Medicare Advantage plans in Cass, ND, 2027
Cass, North Dakota has 14 Medicare Advantage plans open to everyone for 2027 (19 in 2026) and 5 special needs plans, according to the CMS landscape files; 4 of the open plans have a $0 premium. 9 plans that served the county in 2026 end or leave it, with 3,843 members living here in September 2026.
What changes in Cass for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 19 | 14 | ▼down 5 |
| Special needs plans | 6 | 5 | ▼down 1 |
| Plans with a $0 premium | 5 | 4 | ▼down 1 |
| Plans that lower the Part B premium | 1 | 1 | no change |
| Median out-of-pocket limit | $5,900 | $7,150 | ▲up $1,250 |
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 Cass 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 |
| Aetna Medicare EliteH9431-014 · PPO | $0 | $5,900 | none | 3 of 5 |
| Aetna Medicare Signature Classic ExtraH1608-081 · PPO | $0 | $7,150 | none | 4 of 5 |
| Aetna Medicare Signature ExtraH5521-759 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC FG-0001H2001-118 · PPO | $24.60 | $7,150 | none | 4.5 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 |
| Align SecureChoiceH8385-005 · PPO | $60 | $7,150 | none | 4.5 of 5 |
| Medica Prime Solution Thrift w/RxH2450-007 · Cost | $91 | $7,150 | none | 3.5 of 5 |
| Align SecureChoice GoldH8385-006 · PPO | $100 | $6,500 | none | 4.5 of 5 |
| Medica Prime Solution CoreH2450-034 · Cost | $103 | $4,900 | none | 3.5 of 5 |
| Medica Prime Solution PremierH2450-036 · Cost | $227 | $3,900 | 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 Cass 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 |
|---|---|---|
| Align ChoicePlusH8385-004 | 1,141 | Not offered |
| NextBlue Discover PPOH6202-004 | 820 | Not offered |
| Align ChoiceEliteH8385-002 | 722 | Not offered |
| Medica Prime Solution Core w/RxH2450-035 | 502 | Not offered |
| NextBlue Summit PPOH6202-005 | 258 | Not offered |
| NextBlue Freedom PPOH6202-003 | 194 | Not offered |
| Medica Prime Solution Premier w/RxH2450-037 | 120 | Not offered |
| AARP Medicare Advantage from UHC FG-0003H2001-120 | 59 | Not offered |
| Align Dual PartnershipH8967-003 | 27 | 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 |
|---|---|---|
| Great Plains Medicare AdvantageH1787-001 | Institutional | $5 |
| UHC Complete Care Support FG-5H2001-135 | Chronic or Disabling Condition | $19.60 |
| UHC Dual Complete ND-S1H2001-085 | Dual-Eligible | $24.60 |
| Medica Advantage DualH8889-016 | Dual-Eligible | $24.60 |
| Great Plain Medicare Advantage GoldH1787-002 | Institutional | $106 |
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 Cass use Medicare Advantage?
12,052 of the county's 31,398 people with Medicare were in a Medicare Advantage plan in September 2026, 38.4%; in North Dakota as a whole the share is 35.3%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in North DakotaEvery county of the state
- 9 stand-alone drug plans in North DakotaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027