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Medicare plans in Osceola County, IA — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Osceola County, Iowa has 40 Medicare plans (13 Medicare Advantage with drug coverage, 3 without, 11 standalone Part D, 10 Special Needs) from 12 carriers. 10 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,500.
Market snapshot
- Residents 65 and older
- 1,389
- Residents 60–64, aging in over the next five years
- 508
- Medicare eligibles
- 1,548
- Medicare Advantage penetration
- 19.1%
- Plans per 1,000 residents 65+
- 28.8
Carriers by number of plans
- Humana — 9 plans
- Aetna Medicare — 8 plans
- Wellcare — 6 plans
- Medica — 3 plans
- Align powered by Sanford Health Plan — 2 plans
- HealthSpring — 2 plans
- Iowa Health Advantage — 2 plans
- UnitedHealthcare — 2 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
| Aetna Medicare Signature (HMO-POS) (H1609-001-0) | Aetna Medicare | MA-PD | HMO-POS | $0 | $615 | $4,300 | 4.5 |
| Aetna Medicare Signature Extra (HMO-POS) (H1609-069-0) | Aetna Medicare | MA-PD | HMO-POS | $0 | $615 | $5,000 | 4.5 |
| Align ChoicePlus (PPO) (H8385-003-0) | Align powered by Sanford Health Plan | MA-PD | PPO | $0 | $350 | $4,900 | 4.5 |
| Aetna Medicare Value Care (HMO-POS) (H1609-068-0) | Aetna Medicare | MA-PD | HMO-POS | $41 | $615 | $3,900 | 4.5 |
| Iowa Health Advantage (HMO I-SNP) (H6765-001-0) | Iowa Health Advantage | SNP | HMO I-SNP | $41.50 | $615 | $9,250 | 4.5 |
| Iowa Health Advantage Choice (HMO I-SNP) (H6765-002-0) | Iowa Health Advantage | SNP | HMO I-SNP | $41.50 | $615 | $9,250 | 4.5 |
| Align ChoiceElite (PPO) (H8385-001-0) | Align powered by Sanford Health Plan | MA-PD | PPO | $66 | $300 | $3,500 | 4.5 |
| Aetna Medicare Eagle (HMO-POS) (H1609-058-0) | Aetna Medicare | MA | HMO-POS | | | $6,750 | 4.5 |
| Aetna Medicare Elite (PPO) (H1608-037-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $5,500 | 4.0 |
| Aetna Medicare Signature (PPO) (H1608-001-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $5,000 | 4.0 |
Showing 10 of 40 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.