County Plan Watch
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South Dakota

Medicare Advantage plans in Marshall County, SD: what changed for 2027

For 2027, Marshall County in South Dakota has 5 Medicare Advantage plans that include drug coverage, compared with 8 in 2026, according to the CMS plan landscape files.

Advantage plans with drug coverage5-3 from 2026
Advantage plans without drug coverage2-2 from 2026
Special Needs Plans2-2 from 2026
$0 premium plans with drug coverage0-2 from 2026
Median out-of-pocket limit$7,1502026: $4,950
Plans rated 4 stars or more5+1 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.

10 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 5 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, 397 of the 1,192 people eligible for Medicare in Marshall County were enrolled in a Medicare Advantage or other Medicare health plan, 33.3%. A year earlier it was 406 of 1,182 (34.3%).

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 (5)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Medica Advantage Essential (PPO)MedicaPPO$40.00$7,1504 of 5
Align SecureChoice (PPO)Align powered by Sanford Health PlanPPO$60.00$7,1504 of 5
Medica Advantage Select (PPO)MedicaPPO$80.00$7,1504 of 5
Align SecureChoice Gold (PPO)Align powered by Sanford Health PlanPPO$100.00$6,5004 of 5
Medica Advantage Preferred (PPO)MedicaPPO$247.00$4,4504 of 5

Advantage plans without drug coverage for 2027 (2)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO)UnitedHealthcarePPONot listed$7,1504.5 of 5
Medica Advantage Salute (PPO)MedicaPPONot listed$4,4504 of 5

Special Needs Plans for 2027 (2)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
UHC Dual Complete SD-Q1 (PPO D-SNP)UnitedHealthcarePPO D-SNP · Dual-Eligible$24.60$9,8504.5 of 5
UHC Dual Complete SD-S2 (PPO D-SNP)UnitedHealthcarePPO D-SNP · Dual-Eligible$24.60$9,8504.5 of 5

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