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.
Compare Medicare Advantage options near you
Answer 3 quick questions to see Medicare Advantage listings from licensed insurance partners.
What’s your ZIP code?
Plan availability is set by your county, so we start here.
How old are you?
This helps match you with options you’re eligible for.
Do you have Medicare Parts A & B?
This affects which Medicare Advantage options you can choose.
These listings are provided by licensed insurance partners.
Medicare Advantage plans in your area are changing or leaving for 2027.
One call tells you whether your plan is on the list — before enrollment opens.
Available now — current wait: 0 min
A real person answers. No phone menu, ever.
Medicare Advantage plans in your area are changing or leaving for 2027.
Is your plan on the list? One call tells you — before enrollment opens.
Available now — current wait: 0 min
A real person answers. About 5 minutes, no obligation.
Agents available Mon–Fri, 8am–6pm CT
Want to see more plan options?
Answer a few more questions to continue to additional options from licensed partners.
Continue →Advertising disclosure: MyMedicarePlans.org may be compensated when you contact a partner or licensed agent. Listings are not ranked or endorsed by us, and we do not recommend specific plans. You can also contact Medicare.gov or 1-800-MEDICARE.
Speak to a Licensed Insurance Agent
Click to call 855-729-3240Found a plan you like online?
One free call confirms it's actually right for you — online directories are wrong more often than you'd think.
- Your doctors — confirmed in-network for 2027
- Your prescriptions — checked against the plan's 2027 drug tiers
855-729-3240 · free · about 5 minutes
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”.
| Plan | Insurer | Plan type | 2027 overall rating |
|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO) | UnitedHealthcare | PPO | 4.5 out of 5 (health plan rating) |
| UHC Dual Complete SD-Q1 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP | 4.5 out of 5 |
| UHC Dual Complete SD-S2 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP | 4.5 out of 5 |
| Aetna Medicare Dual Classic (PPO D-SNP) | Aetna (CVS Health) | PPO D-SNP | 4 out of 5 |
| Aetna Medicare Enhanced Classic Extra (PPO) | Aetna (CVS Health) | PPO | 4 out of 5 |
| Aetna Medicare Enhanced Extra (PPO) | Aetna (CVS Health) | PPO | 4 out of 5 |
| Aetna Medicare Full Dual (PPO D-SNP) | Aetna (CVS Health) | PPO D-SNP | 4 out of 5 |
| Aetna Medicare Full Dual Classic (PPO D-SNP) | Aetna (CVS Health) | PPO D-SNP | 4 out of 5 |
| Aetna Medicare Signature (PPO) | Aetna (CVS Health) | PPO | 4 out of 5 |
| Aetna Medicare Signature Classic (PPO) | Aetna (CVS Health) | PPO | 4 out of 5 |
| Align SecureChoice (PPO) | Align powered by Sanford Health Plan | PPO | 4 out of 5 |
| Align SecureChoice Gold (PPO) | Align powered by Sanford Health Plan | PPO | 4 out of 5 |
| Medica Advantage Essential (PPO) | Medica | PPO | 4 out of 5 |
| Medica Advantage Essential (PPO) | Medica | PPO | 4 out of 5 |
| Medica Advantage Preferred (PPO) | Medica | PPO | 4 out of 5 |
| Medica Advantage Preferred (PPO) | Medica | PPO | 4 out of 5 |
| Medica Advantage Select (PPO) | Medica | PPO | 4 out of 5 |
| Medica Advantage Select (PPO) | Medica | PPO | 4 out of 5 |
| Aetna Medicare Eagle Classic (PPO) | Aetna (CVS Health) | PPO | 3.5 out of 5 (health plan rating) |
| Medica Advantage Salute (PPO) | Medica | PPO | 3.5 out of 5 (health plan rating) |
| Medica Prime Solution Core (Cost) | Medica | Cost | 3 out of 5 (health plan rating) |
| Medica Prime Solution Premier (Cost) | Medica | Cost | 3 out of 5 (health plan rating) |
| Medica Prime Solution Standard (Cost) | Medica | Cost | 3 out of 5 (health plan rating) |
| Medica Prime Solution Standard w/Rx (Cost) | Medica | Cost | 3 out of 5 |
| Medica Prime Solution Thrift (Cost) | Medica | Cost | 3 out of 5 (health plan rating) |
| Medica Prime Solution Thrift w/Rx (Cost) | Medica | Cost | 3 out of 5 |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | Great Plains Medicare Advantage | HMO I-SNP | Not enough data available |
| Great Plains Medicare Advantage (HMO I-SNP) | Great Plains Medicare Advantage | HMO I-SNP | Not 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
| County | Plans offered | Rated 4 stars or higher | Highest rating |
|---|---|---|---|
| Aurora County | 9 | 3 | 4.5 out of 5 |
| Beadle County | 9 | 3 | 4.5 out of 5 |
| Bennett County | 6 | 0 | 3 out of 5 |
| Bon Homme County | 11 | 3 | 4.5 out of 5 |
| Brookings County | 19 | 15 | 4.5 out of 5 |
| Brown County | 9 | 3 | 4.5 out of 5 |
| Brule County | 6 | 0 | 3 out of 5 |
| Buffalo County | 6 | 0 | 3 out of 5 |
| Butte County | 7 | 6 | 4.5 out of 5 |
| Campbell County | 7 | 6 | 4.5 out of 5 |
| Charles Mix County | 11 | 3 | 4.5 out of 5 |
| Clark County | 9 | 8 | 4.5 out of 5 |
| Clay County | 19 | 12 | 4.5 out of 5 |
| Codington County | 9 | 6 | 4.5 out of 5 |
| Corson County | 7 | 6 | 4.5 out of 5 |
| Custer County | 9 | 6 | 4.5 out of 5 |
| Davison County | 9 | 6 | 4.5 out of 5 |
| Day County | 11 | 8 | 4.5 out of 5 |
| Deuel County | 11 | 8 | 4.5 out of 5 |
| Dewey County | 7 | 6 | 4.5 out of 5 |
| Douglas County | 13 | 5 | 4.5 out of 5 |
| Edmunds County | 6 | 0 | 3 out of 5 |
| Fall River County | 7 | 6 | 4.5 out of 5 |
| Faulk County | 6 | 0 | 3 out of 5 |
| Grant County | 6 | 0 | 3 out of 5 |
| Gregory County | 6 | 0 | 3 out of 5 |
| Haakon County | 7 | 6 | 4.5 out of 5 |
| Hamlin County | 7 | 6 | 4.5 out of 5 |
| Hand County | 8 | 0 | 3 out of 5 |
| Hanson County | 11 | 5 | 4.5 out of 5 |
| Harding County | 7 | 6 | 4.5 out of 5 |
| Hughes County | 8 | 2 | 4.5 out of 5 |
| Hutchinson County | 11 | 5 | 4.5 out of 5 |
| Hyde County | 6 | 0 | 3 out of 5 |
| Jackson County | 7 | 6 | 4.5 out of 5 |
| Jerauld County | 6 | 0 | 3 out of 5 |
| Jones County | 6 | 0 | 3 out of 5 |
| Kingsbury County | 11 | 8 | 4.5 out of 5 |
| Lake County | 19 | 12 | 4.5 out of 5 |
| Lawrence County | 9 | 6 | 4.5 out of 5 |
| Lincoln County | 21 | 12 | 4.5 out of 5 |
| Lyman County | 6 | 0 | 3 out of 5 |
| Marshall County | 9 | 8 | 4.5 out of 5 |
| Mccook County | 21 | 12 | 4.5 out of 5 |
| Mcpherson County | 6 | 0 | 3 out of 5 |
| Meade County | 9 | 6 | 4.5 out of 5 |
| Mellette County | 6 | 0 | 3 out of 5 |
| Miner County | 13 | 5 | 4.5 out of 5 |
| Minnehaha County | 21 | 12 | 4.5 out of 5 |
| Moody County | 21 | 12 | 4.5 out of 5 |
| Oglala Lakota County | 6 | 0 | 3 out of 5 |
| Pennington County | 9 | 6 | 4.5 out of 5 |
| Perkins County | 7 | 6 | 4.5 out of 5 |
| Potter County | 6 | 0 | 3 out of 5 |
| Roberts County | 11 | 8 | 4.5 out of 5 |
| Sanborn County | 9 | 8 | 4.5 out of 5 |
| Spink County | 7 | 6 | 4.5 out of 5 |
| Stanley County | 8 | 2 | 4.5 out of 5 |
| Sully County | 6 | 0 | 3 out of 5 |
| Todd County | 6 | 0 | 3 out of 5 |
| Tripp County | 8 | 0 | 3 out of 5 |
| Turner County | 21 | 12 | 4.5 out of 5 |
| Union County | 19 | 10 | 4.5 out of 5 |
| Walworth County | 7 | 6 | 4.5 out of 5 |
| Yankton County | 17 | 10 | 4.5 out of 5 |
| Ziebach County | 7 | 6 | 4.5 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
Good to know