Medicare Advantage · State · 2026 plan year

Medicare Advantage in South Dakota

According to the Centers for Medicare & Medicaid Services (CMS) 2026 plan-year files, 27 plans across 66 counties; find your county to compare every plan available where you live.

27
Plans available
3.8★
Avg CMS rating
$114.22
Avg premium/mo
0
5-star plans

The short answer

South Dakota ranks #45 of 49 by Medicare Advantage plan inventory (27 plans) but #27 by average CMS star (3.80★).

#45
inventory rank
27
plans statewide
#27
avg star rank
3.80★
mean CMS rating

Plan inventory and average star are independent CMS signals; a large catalog is not the same as the highest mean quality score.

Product mix · SD plans_unique

How 25 South Dakota plans split by CMS plan type

Exclusive CMS plan-type codes for this state's representative plans_unique rows, orthogonal to the star-bucket chart below. Source: CMS landscape, 2026.

Narrower statewide MA inventory

South Dakota in the narrower-inventory third

South Dakota ranks #45 of 49 by plan count (27 plans) - bottom-third inventory; county Landscape rows matter more than state totals. According to CMS 2026 plan-year filings, South Dakota beneficiaries can choose from 27 distinct Medicare Advantage plans marketed across 66 counties - a bottom-third inventory book (#45 of 49); county listings beat the state total here. No plan in this state currently holds the top 5-star tier for the 2026 plan year. County (FIPS) service areas still decide what is sold where you live - open a county below before the October 15 - December 7 Annual Election Period closes.

plans #45/49 · stars #27/49 · 66 counties · avg prem $114.22/mo

Quality on a narrower MA book in South Dakota

South Dakota offers 27 Medicare Advantage plans across 66 counties. Mean star 3.8★ on a narrower inventory book (star rank #27/49); sparse markets make each county row more decisive. Confirm premiums and networks on <a class="underline" href="https://www.medicare.gov/plan-compare/" target="_blank" rel="external noopener">Medicare.gov Plan Compare</a>.

Where South Dakota sits on CMS quality

Average CMS star rating across the state's own Medicare Advantage plans, against every state and territory in the CMS file

3.8★ Top 53% higher than 47% of 49 states and territories

3.25★–3.5★: 1 states and territories (2%). Below this entry. 3.5★–3.75★: 13 states and territories (27%). Below this entry. 3.75★–4★: 23 states and territories (47%). This entry sits in this band. 4★–4.25★: 10 states and territories (20%). Above this entry. 4.25★–4.5★: 1 states and territories (2%). Above this entry. 4.5★–4.75★: 0 states and territories (0%). Above this entry. 4.75★–5★: 1 states and territories (2%). Above this entry. This state 3.25★ 5★ every state and territory, bucketed by value

Each bar is a band; taller bars hold more states and territories. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

Counties in South Dakota

Click a county to see all Medicare Advantage plans available in your area.

Aurora
18 plans
3.8
$94.72/mo avg
Beadle
16 plans
3.8
$96.36/mo avg
Bennett
8 plans
3.5
$216.40/mo avg
Bon Homme
20 plans
3.8
$85.93/mo avg
Brookings
18 plans
4.0
$54.14/mo avg
Brown
11 plans
3.8
$146.44/mo avg
Brule
13 plans
3.7
$112.03/mo avg
Buffalo
13 plans
3.7
$112.03/mo avg
Butte
10 plans
3.8
$75.43/mo avg
Campbell
18 plans
3.8
$94.72/mo avg
Charles Mix
20 plans
3.8
$85.93/mo avg
Clark
16 plans
4.0
$56.17/mo avg
Clay
20 plans
3.9
$84.43/mo avg
Codington
9 plans
3.9
$68.14/mo avg
Corson
18 plans
3.8
$94.72/mo avg
Custer
12 plans
3.8
$68.00/mo avg
Davison
16 plans
3.9
$57.67/mo avg
Day
18 plans
4.0
$54.14/mo avg
Deuel
18 plans
4.0
$54.14/mo avg
Dewey
13 plans
3.7
$135.37/mo avg
Douglas
22 plans
3.9
$78.37/mo avg
Edmunds
10 plans
3.5
$182.30/mo avg
Fall River
10 plans
3.8
$75.43/mo avg
Faulk
8 plans
3.5
$216.40/mo avg
Grant
8 plans
3.5
$216.40/mo avg
Gregory
13 plans
3.7
$112.03/mo avg
Haakon
14 plans
3.7
$123.89/mo avg
Hamlin
12 plans
4.0
$58.67/mo avg
Hand
10 plans
3.5
$146.64/mo avg
Hanson
20 plans
3.9
$84.43/mo avg
Harding
13 plans
3.7
$135.37/mo avg
Hughes
10 plans
3.7
$146.44/mo avg
Hutchinson
20 plans
3.9
$84.43/mo avg
Hyde
8 plans
3.5
$216.40/mo avg
Jackson
14 plans
3.7
$123.89/mo avg
Jerauld
15 plans
3.7
$108.02/mo avg
Jones
8 plans
3.5
$216.40/mo avg
Kingsbury
18 plans
4.0
$54.14/mo avg
Lake
20 plans
3.9
$84.43/mo avg
Lawrence
12 plans
3.8
$68.00/mo avg
Lincoln
22 plans
3.9
$78.37/mo avg
Lyman
8 plans
3.5
$216.40/mo avg
Marshall
16 plans
4.0
$56.17/mo avg
McCook
22 plans
3.9
$78.37/mo avg
McPherson
10 plans
3.5
$182.30/mo avg
Meade
12 plans
3.8
$68.00/mo avg
Mellette
8 plans
3.5
$216.40/mo avg
Miner
22 plans
3.9
$78.37/mo avg
Minnehaha
22 plans
3.9
$78.37/mo avg
Moody
22 plans
3.9
$78.37/mo avg
Oglala Lakota
8 plans
3.5
$216.40/mo avg
Pennington
12 plans
3.8
$68.00/mo avg
Perkins
13 plans
3.7
$135.37/mo avg
Potter
8 plans
3.5
$216.40/mo avg
Roberts
13 plans
4.0
$62.30/mo avg
Sanborn
16 plans
4.0
$56.17/mo avg
Spink
12 plans
4.0
$58.67/mo avg
Stanley
10 plans
3.7
$146.44/mo avg
Sully
8 plans
3.5
$216.40/mo avg
Todd
8 plans
3.5
$216.40/mo avg
Tripp
10 plans
3.5
$146.64/mo avg
Turner
22 plans
3.9
$78.37/mo avg
Union
20 plans
3.8
$85.93/mo avg
Walworth
18 plans
3.8
$94.72/mo avg
Yankton
18 plans
3.8
$94.72/mo avg
Ziebach
13 plans
3.7
$135.37/mo avg

Narrower markets: star ratings and county rows matter more than state totals.

Note: PlainMedicare provides publicly available CMS data for informational purposes only. This is not medical or insurance advice. Consult a licensed Medicare counselor or insurance agent before making enrollment decisions. Plan availability and premiums change annually, always verify with Medicare.gov or 1-800-MEDICARE.
Data sourced from the Centers for Medicare & Medicaid Services (CMS). Retrieved and formatted by PlainMedicare

Using South Dakota's Medicare Advantage market

Plan availability and star ratings vary by county, not just by state.

  • South Dakota beneficiaries can choose from 27 distinct Medicare Advantage plans across 66 counties (#45 of 49 states by plan count) - look up your own county for what's actually sold there. Browse by county
  • The state's mean CMS star rating ranks #27 of 49 - see how star ratings are built before comparing plans. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare

State-level figures average every county's filings; the plans actually sold where you live can differ from the state total.

PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.

CMS lists 131,985 Medicare Advantage and Part D plan records in the current public files. PlainMedicare refreshes this registry with each annual release.