Medicare Supplement South Dakota: Understanding Your Options

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Medicare Supplement South Dakota plans are standardized, meaning they offer the same benefits across different insurance companies. This standardization helps make it easier to compare plans.

In South Dakota, there are 10 standardized Medicare Supplement plans, labeled A through N. Each plan has its own unique set of benefits and costs.

Plan A is the most basic plan, covering basic benefits like hospital stays and medical expenses. It's also the most affordable option, with premiums ranging from $100 to $300 per month.

Medicare Supplement plans are designed to fill the gaps in Original Medicare coverage, including copays, coinsurance, and deductibles.

What Are Medicare Supplement Plans?

Medicare Supplement Plans, also known as Medigap, are a type of private health insurance that complements Original Medicare by covering gaps like deductibles and co-payments.

To qualify for Medigap, you must have both Medicare Parts A and B. This is a crucial requirement to keep in mind when considering Medigap coverage.

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In South Dakota, Medigap usually covers the 20% of authorized Medicare expenses not paid by Medicare (Parts A and B). This can include hospital bills, doctor fees, lab tests, and more, but excludes prescription drugs.

Medigap policies only cover an individual, so spouses need separate policies. However, you might be able to get a discount if you purchase a policy for both you and your spouse.

Medigap has specific enrollment deadlines, and missing this deadline can result in insurers denying coverage based on pre-existing conditions.

Cost and Savings

In South Dakota, you can expect to pay around $73 to $368 each month for a Medigap plan A, G, or N during your open enrollment period.

Medigap policies can be rated in three ways: community rated, issue-age rated, and attained-age-rated. Community rated policies charge the same premium for everyone, regardless of age, while issue-age rated policies base premiums on your age when you buy the policy.

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The cost of Medigap policies in South Dakota varies depending on the plan, provider, age, and location. You can quickly get a quote by clicking a button, which will provide a price in under 30 seconds.

Here's a quick example of how much you might pay for a Medigap Plan G: the average monthly premiums from "A" rated companies for a 65-year-old non-tobacco male range from $128 to $190.

What Costs Are Associated with Medicare Supplement Plans?

In South Dakota, you can expect to pay around $73 to $368 each month for a Medigap plan A, G, or N during your open enrollment period.

The cost of Medigap policies can vary depending on your insurer and how your premium is rated. There are three ways Medigap policies can be rated: community rated, issue-age rated, and attained-age-rated.

Community rated policies charge everyone the same premium, regardless of age, and may only increase due to inflation or other factors. This can be a great option if you're looking for a stable premium.

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Issue-age rated policies, on the other hand, base your premium on your age when you buy the policy and won't increase as you grow older. However, your premium may still increase due to inflation or other factors.

Attained-age-rated policies base your premium on your age and can increase as you grow older and due to inflation and other factors. This means your premium may go up over time.

To get a better idea of the exact cost for your Medigap plan in South Dakota, you can quickly get a quote by clicking the button below. You'll receive a price in less than 30 seconds, and all contact information is optional.

Here are the three ways Medigap policies can be rated:

  • Community rated (or no age-rated): Your premium isn’t based on your age.
  • Issue-age rated (or entry age-rated): Your premium is based on your age when you buy the policy.
  • Attained-age-rated: Your premium is based on your age and can increase as you grow older.

Saving Money

Saving money on Medicare Supplement plans in South Dakota is possible, and it's not just about paying more for more benefits. You can save money by taking advantage of discounts offered by some insurance companies.

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Some South Dakota companies offer "Medigap Household Discounts" or "HH Discounts", which can reduce monthly premiums for two individuals at the same address with the same Medigap insurance company. To confirm household discounts, you can click the Household discount button on our Med Supp quoting system or contact our licensed agents for personalized insights.

The Roommate Discount is another option, with simple requirements that can help you save even more. You can find out more about the Medigap Roommate Discount and how to get it in our article.

The amount you can save varies depending on the insurance company and the plan you choose. For example, Plan G premiums with one insurance company can be very different from another insurance company, even though the benefits are the same.

Here are some average monthly premiums for a 65-year-old non-tobacco male shopping for a Medigap Plan G from "A" rated companies:

  • Average Lowest Monthly Rate: $128
  • Average Highest Monthly Rate: $190

Choosing a Plan

The best time to enroll in a Medigap plan is during the initial six months starting with the first day of the month you turn 65 and become eligible for Medicare. This is because insurers cannot take pre-existing conditions into account when determining the rates you will pay for your Medigap insurance, and you cannot be turned down for these plans because of pre-existing conditions.

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Monthly premiums for Medigap plans vary based on factors such as your age, gender, tobacco use, and state of residence. You should also consider the benefits offered by each plan, such as coverage for Part A copays and coinsurance, Part B copays and coinsurance, and hospice care.

To compare Medicare Supplement plans, you can download a benefits comparison chart to see which types of medical bills are paid by Medicare and how various Medicare supplement plans split the rest of the bill with you. Some plans also offer extra discounts and perks, such as discounted hearing aid providers or eyeglass suppliers.

Here are the Medigap plans available in South Dakota:

* Plans F and G also offer a high-deductible plan in some states.

*** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in inpatient admission.

Do You Need a Medicare Supplement Plan?

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You may not need a Medicare Supplement plan, but it's essential to understand how Medicare works first. Medicare doesn't cover 100 percent of health costs in retirement.

You're responsible for deductibles, coinsurance, copayments, and some services, which can lead to unexpected bills. A Medicare Supplement plan can cover most of these balances, giving you added protection.

The best time to enroll in a Medigap plan is during the initial six months starting with the first day of the month you turn 65 and become eligible for Medicare. This is a one-time opportunity to choose from any available Medigap plans without being turned down due to pre-existing conditions.

You can't be denied coverage during this period, and insurers must offer you the policy you choose at the same premium rates as a healthy person. This guarantee only applies during your initial six months of Medigap eligibility.

If you miss this window, insurers can take pre-existing conditions into account when determining your rates, and you may even be declined coverage if your medical conditions are deemed too risky. To ensure you can get the plan you want at a rate you can afford, it's crucial to obtain Medicare Supplement Insurance during the initial six months.

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You may still be able to obtain Medigap insurance on the same preferable terms if you don't take advantage of the guaranteed eligibility. Guaranteed issue rights are available in certain circumstances, such as:

  • You have Medicare Advantage, and your plan stops providing service in your area or you move out of the coverage area.
  • You chose Medicare Advantage over Medigap or switched from Medigap to Medicare Advantage and want to change back within a year of this decision.
  • Your Medigap insurance company goes bankrupt.

Choosing a Plan

Choosing a plan can be overwhelming, but it's essential to consider your needs and budget. You'll want to think about your monthly premium, which is in addition to your Part B monthly premium, and affects your monthly cash flow.

Your premium amount is determined based on the type of plan you get, your age, gender, tobacco use, and state of residence. This means that different plans will cost you varying amounts, and it's essential to compare them.

In South Dakota, you can choose from various Medicare Supplement Insurance plans, each with its own set of benefits. Basic coverage for Part A copays and coinsurance and at least a portion of Part B copays and coinsurance, three pints of blood, and hospice care are offered with every type of plan.

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However, other benefits may not be included, so it's crucial to check which benefits are most important to you. For example, some plans may cover Part B deductible, while others may not.

You should also consider the insurance provider, looking at ratings and past experience with the carrier. This will give you an idea of their customer service and responsiveness. Some plans and insurers may offer added perks or discounts once you become a member.

To help you make a decision, here's a comparison of some of the most popular plans in South Dakota:

Keep in mind that Plan F is no longer available to those who were newly eligible for Medicare on or after January 1, 2020. Also, note that some plans have out-of-pocket limits, such as Plan K and Plan L.

It's essential to shop around and compare different plans to find the one that best suits your needs and budget. By doing so, you can ensure that you get the coverage you need without breaking the bank.

When to Sign Up

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You can get the best price for Medicare Supplement Insurance if you purchase a plan as soon as you are eligible for Medicare and enrolled in Parts A and B.

Medigap Open Enrollment starts on the first day of the month that you turn 65 and are enrolled in both Parts A and B, and lasts for six months.

During this time, an insurance company is not allowed to use medical underwriting to decide whether to accept your application or change the price.

This means you can't be turned down for a Medigap plan because of pre-existing conditions, and you'll get the same premium rates as a healthy person.

You can enroll in a Medigap Plan by contacting the insurance company to make sure you are in your open enrollment period or have guaranteed issue rights.

Complete the application and determine when you want your policy to start.

There are certain situations that give you guaranteed issue rights to purchase a Medigap policy, regardless of your health conditions or any pre-existing health conditions, such as:

  • Moving out of the coverage area while in a Medicare Advantage Plan or Medicare SELECT Plan
  • Your existing Medicare Advantage Plan leaving Medicare coverage
  • Your other insurance plan outside of Medicare is ending
  • You are within your trial right period
  • Your plan coverage ends through no fault of your own

Most people enroll in Medigap in South Dakota during the 6 month period once they are both over 65 AND enrolled in Medicare Part B.

Locations

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I serve the cities in South Dakota, so if you're a resident there, I can help you with your Medicare Supplement needs.

Michael Quinn, a seasoned Medicare insurance expert, is dedicated to simplifying the complexities of healthcare coverage.

With over a decade of experience, Michael is a trusted advisor known for his compassionate guidance and commitment to empowering individuals.

As the Cofounder of REMEDIGAP in 2013, Michael offers unbiased resources and personalized support to assist clients in making informed decisions.

His expertise has been recognized on reputable platforms such as USA Today and Nerdwallet, solidifying his reputation as a reliable and knowledgeable industry leader.

Frequently Asked Questions

What is the best supplemental insurance for Medicare for seniors?

For seniors turning 65, Plan G is the most comprehensive and popular choice, while Plan N is a close alternative. Consider Plan G for comprehensive coverage and flexibility.

Teresa Halvorson

Senior Writer

Teresa Halvorson is a skilled writer with a passion for financial journalism. Her expertise lies in breaking down complex topics into engaging, easy-to-understand content. With a keen eye for detail, Teresa has successfully covered a range of article categories, including currency exchange rates and foreign exchange rates.

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