Medicare Advantage plans in Fayette, IA, 2027
Fayette, Iowa has 29 Medicare Advantage plans open to everyone for 2027 (28 in 2026) and 10 special needs plans, according to the CMS landscape files; 19 of the open plans have a $0 premium. 9 plans that served the county in 2026 end or leave it, with 333 members living here in September 2026.
What changes in Fayette for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 28 | 29 | ▲up 1 |
| Special needs plans | 12 | 10 | ▼down 2 |
| Plans with a $0 premium | 18 | 19 | ▲up 1 |
| Plans that lower the Part B premium | 9 | 9 | no change |
| Median out-of-pocket limit | $4,850 | $5,900 | ▲up $1,050 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Fayette join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Aetna Medicare SignatureH1609-001 · HMO-POS | $0 | $4,450 | none | 4.5 of 5 |
| Aetna Medicare Value CareH1609-068 · HMO-POS | $0 | $4,450 | none | 4.5 of 5 |
| Gundersen Quartz Med Advantage ValueH5262-004 · HMO | $0 | $4,450 | none | 4 of 5 |
| Humana USAA Honor GivebackH5216-278 · PPO | $0 | $4,700 | $150 | 3.5 of 5 |
| Devoted Core 034 IAH7993-034 · HMO | $0 | $4,750 | none | 5 of 5 |
| MercyOne Health Plan ChoiceH1846-007 · PPO | $0 | $4,900 | none | 4 of 5 |
| MercyOne Health Plan No PremiumH3668-025 · HMO | $0 | $4,900 | none | 4.5 of 5 |
| HumanaChoice GivebackH5216-340 · PPO | $0 | $5,000 | $63 | 3.5 of 5 |
| Aetna Medicare Signature ExtraH1609-069 · HMO-POS | $0 | $5,500 | none | 4.5 of 5 |
| Devoted Giveback Extras 108 IAH7993-108 · HMO | $0 | $5,900 | $75 | 5 of 5 |
| MercyOne Health Plan Glory No RXH3668-029 · HMO | $0 | $6,500 | $100 | 4.5 of 5 |
| Aetna Medicare EagleH1609-058 · HMO-POS | $0 | $6,750 | $130 | 4.5 of 5 |
| Aetna Medicare Signature ClassicH1608-001 · PPO | $0 | $7,150 | none | 4 of 5 |
| Gundersen Quartz Med Advantage Basic D (w/Rx)H5262-032 · HMO | $0 | $7,150 | none | 4 of 5 |
| Aetna Medicare SignatureH5521-751 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| Devoted Giveback 035 IAH7993-035 · HMO | $0 | $7,150 | $159.70 | 5 of 5 |
| MercyOne Health Plan Cash BackH3668-031 · HMO | $0 | $8,900 | $100 | 4.5 of 5 |
| AARP Medicare Advantage Patriot No Rx IA-MA2H5253-241 · HMO-POS | $0 | $9,850 | $170 | 4 of 5 |
| AARP Medicare Advantage Patriot No Rx IA-MA01H8768-018 · PPO | $0 | $9,850 | $160 | 3.5 of 5 |
| MercyOne Health Plan PlusH3668-026 · HMO | $38 | $4,400 | none | 4.5 of 5 |
Show the other 9 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Gundersen Quartz Med Advantage Core D (w/Rx)H5262-021 · HMO | $42 | $5,900 | none | 4 of 5 |
| AARP Medicare Advantage from UHC IA-0003H8768-017 · PPO | $45 | $7,150 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC IA-0002H5253-108 · HMO-POS | $49 | $5,900 | none | 4 of 5 |
| HumanaChoiceH5216-014 · PPO | $51 | $7,500 | none | 3.5 of 5 |
| Aetna Medicare Enhanced Classic ExtraH1608-117 · PPO | $75 | $7,150 | none | 4 of 5 |
| Aetna Medicare Enhanced ExtraH5521-752 · PPO | $75 | $7,150 | none | 4.5 of 5 |
| Gundersen Quartz Med Advantage Value D (w/Rx)H5262-003 · HMO | $97 | $4,900 | none | 4 of 5 |
| Gundersen Quartz Med Advantage EliteH5262-005 · HMO | $124 | $4,000 | none | 4 of 5 |
| Gundersen Quartz Med Advantage Elite D (w/Rx)H5262-001 · HMO | $202 | $4,000 | none | 4 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Fayette in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| Blue Medicare Advantage PPOH5900-001 | 231 | Not offered |
| Wellcare SimpleH1862-005 | 39 | Leaves the county |
| Wellcare Dual Liberty SyncH1862-003 | 31 | Leaves the county |
| Wellcare Dual ReserveH1862-006 | 16 | Leaves the county |
| Humana Full AccessH5216-411 | 16 | Not offered |
| Wellcare Dual AccessH1862-004 | fewer than 11 | Leaves the county |
| Humana Together in HealthH5216-413 | fewer than 11 | Not offered |
| Humana Together in Health SelectH5216-453 | fewer than 11 | Not offered |
| Blue Medicare Advantage Valor PPOH5900-006 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Devoted C-SNP Giveback Extras 063 IAH7993-063 | Chronic or Disabling Condition | $0 |
| UHC Complete Care Support IA-1AH5253-239 | Chronic or Disabling Condition | $0 |
| Humana Together in HealthH7617-118 | Institutional | $0 |
| Devoted C-SNP Plus 036 IAH7993-036 | Chronic or Disabling Condition | $0 |
| Molina Medicare Complete CareH4367-002 | Dual-Eligible | $0.60 |
| Wellpoint Full Dual AdvantageH0907-003 | Dual-Eligible | $12 |
| UHC Dual Complete IA-S001H0169-001 | Dual-Eligible | $24.60 |
| Iowa Health AdvantageH6765-001 | Institutional | $24.60 |
| Iowa Health Advantage ChoiceH6765-002 | Institutional | $24.60 |
| UHC Complete Care IA-5H5253-243 | Chronic or Disabling Condition | $28 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Fayette use Medicare Advantage?
1,745 of the county's 5,370 people with Medicare were in a Medicare Advantage plan in September 2026, 32.5%; in Iowa as a whole the share is 37.6%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in IowaEvery county of the state
- 9 stand-alone drug plans in IowaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027