Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Great Plain Medicare Advantage Gold, 2027
H1787Contract002Plan
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
Great Plain Medicare Advantage Gold (H1787-002) costs $106 a month in 2027, up $34 from 2026, with an in-network out-of-pocket limit of $3,750 ($2,750 in 2026). It takes in the members of H8967-002.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $72 | $106 | ▲up $34 |
| In-network out-of-pocket limit | $2,750 | $3,750 | ▲up $1,000 |
| Drug deductible | $0 | $300 | ▲up $300 |
| Hospital stay, in network | $185 a day for days 1–5, then $0 a day for days 6–90 | $300 a day for days 1–5, then $0 a day for days 6–90 | ▲up $575for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $50 a day for days 21–100 | $0 a day for days 1–20, then $100 a day for days 21–100 | ▲up $500for a 30-day stay |
| Counties served | 31 | 50 | ▲up 19 |
| Drug tier 2, generic | $10 | $8 | ▼down $2 |
| Drug tier 3, preferred brand | $45 | 25% of the cost | changed |
| Drug tier 4, non-preferred drug | $95 | 30% of the cost | changed |
| Drug tier 5, specialty tier | 33% of the cost | 30% of the cost | ▼down 3 points |
| 12 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $30 copay | $30 copay | no change |
| Emergency room | $90 copay | $90 copay | no change |
| Medical deductible, in network | none | none | no change |
| Ground ambulance, in network | $150 copay | $150 copay | no change |
| Comprehensive dental, yearly limit | $2,000 a year | $2,000 a year | 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 |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 6, select care drugs | $0 | $0 | 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.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $10 | $8 |
| Tier 3 | Preferred Brand | $45 | 25% of the cost |
| Tier 4 | Non-Preferred Drug | $95 | 30% of the cost |
| Tier 5 | Specialty Tier | 33% of the cost | 30% of the cost |
| Tier 6 | Select Care Drugs | $0 | $0 |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
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, 6 a higher one. On the premium, 6 plans have a lower premium.
Out-of-pocket limits of the 7 institutional special needs 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: $106 a month and $3,750.
Iowa
North Dakota
South Dakota
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 61 members. In 2027 it costs $106 a month with a $3,750 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 Advantage GoldH8967-002 | 39 | fewer than 11 a county | $72 | ▲up $34 | $2,750 | ▲up $1,000 |
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
- H1787-002
- 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
- 61
- 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.