South Dakota Medicare Advantage Companies for 2024 (All Plans)
South Dakota has a lot of Medicare Advantage companies, and each has a different selection of plans available with different premiums and benefits. Medicare Advantage plans in South Dakota can differ depending on your county or city. You could even get Medicare Advantage coverage in South Dakota without paying more than your original Medicare Part B rate.
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- There are 7 Medicare Avantage companies in South Dakota
- Standalone Medicare Part D Plans in South Dakota are meant to help cover prescription drug costs
- You can choose from South Dakota HMO and PPO Medicare Advantage plans
There are several options in South Dakota for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by seven companies in South Dakota; and options such as HMO, PPO, and POS may be available depending on which county you live in.
To make sure you’re getting the best SD Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.
If you’re ready to compare Medicare plans from the top companies in your county or across South Dakota, enter your ZIP code for fast, free SD Medicare quotes today.
The Complete List of South Dakota Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in SD. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in South Dakota, the counties those plans are offered in, and the number of plans each company offers.
Medicare Advantage Companies in South Dakota
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna Medicare | 3 | Union, Sanborn, Hutchinson, Bon Homme, Minnehaha, Turner, Yankton, Clay, Brookings, Aurora, McCook, Moody, Lincoln, Lake |
| Great Plains Medicare Advantage | 2 | Deuel, Pennington, Union, Douglas, Tripp, Hand, Miner, Bon Homme, Minnehaha, Turner, Day, Kingsbury, Charles Mix, McCook, Custer, Lincoln |
| HealthPartners | 4 | Deuel, Union, Codington, Brown, Minnehaha, Turner, Clay, Day, Brookings, Lincoln, Lake |
| Humana | 7 | Grant, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Codington, Hamlin, Marshall, Lawrence, Meade, Miner, Bon Homme, Minnehaha, Turner, Spink, Yankton, Roberts, Clay, Day, Clark, Brookings, Kingsbury, Davison, McCook, Moody, Fall River, Custer, Lincoln, Butte, Lake |
| Lasso Healthcare | 2 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes |
| Medica | 4 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes |
| UnitedHealthcare | 3 | Deuel, Pennington, Union, Lawrence, Meade, Minnehaha, Turner, Yankton, Clay, Brookings, Moody, Lincoln, Lake |
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South Dakota Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each SD Medicare company to help you compare Medicare Advantage plans by company in South Dakota. Take a look at the plans here.
Medicare Plans in South Dakota Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Value Plus H5216-171 (PPO) | H5216-171 | Grant, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Codington, Hamlin, Marshall, Lawrence, Meade, Miner, Bon Homme, Minnehaha, Turner, Spink, Yankton, Roberts, Clay, Day, Clark, Brookings, Kingsbury, Davison, McCook, Moody, Fall River, Custer, Lincoln, Butte, Lake | Local PPO | $27.80 |
| HumanaChoice H5216-103 (PPO) | H5216-103 | Grant, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Codington, Hamlin, Marshall, Lawrence, Meade, Miner, Bon Homme, Minnehaha, Turner, Spink, Yankton, Roberts, Clay, Day, Clark, Brookings, Kingsbury, Davison, McCook, Moody, Fall River, Custer, Lincoln, Butte, Lake | Local PPO | $115.00 |
| HumanaChoice H5216-088 (PPO) | H5216-088 | Grant, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Codington, Hamlin, Marshall, Lawrence, Meade, Miner, Bon Homme, Minnehaha, Turner, Spink, Yankton, Roberts, Clay, Day, Clark, Brookings, Kingsbury, Davison, McCook, Moody, Fall River, Custer, Lincoln, Butte, Lake | Local PPO | $67.00 |
| Humana Honor (PPO) | H5216-086 | Grant, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Codington, Hamlin, Marshall, Lawrence, Meade, Miner, Bon Homme, Minnehaha, Turner, Spink, Yankton, Roberts, Clay, Day, Clark, Brookings, Kingsbury, Davison, McCook, Moody, Fall River, Custer, Lincoln, Butte, Lake | Local PPO* | $0.00 |
| Humana Gold Choice H8145-089 (PFFS) | H8145-089 | Deuel, Pennington, Union, Hanson, Bon Homme, Turner, Yankton, Davison | PFFS | $95.00 |
| HumanaChoice H5216-092 (PPO) | H5216-092 | Pennington, Minnehaha | Local PPO | $38.00 |
| Humana Gold Plus H0028-011 (HMO) | H0028-011 | Pennington, Union, Lawrence, Meade, Minnehaha | Local HMO | $0.00 |
Medicare Plans in South Dakota Offered by Lasso Healthcare
Though plans can vary from county to county, Lasso Healthcare offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | MSA* | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | MSA* | MSAs do not have a monthly premium. |
Medicare Plans in South Dakota Offered by Medica
Though plans can vary from county to county, Medica offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Medica Prime Solution Thrift (Cost) | H2450-030 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | Cost * | $0.00 |
| Medica Prime Solution Standard (Cost) | H2450-044 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | Cost * | $0.00 |
| Medica Prime Solution Premier (Cost) | H2450-036 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | Cost * | $0.00 |
| Medica Prime Solution Core (Cost) | H2450-034 | Grant, Walworth, Deuel, Pennington, Union, Sanborn, Hanson, Hutchinson, Douglas, Codington, Tripp, Jackson, Sully, Jones, Haakon, Hamlin, Marshall, Brule, Bennett, Lawrence, Corson, Meade, Hand, Jerauld, Miner, Bon Homme, Brown, Minnehaha, Turner, Spink, Yankton, Faulk, Todd, Roberts, Clay, Hyde, Day, Clark, Brookings, Kingsbury, Charles Mix, Ziebach, Campbell, Dewey, Aurora, Davison, McCook, McPherson, Buffalo, Beadle, Gregory, Moody, Fall River, Custer, Lincoln, Butte, Stanley, Mellette, Perkins, Edmunds, Lyman, Harding, Lake, Potter, Hughes | Cost * | $0.00 |
Medicare Plans in South Dakota Offered by HealthPartners
Though plans can vary from county to county, HealthPartners offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| HealthPartners Sanford Basic (Cost) | H2462-022 | Deuel, Union, Codington, Brown, Minnehaha, Turner, Clay, Day, Brookings, Lincoln, Lake | Cost * | $0.00 |
| HealthPartners Sanford Active (Cost) | H2462-024 | Deuel, Union, Codington, Brown, Minnehaha, Turner, Clay, Day, Brookings, Lincoln, Lake | Cost * | $0.00 |
| HealthPartners Sanford Vital (Cost) | H2462-023 | Deuel, Union, Codington, Brown, Minnehaha, Turner, Clay, Day, Brookings, Lincoln, Lake | Cost * | $0.00 |
| HealthPartners Sanford Ultimate (Cost) | H2462-025 | Deuel, Union, Codington, Brown, Minnehaha, Turner, Clay, Day, Brookings, Lincoln, Lake | Cost * | $0.00 |
Medicare Plans in South Dakota Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) | H1278-007 | Deuel, Pennington, Union, Lawrence, Meade, Minnehaha, Turner, Yankton, Clay, Brookings, Moody, Lincoln, Lake | Local PPO | $0.00 |
| UnitedHealthcare Medicare Advantage Assure (PPO) | H0271-018 | Deuel, Pennington, Union, Lawrence, Meade, Minnehaha, Turner, Yankton, Clay, Brookings, Moody, Lincoln, Lake | Local PPO | $38.00 |
| AARP Medicare Advantage Patriot (PPO) | H1278-019 | Deuel, Pennington, Union, Lawrence, Meade, Minnehaha, Turner, Yankton, Clay, Brookings, Moody, Lincoln, Lake | Local PPO* | $0.00 |
Medicare Plans in South Dakota Offered by Great Plains Medicare Advantage
Though plans can vary from county to county, Great Plains Medicare Advantage offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Great Plains Medicare Advantage (HMO I-SNP) | H1787-001 | Deuel, Pennington, Union, Douglas, Tripp, Hand, Miner, Bon Homme, Minnehaha, Turner, Day, Kingsbury, Charles Mix, McCook, Custer, Lincoln | Local HMO | $38.00 |
| Great Plain Medicare Advantage Gold (HMO I-SNP) | H1787-002 | Deuel, Pennington, Union, Douglas, Tripp, Hand, Miner, Bon Homme, Minnehaha, Turner, Day, Kingsbury, Charles Mix, McCook, Lincoln | Local HMO | $175.00 |
Medicare Plans in South Dakota Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in South Dakota.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Elite (PPO) | H1608-043 | Union, Sanborn, Hutchinson, Bon Homme, Minnehaha, Turner, Yankton, Clay, Brookings, Aurora, McCook, Moody, Lincoln, Lake | Local PPO | $0.00 |
| Aetna Medicare Premier (PPO) | H1608-001 | Union, Sanborn, Hutchinson, Bon Homme, Minnehaha, Turner, Yankton, Clay, Brookings, Aurora, McCook, Moody, Lincoln, Lake | Local PPO | $0.00 |
| Aetna Medicare Prime (PPO) | H1608-004 | Minnehaha, McCook, Lincoln | Local PPO | $0.00 |
South Dakota Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in South Dakota, you still have to pay your original Medicare Part B premium. Many SD Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.
Zero-Cost {?{?state}} Medicare Advantage Plans
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| Lasso Healthcare Growth (MSA) – H1924-001-0 | Corson, Lyman, Edmunds, Hyde, Spink, Bennett, Mellette, Campbell, Jones, Jackson, Lincoln, Day, Hanson, Charles Mix, Douglas, Pennington, Sully, Codington, Roberts, Fall River, Clark, Bon Homme, Hand, Gregory, Aurora, McCook, Haakon, Brown, Potter, Perkins, Buffalo, Hutchinson, Turner, Davison, Kingsbury, Hughes, Deuel, Miner, Brookings, Hamlin, Clay, Stanley, Lake, McPherson, Union, Custer, Walworth, Yankton, Moody, Beadle, Marshall, Meade, Tripp, Todd, Grant, Minnehaha, Harding, Brule, Faulk, Sanborn, Lawrence, Jerauld, Ziebach, Butte, Dewey | This Plan does NOT include prescription drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Corson, Lyman, Edmunds, Hyde, Spink, Bennett, Mellette, Campbell, Jones, Jackson, Lincoln, Day, Hanson, Charles Mix, Douglas, Pennington, Sully, Codington, Roberts, Fall River, Clark, Bon Homme, Hand, Gregory, Aurora, McCook, Haakon, Brown, Potter, Perkins, Buffalo, Hutchinson, Turner, Davison, Kingsbury, Hughes, Deuel, Miner, Brookings, Hamlin, Clay, Stanley, Lake, McPherson, Union, Custer, Walworth, Yankton, Moody, Beadle, Marshall, Meade, Tripp, Todd, Grant, Minnehaha, Harding, Brule, Faulk, Sanborn, Lawrence, Jerauld, Ziebach, Butte, Dewey | This Plan does NOT include prescription drug coverage. | N/A |
| Medica Prime Solution Standard (Cost) – H2450-044-0 | Lincoln, Turner, Deuel, Brookings, Clay, Lake, Union, Yankton, Moody, Minnehaha | This Plan does NOT include prescription drug coverage. | $4,500 |
| Humana Honor (PPO) – H5216-086-0 | Lincoln, Turner, Deuel, Brookings, Clay, Lake, Union, Yankton, Moody, Minnehaha | This Plan does NOT include prescription drug coverage. | $6,700 |
| AARP Medicare Advantage Choice (PPO) – H1278-007-0 | Lincoln, Turner, Deuel, Brookings, Clay, Lake, Union, Yankton, Moody, Minnehaha | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,900 |
| AARP Medicare Advantage Patriot (PPO) – H1278-019-0 | Pennington, Union, Meade, Minnehaha, Lawrence | This Plan does NOT include prescription drug coverage. | $6,700 |
| Aetna Medicare Elite (PPO) – H1608-043-0 | Lincoln, Bon Homme, Aurora, McCook, Hutchinson, Turner, Brookings, Clay, Lake, Union, Yankton, Moody, Minnehaha, Sanborn | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,900 |
| Aetna Medicare Premier (PPO) – H1608-001-0 | Lincoln, Bon Homme, Aurora, McCook, Hutchinson, Turner, Brookings, Clay, Lake, Union, Yankton, Moody, Minnehaha, Sanborn | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,100 |
| Aetna Medicare Prime (PPO) – H1608-004-0 | Pennington, Meade, Lawrence | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,400 |
| Humana Gold Plus H0028-011 (HMO) – H0028-011-0 | Pennington, Union, Meade, Minnehaha, Lawrence | Preferred Generic: $4.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $3,850 |
Standalone Medicare Part D Plans in South Dakota
There is a wide variety of Medicare Part D plans available in every state, and South Dakota is no exception. Keep in mind that plans vary by county, and don’t forget to check that your SD Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in South Dakota
| Plan | Details | Tiers |
|---|---|---|
| AARP MedicareRx Preferred (PDP) S5820 – 024 – 0 by UnitedHealthcare |
Monthly Premium: $86.50 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 370 – 0 by UnitedHealthcare |
Monthly Premium: $32.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $34.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 406 – 0 by UnitedHealthcare |
Monthly Premium: $35.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 123 – 0 by Cigna |
Monthly Premium: $33.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 304 – 0 by Cigna |
Monthly Premium: $22.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 270 – 0 by Cigna |
Monthly Premium: $49.20 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Clear Spring Health Premier Rx (PDP) S6946 – 051 – 0 by Clear Spring Health |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 022 – 0 by Clear Spring Health |
Monthly Premium: $29.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 025 – 0 by Elixir Insurance |
Monthly Premium: $54.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 33% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 195 – 0 by Express Scripts Medicare |
Monthly Premium: $81.00 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Express Scripts Medicare – Saver (PDP) S5660 – 241 – 0 by Express Scripts Medicare |
Monthly Premium: $25.20 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Express Scripts Medicare – Value (PDP) S5660 – 127 – 0 by Express Scripts Medicare |
Monthly Premium: $49.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $41.00 Tier 4: 50% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 145 – 0 by Humana |
Monthly Premium: $34.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 31% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 171 – 0 by Humana |
Monthly Premium: $60.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 204 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 16% Tier 4: 35% Tier 5: 25% |
| MedicareBlue Rx Premier (PDP) S5743 – 004 – 0 by Wellmark Blue Cross and Blue Shield of Iowa |
Monthly Premium: $104.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $0.00 Tier 3: 17% Tier 4: 40% Tier 5: 33% |
| MedicareBlue Rx Standard (PDP) S5743 – 001 – 0 by Wellmark Blue Cross and Blue Shield of Iowa |
Monthly Premium: $66.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $29.00 Tier 4: 31% Tier 5: 25% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 024 – 0 by Mutual of Omaha Rx |
Monthly Premium: $75.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 37% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 094 – 0 by Mutual of Omaha Rx |
Monthly Premium: $23.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 46% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 050 – 0 by Aetna Medicare |
Monthly Premium: $33.90 Annual Deductible: $240 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 46% Tier 5: 28% |
| SilverScript Plus (PDP) S5601 – 051 – 0 by Aetna Medicare |
Monthly Premium: $70.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| SilverScript SmartRx (PDP) S5601 – 200 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 46% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 089 – 0 by WellCare |
Monthly Premium: $28.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $31.00 Tier 4: 33% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 059 – 0 by WellCare |
Monthly Premium: $36.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $33.00 Tier 4: 39% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 302 – 0 by WellCare |
Monthly Premium: $23.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 148 – 0 by WellCare |
Monthly Premium: $76.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| WellCare Value Script (PDP) S4802 – 158 – 0 by WellCare |
Monthly Premium: $15.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 194 – 0 by WellCare |
Monthly Premium: $15.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $40.00 Tier 4: 47% Tier 5: 25% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
Licensed Insurance Agent
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