Medicare Advantage plans in Lincoln County, SD: what changed for 2027
For 2027, Lincoln County in South Dakota has 6 Medicare Advantage plans that include drug coverage, compared with 5 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.
4 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 4 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, 5,610 of the 12,170 people eligible for Medicare in Lincoln County were enrolled in a Medicare Advantage or other Medicare health plan, 46.1%. A year earlier it was 5,464 of 11,465 (47.7%).
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 (6)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0 | $7,150 | 4 of 5 |
| Aetna Medicare Signature Classic (PPO) | Aetna Medicare | PPO | $0 | $7,150 | 4 of 5 |
| Aetna Medicare Enhanced Classic Extra (PPO) | Aetna Medicare | PPO | $60.00 | $7,150 | 4 of 5 |
| Aetna Medicare Enhanced Extra (PPO) | Aetna Medicare | PPO | $60.00 | $7,150 | 4 of 5 |
| Align SecureChoice (PPO) | Align powered by Sanford Health Plan | PPO | $60.00 | $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 |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO) | UnitedHealthcare | PPO | Not listed | $7,150 | 4.5 of 5 |
| Aetna Medicare Eagle Classic (PPO) | Aetna Medicare | PPO | Not listed | $7,150 | 4 of 5 |
Special Needs Plans for 2027 (7)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Dual Classic (PPO D-SNP) | Aetna Medicare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| Aetna Medicare Full Dual (PPO D-SNP) | Aetna Medicare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| Aetna Medicare Full Dual Classic (PPO D-SNP) | Aetna Medicare | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| Great Plains Medicare Advantage (HMO I-SNP) | Great Plains Medicare Advantage | HMO I-SNP · Institutional | $5.00 | $9,850 | Not Enough Data Available |
| UHC Dual Complete SD-Q1 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $24.60 | $9,850 | 4.5 of 5 |
| UHC Dual Complete SD-S2 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $24.60 | $9,850 | 4.5 of 5 |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | Great Plains Medicare Advantage | HMO I-SNP · Institutional | $106.00 | $3,750 | Not Enough Data Available |
Cost plans for 2027 (6)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Medica Prime Solution Thrift w/Rx (Cost) | Medica | Cost | $91.00 | $7,150 | 3 of 5 |
| Medica Prime Solution Core (Cost) | Medica | Cost | Not listed | $4,900 | 3 of 5 |
| Medica Prime Solution Premier (Cost) | Medica | Cost | Not listed | $3,900 | 3 of 5 |
| Medica Prime Solution Standard (Cost) | Medica | Cost | Not listed | $7,150 | 3 of 5 |
| Medica Prime Solution Standard w/Rx (Cost) | Medica | Cost | Not listed | $7,150 | 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 South Dakota 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.