Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Great Plains Medicare Advantage, 2027

H1787Contract001Plan

HMO I-SNP · special needs plan, institutional · 50 counties in Iowa, North Dakota, South Dakota

Run by Sanford Health Plan (contract H1787), sold as Great Plains Medicare Advantage, owned by Sanford Health

Takes in 1 plan

2026 star rating, contract H1787: not rated (too little data)

Great Plains Medicare Advantage (H1787-001) costs $5 a month in 2027, down $7 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). It takes in the members of H8967-001.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Monthly premium	$12	$5	down $7
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Comprehensive dental, yearly limit	$2,000 a year	not offered	dropped
Counties served	31	50	up 19
11 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	20% of the cost	20% of the cost	no change
Emergency room	$90 copay	$90 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	not filed	not filed	no change
Skilled nursing facility, in network	not filed	not filed	no change
Ground ambulance, in network	20% of the cost	20% of the cost	no change
Eyewear, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	$2,000 a year	$2,000 a year	no change
Over-the-counter items, yearly	not offered	not offered	no change

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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

How does it compare with plans sold where it is?

In the counties it serves, 7 institutional special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 4 the same. On the premium, 2 plans have a lower premium, 4 a higher one.

Out-of-pocket limits of the 7 institutional special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0001 plan

$4,000 to under $6,0001 plan

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)5 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 50 counties: $5 a month and $9,850.

Iowa

Fremont Harrison Lyon Mills Montgomery Plymouth Pottawattamie Shelby

North Dakota

Barnes Burleigh Cass Dickey Grand Forks Hettinger McHenry McLean Morton Nelson Ramsey Ransom Renville Richland Stark Stutsman Traill Walsh Ward

South Dakota

Bon Homme Brookings Charles Mix Codington Custer Davison Day Deuel Douglas Hand Kingsbury Lawrence Lincoln McCook Meade Miner Minnehaha Moody Pennington Roberts Tripp Turner Union

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 305 members. In 2027 it costs $5 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
Great Plains Medicare AdvantageH8967-001	299	233	$41.50	down $36.50	$8,315	up $1,535

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). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H1787-001
Legal name of the contract: Sanford Health Plan
Sold as: Great Plains Medicare Advantage
Parent company: Sanford Health
Plan type: HMO I-SNP
2026 star rating of the contract: not rated (too little data) overall; health plan not rated, drug plan 3.5 of 5
Members, September 2026: 305
Plan website, as filed with CMS: www.greatplainsmedicareadvantage.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Minnehaha, SDWhere most of its members live; premiums and limits side by side
Every Great Plains Medicare Advantage plan for 2027Its contracts, counties and plans that end
The other 1 plan of contract H1787Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.