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Best* Medicare Advantage Plans in Iowa for 2027

Devoted Health, Humana and Iowa Health Advantage have 2027 plans in Iowa rated 4.5 stars or higher by Medicare in the 2027 CMS Star Ratings.

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✓ Reviewed for the 2027 plan year·● Iowa
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2027 CMS Star Ratings

Best* Medicare Advantage plans in Iowa (2027 CMS Star Ratings)

In the 2027 CMS Star Ratings, 4 Medicare Advantage plans in Iowa share the highest rating among plans open to everyone with Medicare, 4.5 out of 5 stars: DEVOTED CORE 034 IA (HMO) (Devoted Health); DEVOTED GIVEBACK 035 IA (HMO) (Devoted Health); DEVOTED GIVEBACK EXTRAS 108 IA (HMO) (Devoted Health); Humana Gold Plus H0028-053 (HMO) (Humana). Another 20 are rated 4 stars, listed next as also highly rated. Special needs plans, which only people who qualify can join, are listed separately: 12 are rated 4 stars or higher.

Of the 74 Medicare Advantage plans offered in Iowa for 2027, 0 are rated 5 stars, 10 are rated 4.5 stars and 37 are rated 4 stars in the 2027 CMS Star Ratings, each plan counted once however many counties it serves. 6 plans have no 2027 star score: CMS lists 4 “Plan too new to be measured” and 2 “Not enough data available”.

*Best: the highest overall rating in the 2027 CMS Star Ratings among Medicare Advantage plans open to everyone with Medicare Parts A and B in Iowa (4.5 out of 5). Medicare's rating, not our recommendation.

2027 CMS Star Ratings of the Medicare Advantage plans offered in Iowa: the highest-rated plans open to everyone first (36 of 74)
PlanInsurerPlan type2027 overall rating
Highest rated: 4.5 out of 5, the top overall rating among plans open to everyone
DEVOTED CORE 034 IA (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED GIVEBACK 035 IA (HMO)Devoted HealthHMO4.5 out of 5
DEVOTED GIVEBACK EXTRAS 108 IA (HMO)Devoted HealthHMO4.5 out of 5
Humana Gold Plus H0028-053 (HMO)HumanaHMO4.5 out of 5
Also highly rated: rated 4 stars
AARP Medicare Advantage from UHC IA-0002 (HMO-POS)UnitedHealthcareHMO-POS4 out of 5
AARP Medicare Advantage from UHC IA-0002 (HMO-POS)UnitedHealthcareHMO-POS4 out of 5
AARP Medicare Advantage from UHC IA-0003 (PPO)UnitedHealthcarePPO4 out of 5
AARP Medicare Advantage from UHC IA-0003 (PPO)UnitedHealthcarePPO4 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 Signature (HMO-POS)Aetna (CVS Health)HMO-POS4 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
Aetna Medicare Signature Extra (HMO-POS)Aetna (CVS Health)HMO-POS4 out of 5
Aetna Medicare Value Care (HMO-POS)Aetna (CVS Health)HMO-POS4 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
Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO)Quartz Medicare Advantage (HMO)HMO4 out of 5
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)Quartz Medicare Advantage (HMO)HMO4 out of 5
Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)Quartz Medicare Advantage (HMO)HMO4 out of 5
Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)Quartz Medicare Advantage (HMO)HMO4 out of 5
Humana Gold Choice H8145-006 (PFFS)HumanaPFFS4 out of 5
HumanaChoice Giveback H5216-340 (PPO)HumanaPPO4 out of 5
HumanaChoice H5216-014 (PPO)HumanaPPO4 out of 5
Special needs plans rated 4 stars or higher (only for people who qualify)
DEVOTED C-SNP GIVEBACK EXTRAS 063 IA (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
DEVOTED C-SNP PLUS 036 IA (HMO C-SNP)Devoted HealthHMO C-SNP4.5 out of 5
Humana Together in Health (PPO I-SNP)HumanaPPO I-SNP4.5 out of 5
Iowa Health Advantage (HMO I-SNP)Iowa Health AdvantageHMO I-SNP4.5 out of 5
Iowa Health Advantage Choice (HMO I-SNP)Iowa Health AdvantageHMO I-SNP4.5 out of 5
Aetna Medicare Chronic Care (HMO C-SNP)Aetna (CVS Health)HMO C-SNP4 out of 5
Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna (CVS Health)HMO C-SNP4 out of 5
Aetna Medicare Dual Care (HMO D-SNP)Aetna (CVS Health)HMO D-SNP4 out of 5
HumanaChoice SNP-DE H5216-268 (PPO D-SNP)HumanaPPO D-SNP4 out of 5
UHC Complete Care IA-5 (HMO-POS C-SNP)UnitedHealthcareHMO-POS C-SNP4 out of 5
UHC Complete Care IA-5 (HMO-POS C-SNP)UnitedHealthcareHMO-POS C-SNP4 out of 5
UHC Complete Care Support IA-1A (HMO C-SNP)UnitedHealthcareHMO C-SNP4 out of 5

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

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

How the top plans are chosen

The plans listed first have the highest overall rating in the 2027 CMS Star Ratings among the Medicare Advantage plans in Iowa open to everyone with Medicare: 4.5 out of 5 stars. Plans that share it are listed by name, not ranked, and the other plans rated 4 stars or higher follow. Special needs plans, which only people who qualify can join, are listed separately, and a plan without drug coverage has no overall rating, so it isn't counted. We only do this where the top rating is at least 4 stars.

Star Ratings are Medicare's measure of a plan's quality and members' experience, not our recommendation. A rating doesn't tell you whether a plan covers your doctors and prescriptions or what it costs, so compare plans for your ZIP code with the plan finder on this page.

Top-rated plans in your Iowa county

2027 CMS Star Ratings by county
CountyPlans offeredRated 4 stars or higherHighest rating
Adair County27154.5 out of 5
Adams County27164.5 out of 5
Allamakee County26204.5 out of 5
Appanoose County22104.5 out of 5
Audubon County20124.5 out of 5
Benton County41254.5 out of 5
Black Hawk County34234.5 out of 5
Boone County42264.5 out of 5
Bremer County26164.5 out of 5
Buchanan County35214.5 out of 5
Buena Vista County22174.5 out of 5
Butler County30164.5 out of 5
Calhoun County24194.5 out of 5
Carroll County28194.5 out of 5
Cass County26154.5 out of 5
Cedar County41254.5 out of 5
Cerro Gordo County32164.5 out of 5
Cherokee County18134.5 out of 5
Chickasaw County2064.5 out of 5
Clarke County33194.5 out of 5
Clay County26184.5 out of 5
Clayton County27134.5 out of 5
Clinton County45294.5 out of 5
Crawford County28194.5 out of 5
Dallas County43274.5 out of 5
Davis County1144.5 out of 5
Decatur County25154.5 out of 5
Delaware County42284.5 out of 5
Des Moines County21124.5 out of 5
Dickinson County26184.5 out of 5
Dubuque County19144.5 out of 5
Emmet County16104.5 out of 5
Fayette County39294.5 out of 5
Floyd County35214.5 out of 5
Franklin County34184.5 out of 5
Fremont County27174.5 out of 5
Greene County25134.5 out of 5
Grundy County41254.5 out of 5
Guthrie County31194.5 out of 5
Hamilton County36204.5 out of 5
Hancock County33194.5 out of 5
Hardin County41254.5 out of 5
Harrison County26164.5 out of 5
Henry County34184.5 out of 5
Howard County1554.5 out of 5
Humboldt County26164.5 out of 5
Ida County18154.5 out of 5
Iowa County37234.5 out of 5
Jackson County44304.5 out of 5
Jasper County44284.5 out of 5
Jefferson County2284.5 out of 5
Johnson County31204.5 out of 5
Jones County45294.5 out of 5
Keokuk County30164.5 out of 5
Kossuth County36194.5 out of 5
Lee County19114.5 out of 5
Linn County40294.5 out of 5
Louisa County36224.5 out of 5
Lucas County27154.5 out of 5
Lyon County21134.5 out of 5
Madison County40264.5 out of 5
Mahaska County30164.5 out of 5
Marion County30164.5 out of 5
Marshall County38264.5 out of 5
Mills County30194.5 out of 5
Mitchell County1984.5 out of 5
Monona County25164.5 out of 5
Monroe County24104.5 out of 5
Montgomery County25154.5 out of 5
Muscatine County42284.5 out of 5
O'Brien County21114.5 out of 5
Osceola County24154.5 out of 5
Page County1684.5 out of 5
Palo Alto County1594.5 out of 5
Plymouth County24164.5 out of 5
Pocahontas County20154.5 out of 5
Polk County44284.5 out of 5
Pottawattamie County40244.5 out of 5
Poweshiek County41254.5 out of 5
Ringgold County26154.5 out of 5
Sac County20154.5 out of 5
Scott County41294.5 out of 5
Shelby County31194.5 out of 5
Sioux County25154.5 out of 5
Story County17104.5 out of 5
Tama County39254.5 out of 5
Taylor County824.5 out of 5
Union County26154.5 out of 5
Van Buren County1254.5 out of 5
Wapello County20114.5 out of 5
Warren County44284.5 out of 5
Washington County40244.5 out of 5
Wayne County27154.5 out of 5
Webster County26214.5 out of 5
Winnebago County34204.5 out of 5
Winneshiek County22154.5 out of 5
Woodbury County22174.5 out of 5
Worth County33174.5 out of 5
Wright County32184.5 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 Iowa, no plan has a 5-star overall rating for 2027, so this window does not apply here; the Annual Enrollment Period (Open Enrollment), 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 Iowa

Medicare Advantage in IowaPlans changing or leaving Iowa for 2027Top-rated Medicare Advantage plans in every state

Upcoming live session

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

Medicare Annual/Open Enrollment 2027 live, day 8, morning: Medicare Advantage changes by state. Starts Oct. 22, 2026, 10 a.m. ET. Program-level information only; no plan is recommended.

Good to know

Top-rated plans in Iowa: questions (2027)

What are the best* Medicare Advantage plans in Iowa for 2027?
In the 2027 CMS Star Ratings, 4 Medicare Advantage plans in Iowa share the highest rating among plans open to everyone with Medicare, 4.5 out of 5 stars: DEVOTED CORE 034 IA (HMO) (Devoted Health); DEVOTED GIVEBACK 035 IA (HMO) (Devoted Health); DEVOTED GIVEBACK EXTRAS 108 IA (HMO) (Devoted Health); Humana Gold Plus H0028-053 (HMO) (Humana). Another 20 are rated 4 stars, listed next as also highly rated. Special needs plans, which only people who qualify can join, are listed separately: 12 are rated 4 stars or higher. *Best means the highest overall rating in the 2027 CMS Star Ratings among plans open to everyone with Medicare there; it is Medicare's rating, not our recommendation. Every year, Medicare evaluates plans based on a 5-star rating system. A rating doesn't tell you whether a plan covers your doctors and drugs or what it costs; compare plans for your ZIP code with the plan finder on this page.
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 Iowa 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 Iowa, no plan has a 5-star overall rating for 2027, so this window does not apply here; the Annual Enrollment Period (Open Enrollment), 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