNP · Institutional$24.60$9,850Plan Too New To Be Measured
Wellcare Iowa Total Care Dual Access (HMO-POS D-SNP)WellcareHMO-POS D-SNP · Dual-Eligible$24.60$9,8502.5 of 5
Great Plain Medicare Advantage Gold (HMO I-SNP)Great Plains Medicare AdvantageHMO I-SNP · Institutional$106.00$3,750Not Enough Data Available

Stand-alone Part D drug plans are offered statewide: see Iowa drug plans.

Sources

  1. Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
  2. Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
  3. 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.