Sioux Falls, South Dakota, has 157,699 beneficiaries enrolled in Medicare Part A and Part B, compared to 57,316,561 national enrollments. Regarding Medicare Advantage (MA) plans, there are 37,763 MA beneficiaries and 119,936 enrolled in Fee-for-Service (FFS) plans.
Please keep reading to learn about Sioux Falls, South Dakota; Medicare plans as we explain the critical information you need to know before enrolling.
Medicare Plans in Sioux Falls, South Dakota
By enrolling in a supplemental Medicare plan, you’ll gain additional benefits to pay for expenses outside your standard coverage. Supplemental plans enhance Original Medicare in Sioux Falls, South Dakota.
Below, we’ve listed quotes (based on a 70-year-old male) for various Medicare MA and Supplemental plans, including Part D and Special Needs Plans.
Medicare Advantage plans
Sioux Falls, South Dakota, has a 23.95% participation rate for Medicare Advantage plans. The average age for beneficiaries is 72, with 54.57% female and 45.43% male. Minnehaha County offers between 26 and 50 plans, with an average of 32 plans.
Humana offers a Health Maintenance Organization (HMO) plan. It has a zero-dollar premium and a 4-star rating. Maximum Out-of-Pocket (MOOP) expenses are $3,850. The medical deductible for this plan is $0.
Humana’s Local PPO (Preferred Provider Organization) plan also has no premium. However, its MOOP costs are $4,400 more than its HMO sibling. Humana’s PPO plan is also popular because it’s a widely available Medicare Advantage plan in Sioux Falls, South Dakota.
Aetna’s Local PPO plan is also premium-free. However, it has higher out-of-pocket costs, a maximum of $6,700. Nevertheless, it earned a 4-star rating.
The average cost of Medicare Advantage plans in Sioux Falls, South Dakota
|PLAN||PREMIUM||MOOP||Plan Type||Star Rating|
|Sanford Health||$0||$5,000||LOCAL PPO||N/A|
Medicare Supplement plans
The primary benefit of Sioux Falls, South Dakota Medicare Supplement plans is gaining extra coverage to defray out-of-pocket costs for medical expenses. The federal government standardized every plan, so benefits stay the same regardless of carrier or state. Monthly premiums are the only variable.
Medigap Plan F is excellent for supplemental coverage. It covers coinsurances, copays, and deductibles for Medicare-approved expenses that Part A doesn’t cover. Plan F’s premiums range from $142.17 to $437.87.
Medigap Plan G is another of our most popular supplemental plans. Monthly premiums range from $113.33 to $425.94. Benefits include an extra year of hospital care after the Original Medicare benefits run out and coverage for Medicare Part B copays or coinsurance.
For many Sioux Falls residents, Medigap Plan N is the best option. The premiums start at $92.82 and max out at $303.17. Plan N also pays 100% of Part B coinsurance. The only exception is a $50 copay for emergency room visits that don’t result in admission and a $20 copay for certain office visits.
The average cost of Medicare Supplement plans in Sioux Falls, South Dakota
|LETTER PLAN||LOWEST PREMIUM||HIGHEST PREMIUM|
Medicare Part D prescription drug plans
For additional prescription drug coverage, consider enrolling in Medicare Part D. Part D plans are independent and only cover prescription medicine costs. Although our Medigap plans don’t cover prescriptions, and only some Medicare Advantage plans include coverage for Medications.
Aetna offers cheap Sioux Falls, South Dakota, Medicare Part D coverage. It has a 3-star rating, and beneficiaries can choose between three plans. The monthly premium is $6.80, with a $480 deductible.
Wellcare’s Part D is perfect for Sioux Falls residents on a budget. The company offers Classic, Rx Value Plus, and Value Script plan options. The monthly premium is $10.80, and the deductible is $480.
The UnitedHealthcare Part D plan is ideal for supplemental prescription drug coverage. Although it has the highest monthly premium at $29.30, its deductible is only $310. With this comes a $0 copay on Tier 1 drugs.
The average cost of Medicare Part D plans in Sioux Falls, South Dakota
Special Needs plans
Another type of Sioux Falls Medicare plans are Special Needs Plans (SNPs). SNPs are a subgroup of standard Medicare Advantage plans for people with special needs. They provide invaluable coverage, but unfortunately, they’re unavailable in some regions.
UnitedHealthcare offers a dual-eligibility SNP as a Local PPO. Many Sioux Falls residents choose this SNP because there’s no monthly premium. This plan’s MOOP cost is $7,550.
Great Plains offers two SNPs in Sioux Falls, SD. The first is an HMO plan with institutional eligibility, meaning the beneficiary must need long-term care in an institutionalized setting. The monthly premium is $39.80, and MOOP costs are $5,900.
The second Great Plains HMO SNP plan also requires institutional-level eligibility. However, the premium increases to $50. Conversely, MOOP cost drops to $3,000.
The average cost of Medicare Special Needs plans in Sioux Falls, South Dakota
How to sign up for Medicare plans in Sioux Falls
For comprehensive Sioux Falls, South Dakota, Medicare Supplemental plans, look no further than the experts at Medigap.
We work closely with all carriers to connect you for free and compare your plan options to find the best option and coverage for your unique needs.
Call our agents today or complete our online rate form to get rates now for Medicare in Sioux Falls, South Dakota.