Plans ending in 2027 · Iowa
Medicare Advantage Plans Ending in Iowa for 2027, County by County
10 general Medicare Advantage plans sold in Iowa in 2026 do not appear anywhere in the CMS 2027 plan file. 99 of 99 counties lose at least one plan. Pick your county below for the exact list, the members on each plan, what remains, and the calendar.
Sources: CMS CY2026 and CY2027 landscape files, compared by Contract Plan ID; CMS CPSC enrollment, September 2026. General = MA and MA-PD rows with SNP indicator No. Iowa has 9 stand-alone drug plans for 2027.
By county
| County | Plans gone | Discontinued | Left the county | Members on ending plans | Plans 2026 → 2027 |
|---|---|---|---|---|---|
| Polk County | 5 | 5 | 0 | 8,901 | 24 → 25 |
| Linn County | 4 | 4 | 0 | 4,087 | 18 → 20 |
| Story County | 12 | 5 | 7 | 2,448+ | 18 → 7 |
| Woodbury County | 6 | 4 | 2 | 2,209+ | 15 → 11 |
| Johnson County | 4 | 4 | 0 | 2,135+ | 17 → 16 |
| Scott County | 5 | 4 | 1 | 2,127+ | 23 → 24 |
| Dallas County | 5 | 5 | 0 | 1,731+ | 24 → 25 |
| Black Hawk County | 4 | 4 | 0 | 1,723+ | 22 → 21 |
| Warren County | 5 | 5 | 0 | 1,332+ | 24 → 25 |
| Marshall County | 5 | 5 | 0 | 1,161+ | 23 → 24 |
| Marion County | 3 | 2 | 1 | 795+ | 15 → 16 |
| Pottawattamie County | 8 | 7 | 1 | 780+ | 25 → 21 |
| Jasper County | 5 | 5 | 0 | 773+ | 24 → 25 |
| Webster County | 4 | 4 | 0 | 766+ | 17 → 16 |
| Jefferson County | 4 | 3 | 1 | 736+ | 16 → 13 |
| Cerro Gordo County | 2 | 2 | 0 | 644+ | 15 → 18 |
| Clinton County | 4 | 4 | 0 | 619+ | 23 → 25 |
| Jones County | 4 | 4 | 0 | 570+ | 23 → 25 |
| Des Moines County | 10 | 4 | 6 | 554+ | 18 → 9 |
| Greene County | 7 | 4 | 3 | 537+ | 19 → 16 |
| Clayton County | 10 | 4 | 6 | 533+ | 21 → 12 |
| Dickinson County | 4 | 4 | 0 | 527+ | 17 → 16 |
| Butler County | 7 | 4 | 3 | 494+ | 23 → 18 |
| Plymouth County | 4 | 4 | 0 | 482+ | 13 → 11 |
| Madison County | 5 | 5 | 0 | 464+ | 24 → 25 |
| Muscatine County | 4 | 4 | 0 | 452+ | 23 → 25 |
| Benton County | 4 | 4 | 0 | 451+ | 23 → 25 |
| Clarke County | 4 | 4 | 0 | 432+ | 18 → 20 |
| Washington County | 4 | 4 | 0 | 402+ | 23 → 25 |
| Boone County | 4 | 4 | 0 | 376+ | 23 → 25 |
| Iowa County | 3 | 3 | 0 | 346+ | 21 → 24 |
| Hardin County | 4 | 4 | 0 | 339+ | 23 → 25 |
| Mahaska County | 3 | 3 | 0 | 333+ | 16 → 17 |
| Harrison County | 8 | 5 | 3 | 327+ | 20 → 14 |
| Delaware County | 4 | 4 | 0 | 312+ | 23 → 25 |
| Buchanan County | 3 | 3 | 0 | 311+ | 19 → 21 |
| Fayette County | 5 | 4 | 1 | 309+ | 28 → 29 |
| Howard County | 10 | 4 | 6 | 301+ | 13 → 4 |
| Poweshiek County | 4 | 4 | 0 | 291+ | 22 → 25 |
| Cedar County | 4 | 4 | 0 | 290+ | 23 → 25 |
| Grundy County | 4 | 4 | 0 | 290+ | 23 → 25 |
| Lee County | 9 | 3 | 6 | 287+ | 17 → 9 |
| Mitchell County | 10 | 4 | 6 | 281+ | 20 → 10 |
| Chickasaw County | 9 | 3 | 6 | 275+ | 18 → 9 |
| Mills County | 9 | 6 | 3 | 268+ | 24 → 18 |
| Floyd County | 4 | 4 | 0 | 266+ | 23 → 22 |
| Clay County | 4 | 4 | 0 | 265+ | 16 → 15 |
| Henry County | 4 | 4 | 0 | 264+ | 21 → 20 |
| Tama County | 4 | 4 | 0 | 264+ | 23 → 25 |
| O'Brien County | 5 | 5 | 0 | 247+ | 12 → 10 |
| Davis County | 9 | 3 | 6 | 246+ | 13 → 4 |
| Van Buren County | 9 | 3 | 6 | 244+ | 14 → 5 |
| Pocahontas County | 7 | 4 | 3 | 243+ | 17 → 12 |
| Louisa County | 7 | 4 | 3 | 227+ | 24 → 22 |
| Cherokee County | 4 | 3 | 1 | 226+ | 12 → 9 |
| Page County | 5 | 2 | 3 | 213+ | 13 → 9 |
| Monona County | 3 | 3 | 0 | 212+ | 10 → 11 |
| Montgomery County | 5 | 3 | 2 | 209+ | 16 → 13 |
| Lyon County | 9 | 5 | 4 | 206+ | 16 → 10 |
| Appanoose County | 3 | 3 | 0 | 205+ | 15 → 13 |
| Sac County | 7 | 4 | 3 | 198+ | 17 → 12 |
| Shelby County | 6 | 4 | 2 | 197+ | 20 → 17 |
| Carroll County | 4 | 4 | 0 | 177+ | 17 → 17 |
| Audubon County | 10 | 4 | 6 | 164+ | 15 → 8 |
| Jackson County | 4 | 4 | 0 | 164+ | 23 → 25 |
| Buena Vista County | 3 | 3 | 0 | 163+ | 14 → 13 |
| Lucas County | 3 | 3 | 0 | 162+ | 14 → 16 |
| Kossuth County | 2 | 2 | 0 | 162+ | 14 → 21 |
| Hamilton County | 4 | 4 | 0 | 160+ | 23 → 22 |
| Taylor County | 9 | 3 | 6 | 156+ | 10 → 1 |
| Calhoun County | 4 | 4 | 0 | 154+ | 17 → 16 |
| Wapello County | 2 | 2 | 0 | 154+ | 9 → 8 |
| Wright County | 4 | 4 | 0 | 152+ | 22 → 21 |
| Cass County | 4 | 2 | 2 | 147+ | 15 → 13 |
| Emmet County | 2 | 2 | 0 | 147+ | 9 → 8 |
| Monroe County | 3 | 3 | 0 | 139+ | 15 → 13 |
| Palo Alto County | 3 | 3 | 0 | 133+ | 9 → 7 |
| Dubuque County | 1 | 1 | 0 | 125 | 7 → 7 |
| Keokuk County | 3 | 3 | 0 | 120+ | 19 → 18 |
| Winnebago County | 3 | 3 | 0 | 116+ | 16 → 22 |
| Franklin County | 4 | 4 | 0 | 114+ | 22 → 21 |
| Crawford County | 3 | 3 | 0 | 107+ | 13 → 15 |
| Decatur County | 3 | 3 | 0 | 104+ | 15 → 16 |
| Worth County | 4 | 4 | 0 | 95+ | 20 → 18 |
| Humboldt County | 4 | 4 | 0 | 93+ | 21 → 20 |
| Fremont County | 5 | 3 | 2 | 90+ | 19 → 17 |
| Osceola County | 6 | 6 | 0 | 86+ | 16 → 14 |
| Hancock County | 4 | 4 | 0 | 85+ | 22 → 21 |
| Wayne County | 3 | 3 | 0 | 82+ | 15 → 16 |
| Bremer County | 4 | 3 | 1 | 76+ | 19 → 17 |
| Sioux County | 4 | 4 | 0 | 70+ | 13 → 12 |
| Winneshiek County | 2 | 2 | 0 | 67 | 14 → 14 |
| Ida County | 5 | 4 | 1 | 57+ | 15 → 12 |
| Allamakee County | 3 | 3 | 0 | 56+ | 18 → 17 |
| Ringgold County | 3 | 3 | 0 | 46+ | 15 → 16 |
| Adams County | 6 | 3 | 3 | 29+ | 21 → 17 |
| Guthrie County | 3 | 3 | 0 | 29+ | 17 → 20 |
| Union County | 2 | 2 | 0 | 14+ | 14 → 16 |
| Adair County | 2 | 2 | 0 | fewer than 11 each | 14 → 16 |
The discontinued plans, statewide
| Plan (2026) | Plan ID | Type | Counties sold in | Members, September 2026 |
|---|---|---|---|---|
| Blue Medicare Advantage PPO Wellmark Advantage Health Plan | H5900-001 | PPO | 81 | 33,003 |
| AARP Medicare Advantage from UHC IA-1 UnitedHealthcare | H5253-209 | HMO-POS | 7 | 7,043 |
| Humana Full Access H5216-411 Humana | H5216-411 | PPO | 90 | 4,292 (+20 counties under 11) |
| Aetna Medicare Elite Aetna Medicare | H1608-037 | PPO | 69 | 1,460 (+40 counties under 11) |
| Align ChoicePlus Align powered by Sanford Health Plan | H8385-003 | PPO | 4 | 166 (+1 county under 11) |
| Medica Advantage Value Medica | H8889-010 | PPO | 3 | 147 |
| Blue Medicare Advantage Valor PPO Wellmark Advantage Health Plan | H5900-006 | PPO | 98 | 40 (+95 counties under 11) |
| Medica Advantage Select Medica | H8889-015 | PPO | 3 | 25 (+2 counties under 11) |
| Medica Advantage Preferred Medica | H8889-011 | PPO | 3 | 12 (+2 counties under 11) |
| Align ChoiceElite Align powered by Sanford Health Plan | H8385-001 | PPO | 4 | 11 (+3 counties under 11) |
Plans with no row anywhere in the CMS 2027 file. Members are summed across the Iowa counties where CMS reports a count. Plans re-issued under a new ID appear here and as "new" on the county pages.
What a member of an ending plan does next
- Keep the letter. A non-renewing plan must notify you by mail at least 90 days before it ends (42 CFR § 422.506), on or about October 2 for December 31.
- Choose between October 15 and December 7 so new coverage starts January 1 (Medicare.gov): another Advantage plan, or Original Medicare with a drug plan and, if you want it, Medigap.
- The Medigap door is open: Plan A, B, D, G, K or L with no health questions, from 60 days before to 63 days after the plan ends, November 1, 2026 through March 4, 2027 (Medicare.gov).
- If you miss December 7, a discontinued plan gives you a Special Enrollment Period through February 28 (42 CFR § 422.62), with January spent in Original Medicare.
Holding a letter in Iowa?
Brian Penner is licensed in Iowa and works by phone. Bring the letter, your doctors and your prescriptions, and we will compare the plans we offer in your county against all three doors. No cost, no pressure. We do not offer every plan available in your area.
Book a phone appointment →How we know all this: the Medicare On Main Data Desk built these pages from the CMS CY2026 and CY2027 landscape files compared by Contract Plan ID, CMS's September 2026 county-level enrollment report, and the federal rules and Medicare.gov pages on non-renewal notices, enrollment periods and Medigap guaranteed-issue rights. Carrier names are factual reporting, not endorsement or criticism. This is education, not advice; confirm plans, costs and eligibility with a licensed agent or Medicare.gov.
Frequently asked questions
Which Medicare Advantage plans are ending in Iowa for 2027?
10 general (non-Special-Needs) Medicare Advantage plans sold somewhere in Iowa in 2026 have no row anywhere in the CMS 2027 plan file and are being discontinued, led by Blue Medicare Advantage PPO (H5900-001), AARP Medicare Advantage from UHC IA-1 (H5253-209), Humana Full Access H5216-411 (H5216-411). Other plans continue elsewhere but left particular counties. The county pages list each one with its 2026 premium, cap, star rating and September 2026 enrollment.
How many Iowa counties are affected?
99 of the 99 counties with a Medicare Advantage plan in 2026 or 2027 lose at least one general plan for 2027; 99 lose a plan that is discontinued everywhere. Every county is affected.
How many people in Iowa are on a plan that is ending?
Summing CMS's September 2026 county enrollment for every ending plan in every county gives 51,728 members, not counting counties where CMS suppresses a plan's count because it is under 11. The figure includes employer-group members, so the number of individuals choosing a new plan is somewhat lower.
What should I do if my plan is on the list?
Keep the non-renewal letter dated on or about October 2. Choose 2027 coverage between October 15 and December 7: another Medicare Advantage plan, or Original Medicare with a stand-alone drug plan and, if you want it, a Medigap policy. A plan leaving Medicare or your area gives you a guaranteed-issue right to Medigap Plan A, B, D, G, K or L from 60 days before to 63 days after it ends, November 1, 2026 through March 4, 2027.
Can Medicare On Main help in Iowa?
Yes, by phone. Brian Penner is licensed in Iowa; see our license verification page. We do not offer every plan available in your area, and we will say so when Medicare.gov, 1-800-MEDICARE or your State Health Insurance Assistance Program is the better next call.