How each 2026 South Dakota Medicare Advantage plan changes in 2027
19 Medicare Advantage plans sold in South Dakota in 2026, each paired with what the CMS Plan Crosswalk says becomes of it. 7 are not returning here, so their members must choose again. 16 plans are new to South Dakota for 2027.
Showing South Dakota — choose another state
- Renewing
- 12
- Consolidated
- 0
- Not returning
- 7
- New here
- 16
- Median drug premium change
- $0.00
Showing 35 of 35 rows
| Plan | What happens | 2027 premium | 2026 drug premium | 2027 drug premium | Change | Drug deductible | In-network MOOP | Stars |
|---|---|---|---|---|---|---|---|---|
| Aetna Medicare Dual Classic (PPO D-SNP) H1608-062-0 · PPO D-SNP · Dual-eligible SNP was Aetna Medicare Dual (PPO D-SNP) | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ |
| Aetna Medicare Enhanced Classic Extra (PPO) H1608-119-0 · PPO was Aetna Medicare Enhanced Extra (PPO) | Renewed, service area reduced | $60.00 | $52.00 | $10.20 | ▼ $41.80 | $615.00 → $700.00 | $5,000.00 → $7,150.00 | 4★ |
| Aetna Medicare Full Dual Classic (PPO D-SNP) H1608-121-0 · PPO D-SNP · Dual-eligible SNP was Aetna Medicare Full Dual (PPO D-SNP) | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ |
| Aetna Medicare Signature Classic (PPO) H1608-120-0 · PPO was Aetna Medicare Signature (PPO) | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4★ |
| Align ChoiceElite (PPO) H8385-001-0 · PPO | Not offered members must choose a new plan | — | $55.70 | — | — | $300.00 | $3,500.00 | 4.5★ |
| Align ChoicePlus (PPO) H8385-003-0 · PPO | Not offered members must choose a new plan | — | $0.00 | — | — | $350.00 | $4,900.00 | 4.5★ |
| Blue Medicare Advantage Classic PPO (PPO) H5900-008-0 · PPO | Not offered members must choose a new plan | — | $12.00 | — | — | $300.00 | $5,500.00 | 3.5★ |
| Blue Medicare Advantage Enhanced PPO (PPO) H5900-004-0 · PPO | Not offered members must choose a new plan | — | $17.00 | — | — | $300.00 | $4,200.00 | 3.5★ |
| Great Plain Medicare Advantage Gold (HMO I-SNP) H1787-002-0 · HMO I-SNP · Institutional SNP | Consolidated into another plan | $106.00 | $0.00 | $38.80 | ▲ $38.80 | $0.00 → $300.00 | $2,750.00 → $3,750.00 | — |
| Great Plains Medicare Advantage (HMO I-SNP) H1787-001-0 · HMO I-SNP · Institutional SNP | Consolidated into another plan | $5.00 | $12.00 | $5.00 | ▼ $7.00 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | — |
| Medica Advantage Preferred (PPO) H8889-013-0 · PPO | Not offered in this state for 2027 members here must choose again; the plan continues elsewhere | $181.00 | $29.40 | $18.90 | ▼ $10.50 | $240.00 → $280.00 | $3,300.00 | 3.5★ → 4★ |
| Medica Advantage Select (PPO) H8889-028-2 · PPO 2026 id H8889-018-0 → H8889-028-2 | Renewed | $80.00 | $0.00 | $8.70 | ▲ $8.70 | $355.00 → $455.00 | $5,000.00 → $7,150.00 | 3.5★ → 4★ |
| Medica Advantage Essential (PPO) H8889-027-2 · PPO was Medica Advantage Value (PPO) 2026 id H8889-017-0 → H8889-027-2 | Renewed | $34.00 | $0.00 | $19.00 | ▲ $19.00 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 3.5★ → 4★ |
| Medica Prime Solution Core w/Rx (Cost) H2450-035-0 · Cost | Not offered members must choose a new plan | — | $123.70 | — | — | $615.00 | $3,750.00 | 3.5★ |
| Medica Prime Solution Premier w/Rx (Cost) H2450-037-0 · Cost | Not offered members must choose a new plan | — | $117.70 | — | — | $615.00 | $3,000.00 | 3.5★ |
| Medica Prime Solution Standard w/Rx (Cost) H2450-049-0 · Cost | Renewed, service area reduced | $90.60 | $58.70 | $90.60 | ▲ $31.90 | $250.00 → $500.00 | $5,900.00 → $7,150.00 | 3.5★ → 3★ |
| Medica Prime Solution Thrift w/Rx (Cost) H2450-007-0 · Cost | Renewed, service area reduced | $91.00 | $43.80 | $38.00 | ▼ $5.80 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 3.5★ → 3★ |
| UHC Dual Complete SD-Q1 (PPO D-SNP) H2001-046-0 · PPO D-SNP · Dual-eligible SNP | Renewed | $24.60 | $0.00 | $24.60 | ▲ $24.60 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ |
| UHC Dual Complete SD-S2 (PPO D-SNP) H2001-077-0 · PPO D-SNP · Dual-eligible SNP | Renewed | $24.60 | $0.00 | $24.60 | ▲ $24.60 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ |
| AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO) H2001-139-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 4.5★ |
| Aetna Medicare Eagle Classic (PPO) H1608-061-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 4★ |
| Aetna Medicare Enhanced Extra (PPO) H5521-757-0 · PPO | New | $60.00 | — | $37.40 | — | $700.00 | $7,150.00 | 4★ |
| Aetna Medicare Full Dual (PPO D-SNP) H5521-758-0 · PPO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 4★ |
| Aetna Medicare Signature (PPO) H5521-756-0 · PPO | New | $0.00 | — | $0.00 | — | $700.00 | $7,150.00 | 4★ |
| Align SecureChoice (PPO) H8385-005-0 · PPO | New | $60.00 | — | $55.90 | — | $500.00 | $7,150.00 | 4★ |
| Align SecureChoice Gold (PPO) H8385-006-0 · PPO | New | $100.00 | — | $36.80 | — | $350.00 | $6,500.00 | 4★ |
| Medica Advantage Essential (PPO) H8889-027-1 · PPO | New | $40.00 | — | $19.00 | — | $700.00 | $7,150.00 | 4★ |
| Medica Advantage Preferred (PPO) H8889-029-1 · PPO | New | $247.00 | — | $51.80 | — | $280.00 | $4,450.00 | 4★ |
| Medica Advantage Preferred (PPO) H8889-029-2 · PPO | New | $296.00 | — | $59.10 | — | $280.00 | $4,450.00 | 4★ |
| Medica Advantage Salute (PPO) H8889-009-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $4,450.00 | 4★ |
| Medica Advantage Select (PPO) H8889-028-1 · PPO | New | $80.00 | — | $8.70 | — | $455.00 | $7,150.00 | 4★ |
| Medica Prime Solution Core (Cost) H2450-034-0 · Cost · no drug coverage | New | $103.00 | — | — | — | — | $4,900.00 | 3★ |
| Medica Prime Solution Premier (Cost) H2450-036-0 · Cost · no drug coverage | New | $227.00 | — | — | — | — | $3,900.00 | 3★ |
| Medica Prime Solution Standard (Cost) H2450-044-0 · Cost · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 3★ |
| Medica Prime Solution Thrift (Cost) H2450-030-0 · Cost · no drug coverage | New | $53.00 | — | — | — | — | $7,150.00 | 3★ |
“What happens” is the CMS Plan Crosswalk’s verdict for the plan id; “not offered in this state” means the plan renews but no longer sells in any South Dakota county. Medicare Advantage is sold county by county — choose a county above for the plans you can actually join.
The 2026 plan files carry only the Part D (drug) part of an MA-PD premium, so the change column compares drug premiums, and the 2027 premium column is the whole monthly premium (Part C + D).
All 2027 South Dakota Medicare Advantage plans by county → · Stand-alone Part D plan changes →