Medicare Advantage in Iowa: what changes for 2027
Every fall, plans change. Here is how Iowa’s Medicare Advantage plans for 2027 compare with 2026, from Medicare’s own plan files. Check your own plan’s Annual Notice of Change too.
- Plans available in 2027
- 71
- Same as 2026 (71)
- $0 monthly premium
- 54%
- of plans, vs 42% in 2026
- Insurance companies
- 14
- 1 new · 1 leaving
What this means for you
- 17 plans offered in 2026 are not offered again in Iowa for 2027. If yours is one of them, your plan must send you a letter before Open Enrollment. Some members are moved into another plan from the same company; the letter says what happens to you, and you can choose a different plan during Open Enrollment.
- 17 plans are new in Iowa for 2027. Some may be existing plans offered under a new plan number.
- Every county with plans has more than 3 to choose from in 2027. Plans still differ by county, so compare the ones offered where you live.
- The highest in-network out-of-pocket limit rose to $9,850 (from $9,250 in 2026). Compare the yearly limit, not just the monthly premium.
- Blue Cross Blue Shield of Michigan Mutual Ins. Co. does not offer Medicare Advantage plans in Iowa for 2027. If your plan is from one of them, watch for its letter and choose new coverage during Open Enrollment.
- 2027 drug costs, stars and pharmacy networks are not published yet. If you take medicines, check your costs again when CMS publishes them. We never fill gaps with 2026 numbers.
Insurance companies
New for 2027
- Curana Health Holdings, LLC (2 plans)
Leaving after 2026
- Blue Cross Blue Shield of Michigan Mutual Ins. Co. (2 plans in 2026)
Staying (A–Z)
- Centene Corporation (4)
- CVS Health Corporation (11)
- Devoted Health, Inc. (5)
- Elevance Health, Inc. (1)
- Humana Inc. (7)
- Medica Holding Company (3)
- Medical Associates Clinic, P.C. (7)
- Mitchell Family Office (2)
- Molina Healthcare, Inc. (2)
- Sanford Health (4)
- Trinity Health Corporation (5)
- UnitedHealth Group, Inc. (12)
- University of Wisconsin Hospitals and Clincs Autho (6)
Listed A–Z with 2027 plan counts by parent company. Not a ranking.
Costs and plan types: 2026 vs 2027
| Measure | 2026 | 2027 |
|---|---|---|
| Lowest out-of-pocket limit | $2,750 | $3,750 |
| Typical (median) limit | $5,900 | $7,150 |
| Highest limit | $9,250 | $9,850 |
| Special Needs Plans | 18 | 22 |
| HMO plans | 37 | 44 |
| PPO plans | 23 | 16 |
Next steps
Sources: CMS MA/Part D Landscape CY2026 (published 202609, retrieved Oct 10, 2026); CMS plan type + in-network MOOP (plan meta) CY2026 (publication date not recorded); CMS MA/Part D Landscape CY2027 (published 202609, retrieved Oct 10, 2026); CMS plan type + in-network MOOP (plan meta) CY2027 (published PY2027, retrieved Oct 4, 2026); PlanScout analysis. Counts are Medicare Advantage plans in CMS’s Landscape files; stand-alone Part D plans are not included. A plan that is “not offered again” is a 2026 plan ID with no 2027 listing in Iowa. No plan is ranked or recommended.