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Top-Rated Medicare Advantage Plans in South Dakota for 2027

UnitedHealthcare, Aetna (CVS Health) and Medica have 2027 plans in South Dakota rated 4 stars or higher by Medicare in the 2027 CMS Star Ratings.

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2027 CMS Star Ratings

Top-rated Medicare Advantage plans in South Dakota (2027 CMS Star Ratings)

Of the 28 Medicare Advantage plans offered in South Dakota for 2027, 0 are rated 5 stars, 3 are rated 4.5 stars and 15 are rated 4 stars in the 2027 CMS Star Ratings, each plan counted once however many counties it serves. 2 plans have no 2027 star score: CMS lists 2 “Not enough data available”.

2027 CMS Star Ratings of the Medicare Advantage plans offered in South Dakota, highest first
PlanInsurerPlan type2027 overall rating
AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO)UnitedHealthcarePPO4.5 out of 5 (health plan rating)
UHC Dual Complete SD-Q1 (PPO D-SNP)UnitedHealthcarePPO D-SNP4.5 out of 5
UHC Dual Complete SD-S2 (PPO D-SNP)UnitedHealthcarePPO D-SNP4.5 out of 5
Aetna Medicare Dual Classic (PPO D-SNP)Aetna (CVS Health)PPO D-SNP4 out of 5
Aetna Medicare Enhanced Classic Extra (PPO)Aetna (CVS Health)PPO4 out of 5
Aetna Medicare Enhanced Extra (PPO)Aetna (CVS Health)PPO4 out of 5
Aetna Medicare Full Dual (PPO D-SNP)Aetna (CVS Health)PPO D-SNP4 out of 5
Aetna Medicare Full Dual Classic (PPO D-SNP)Aetna (CVS Health)PPO D-SNP4 out of 5
Aetna Medicare Signature (PPO)Aetna (CVS Health)PPO4 out of 5
Aetna Medicare Signature Classic (PPO)Aetna (CVS Health)PPO4 out of 5
Align SecureChoice (PPO)Align powered by Sanford Health PlanPPO4 out of 5
Align SecureChoice Gold (PPO)Align powered by Sanford Health PlanPPO4 out of 5
Medica Advantage Essential (PPO)MedicaPPO4 out of 5
Medica Advantage Essential (PPO)MedicaPPO4 out of 5
Medica Advantage Preferred (PPO)MedicaPPO4 out of 5
Medica Advantage Preferred (PPO)MedicaPPO4 out of 5
Medica Advantage Select (PPO)MedicaPPO4 out of 5
Medica Advantage Select (PPO)MedicaPPO4 out of 5
Aetna Medicare Eagle Classic (PPO)Aetna (CVS Health)PPO3.5 out of 5 (health plan rating)
Medica Advantage Salute (PPO)MedicaPPO3.5 out of 5 (health plan rating)
Medica Prime Solution Core (Cost)MedicaCost3 out of 5 (health plan rating)
Medica Prime Solution Premier (Cost)MedicaCost3 out of 5 (health plan rating)
Medica Prime Solution Standard (Cost)MedicaCost3 out of 5 (health plan rating)
Medica Prime Solution Standard w/Rx (Cost)MedicaCost3 out of 5
Medica Prime Solution Thrift (Cost)MedicaCost3 out of 5 (health plan rating)
Medica Prime Solution Thrift w/Rx (Cost)MedicaCost3 out of 5
Great Plain Medicare Advantage Gold (HMO I-SNP)Great Plains Medicare AdvantageHMO I-SNPNot enough data available
Great Plains Medicare Advantage (HMO I-SNP)Great Plains Medicare AdvantageHMO I-SNPNot enough data available

Plans are offered county by county, so not every plan is available everywhere in South Dakota. Pick your county below for its plans, or use the plan finder on this page.

A plan without Part D drug coverage has no overall rating; its Part C summary rating (health plan rating) is shown instead, as CMS does.

Compare plans for your ZIP code in Medicare's Plan Finder on Medicare.gov.

Top-rated plans in your South Dakota county

2027 CMS Star Ratings by county
CountyPlans offeredRated 4 stars or higherHighest rating
Aurora County934.5 out of 5
Beadle County934.5 out of 5
Bennett County603 out of 5
Bon Homme County1134.5 out of 5
Brookings County19154.5 out of 5
Brown County934.5 out of 5
Brule County603 out of 5
Buffalo County603 out of 5
Butte County764.5 out of 5
Campbell County764.5 out of 5
Charles Mix County1134.5 out of 5
Clark County984.5 out of 5
Clay County19124.5 out of 5
Codington County964.5 out of 5
Corson County764.5 out of 5
Custer County964.5 out of 5
Davison County964.5 out of 5
Day County1184.5 out of 5
Deuel County1184.5 out of 5
Dewey County764.5 out of 5
Douglas County1354.5 out of 5
Edmunds County603 out of 5
Fall River County764.5 out of 5
Faulk County603 out of 5
Grant County603 out of 5
Gregory County603 out of 5
Haakon County764.5 out of 5
Hamlin County764.5 out of 5
Hand County803 out of 5
Hanson County1154.5 out of 5
Harding County764.5 out of 5
Hughes County824.5 out of 5
Hutchinson County1154.5 out of 5
Hyde County603 out of 5
Jackson County764.5 out of 5
Jerauld County603 out of 5
Jones County603 out of 5
Kingsbury County1184.5 out of 5
Lake County19124.5 out of 5
Lawrence County964.5 out of 5
Lincoln County21124.5 out of 5
Lyman County603 out of 5
Marshall County984.5 out of 5
Mccook County21124.5 out of 5
Mcpherson County603 out of 5
Meade County964.5 out of 5
Mellette County603 out of 5
Miner County1354.5 out of 5
Minnehaha County21124.5 out of 5
Moody County21124.5 out of 5
Oglala Lakota County603 out of 5
Pennington County964.5 out of 5
Perkins County764.5 out of 5
Potter County603 out of 5
Roberts County1184.5 out of 5
Sanborn County984.5 out of 5
Spink County764.5 out of 5
Stanley County824.5 out of 5
Sully County603 out of 5
Todd County603 out of 5
Tripp County803 out of 5
Turner County21124.5 out of 5
Union County19104.5 out of 5
Walworth County764.5 out of 5
Yankton County17104.5 out of 5
Ziebach County764.5 out of 5

What Medicare Star Ratings measure

CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing.

The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.

The 5-star Special Enrollment Period

Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027.

In South Dakota, no plan has a 5-star overall rating for 2027, so this window does not apply here; the Annual Enrollment Period, October 15 through December 7, does.

If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch.

Every year, Medicare evaluates plans based on a 5-star rating system.

These ratings are CMS's, not ours, and we do not recommend plans. A rating does not tell you whether a plan covers your doctors and drugs or what it charges.

Source: CMS 2027 Star Ratings Data Tables (Summary Ratings), released October 8, 2026; plans offered: CMS CY2027 Medicare Advantage Landscape file.

More on Medicare Advantage in South Dakota

Medicare Advantage in South DakotaPlans changing or leaving South Dakota for 2027Top-rated Medicare Advantage plans in every state

Good to know

Top-rated plans in South Dakota: questions (2027)

Which Medicare Advantage plans in South Dakota have 5 stars for 2027?
None of the 28 Medicare Advantage plans offered in South Dakota is rated 5 stars in the 2027 CMS Star Ratings. The highest rating there is 4.5 out of 5, held by 3 plans. Every year, Medicare evaluates plans based on a 5-star rating system. A rating does not tell you whether a plan covers your doctors and drugs or what it charges; compare plans for your ZIP code in Medicare's Plan Finder.
What do Medicare Star Ratings measure?
CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing. The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.
Can I switch to a 5-star Medicare Advantage plan in South Dakota outside open enrollment?
Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027. In South Dakota, no plan has a 5-star overall rating for 2027, so this window does not apply here; the Annual Enrollment Period, October 15 through December 7, does. If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch.
Does a higher star rating mean a plan is right for me?
Not by itself. A Star Rating is CMS's measure of a plan's quality and service; it does not tell you whether a plan covers your doctors, hospitals and prescriptions or what it charges. Compare those for your ZIP code in Medicare's Plan Finder, call 1-800-MEDICARE, or talk with a licensed agent. We do not recommend plans.
When does Medicare publish Star Ratings?
CMS publishes Star Ratings every October for the coming plan year. The 2027 ratings on this page were released October 8, 2026. Ratings can change from one year to the next. Every year, Medicare evaluates plans based on a 5-star rating system.
Medicare plans in your area changing for 2027 — check yoursCall