South Dakota Medicare Supplement Plans (Medigap)
South Dakota Medicare Supplement plans work with Medicare to complement your Original Medicare coverage. These supplemental plans are available to cover those things not paid for by Original Medicare.
Expenses that aren’t covered include out of pocket payments including deductibles, copayments, and coinsurance. Medigap plans are the same as Medicare Supplement plans. Both of these options are available through private insurers.
The process of applying for Medicare Supplement Plans in South Dakota is just like in any other state. To be eligible for Medicare, you need to be a United States citizen or a legal permanent resident for five continuous years.
Original Medicare Parts A and B: Part A include coverage for hospital care, while Part B covers physician office visit care.
Part C Medicare Advantage plans are offered by private insurance companies and has many limitations.
Medicare Part D Prescription Drug Plan (PDPs) provides prescription medication coverage for enrollees of Original Medicare, Part A, and Part B. There is also the option for Medicare Part D is coverage through a Medicare Advantage Prescription Drug plan.
Medicare Supplements – Residents of South Dakota who are signed up for Medicare Parts A and B can purchase Medicare Supplement insurance or Medigap for costs that Original Medicare does not cover. These additional expenses include deductibles, coinsurance, copayments to doctors and hospitals, and a range of other out-of-pocket expenditures.
For the most cost-effective and extensive coverage for your Medicare plan, choose Medicare Parts A and B, the Part D Prescription Drug Plan, and a supplemental Medigap policy.
Medicare Benefits for Those Under 65
Those under 65 and disabled are entitled to Medicare Part A and Medicare Part B after they have received disability benefits from Social Security, or disability benefits from the Railroad Retirement Benefits, for 24 months. For information on Medicare plans for those who are disabled in South Dakota, give us a call.
Medicare Coverage in South Dakota
Medicare Part A covers inpatient hospital care, skilled nursing facility stays (with time limits), a selection of home health care services and hospice care.
If you’ve been working for at least ten years and paid Medicare taxes, you are eligible for premium-free Part A.
Otherwise, there will be a premium for this coverage. For 2018, the Medicare Part A deductible is $1,340 for each benefit period. There are coinsurance payments as well.
- The first 60 days, there is $0 coinsurance payment per day.
- Days 61 through 90, there is $335 per day coinsurance.
- Day 91 and on, there is $670 per day coinsurance for each lifetime reserve day (it’s possible to get 60 lifetime reserve days in your lifetime).
- Once your lifetime reserve days are used up, hospital stays are usually not covered by Medicare Part A.
The deductible for 2018 for Medicare Part B is $183. This deductible goes towards physician services, outpatient hospital treatments, some home health care and some medical equipment covered by Medicare.
After meeting the deductible, your out of pocket cost for Part B coinsurance is 20% of the Medicare-approved amount. Limited amounts of coverage are available for occupational therapy, physical therapy coverage, and speech-language pathology treatment.
The annual deductible for the basic Medicare Part D Prescription Drug Plan is $405 in 2018. Medicare recipients can incur expenses quickly because of these deductible and other fees.
Medicare Supplement Plan Requirements in South Dakota
South Dakota Medicare enrollees who are 65 years or older and enrolled in Medicare Part B can purchase Medigap supplement plans. It’s imperative that you enroll in Medicare Part B the month of your 65th birthday when you gain eligibility.
If you fail to do so, there could be a penalty, and you may not have coverage when you need it. You can apply year around, but it may cost you more in premiums.
Medicare supplemental insurance has ten different options for enrollees. Medicare Supplement plans in South Dakota are designed to limit any out-of-pocket costs. You may purchase whatever level of coverage you feel is necessary.
All 10 Medigap plans in South Dakota are the same across the state. Each letter plan has the same benefits. It doesn’t matter if you buy Plan G or N in Sioux Falls or Mitchell – the benefits will be the same.
How to Apply for Medicare Supplement Plans in South Dakota
The Open Enrollment Period (OEP) begins on the first day of the month you turn 65, as long as you are covered under Medicare Part B. For example, if your birthday was July 31st and your Medicare Part B effective date was September 5th, then your OEP begins October 1st.
The Open Enrollment Period is six months, during which you have Guaranteed Issue (GI) for Supplemental Medigap coverage. Guaranteed Issue means that no matter what pre-existing conditions you have, insurers must cover you.
You don’t want to wait to enroll in a supplement plan until after your OEP. At that time, pre-existing conditions can make it very hard to find the coverage you need.
Special Enrollment Periods (SEP) can be applied to some situations. For example, if you relocate to another state or are a newly naturalized citizen, you may be eligible for SEP.
Best South Dakota Medicare Supplement Plans
Medicare Supplement plans are the same from carrier to carrier.
Plan F and Plan G are the same, but Plan F covers your Part B deductible, unlike Plan G.
Plan N is the best choice for frequent travelers abroad. It does not cover excess Part B costs.
Plan HDF (High Deductible F) is a more affordable way to supplement Medicare, though it does come with a higher deductible.
Medicare Advantage Plans – Part C – are less expensive, but coverage and provider coverage options are limited. Providers available through Medicare Part C are limited to PPOs and HMOs of Medicare’s choosing. Also, Medicare Part C doesn’t have the kind of prescription coverage that Medicare Part D offers.
Prescription Drug Plans in South Dakota
The prescription drug plan, Medicare Part D, is an essential part of Medicare coverage. Parts A and B do not cover prescription drugs. You must enroll in Medicare Part D right away when you become eligible for Medicare coverage to avoid a penalty on your premiums. That penalty can be long-term and quite expensive.
Find Rates for South Dakota Medicare Supplement Plans
Medicare supplement rates are determined by the carrier based off of your location, age, gender and letter plan you choose. We understand that some beneficiaries are not comfortable with providing this type of personal information online.
That’s why we offer the option to call and speak to an agent directly as well as the option to provide this information using our online form.
If you prefer to speak to a live agent, please don’t hesitate to call us directly using the number given above. If you prefer to use our online form option, please click here now!
- What are the income limits for the South Dakota Medicare Savings Program in 2018?
- The limit is $1,214-$1,234 if you are single, $1,646-$1,666 for those who are married.
- What Medicare plans does Aetna offer in South Dakota?
- Give us a call for the most recent list of South Dakota Aetna plans available in your area, or complete our online rate form above.
- Where can I find information on South Dakota SHIP?
- SHINE is where you can find more information.