Medicare Advantage Plans for South Dakota

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

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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