County Plan Watch
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States

Medicare plan changes in Iowa for 2027

Across 99 counties in Iowa, the 2027 CMS file lists 1,301 county listings of Medicare Advantage plans with drug coverage, compared with 1,377 in 2026. By our count, 0 counties have none in 2027, including counties that do not appear in the CMS file at all.

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.

By county

County2026 plans2027 plansChangeCompanies leaving
Adair County1013+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Adams County1714-3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Allamakee County1313+0Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Appanoose County1110-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Audubon County127-5Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Benton County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Black Hawk County1716-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Boone County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Bremer County1514-1Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Buchanan County1518+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Buena Vista County109-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Butler County1813-5Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Calhoun County1312-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Carroll County1313+0Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Cass County1110-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Cedar County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Cerro Gordo County1113+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Cherokee County97-2Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Chickasaw County147-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Clarke County1417+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Clay County1211-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Clayton County168-8Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Clinton County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Crawford County911+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Dallas County1920+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Davis County103-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Decatur County1113+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Delaware County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Des Moines County146-8Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Dickinson County1312-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Dubuque County54-1None
Emmet County65-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Fayette County2122+1Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Floyd County1817-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Franklin County1716-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Fremont County1514-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Greene County1513-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Grundy County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Guthrie County1317+4Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Hamilton County1817-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Hancock County1716-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Hardin County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Harrison County1511-4Blue Cross Blue Shield of Michigan Mutual Ins. Co., Medica Holding Company
Henry County1615-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Howard County103-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Humboldt County1615-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Ida County1210-2Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Iowa County1619+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Jackson County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Jasper County1920+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Jefferson County1210-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Johnson County1312-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Jones County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Keokuk County1413-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Kossuth County1016+6Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Lee County136-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Linn County1416+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Louisa County1917-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Lucas County1013+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Lyon County138-5Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Madison County1920+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Mahaska County1214+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Marion County1113+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Marshall County1819+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Mills County1915-4Blue Cross Blue Shield of Michigan Mutual Ins. Co., Medica Holding Company
Mitchell County168-8Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Monona County79+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Monroe County1110-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Montgomery County1210-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Muscatine County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
O'Brien County98-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Osceola County1312-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Page County96-3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Palo Alto County64-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Plymouth County109-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Pocahontas County138-5Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Polk County1920+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Pottawattamie County2017-3Blue Cross Blue Shield of Michigan Mutual Ins. Co., Medica Holding Company
Poweshiek County1720+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Ringgold County1113+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Sac County138-5Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Scott County1819+1Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Shelby County1614-2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Sioux County1010+0Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Story County144-10Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Tama County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Taylor County81-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Union County1013+3Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Van Buren County114-7Blue Cross Blue Shield of Michigan Mutual Ins. Co., CVS Health Corporation
Wapello County66+0Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Warren County1920+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Washington County1820+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Wayne County1113+2Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Webster County1312-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Winnebago County1217+5Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Winneshiek County910+1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Woodbury County129-3Blue Cross Blue Shield of Michigan Mutual Ins. Co., Centene Corporation
Worth County1615-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.
Wright County1716-1Blue Cross Blue Shield of Michigan Mutual Ins. Co.

Stand-alone Part D drug plans in Iowa for 2027

9 plans in 2027, compared with 11 in 2026. Lowest monthly drug plan premium: $5.30 (2026: $4.70).

PlanCompanyMonthly premiumDeductibleStar rating
Wellcare Value Script (PDP)Wellcare$5.30$700Not Applicable
AARP Medicare Rx Saver from UHC (PDP)UnitedHealthcare$10.30$700Not Applicable
Wellcare Classic (PDP)Wellcare$16.30$700Not Applicable
Humana Basic Rx Plan (PDP)Humana$18.30$700Not Applicable
Humana Value Rx Plan (PDP)Humana$33.30$687Not Applicable
HealthSpring Assurance Rx (PDP)HealthSpring$117.10$700Not Applicable
Humana Premier Rx Plan (PDP)Humana$123.00$350Not Applicable
MedicareBlue Rx Standard (PDP)MedicareBlue Rx$179.10$700Not Applicable
AARP Medicare Rx Preferred from UHC (PDP)UnitedHealthcare$222.90$300Not Applicable

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. US Census Bureau, 2024 Gazetteer Files, counties

Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.