Policy Brief: Rural Beneficiary Access to Medicare Advantage – Part D Plans

September 4, 2025

Policy Brief: Rural Beneficiary Access to Medicare Advantage – Part D Plans

In 2023, there were nearly twice as many Medicare Advantage Prescription Drug (MA-PD) plans in metropolitan counties as in noncore (the most rural) counties, averaging about 29 plan choices for enrollees in metropolitan counties compared to 16 plans available to enrollees in noncore counties.

This policy brief from the RUPRI Center for Rural Health Policy Analysis updates RUPRI’s analysis of MA-PDs including enhanced benefit plan availability and variations in characteristics across metropolitan, micropolitan, and noncore areas.

Click Here to Read the Policy Brief