name = "Atlas Commons research objects — Medicare plans in Clayton, Iowa (CY2026)"
description = "CMS CY2026 Medicare Advantage and Part D plans available in Clayton, Iowa: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0."
license = "CC0-1.0"
jsonld = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton.jsonld"

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton/plan-count"
warrant = "DERIVED"
name = "37 Medicare plans are available in Clayton, Iowa for contract year 2026"
text = "The CMS CY2026 Medicare Landscape Files record 37 Medicare Advantage and Part D plans available in Clayton, Iowa. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton/premium-range"
warrant = "RECORDED"
name = "Monthly premiums for Medicare plans in Clayton, Iowa range from $0.00/mo to $220.00/mo (CY2026)"
text = "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Clayton, Iowa. Across the 37 plans with a published premium, the range is $0.00/mo to $220.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify in the CMS CY2026 Medicare Landscape Files for Clayton, Iowa. Falsified if the CMS-published per-plan premium figures differ."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton/star-ratings"
warrant = "PROJECTED"
name = "CMS assigned star ratings to 29 of 37 Medicare plans in Clayton, Iowa (CY2026); average overall: 3.9 stars"
text = "CMS issued Overall star ratings (1–5 stars) to 29 of 37 Medicare plans in Clayton, Iowa for CY2026. The unweighted average overall star rating across rated plans is 3.9. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area."
source = "CMS CY2026 Medicare Landscape Files"
sourceUrl = "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
falsifier = "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 8 unrated plans in this county are not rated, not unqualified."

[[claims]]
id = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton/boundary"
warrant = "INTERPRETATION"
name = "What these Medicare plan figures are — and are NOT — for Clayton, Iowa (the epistemic boundary)"
text = "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Clayton, Iowa for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227)."
source = "Coverage Atlas framing (over the CMS facts above)"
sourceUrl = "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ia/clayton"
falsifier = "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."

[[medicarePlans]]
contract_plan_id = "H0169_001"
plan_name = "UHC Dual Complete IA-S001 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 41.5
overall_stars = 4
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0907_001"
plan_name = "Wellpoint Full Dual Advantage (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellpoint"
monthly_premium_usd = 29
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H0907_003"
plan_name = "Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellpoint"
monthly_premium_usd = 31.7
overall_stars = 3
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1608_001"
plan_name = "Aetna Medicare Signature (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1608_037"
plan_name = "Aetna Medicare Elite (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1608_117"
plan_name = "Aetna Medicare Enhanced Extra (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Aetna Medicare"
monthly_premium_usd = 57
overall_stars = 3.5
moop_in_network_usd = 4500
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1609_001"
plan_name = "Aetna Medicare Signature (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 4300
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1609_058"
plan_name = "Aetna Medicare Eagle (HMO-POS)"
category = "MA"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1609_068"
plan_name = "Aetna Medicare Value Care (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = 41
overall_stars = 4.5
moop_in_network_usd = 3900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1609_069"
plan_name = "Aetna Medicare Signature Extra (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Aetna Medicare"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1651_001"
plan_name = "Medical Associates SmartPlan (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medical Associates Health Plan, Inc."
monthly_premium_usd = "N/A"
overall_stars = "Not rated"
moop_in_network_usd = "N/A"
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1651_002"
plan_name = "Medical Associates Basic Plan (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medical Associates Health Plan, Inc."
monthly_premium_usd = "N/A"
overall_stars = "Not rated"
moop_in_network_usd = "N/A"
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1651_004"
plan_name = "Medical Associates Community Plan (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medical Associates Health Plan, Inc."
monthly_premium_usd = "N/A"
overall_stars = "Not rated"
moop_in_network_usd = "N/A"
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1651_008"
plan_name = "Medical Associates Freedom Plan (Cost)"
category = "Cost"
plan_type = "Cost"
organization = "Medical Associates Health Plan, Inc."
monthly_premium_usd = "N/A"
overall_stars = "Not rated"
moop_in_network_usd = "N/A"
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1799_005"
plan_name = "Molina Medicare Complete Care (HMO D-SNP)"
category = "SNP"
plan_type = "HMO D-SNP"
organization = "Passport Advantage"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1846_007"
plan_name = "MercyOne Health Plan Choice (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "MediGold"
monthly_premium_usd = 0
overall_stars = 4
moop_in_network_usd = 4400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1862_003"
plan_name = "Wellcare Dual Liberty Sync (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 31.9
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1862_004"
plan_name = "Wellcare Dual Access (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 29
overall_stars = "Not rated"
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1862_005"
plan_name = "Wellcare Simple (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "Wellcare"
monthly_premium_usd = 0
overall_stars = "Not rated"
moop_in_network_usd = 4400
snp = "No"

[[medicarePlans]]
contract_plan_id = "H1862_006"
plan_name = "Wellcare Dual Reserve (HMO-POS D-SNP)"
category = "SNP"
plan_type = "HMO-POS D-SNP"
organization = "Wellcare"
monthly_premium_usd = 30.2
overall_stars = "Not rated"
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3668_025"
plan_name = "MercyOne Health Plan No Premium (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "MediGold"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 4200
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3668_026"
plan_name = "MercyOne Health Plan Plus (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "MediGold"
monthly_premium_usd = 22.8
overall_stars = 4.5
moop_in_network_usd = 3900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3668_029"
plan_name = "MercyOne Health Plan Glory No RX (HMO)"
category = "MA"
plan_type = "HMO"
organization = "MediGold"
monthly_premium_usd = "N/A"
overall_stars = 4.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H3668_031"
plan_name = "MercyOne Health Plan Cash Back (HMO)"
category = "MA-PD"
plan_type = "HMO"
organization = "MediGold"
monthly_premium_usd = 0
overall_stars = 4.5
moop_in_network_usd = 6900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_278"
plan_name = "Humana USAA Honor Giveback (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 4700
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_340"
plan_name = "HumanaChoice Giveback H5216-340 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 5000
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_411"
plan_name = "Humana Full Access H5216-411 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Humana"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 4250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_413"
plan_name = "Humana Together in Health (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "Humana"
monthly_premium_usd = 41.5
overall_stars = 3.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5216_453"
plan_name = "Humana Together in Health Select (PPO I-SNP)"
category = "SNP"
plan_type = "PPO I-SNP"
organization = "Humana"
monthly_premium_usd = 138
overall_stars = 3.5
moop_in_network_usd = 4900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_108"
plan_name = "AARP Medicare Advantage from UHC IA-0002 (HMO-POS)"
category = "MA-PD"
plan_type = "HMO-POS"
organization = "UnitedHealthcare"
monthly_premium_usd = 55
overall_stars = 4
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5253_180"
plan_name = "UHC Complete Care IA-5 (HMO-POS C-SNP)"
category = "SNP"
plan_type = "HMO-POS C-SNP"
organization = "UnitedHealthcare"
monthly_premium_usd = 27
overall_stars = 4
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5900_001"
plan_name = "Blue Medicare Advantage PPO (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "Wellmark Advantage Health Plan"
monthly_premium_usd = 0
overall_stars = 3.5
moop_in_network_usd = 4150
snp = "No"

[[medicarePlans]]
contract_plan_id = "H5900_006"
plan_name = "Blue Medicare Advantage Valor PPO (PPO)"
category = "MA"
plan_type = "PPO"
organization = "Wellmark Advantage Health Plan"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 6750
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6765_001"
plan_name = "Iowa Health Advantage (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Iowa Health Advantage"
monthly_premium_usd = 41.5
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H6765_002"
plan_name = "Iowa Health Advantage Choice (HMO I-SNP)"
category = "SNP"
plan_type = "HMO I-SNP"
organization = "Iowa Health Advantage"
monthly_premium_usd = 41.5
overall_stars = 4.5
moop_in_network_usd = 9250
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8768_017"
plan_name = "AARP Medicare Advantage from UHC IA-0003 (PPO)"
category = "MA-PD"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = 37
overall_stars = 3.5
moop_in_network_usd = 5900
snp = "No"

[[medicarePlans]]
contract_plan_id = "H8768_018"
plan_name = "AARP Medicare Advantage Patriot No Rx IA-MA01 (PPO)"
category = "MA"
plan_type = "PPO"
organization = "UnitedHealthcare"
monthly_premium_usd = "N/A"
overall_stars = 3.5
moop_in_network_usd = 8900
snp = "No"
