You are Currently Viewing the 2022 Medicare Plans.
Click here If you Would Like to See
The 2023 Medicare Advantage Plans in Douglas County SD.
2022 Douglas County South Dakota
Medicare Advantage Plans
There are 12 Medicare Advantage Plans available in Douglas County SD from 3 different health insurance providers. 0 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. Douglas County South Dakota residents can also pick from 3 Medicare Special Needs Plans. The best Medicare Advantage plan in Douglas County South Dakota received a 4 overall star rating from CMS and the lowest rated plan is 4 stars.
(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)
| Name ⇅ | Premium | Deductible | MOOP | Gap | Plan Rating |
Click for Formulary |
|---|---|---|---|---|---|---|
| Blue Medicare Advantage Enhanced PPO (PPO) (H5900-004) | $69.00 | $0 | $3,900 | No | Too New | Browse Formulary |
| Blue Medicare Advantage PPO (PPO) (H5900-003) | $19.00 | $0 | $4,200 | No | Too New | Browse Formulary |
| Medica Prime Solution Core w-Rx (Cost) (H2450-035) | $139.70 | $480.00 | $4,000 | No | Browse Formulary | |
| Medica Prime Solution Premier w-Rx (Cost) (H2450-037) | $253.80 | $480.00 | $3,000 | No | Browse Formulary | |
| Medica Prime Solution Standard w-Rx (Cost) (H2450-049) | $42.00 | $480.00 | $4,500 | No | Browse Formulary | |
| Medica Prime Solution Thrift w-Rx (Cost) (H2450-007) | $78.40 | $480.00 | $6,700 | No | Browse Formulary |
Return to 2022 Medicare Advantage Plans in South Dakota
Edmunds County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Medica Prime Solution Core (Cost) (H2450-034) | $79.00 | Cost * | $4,000 | |
| Medica Prime Solution Premier (Cost) (H2450-036) | $189.00 | Cost * | $3,000 | |
| Medica Prime Solution Standard (Cost) (H2450-044) | $0 | Cost * | $4,500 | |
| Medica Prime Solution Thrift (Cost) (H2450-030) | $34.00 | Cost * | $6,700 |
2022 Medicare Special Needs Plans in Douglas county South Dakota
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Great Plain Medicare Advantage Gold (HMO I-SNP) | $50.00 | $0 | No Gap Coverage | Institutional | NA |
| Great Plains Medicare Advantage (HMO I-SNP) | $38.90 | $480.0 | No Gap Coverage | Institutional | NA |
| UnitedHealthcare Dual Complete Choice (PPO D-SNP) | $38.90 | $480.0 | No Gap Coverage | Dual-Eligible |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.