If you're a resident of South Dakota currently enrolled in Original Medicare, you have the option to bolster your Part A and Part B coverage with Medicare Supplement Insurance (Medigap plans). In South Dakota, there are ten distinct plan options, each designed to cover various out-of-pocket expenses.
In this article, we delve into the top South Dakota Medigap plans and insurance companies for plan year 2024.
Table of Contents
What You Need to Know
- Private insurance companies offer supplemental Medicare insurance in South Dakota, not the government.
- Supplemental Medicare insurance is available in 10 different plan options, labeled A through N, each providing a different level of Medicare coverage.
- South Dakota residents become eligible for supplemental Medicare insurance at age 65.
- All plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B copayments or coinsurance, and the first three pints of blood.
- Most plans also cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- It's important to note that Medicare Supplement Insurance does not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- The average costs for a 65-year-old can vary significantly based on factors such as gender, tobacco use, your location in South Dakota, and the level of coverage you select.
- A Medicare Supplement Plan is not classified as health insurance; it falls under indemnity insurance and operates under its own set of rules.
The 5 Best Medicare Supplement Plans Sold in South Dakota
There are ten different Medicare Supplement Plans. These plans are labeled A through N and are standardized by the federal Medicare program.
The top-rated plans in South Dakota for 2024 include Medicare Supplement Plan F, Plan C, Plan D, Plan G, and Plan N. They are considered the best because they provide the most extensive coverage.
Which one of these plans is the best choice for you?
HELPFUL READING: Medicare Plan G vs Plan N: Which is Better?
An easy way to quickly understand the ten plans is to refer to a Medigap plan chart. This chart illustrates how each policy helps cover the Medicare Part A and Medicare Part B out-of-pocket costs (deductibles, coinsurance, and copayments) for South Dakota residents.
Comparing Medicare Supplement Plans in South Dakota
Every Medicare beneficiary has unique requirements. Your age, gender, South Dakota zip code, utilization of medical services, preferred healthcare providers, emergency care needs, and necessities for medical supplies and durable equipment all contribute to the factors you must consider.
These factors play a significant role in determining your available plan options. It's essential to carefully assess your needs for outpatient and inpatient care when deciding.
When Best = Most Comprehensive Coverage in South Dakota
Most insurance experts agree that Plan G is the best option in South Dakota if you are signing up for Medicare with one or more chronic health issues. It offers the most coverage you can buy if you qualify for Medicare on or after January 1, 2020.
NOTE: Plan F offers more coverage than Medicare Supplement Plan G, but it costs significantly more, and it is only available if you qualify for Medicare before 2020.
- Get Plan F and Plan G Quotes in Your Zip Code
- See All Companies Offering Plan F in South Dakota
- See All Companies Offering Plan G in South Dakota
When Best = Good Coverage & Monthly Savings
If you are signing up for Medicare in excellent health or need good coverage but can't handle the cost of a Plan G policy in South Dakota, Medicare Supplement Plan N is a good option. Plan N offers comprehensive inpatient coverage for hospital stays while also covering most medical care out-of-pocket costs.
Plan N is a good option for healthy individuals because there’s cost-sharing. In exchange for lower monthly premiums, enrollees in this plan pay a small copay for doctor office visits (up to $20) or use the emergency room (up to $50).
When Best = Most Affordable Coverage in South Dakota
Comprehensive coverage isn't always necessary or affordable for everyone in South Dakota. If you're concerned about your monthly premium expenses, consider seeking advice from your insurance agent regarding Medicare Supplement Plan K and the High Deductible Plan G (HDG).
These two options are the most cost-effective plans available, and they are favored by many informed seniors in South Dakota over choosing a Medicare Advantage plan.
Are Plan A, B, C, D, L and M Available in South Dakota?
In South Dakota, Medicare Supplement Plan A is the most basic coverage option available. Interestingly, in many areas, its cost surpasses that of Plan N. Would you pay more to get less coverage?
While Medicare Supplement Plan C and Plan D offer coverage similar to Plan G, they come with a higher price tag. Furthermore, akin to Plan F, Plan C is exclusively available to South Dakota beneficiaries who enrolled in Medicare prior to 2020.
It's important to note that only a handful of insurance companies in South Dakota offer Plan L or Plan M. They rarely pan out as a good option.
Health Insurance Company vs. Life Insurance Company: Which is Best?
Every Medicare Supplement Insurance provider operating in South Dakota is bound by federal and state insurance regulations. They are required to offer the standardized Medigap plans identified by letters A through N.
For example, a Plan F policy from Aetna Medicare covers the same out-of-pocket costs as a Plan F policy from Mutual of Omaha, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This standardization simplifies the comparison of Medigap plans, setting them apart from the variability often found in Medicare Advantage plans.
The crucial difference is the financial strength and quality of the carrier and how they rate their plan for annual premium increases. It's critical to do your research and get the rate increase history on the company you're considering.
South Dakota state laws may influence the plans offers, rating methods available, and enrollment qualification. Visit the South Dakota Department of Insurance website at http://www.dlr.sd.gov/insurance for more information.
Medicare Supplement Plan F Companies in South Dakota
Medicare Supplement Plan F (Medigap Plan F) is South Dakota’s most popular Medigap plan. Here are the 10 best companies that offer Plan F policies in South Dakota based on our reviews (click for details):
Required Benefits of Plan F in South Dakota
Medigap Plan F is standardized like all Medicare Supplement Plans in South Dakota. Insurance carriers are required to cover certain benefits. Plan F is the most comprehensive plan because it covers all gaps in Original Medicare.
Although Original Medicare does not cover foreign travel medical emergencies, Plan F does (up to 89%). In addition to this extra benefit, companies may offer limited additional features. One example is Physician Mutual’s Preventive Care and Hearing Loss Testing benefits.
Medicare Supplement Plan G Companies in South Dakota
Medicare Supplement Plan G (Medigap Plan G) is rapidly gaining popularity with South Dakota seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best insurance companies that offer Medigap Plan G policies in South Dakota based on our reviews (click for details):
Required Benefits of Plan G in South Dakota
All Medigap plans in South Dakota, including Medigap Plan G, are standardized. Insurance companies must provide the standard coverage. Plan G covers all gaps in Original Medicare except the Part B deductible. And it only covers 80% of foreign travel medical emergencies that fall within your policy’s limits.
Companies may offer additional features like UnitedHealthcare’s fitness program, Renew Active, or the Silver Sneakers fitness program.
Medicare Supplement Plan N Companies in South Dakota
Medicare Supplement Plan N is similar to Plan D (not to be confused with Medicare Part D) but covers Medicare Part B coinsurance costs differently. Due to its lower cost and good coverage, it's catching the attention of many Arizona seniors. Here are the 10 best insurance companies that offer Medigap Plan N policies in South Dakota based on our reviews (click for details):
Required Benefits of Plan N in South Dakota
All Medicare Supplement Plans in South Dakota are standardized, including Medigap Plan N. Like Plan G, Plan N does not cover the Part B deductible. It also does not cover Part B excess charges. But it does cover 80% of foreign travel medical emergencies up to the policy’s limits.
Medicare limits the types of extra benefits companies can offer. One excellent additional benefit is UnitedHealthcare’s NurseLine, which lets you talk to an experienced nurse, day or night.
Medicare Eligibility for Medicare Supplement Plans
You can apply for Medigap coverage during your Medigap Open Enrollment Period (OEP). This six-month window starts when you enroll in Medicare Part B. South Dakota may have additional rules after your OEP ends.
Medicare eligibility rules grant you Medigap protections during your Medigap Open Enrollment Period. This means that, regardless of your health history or any chronic conditions, you can secure a Medicare Supplement Plan during this period from any insurance company that offers Medigap in South Dakota.
Enrolling in a Medigap plan in South Dakota typically involves consulting with a licensed insurance agent. If you don't already have one, we recommend reaching out to HealthCompare, an Allstate company, at 1-855-728-0510 (TTY 711). They have licensed agents nationwide, and there's no obligation.
Is a Medicare Supplement Insurance Plan Right for You?
Why You Should Consider a Medicare Supplement Insurance Plan:
- You expect the need for frequent healthcare services now and/or in the future and want to limit your deductibles and co-pays.
- You can afford the monthly premiums of Medicare Supplement Insurance and don't qualify for Medicaid.
- You want the freedom to choose your doctors and other Medicare providers without network restrictions.
- You need nationwide coverage and/or travel abroad.
- You are in your Initial Enrollment Period and have guaranteed issue rights to join a Medigap plan regardless of your health condition.
- You don’t want a Medicare Advantage plan and the hassle of referrals and pre-authorization to receive healthcare services.
Explore Alternatives to a Medicare Supplement When:
- You don’t expect the need for frequent healthcare now or in the future.
- You missed your Medigap open enrollment period and cannot pass medical underwriting to get the Medigap policy you want.
- You want a Medicare Advantage plan with low or no monthly premiums.
- You have Medicaid, TRICARE, VA, retiree benefits, or other coverage options that will pay for most of your Medicare out-of-pocket expenses.
- You prefer an HMO or PPO plan with a Part D prescription drug plan, Silver Sneakers, and routine dental, vision, and hearing care.
- You can adhere to the rules and restrictions of a Medicare Advantage plan.
Alternatives to South Dakota Medicare Supplement Plans
If you've determined that a South Dakota Medicare Supplement Plan isn't the best choice for your situation, or if none of the 10 plan types align with your budget, you have several alternative options to consider:
- You can choose to stick with Original Medicare, add a Medicare Part D plan to cover prescription drugs, and be responsible for all Part A and Part B deductibles, coinsurance, and copayments out-of-pocket.
- If you meet the qualifications for both Medicare and Medicaid or have a serious health condition, enrolling in a Medicare Advantage Special Needs Plan may be the best alternative.
- For individuals with VA health benefits, using healthcare services exclusively from the nearest VA hospital is an option. In such cases, the VA will bill Medicare and cover the remaining costs.
- Consider enrolling in a Medicare Advantage Plan with a low maximum out-of-pocket (MOOP) limit and affordable deductibles and copayments.
Your Medicare coverage decision is a crucial one, and it can greatly influence your healthcare and financial stability. It's essential to evaluate your individual requirements and priorities carefully. If you find yourself seeking more information or guidance on the choices accessible to you in South Dakota, don't hesitate to reach out to our preferred agency, HealthCompare, at 1-855-728-0510 (TTY 711). They can provide personalized support, ensuring that you make an informed choice that aligns with your unique healthcare needs and preferences.
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
Citations & References
- Costs of Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- What's Medicare Supplement Insurance (Medigap)?, Medicare.gov, Last Accessed October 4, 2023
- Find a Medigap policy that works for you, Medicare.gov, Last Accessed October 4, 2023
- How to compare Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- How Original Medicare works, Medicare.gov, Last Accessed October 4, 2023
- Your Medicare coverage choices, Medicare.gov, Last Accessed October 4, 2023