2026 Medicare Advantage Plans in Fall River County, SD
Last update: . Enrollment data updated: May 2, 2026
For 2026, Fall River County, SD includes 8 Medicare Advantage plans. Enrollment across these plans totals approximately 627, with 3 $0 premium options and 13% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Fall River County, SD are summarized separately. Visit Medicare Options in Fall River County, SD to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 8
- Average Monthly Premium
- $55.63/mo
- Total PPO Enrollment
- 627
- $0 Premium PPO Plans
- 3
- Average MOOP
- $5,619
- Top PPO by Enrollment
- Medica Advantage Select (PPO) — 207 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx SI-MA2 | $0 | $6,700 | N/A | H2001-139-0 | |
| Blue Medicare Advantage Classic PPO | $55 | $5,500 | $300 | H5900-008-0 | |
| Blue Medicare Advantage Enhanced PPO | $80 | $4,200 | $300 | H5900-004-0 | |
| Blue Medicare Advantage Valor PPO | $0 | $6,750 | N/A | H5900-007-0 | |
| Medica Advantage Preferred | $205 | $3,300 | $240 | H8889-013-0 | |
| Medica Advantage Select | $80 | $5,000 | $355 | H8889-018-0 | |
| Medica Advantage Solution H8889-009 | $0 | $6,750 | N/A | H8889-009-0 | |
| Medica Advantage Value | $25 | $6,750 | $615 | H8889-017-0 |
What is the average monthly premium for PPO plans in Fall River?
PPO plans in Fall River cost $55.63 per month on average.
Which PPO plan has the highest enrollment in Fall River?
The most popular PPO plan in Fall River is Medica Advantage Select (PPO), with 207 enrollees.
How many PPO plans in Fall River do not include prescription drug coverage?
3 PPO plans in Fall River do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fall River County, SD (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 1 | 13% |
| 3 Stars | 7 | 88% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.63 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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Data provenance is documented in accordance 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.