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HomeMedicare AdvantageSouth DakotaPlan changes 2027

Medicare Advantage plans changing or leaving South Dakota counties for 2027

10 Medicare Advantage plans are leaving South Dakota for 2027 and 11 are changing, each plan counted once. Across the state's 66 counties that is 456 county-level plan listings ending and 247 changing. Pick your county for its numbers.

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Medicare Advantage options in your area

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Annual Enrollment: Oct 15 – Dec 7

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BEFORE YOU ENROLL

Found a plan you like online?

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  • Your doctors — confirmed in-network for 2027
  • Your prescriptions — checked against the plan's 2027 drug tiers
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456Leavingoffered last year, not this year
247Changingoffered both years, listing differs
703Totalplans leaving or changing
MM
ED
AI
By MyMedicarePlans Data Desk · Plan Landscape & Data✓ Verified Team
✓ Reviewed for the 2027 plan year·● South Dakota
Medicare AdvantageSouth Dakota
Video: Kampus Production on Pexels

South Dakota counties, most changes first

CountyLeavingChangingTotal
Douglas County11516
Lincoln County61016
McCook County61016
Miner County11516
Minnehaha County61016
Moody County61016
Turner County61016
Campbell County15015
Clay County6915
Corson County15015
Hanson County11415
Hutchinson County11415
Lake County6915
Walworth County15015
Bon Homme County9514
Brookings County7714
Charles Mix County9514
Day County12214
Deuel County12214
Kingsbury County12214
Union County41014
Aurora County9413
Clark County12113
Jerauld County9413
Marshall County12113
Sanborn County12113
Yankton County4913
Davison County10212
Beadle County7411
Brule County7411
Buffalo County7411
Gregory County7411
Haakon County11011
Jackson County11011
Dewey County10010
Harding County10010
Perkins County10010
Ziebach County10010
Hamlin County819
Roberts County729
Spink County819
Custer County628
Edmunds County448
Lawrence County628
McPherson County448
Meade County628
Pennington County628
Butte County617
Fall River County617
Hand County257
Tripp County257
Bennett County246
Brown County246
Faulk County246
Grant County246
Hughes County246
Hyde County246
Jones County246
Lyman County246
Mellette County246
Oglala Lakota County246
Potter County246
Stanley County246
Sully County246
Todd County246
Codington County325

Also for South Dakota: plans rated 4 stars or higher in the 2027 CMS Star Ratings, by South Dakota county · every state’s 2027 changes · South Dakota Medicare Advantage by city.

What to do before December 7

If you are in a Medicare Advantage plan today, your plan must send you an Annual Notice of Change by September 30 that spells out exactly what is different for 2027. Read it before the Annual Enrollment Period (Open Enrollment), which runs October 15 through December 7.

If your plan is leaving your county, you will get a separate notice and a Special Enrollment Period to choose new coverage. If you do nothing, you may be returned to Original Medicare without drug coverage, so it is worth acting during the window.

A licensed agent can check your doctors and prescriptions against the plans that will actually operate in your county next year. For unbiased help, contact Medicare.gov or 1-800-MEDICARE.

Watch

The Medicare Advantage changes for 2027 in South Dakota, in 28 seconds

Transcript. Good evening. Across the country Medicare Advantage Plans are changing or all together leaving some states in 2027. That's right, in South Dakota, 10 plans are leaving and 11 are changing. But there is some good news as 11 new plans are entering the market with a fresh set of benefits to choose from. The bottom line: take a few minutes to compare Medicare Advantage plans in your area and see if your plan is affected.

Live session

Medicare Annual/Open Enrollment, live: questions on the 2027 changes in South Dakota

Medicare Annual/Open Enrollment 2027 live, day 8, morning: Medicare Advantage changes by state. Live Oct. 22, 2026, 6:41 p.m. ET; the recording plays here afterward. Program-level information only; no plan is recommended.

Good to know

Frequently asked questions

Why do the numbers differ so much from county to county?
Medicare Advantage plans are approved county by county, so a plan can leave one county and stay in the next. Each county's count reflects only the plans approved for that county.
What does “changing” mean for 2027?
A plan offered in both 2026 and 2027 whose 2027 listing differs on premium, drug deductible, plan type, or plan name. The count is neutral: it does not say whether a change helps or hurts any particular member.
Do you list which plans are leaving?
No. We publish area-level counts only, never plan names, premiums or benefits. Your Annual Notice of Change, Medicare.gov, 1-800-MEDICARE, or a licensed agent can tell you about a specific plan.
These counts come from comparing the two official CMS Medicare Advantage Landscape files for 2026 and 2027. A plan counts as leaving when it was offered in the county for 2026 and is not offered there for 2027. A plan counts as changing when it is offered in both years but its 2027 listing differs on something a member would notice: the premium, the drug deductible, the plan type, or the plan name. Only the counts are shown here. This page does not name plans, list premiums or benefits, or recommend anything.
Sources & further reading

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Medicare plans in your area changing for 2027 — check yoursCall