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Medicare plans in Union County, IA — 2027
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 2027, Union County, Iowa has 35 Medicare plans (13 Medicare Advantage with drug coverage, 3 without, 9 standalone Part D, 10 Special Needs) from 11 carriers. 17 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $4,400.
What changed vs 2026
- Carriers entered: Devoted Health, Molina Healthcare of Iowa, Inc.
- Carriers exited: Passport Advantage, Wellmark Advantage Health Plan
- $0-premium plans up 6
- Average star rating up 0.2
Market snapshot
- Residents 65 and older
- 2,490
- Residents 60–64, aging in over the next five years
- 981
- Medicare eligibles
- 3,106
- Medicare Advantage penetration
- 28.1%
- Plans per 1,000 residents 65+
- 14.1
Carriers by number of plans
- Humana — 7 plans
- Wellcare — 6 plans
- Devoted Health — 5 plans
- MediGold — 5 plans
- Aetna Medicare — 4 plans
- Iowa Health Advantage — 2 plans
- UnitedHealthcare — 2 plans
- HealthSpring — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| DEVOTED C-SNP GIVEBACK EXTRAS 063 IA (HMO C-SNP) (H7993-063-0) | Devoted Health | SNP | HMO C-SNP | $0 | $700 | $5,900 | 4.5 |
| DEVOTED C-SNP PLUS 036 IA (HMO C-SNP) (H7993-036-0) | Devoted Health | SNP | HMO C-SNP | $0 | $461 | $9,850 | 4.5 |
| DEVOTED CORE 034 IA (HMO) (H7993-034-0) | Devoted Health | MA-PD | HMO | $0 | $650 | $4,750 | 4.5 |
| DEVOTED GIVEBACK 035 IA (HMO) (H7993-035-0) | Devoted Health | MA-PD | HMO | $0 | $461 | $7,150 | 4.5 |
| DEVOTED GIVEBACK EXTRAS 108 IA (HMO) (H7993-108-0) | Devoted Health | MA-PD | HMO | $0 | $700 | $5,900 | 4.5 |
| Humana Together in Health (PPO I-SNP) (H7617-118-0) | Humana | SNP | PPO I-SNP | $0 | $700 | $9,850 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-145-0) | Humana | PDP | PDP | $18.30 | $700 | 4.5 | |
| Iowa Health Advantage (HMO I-SNP) (H6765-001-0) | Iowa Health Advantage | SNP | HMO I-SNP | $24.60 | $700 | $9,850 | 4.5 |
| Iowa Health Advantage Choice (HMO I-SNP) (H6765-002-0) | Iowa Health Advantage | SNP | HMO I-SNP | $24.60 | $700 | $9,850 | 4.5 |
| Humana Value Rx Plan (PDP) (S5884-204-0) | Humana | PDP | PDP | $33.30 | $687 | 4.5 |
Showing 10 of 35 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 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.