Medicare in Sioux Falls · Minnehaha County, SD
2026 Medicare Advantage Plans in Sioux Falls, SD
Minnehaha County is home to 40,327 Medicare beneficiaries — the largest Medicare market in South Dakota. For 2026, 8 Medicare Advantage plans compete here with 6 $0-premium options, 13% rated CMS 4★ or higher, plus 8 Medicare Cost plans. Below is the real data — plans, local health stats, and hospital ratings — plus a live tool to check your ZIP. Big Sioux Benefits compares it all, free.
Page last revised: 2026-07-19 · Plan and enrollment data refreshed: 2026-07-19
By the numbers · Minnehaha County
Quick facts for Sioux Falls Medicare
Sources: CMS Medicare Advantage/Part D Landscape (PY2026) · CMS Medicare Monthly Enrollment (county) — accessed 2026-07-19.
What neighbors actually chose
Most-enrolled Medicare Advantage plans in Sioux Falls
Enrollment counts are CMS facts, not our recommendation — the right plan depends on your doctors, drugs, and budget.
- Align ChoicePlus (PPO) (PPO) — 2,332 enrollees
- Blue Medicare Advantage Enhanced PPO (PPO) (PPO) — 1,967 enrollees
- Aetna Medicare Signature (PPO) (PPO) — 1,307 enrollees
- AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO) (PPO) — 610 enrollees
- Align ChoiceElite (PPO) (PPO) — 563 enrollees
Source: CMS Medicare Advantage Enrollment by State/County/Contract.
Every plan · 2026
Medicare Advantage plans in Minnehaha County (2026)
"Stability" is each plan's published CMS Overall Star Rating tier — a federal quality measure, not our opinion. We never call a plan best or worst; we show the data and help you compare.
| Plan | CMS rating | Premium/mo | Out-of-pocket max | Part D deductible | CMS plan ID |
|---|---|---|---|---|---|
| Align ChoicePlus (PPO) Average (CMS 3.5★) | 3.5★ | $0 | $4,900 | $350 | H8385_003 |
| Blue Medicare Advantage Enhanced PPO (PPO) Average (CMS 3.5★) | 3.5★ | $63 | $4,200 | $300 | H5900_004 |
| Aetna Medicare Signature (PPO) Average (CMS 3.5★) | 3.5★ | $0 | $6,750 | $615 | H1608_120 |
| AARP Medicare Advantage Patriot No Rx SI-MA2 (PPO) Strong (CMS 4★+) | 4.5★ | $0 | $6,700 | No drug coverage | H2001_139 |
| Align ChoiceElite (PPO) Average (CMS 3.5★) | 3.5★ | $10.3 | $3,500 | $300 | H8385_001 |
| Aetna Medicare Enhanced Extra (PPO) Average (CMS 3.5★) | 3.5★ | $0 | $5,000 | $615 | H1608_119 |
| Aetna Medicare Eagle (PPO) Average (CMS 3.5★) | 3.5★ | $0 | $6,750 | No drug coverage | H1608_061 |
| Blue Medicare Advantage Valor PPO (PPO) Average (CMS 3.5★) | 3.5★ | $0 | $6,750 | No drug coverage | H5900_007 |
Source: CMS Medicare Advantage/Part D Landscape (PY2026) · CMS Medicare Part C & D Star Ratings (2026). Premiums shown are Part C premiums.
Want the full county breakdown — plan-type stats, ratings distribution, Cost plans, and methodology? See the complete Minnehaha County 2026 guide →
Health profile · why coverage choice matters here
Chronic conditions among Minnehaha County adults
CDC PLACES model-based prevalence among 206,930 residents — a reason to check each plan's drug formulary and specialist network before you enroll.
Source: CDC PLACES: Local Data for Better Health, County (crude prevalence).
Hospitals serving Sioux Falls
- SANFORD USD MEDICAL CENTER — Sioux Falls · CMS 5★ overall hospital rating
- SIOUX FALLS VA MEDICAL CENTER — Sioux Falls · CMS 5★ overall hospital rating
- AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER — Sioux Falls · CMS 4★ overall hospital rating
- SIOUX FALLS SPECIALTY HOSPITAL — Sioux Falls · not yet rated by CMS
See your Sioux Falls plans now
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Choosing a plan in Sioux Falls — what matters here
- Sanford vs. Avera — make sure your health system and doctors are in-network. Sanford USD Medical Center is a CMS 5★ hospital; Avera McKennan is 4★. Align plans are powered by Sanford Health Plan.
- Cost plans are big here — 7,624 Minnehaha County residents are in Medicare Cost plans, more than in Medicare Advantage. They deserve a side-by-side look before you pick a PPO.
- Your prescriptions — Part D drug deductibles vary plan to plan (county average $436); formulary tiers differ too.
- The metro is two counties — Lincoln County (Harrisburg, Tea, Canton) has its own plan list: Lincoln County 2026 guide →
- Cross-border options — just into Iowa there are more plans; see NW Iowa Medicare plans →
Sioux Falls Medicare questions, answered
How many people are on Medicare in Sioux Falls (Minnehaha County)?
CMS counts 40,327 Medicare beneficiaries in Minnehaha County (2025) — the largest Medicare market in South Dakota. Neighboring Lincoln County adds another 12,156.
How many Medicare Advantage plans does Sioux Falls have for 2026?
8 standard Medicare Advantage plans (all PPOs) are sold in Minnehaha County for 2026, 6 with a $0 premium. 6 Special Needs Plans serve residents who qualify, and 8 Medicare Cost plans — with 7,624 local enrollees — round out the market.
Are Sanford and Avera in the Medicare Advantage networks in Sioux Falls?
It depends on the plan. Sioux Falls is served by Sanford USD Medical Center (CMS 5★) and Avera McKennan (CMS 4★). Align plans are powered by Sanford Health Plan. We check each plan's network against your specific providers before you enroll.
What health conditions are most common among Sioux Falls seniors?
Per CDC PLACES, among Minnehaha County adults: high blood pressure 31.7%, obesity 37.4%, arthritis 22.9%, diagnosed diabetes 10.6%. That's why matching a plan's drug formulary and specialist network to your conditions matters.
Does Big Sioux Benefits charge for help choosing a plan?
No. Our guidance is free — licensed agents are paid by the carriers, not by you. We compare the plans we offer in the Sioux Falls area against your needs.
Talk to a local Sioux Falls Medicare advisor
Free, no pressure — right here in Sioux Falls.