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Plans ending in Iowa in 2027
In Iowa, 790 Medicare Advantage plan listings from 2026 are not offered in 2027, and 153 more are probably being replaced by a plan with a new number. A listing is one plan in one county.
- Not offeredin 2027
- 790
- Probably beingreplaced
- 153
- People in plansending here
- ~39,000
- People who maybe moved
- ~15,000
of 2,975plan listings
same name,new number
rounded,Sept. 2026
same contract hasother plans here
Ending here: no plan is left under the same contract in the county; members need to pick a new plan, or they will have Original Medicare. May be moved: the same contract still has other plans in the county, and companies often move members into one of them automatically. CMS's plan crosswalk, expected in October, will say which. Everyone in these plans keeps Medicare.
Counties with the most people in plans not offered
- Polk County: about 9,200 people (~4,600 in plans ending here, ~4,600 who may be moved)
- Linn County: about 4,300 people (~3,300 in plans ending here, ~960 who may be moved)
- Scott County: about 2,600 people (~2,200 in plans ending here, ~360 who may be moved)
- Story County: about 2,500 people (~1,700 in plans ending here, ~780 who may be moved)
- Woodbury County: about 2,300 people (~2,100 in plans ending here, ~290 who may be moved)
By company
| Company | Not offered | Probably replaced | People in plans ending here | People who may be moved |
|---|---|---|---|---|
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 179 | 0 | ~33,000 | 0 |
| CVS Health Corporation | 157 | 0 | ~2,100 | ~2,600 |
| Centene Corporation | 24 | 0 | ~920 | 0 |
| Elevance Health | 0 | 99 | 0 | 0 |
| Humana | 298 | 0 | ~720 | ~4,800 |
| Medica Holding Company | 12 | 0 | ~180 | 0 |
| Medical Associates Clinic, P.C. | 5 | 0 | ~90 | 0 |
| Molina Healthcare | 86 | 0 | ~830 | 0 |
| Sanford Health | 8 | 0 | 0 | ~180 |
| UnitedHealth Group | 21 | 54 | ~800 | ~7,000 |
By county
| County | Plans in 2026 | Not offered | Probably replaced | People in plans ending here | People who may be moved |
|---|---|---|---|---|---|
| Adair County | 25 | 5 | 1 | 20 or fewer | 30 or fewer |
| Adams County | 32 | 9 | 1 | 20 or fewer | ~30 |
| Allamakee County | 27 | 6 | 1 | 20 or fewer | ~60 |
| Appanoose County | 26 | 6 | 1 | ~180 | ~20 |
| Audubon County | 25 | 13 | 1 | ~150 | ~10 |
| Benton County | 36 | 7 | 2 | ~380 | ~70 |
| Black Hawk County | 32 | 6 | 2 | ~1,500 | ~230 |
| Boone County | 37 | 7 | 2 | ~330 | ~40 |
| Bremer County | 31 | 10 | 1 | ~40 | ~50 |
| Buchanan County | 31 | 6 | 1 | ~300 | ~10 |
| Buena Vista County | 24 | 6 | 2 | ~140 | ~30 |
| Butler County | 36 | 10 | 2 | ~190 | ~310 |
| Calhoun County | 26 | 7 | 2 | ~150 | 40 or fewer |
| Carroll County | 26 | 7 | 2 | ~140 | ~40 |
| Cass County | 27 | 7 | 1 | ~130 | ~10 |
| Cedar County | 37 | 8 | 2 | ~260 | ~30 |
| Cerro Gordo County | 27 | 4 | 2 | ~640 | 20 or fewer |
| Cherokee County | 24 | 10 | 1 | ~210 | ~20 |
| Chickasaw County | 29 | 12 | 1 | ~260 | ~10 |
| Clarke County | 26 | 7 | 1 | ~420 | ~10 |
| Clay County | 28 | 7 | 2 | ~270 | 40 or fewer |
| Clayton County | 37 | 13 | 2 | ~510 | ~20 |
| Clinton County | 38 | 7 | 2 | ~570 | ~70 |
| Crawford County | 23 | 6 | 2 | ~80 | ~30 |
| Dallas County | 38 | 9 | 2 | ~970 | ~800 |
| Davis County | 22 | 12 | 1 | ~220 | ~30 |
| Decatur County | 24 | 5 | 1 | ~90 | ~10 |
| Delaware County | 40 | 8 | 2 | ~270 | ~50 |
| Des Moines County | 31 | 13 | 2 | ~460 | ~110 |
| Dickinson County | 29 | 7 | 2 | ~530 | 40 or fewer |
| Dubuque County | 18 | 3 | 2 | 0 | ~130 |
| Emmet County | 19 | 4 | 2 | ~150 | 20 or fewer |
| Fayette County | 40 | 11 | 2 | ~330 | ~40 |
| Floyd County | 37 | 7 | 2 | ~240 | ~30 |
| Franklin County | 35 | 8 | 2 | ~140 | 40 or fewer |
| Fremont County | 30 | 8 | 1 | ~60 | ~30 |
| Greene County | 28 | 10 | 1 | ~170 | ~370 |
| Grundy County | 36 | 7 | 2 | ~280 | ~10 |
| Guthrie County | 25 | 6 | 1 | 20 or fewer | ~30 |
| Hamilton County | 36 | 7 | 2 | ~140 | ~20 |
| Hancock County | 33 | 7 | 2 | ~90 | 40 or fewer |
| Hardin County | 36 | 7 | 2 | ~320 | ~20 |
| Harrison County | 33 | 11 | 1 | ~330 | 20 or fewer |
| Henry County | 34 | 7 | 2 | ~240 | ~30 |
| Howard County | 22 | 13 | 1 | ~290 | ~10 |
| Humboldt County | 28 | 7 | 2 | ~90 | 40 or fewer |
| Ida County | 26 | 11 | 1 | ~40 | ~20 |
| Iowa County | 33 | 6 | 2 | ~330 | ~20 |
| Jackson County | 41 | 7 | 2 | ~150 | ~10 |
| Jasper County | 38 | 8 | 2 | ~350 | ~420 |
| Jefferson County | 26 | 8 | 1 | ~570 | ~190 |
| Johnson County | 31 | 7 | 2 | ~1,800 | ~390 |
| Jones County | 40 | 7 | 2 | ~510 | ~60 |
| Keokuk County | 32 | 6 | 2 | ~100 | ~20 |
| Kossuth County | 29 | 4 | 2 | ~160 | 20 or fewer |
| Lee County | 28 | 11 | 2 | ~290 | 20 or fewer |
| Linn County | 33 | 7 | 2 | ~3,300 | ~960 |
| Louisa County | 37 | 10 | 2 | ~90 | ~140 |
| Lucas County | 22 | 6 | 1 | ~130 | ~30 |
| Lyon County | 30 | 12 | 1 | 30 or fewer | ~210 |
| Madison County | 38 | 8 | 2 | ~290 | ~170 |
| Mahaska County | 28 | 7 | 1 | ~270 | ~100 |
| Marion County | 28 | 7 | 1 | ~650 | ~160 |
| Marshall County | 34 | 8 | 2 | ~670 | ~510 |
| Mills County | 37 | 12 | 1 | ~220 | ~50 |
| Mitchell County | 31 | 13 | 1 | ~310 | 30 or fewer |
| Monona County | 22 | 6 | 1 | ~180 | ~40 |
| Monroe County | 26 | 6 | 1 | ~120 | ~20 |
| Montgomery County | 29 | 8 | 1 | ~160 | ~50 |
| Muscatine County | 38 | 8 | 2 | ~370 | ~100 |
| O'Brien County | 24 | 8 | 1 | ~200 | ~50 |
| Osceola County | 29 | 9 | 1 | ~90 | 60 or fewer |
| Page County | 23 | 8 | 1 | ~120 | ~90 |
| Palo Alto County | 19 | 5 | 2 | ~130 | 30 or fewer |
| Plymouth County | 28 | 7 | 1 | ~430 | ~50 |
| Pocahontas County | 26 | 10 | 2 | ~110 | ~130 |
| Polk County | 38 | 8 | 2 | ~4,600 | ~4,600 |
| Pottawattamie County | 41 | 11 | 1 | ~440 | ~370 |
| Poweshiek County | 32 | 7 | 2 | ~240 | ~50 |
| Ringgold County | 25 | 6 | 1 | ~50 | 30 or fewer |
| Sac County | 26 | 10 | 2 | ~50 | ~150 |
| Scott County | 38 | 11 | 2 | ~2,200 | ~360 |
| Shelby County | 33 | 9 | 1 | ~160 | ~40 |
| Sioux County | 28 | 7 | 1 | 20 or fewer | ~70 |
| Story County | 28 | 15 | 2 | ~1,700 | ~780 |
| Tama County | 36 | 7 | 2 | ~220 | ~40 |
| Taylor County | 18 | 10 | 1 | ~160 | 0 |
| Union County | 24 | 5 | 1 | 20 or fewer | ~10 |
| Van Buren County | 23 | 12 | 1 | ~230 | ~20 |
| Wapello County | 20 | 4 | 1 | 10 or fewer | ~150 |
| Warren County | 38 | 8 | 2 | ~700 | ~630 |
| Washington County | 36 | 8 | 2 | ~340 | ~90 |
| Wayne County | 26 | 6 | 1 | ~70 | ~20 |
| Webster County | 28 | 7 | 2 | ~680 | ~80 |
| Winnebago County | 29 | 6 | 2 | ~150 | 30 or fewer |
| Winneshiek County | 22 | 5 | 1 | ~10 | ~60 |
| Woodbury County | 28 | 12 | 1 | ~2,100 | ~290 |
| Worth County | 34 | 6 | 1 | ~100 | 40 or fewer |
| Wright County | 34 | 7 | 2 | ~140 | ~10 |
Drug plans (Part D) in Iowa
Stand-alone drug plans are offered across the whole state. 3 are not offered in Iowa in 2027.
| Plan | Company | What's happening | People in plan (Sept 2026) |
|---|---|---|---|
| SilverScript Choice (PDP) · S5601-050-0 | Aetna Medicare | Not offered: left this county | ~39,000 |
| HealthSpring Assurance Rx (PDP) · S5617-123-0 | HealthSpring | Not offered: company ending this contract | ~2,600 |
| HealthSpring Extra Rx (PDP) · S5617-375-0 | HealthSpring | Not offered: company ending this contract | ~5,400 |
These numbers come from CMS's plan files. If you're in one of these plans, confirm with your Annual Notice of Change or the letter from your plan.
Source: CMS CY2027 Landscape, data as of September 22, 2026 (release 202609.1). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, September 2026. "Probably being replaced" is our own match by company and plan name; see how we get our numbers.