- Entity
- county:iowa-sioux-19167
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/iowa/sioux/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 13
- PPO Plans
- 8
- HMO Plans
- 1
- HMO-POS Plans
- 3
- PFFS Plans
- 1
- Average Monthly Premium
- 18.38
- Average MOOP
- 5300
- Average Part D Deductible
- 534
- $0 Premium Plans
- 8
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.67
- $0 Premium Plan Share
- 61.54
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 17
- 3-Star Plan Share
- 83
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 20.13
- PPO Average MOOP
- 5356.25
- PPO Enrollment
- 227
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4200
- HMO Enrollment
- 19
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 13.67
- HMO-POS Average MOOP
- 5016.67
- HMO-POS Enrollment
- 249
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 37
- PFFS Average MOOP
- 6800
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:iowa-sioux-19167
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/iowa/sioux/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-iowa-sioux-19167-landscape-stats
- Plans Indexed
- 13
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H1609-058-0 -
Aetna Medicare Value Care
H1609-068-0 -
Aetna Medicare Enhanced Extra
H1608-117-0 -
Align ChoiceElite
H8385-001-0 -
Align ChoicePlus
H8385-003-0 -
Blue Medicare Advantage Valor PPO
H5900-006-0 -
Humana Full Access H5216-411
H5216-411-0 -
Humana Gold Choice H8145-006
H8145-006-0 -
Humana Gold Plus H0028-053
H0028-053-1 -
Humana USAA Honor Giveback
H5216-278-1 -
HumanaChoice Giveback H5216-340
H5216-340-0 -
HumanaChoice H5216-014
H5216-014-0 -
Wellcare Simple
H1862-005-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 495
2026 Medicare Advantage Plans in Sioux County, IA
Last update: .
In Sioux County, IA, there are 13 Medicare Advantage plans available for 2026. Of these, 8 offer a $0 monthly premium, and about 17% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Sioux County, IA. Or explore all Medicare Options available in Sioux County, IA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Enhanced Extra | $57 | $4,500 | $615 | H1608-117-0 | |
| Align ChoiceElite | $66 | $3,500 | $300 | H8385-001-0 | |
| Align ChoicePlus | $0 | $4,900 | $350 | H8385-003-0 | |
| Blue Medicare Advantage Valor PPO | $0 | $6,750 | N/A | H5900-006-0 | |
| Humana Full Access H5216-411 | $0 | $4,250 | $400 | H5216-411-0 | |
| Humana USAA Honor Giveback | $0 | $4,700 | N/A | H5216-278-1 | |
| HumanaChoice Giveback H5216-340 | $0 | $5,000 | $600 | H5216-340-0 | |
| HumanaChoice H5216-014 | $38 | $9,250 | $615 | H5216-014-0 |
What is the total number of PPO plans offered in Sioux?
Sioux County has 8 PPO plans for 2026, with 227 enrolled.
How much do PPO plans cost in Sioux?
The typical PPO premium in Sioux is $20.13, and 5 plans have no monthly premium.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 19
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,200
- Top HMO by Enrollment
- Humana Gold Plus H0028-053 (HMO) — 19 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H0028-053 | $0 | $4,200 | $615 | H0028-053-1 |
- What is the average monthly premium for HMO plans?
- HMO plans in Sioux cost $0.00 per month on average.
- Which HMO plan is most popular in Sioux?
- The most popular HMO plan in Sioux is Humana Gold Plus H0028-053 (HMO), with 19 enrollees.
- How many HMO plans in Sioux do not include drug coverage?
- There are 0 HMO plans in Sioux without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 3
- Average Monthly Premium $13.67/mo
- Total HMO-POS Enrollment 249
- $0 Premium HMO-POS Plans 2
- Average MOOP $5,017
- Top HMO-POS by Enrollment Aetna Medicare Value Care (HMO-POS) — 139 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $6,750 | N/A | H1609-058-0 | |
| Aetna Medicare Value Care | $41 | $3,900 | $615 | H1609-068-0 | |
| Wellcare Simple | $0 | $4,400 | $615 | H1862-005-0 |
What is the total number of HMO-POS plans in Sioux?
There are 3 HMO-POS plans in 2026, covering 249 enrollees.
How much do HMO-POS plans cost in Sioux?
The average HMO-POS premium in Sioux is $13.67 per month, with 2 plans offering $0 premiums.
What is the leading HMO-POS plan in Sioux?
Aetna Medicare Value Care (HMO-POS) is the top HMO-POS in Sioux, with 139 enrollees.
What is the number of HMO-POS plans without Part D coverage in Sioux?
1 HMO-POS plans in Sioux do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $37.00/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,800
- Top PFFS by Enrollment
- — 0 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-006 | $37 | $6,800 | $615 | H8145-006-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Sioux cost $37.00 per month on average.
Which PFFS plan is most popular in Sioux?
The most popular PFFS plan in Sioux is , with 0 enrollees.
How many PFFS plans in Sioux do not include drug coverage?
There are 0 PFFS plans in Sioux without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Sioux County, IA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 2 | 17% |
| 3 Stars | 10 | 83% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 8% |
| Average Rating | 3.67 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.