Best Medicare Advantage Plans in Minnehaha County, SD for 2027
Every general-audience Medicare Advantage plan with drug coverage sold in Minnehaha County, ranked by what it could cost you in a bad year: 12 months of premiums, less any Part B giveback, plus the in-network out-of-pocket maximum.
Minnehaha County plans, ranked
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Aetna Medicare Signature (PPO)Aetna Medicare · PPO10 of 45 counties · drug deductible $700Dental up to $500/yr · eyewear $100/yr · hearing aids $500/yr per ear | $0 | $7,150 | $7,150 | 4★ |
| 2 | Aetna Medicare Signature Classic (PPO)Aetna Medicare · PPO10 of 45 counties · drug deductible $700Dental up to $500/yr · eyewear $100/yr · hearing aids $500/yr per ear | $0 | $7,150 | $7,150 | 4★ |
| 3 | Align SecureChoice Gold (PPO)Align powered by Sanford Health Plan · PPO19 of 45 counties · drug deductible $350Dental up to $500/yr · eyewear $200/yr · OTC items $340/yr | $100 | $6,500 | $7,700 | 4★ |
| 4 | Aetna Medicare Enhanced Classic Extra (PPO)Aetna Medicare · PPO10 of 45 counties · drug deductible $700Dental up to $1,500/yr · eyewear $250/yr · hearing aids $1,250/yr per ear · OTC items $200/yr | $60 | $7,150 | $7,870 | 4★ |
| 5 | Aetna Medicare Enhanced Extra (PPO)Aetna Medicare · PPO10 of 45 counties · drug deductible $700Dental up to $1,500/yr · eyewear $250/yr · hearing aids $1,250/yr per ear · OTC items $200/yr | $60 | $7,150 | $7,870 | 4★ |
| 6 | Align SecureChoice (PPO)Align powered by Sanford Health Plan · PPO19 of 45 counties · drug deductible $500Preventive dental · eyewear $100/yr · OTC items $200/yr | $60 | $7,150 | $7,870 | 4★ |
Worst-case year = 12 × (monthly plan premium − any Part B giveback) + in-network maximum out-of-pocket. The giveback is money back on the Part B premium ($202.90 a month in 2026), which is otherwise the same for everyone, so a large one can push the worst-case year below $0; drug costs are capped separately at $2,400 in 2027. Other extras are the yearly maximums each plan filed with CMS and don’t change the order. Methodology
What changed since 2026
- Plans with drug coverage: 8 in 2026, 8 in 2027.
- $0-premium plans: 5 in 2026, 4 in 2027.
- Median in-network out-of-pocket maximum: $5,850 in 2026, $7,150 in 2027.
- 7,671 people here were in a general-audience Advantage plan in October 2026; 4,973 of them are in a plan that ends or leaves the county for 2027 and must choose again.
From our 2026 vs. 2027 Medicare Advantage study (CMS landscape, enrollment and crosswalk files).
Before you enroll, check that your doctors are in the plan’s network and how it covers your drugs in the Medicare Plan Finder. Weighing Advantage against Original Medicare with a Medigap plan? Run the county calculator.
Also sold here without drug coverage: AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO), Aetna Medicare Eagle Classic (PPO).
Questions
How many Medicare Advantage plans are in Minnehaha County for 2027?
6 general-audience plans with drug coverage, 2 of them with a $0 monthly premium, compared with 8 plans and 5 $0-premium plans in 2026. Special Needs Plans aren't counted.
Which plan has the lowest worst-case cost in Minnehaha County?
Aetna Medicare Signature (PPO) from Aetna Medicare: $0 a month with an in-network out-of-pocket maximum of $7,150, so at most about $7,150 for the year in premiums and in-network costs.
Do any Minnehaha County plans have a Part B giveback?
None of the plans with drug coverage here files a Part B premium reduction for 2027.
How many Minnehaha County plans have 4 or more stars?
6 of 6, based on CMS's 2027 ratings of the contract behind each plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), from cms.gov; extra benefits (Part B giveback, dental, eyewear, hearing aids, over-the-counter allowance) from the CMS CY 2027 Plan Benefit Package files, cms.gov, yearly amounts as each plan filed them; star ratings from the CMS 2027 Star Ratings Data Tables (October 8, 2026), cms.gov. Ratings are per contract, so plans under the same contract share one rating. General-audience plans only: Special Needs Plans, Cost plans and employer group plans are not ranked.
- County population: 2020 Census, via the USDA Rural-Urban Continuum Codes (2023).
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. · Advertiser disclosure
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