Medicare Advantage plans in St. Louis, MN, 2027
St. Louis, Minnesota has 16 Medicare Advantage plans open to everyone for 2027 (18 in 2026) and 3 special needs plans, according to the CMS landscape files; 1 of the open plans have a $0 premium. 2 plans that served the county in 2026 end or leave it, with 832 members living here in September 2026.
What changes in St. Louis for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 18 | 16 | ▼down 2 |
| Special needs plans | 3 | 3 | no change |
| Plans with a $0 premium | 1 | 1 | no change |
| Plans that lower the Part B premium | 1 | 1 | no change |
| Median out-of-pocket limit | $5,400 | $5,950 | ▲up $550 |
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 St. Louis join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Medica Prime Solution StandardH2450-044 · Cost | not filed | $7,150 | none | 3.5 of 5 |
| Medica Prime Solution Standard w/RxH2450-049 · Cost | not filed | $7,150 | none | 3.5 of 5 |
| AARP Medicare Advantage Patriot No Rx FG-MA01H2001-124 · PPO | $0 | $5,900 | $170 | 4.5 of 5 |
| AARP Medicare Advantage from UHC FG-0001H2001-118 · PPO | $24.60 | $7,150 | none | 4.5 of 5 |
| Platinum Blue Core PlanH2461-005 · Cost | $48 | $6,000 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC FG-0002H2001-119 · PPO | $52 | $7,150 | none | 4.5 of 5 |
| Medica Prime Solution ThriftH2450-030 · Cost | $53 | $7,150 | none | 3.5 of 5 |
| Platinum Blue Core Plan with RxH2461-008 · Cost | $79.80 | $6,000 | none | 3.5 of 5 |
| Medica Prime Solution Thrift w/RxH2450-007 · Cost | $91 | $7,150 | none | 3.5 of 5 |
| Medica Prime Solution BasicH2450-032 · Cost | $114 | $5,900 | none | 3.5 of 5 |
| Platinum Blue Choice PlanH2461-006 · Cost | $152 | $3,900 | none | 3.5 of 5 |
| Medica Prime Solution EnhancedH2450-033 · Cost | $223 | $4,450 | none | 3.5 of 5 |
| Medica Prime Solution Basic w/RxH2450-016 · Cost | $242.10 | $5,900 | none | 3.5 of 5 |
| Platinum Blue Complete PlanH2461-007 · Cost | $252 | $3,000 | none | 3.5 of 5 |
| Platinum Blue Choice Plan with RxH2461-009 · Cost | $260.50 | $3,900 | none | 3.5 of 5 |
| Platinum Blue Complete Plan with RxH2461-010 · Cost | $407.60 | $3,000 | none | 3.5 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 St. Louis 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 |
|---|---|---|
| Medica Prime Solution Enhanced w/Rx 2H2450-002 | 576 | Not offered |
| AARP Medicare Advantage from UHC FG-0003H2001-120 | 256 | 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 |
|---|---|---|
| SecureBlueH2425-001 | Dual-Eligible | $0 |
| UHC Complete Care Support FG-5H2001-135 | Chronic or Disabling Condition | $19.60 |
| Medica DUAL SolutionH2458-002 | Dual-Eligible | $24.60 |
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 St. Louis use Medicare Advantage?
33,870 of the county's 52,270 people with Medicare were in a Medicare Advantage plan in September 2026, 64.8%; in Minnesota as a whole the share is 57.1%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in MinnesotaEvery county of the state
- 9 stand-alone drug plans in MinnesotaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027