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Vlada / Medicare Advantage / South Dakota / Kingsbury County

Medicare Advantage plan exits 2027 in Kingsbury County, SD

202 of the 439 Medicare Advantage members in Kingsbury County (46.0%) are in a plan that is not sold in the county for 2027: 5 of the 9 plans sold there in September 2026 end, from the CMS 2027 Landscape and crosswalk. South Dakota: 41.0%; the nation: 10.6%.

Period: plan year 2027 against September 2026 members · Updated 2026-10-20 · Next: CMS January 2027 enrollment (February 2027): where the members landed

members, Sept 2026
439
members, Sept 2026
must pick for 2027
202
must pick for 2027
share of members
46.0%
share of members
plans end
5 of 9
plans end

Medicare Advantage members in Kingsbury County, 2015 to 2026

MA enrollment in September each year, with MA penetration (members over Medicare eligibles) at the top of each bar, from the CMS state-county penetration file. Navy: the last two years. 11 plans are listed for the county for 2027 against 18 for 2026.

013025038050018%201520%19%201718%18%201919%22%202123%28%202332%34%202532%

The plans that end for 2027

Every plan sold in Kingsbury County in September 2026 with members whose plan is not sold there for 2027: how it went (terminated, or its service area reduced so it continues elsewhere), the members the same company offers a new or renumbered plan of the same type, and the members whose company sells nothing in the county next year.

PlanCompanyTypeMembersTerminatedService area reducedOffered a new or renumbered planCompany gone
Blue Medicare Advantage Enhanced PPO (PPO) H5900-004Blue Cross Blue Shield of Michigan Mutual Ins. Co.Regular PPO13013000130
Aetna Medicare Signature (PPO) H1608-120CVS Health CorporationRegular PPO21021021
Medica Advantage Preferred (PPO) H8889-013Medica Holding CompanyRegular PPO21021210
Align Choiceplus (PPO) H8385-003Sanford HealthRegular PPO18180180
Aetna Medicare Dual (PPO D-SNP) H1608-062CVS Health CorporationD-SNP PPO12012012
5 plans2021485439163

Download this table (CSV, CC BY 4.0) · cells under 11 members are suppressed by CMS and count as zero, so every count is a floor.

By company in Kingsbury County

CompanyMembers, Sept 2026PlansPlans endingMust pickShare of own membersOffered a new or renumbered planCompany gone
Blue Cross Blue Shield of Michigan Mutual Ins. Co.13011130100.0%0130
CVS Health Corporation332233100.0%033
Medica Holding Company22341219.4%210
Sanford Health181118100.0%180
UnitedHealth Group, Inc.351000.0%00

Kingsbury County against South Dakota and the nation

MeasureCountySouth DakotaUnited States
Must pick for 2027, share of members46.0%41.0%10.6%
Must pick for 202654.9%10.1%
Must pick for 2025, members12 of 184
Must pick for 2026, members237 of 432
Must pick for 2027, members202 of 439

State and national figures: the South Dakota hub and the national report.

Star Ratings 2027 in Kingsbury County

Measure20272026Change
Members in contracts rated 4+ stars100.0%19.7%+80.3 pts
Member-weighted average star4.063.64+0.42
Rated contracts with members here45

Members by star, 2027: 4.5: 35 · 4.0: 274; 130 in unrated contracts. Each contract's 2027 overall star (CMS, released 2026-10-08) weighted by its 2026-09 members in the county, individual and group; 2026 by 2025-09 members.

Sources

  • CMS Medicare Advantage/Part D Landscape, plan year 2027: landscape_cy2027-landscape-202609-1.zip (CMS, September 2026); CMS plan crosswalk CY2027.
  • CMS monthly enrollment by contract, plan and county, 2026-09 (and the two Septembers before, for the series).
  • CMS MA state-county penetration file, September of each year (eligibles, enrollment, penetration).
  • CMS Star Ratings 2027, released 2026-10-08. Page object written 2026-10-20.

Receipts: athena(table=medicare_semantic.exits_cells_county_2027_v1, block=plans) 042eb472aa7d…; athena(table=medicare_semantic.exits_cells_county_2025_v1, medicare_semantic.exits_cells_county_2026_v1, medicare_semantic.exits_cells_county_2027_v1, block=series) ee9fd56a8632…; athena(table=medicare_semantic.ma_spine_county_market_v20261012b, block=market) e6c1b5ce62c0…; athena(table=medicare_semantic.ma_spine_contract_stars_v20261012b, weights=medicare_semantic.ma_spine_enroll_plan_county_v20261012a, block=stars) c39711c388e0…. Suppressed cells count as zero in every count.

Cite: Vlada Health (2026). Medicare Advantage plan exits 2027 in Kingsbury County, SD. https://www.vladahealth.com/medicare-advantage/sd/kingsbury. Data: CC BY 4.0.

Method

  • Population: members of individual Medicare Advantage plans (H and R contracts, plans 001 to 799, special needs plans included; employer group, Cost, MMP and PACE excluded) in the county in September 2026.
  • Must pick: the CMS crosswalk names no successor plan sold in the county for 2027; members CMS moves to a successor in the county are not counted.
  • Terminated: the plan is gone from every county. Service area reduced: the plan continues elsewhere but not here. Offered a new or renumbered plan: the same company sells, in this county, the same name under a new number or a new plan of the same HMO or PPO and special needs type. Company gone: no plan of any type from that company in the county.
  • Stars: each contract's overall star weighted by its September members in the county; unrated contracts counted apart, never as zero stars. Penetration: the CMS file's own eligibles and MA enrollment.
  • Suppression: CMS hides cells under 11 members; they count as zero, so every count is a floor and every share is not.

The full method and the national tables: How we counted, and how to check it.

Questions

How many Medicare Advantage members in Kingsbury County must pick a new plan for 2027?
202 of 439 members (46.0%): their plan is not sold in the county for 2027 according to the CMS crosswalk and Landscape. South Dakota as a whole: 41.0%; the nation: 10.6%.
Which plan in Kingsbury County ends with the most members?
Blue Medicare Advantage Enhanced PPO (PPO) (H5900-004, Blue Cross Blue Shield of Michigan Mutual Ins. Co.): 130 members in September 2026, terminated.
Which company ended the most plans in Kingsbury County for 2027?
Blue Cross Blue Shield of Michigan Mutual Ins. Co.: 130 of its 130 members in the county (100.0%), 1 of its 1 plans.
What share of Kingsbury County's Medicare eligibles are in Medicare Advantage?
32.2% in September 2026: 495 of 1,536 eligibles, from the CMS state-county penetration file.
How are Kingsbury County's members rated for 2027?
100.0% of members are in contracts rated 4 stars or more for 2027 (19.7% the year before); the member-weighted average star is 4.06 over 4 rated contracts.
How does 2027 compare with 2026 in Kingsbury County?
237 members (54.9%) had to pick a new plan for 2026; for 2027 it is 202 (46.0%), a change of -35 members.

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Use Vlada. In Kingsbury County, South Dakota, which Medicare Advantage plans are not sold for 2027, how many members are in each, and what did 2026 look like? Give me a table with the source file, the data vintage and the response hash.

Behind it: get_county_view (state SD, county Kingsbury) and get_landscape_exits (group_by county).