Medicare Advantage Plans for South Dakota

163,905 Total Medicare Advantage Enrollees

Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? South Dakota Enrollees
Medica Medica Prime Solution Core (Cost)
H2450-034-0 		1876 Cost $50 per Quarter No $200 Yes $0 No No No No 15,221
Medica Medica Prime Solution Standard (Cost)
H2450-044-0 		1876 Cost $25 per Quarter No $100 Yes $0 No No No No 7,457
Medica Medica Prime Solution Premier (Cost)
H2450-036-0 		1876 Cost $50 per Quarter No $200 Yes $0 No No No No 6,607
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-007-0 		Local PPO $40 per Quarter No $160 Yes No Yes Yes No 4,733
Humana HumanaChoice H5216-273 (PPO)
H5216-273-0 		Local PPO $75 per Quarter Yes $300 Yes No Yes No No 3,187
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-001-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No Yes No No 1,848
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-037-0 		Local PPO $105 per Month No $1,260 Yes $3,600 No Yes Yes No 1,830
Humana Humana Gold Plus H0028-053 (HMO)
H0028-053-4 		HMO $25 per Quarter No $100 Yes No Yes No No 1,596
Humana HumanaChoice H5216-088 (PPO)
H5216-088-0 		Local PPO $25 per Quarter No $100 No 1,300
Humana HumanaChoice H5216-103 (PPO)
H5216-103-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 1,242
Wellmark Advantage Health Plan Blue Medicare Advantage Enhanced PPO (PPO)
H5900-004-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No No No 1,241
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-009-0 		Local PPO $40 per Quarter No $160 Yes No Yes Yes No 1,227
Humana Humana Honor (PPO)
H5216-278-3 		Local PPO $75 per Quarter No $300 Yes No Yes No No 1,185
Medica Medica Prime Solution Core w/Rx (Cost)
H2450-035-0 		1876 Cost $50 per Quarter No $200 Yes $0 No No No No 1,146
Humana Humana Value Plus H5216-171 (PPO)
H5216-171-0 		Local PPO $175 per Quarter Yes $700 Yes No Yes No No 767
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 629
Sanford Health Plan Align ChoicePlus (PPO)
H8385-003-0 		Local PPO $55 per Quarter No $220 Yes $1,000 No No No No 464
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-043-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No Yes No No 451
Humana Humana Honor (PPO)
H5216-354-0 		Local PPO $75 per Quarter Yes $300 Yes No Yes No No 403
Wellmark Advantage Health Plan Blue Medicare Advantage PPO (PPO)
H5900-003-0 		Local PPO $50 per Quarter No $200 Yes $2,000 No No No No 374
Humana Humana Gold Plus SNP-DE H0028-058 (HMO D-SNP)
H0028-058-0 		HMO No $0 Yes No Yes No No 361
Sanford Health Plan Align ChoiceElite (PPO)
H8385-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No No No 299
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1278-019-0 		Local PPO $60 per Quarter No $240 Yes No Yes Yes No 288
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 283
Wellmark Advantage Health Plan Blue Medicare Advantage PPO | Avera (PPO)
H5900-005-0 		Local PPO $50 per Quarter No $200 Yes $2,000 No No No No 246
Medica Medica Prime Solution Premier w/Rx (Cost)
H2450-037-0 		1876 Cost $50 per Quarter No $200 Yes $0 No No No No 242
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 221
Humana HumanaChoice H5525-067 (PPO)
H5525-067-0 		Local PPO $75 per Quarter Yes $300 Yes No Yes No No 213
Medica Medica Prime Solution Standard w/Rx (Cost)
H2450-049-0 		1876 Cost $25 per Quarter No $100 Yes $0 No No No No 212
Great Plains Medicare Advantage Great Plains Medicare Advantage (HMO I-SNP)
H1787-001-0 		HMO No $0 Yes $2,000 No No No No 208
HealthPartners HealthPartners Freedom Prairie (Cost)
H2462-024-0 		1876 Cost No $0 Yes No Yes No No 177
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 176
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 127
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 127
Humana HumanaChoice H5216-092 (PPO)
H5216-092-0 		Local PPO $25 per Quarter No $100 No 125
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 79
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 73
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA No $0 No 70
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 69
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 42
Aetna Medicare Aetna Medicare Assure Premier (PPO D-SNP)
H1608-062-0 		Local PPO $120 per Quarter No $480 Yes $4,000 No Yes No No 33
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 30
Humana Humana Gold Choice H8145-089 (PFFS)
H8145-089-0 		PFFS $225 per Quarter No $900 No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 25
Aetna Medicare Aetna Medicare Eagle (PPO)
H1608-061-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No Yes No No 24
Humana Humana Honor (PPO)
H5525-066-0 		Local PPO $125 per Quarter Yes $500 Yes No Yes No No 24
HealthPartners HealthPartners Freedom Plains (Cost)
H2462-023-0 		1876 Cost No $0 Yes No Yes No No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 15
Great Plains Medicare Advantage Great Plain Medicare Advantage Gold (HMO I-SNP)
H1787-002-0 		HMO No $0 Yes $2,000 No No No No 14

Top 20 Medicare Advantage Insurance Companyes for South Dakota

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Medica 30,885 55,580 55,580
Humana 10,715 48,512 41,241
UnitedHealthcare 9,256 12,753 12,753
Aetna Medicare 2,738 15,275 15,275
Wellmark Advantage Health Plan 1,861 2,051 2,051
Sanford Health Plan 763 847 847
Great Plains Medicare Advantage 222 0 283
HealthPartners 211 0 917
Lasso Healthcare 81 0 0
Blue Cross Blue Shield of Michigan 80 0 0
Anthem Blue Cross and Blue Shield 72 0 0

Counties in South Dakota

County Medicare Advantage Enrolless
Aurora 422
Beadle 3,899
Bennett 258
Bon Homme 1,367
Brookings 5,065
Brown 7,270
Brule 1,079
Buffalo 69
Butte 2,232
Campbell 343
Charles Mix 1,437
Clark 927
Clay 1,848
Codington 7,115
Corson 336
Custer 2,415
Davison 4,362
Day 1,476
Deuel 949
Dewey 360
Douglas 598
Edmunds 751
Fall River 1,655
Faulk 483
Grant 2,426
Gregory 981
Haakon 366
Hamlin 1,217
Hand 721
Hanson 801
Harding 156
Hughes 2,979
Hutchinson 1,802
Hyde 253
Jackson 261
Jerauld 426
Jones 129
Kingsbury 1,213
Lake 2,300
Lawrence 6,546
Lincoln 10,031
Lyman 461
Marshall 939
McCook 1,128
McPherson 557
Meade 4,543
Mellette 182
Miner 457
Minnehaha 33,669
Moody 1,061
Pennington 22,491
Perkins 616
Potter 498
Roberts 1,826
Sanborn 421
Shannon 576
Spink 1,481
Stanley 520
Sully 215
Todd 510
Tripp 1,174
Turner 1,995
Union 2,941
Walworth 1,106
Yankton 5,182
Ziebach 32
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