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a consumer's guide to South Dakota Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage

topics: Medicare Prescription Drug Help, Medicare coverage, Medicare Advantage prescription drug programs, supplement insurance, what is Medicare? help

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South Dakota Medicare, South Dakota Medicare Prescription Drug Coverage
Medicare Help & Information, Medicare Part D In South Dakota, Medicare help

Answers and information about Medicare, prescription drug coverage and health insurance involves searching through hundreds of pages at government and private websites. To help seniors and caregivers get started in their search, our editors have compiled this digest of South Dakota Medicare help and information resources.
 

South Dakota Medicare; ND; Medicare Part D in South Dakota

South Dakota Medicaid: Medicaid assistance and South Dakota Medicaid help Were you looking for South Dakota Medicaid instead of South Dakota Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.

South Dakota Medicare Coverage, Prescription Drug Plans
South Dakota Medicare Help Articles & Resources

Information from varied resources about Medicare in South Dakota
Important advice about how to use this data: This Web Site links you to other Web Sites on the Internet. We cannot take responsibility for information found on third party Web sites outside our control. While we attempt to provide links only to Web Sites that comply with all applicable laws and regulations and appear to have responsible information, please understand that the content on these third-party Web Sites is subject to change without notice to us. We therefore cannot be responsible for, and accept no liability for, any information or opinion contained in any third-party Web Site. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action. Use this web page for informational purposes only.

 
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medicaid
 
Medicare Web Page:
(South Dakota) Senior Health Information and Insurance Education (SHIINE)

languages: English
from the web page: "...Senior Health Information and Insurance Education (SHIINE) is a federally-funded program administered by the SD Department of Social Services' Adult Service and Aging Program and The Center for Active Generations, in partnership with the SD Division of Insurance and SDSU Cooperative Extension Service. It is free to the citizens of South Dakota.

The purpose of the SHIINE program is to educate Medicare beneficiaries and their families on Medicare and Medicare Advantage issues, as well as private health insurance policies like long-term care insurance and Medicare supplemental insurance. ..."

 
more from (South Dakota) Senior Health Information and Insurance Education (SHIINE):
Medicare Web Page:
MEDICARE PART D ASSISTANCE BY COUNTY
languages: English
from the web page: Select a county to view the dates, times, programs, and presenters for that county.
.
Medicare Web Page:
Do You Need Help Paying Prescription Drug Costs?

source: South Dakota Department of Social Services
languages: English
from the web page: "Medicare offers prescription drug coverage for all people with Medicare. If you have Medicare and a limited income, you may also qualify for extra help with paying your prescription drug costs..."

 
more from South Dakota Department of Social Services:
Medicare Web Page:
Fact Sheets with Additional Information
languages: English
from the web page: "The following fact sheets regarding Medicare Prescription Drug Coverage are provided by the Centers for Medicare and Medicaid Services..." .
.
Medicare Web Page:
Medicare Enrollee News

source:South Dakota Foundation for Medical Care
languages: English
from the web page: ...All states have a Quality Improvement Organization (QIO) which is funded by the Medicare program. QIOs are responsible for reviewing the medical care provided to Medicare patients. In South Dakota, the QIO is the South Dakota Foundation for Medical Care... "

 
more from South Dakota Foundation for Medical Care:
Medicare Publication:
Fact Sheets with Additional Information
2 pages; languages: English
from the web page: "This document tells how you can help Medicare improve care... one person at a time..."
.
Medicare Web Page:
Medicare Prescription Drug Program

source: South Dakota Division of Insurance
languages: English
from the web page: "...Anyone with Medicare will be eligible to receive prescription drug coverage through Part D. If you currently have prescription drug coverage, you will need to review your current benefits and the new Part D benefits to determine which coverage best fits your current and future needs..."
.
Medicare brochure or publication:
South Dakota Medicare Drug Plan Ratings

source:AARP
file size:5 pg.  languages: English
"...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...."

 
more from AARP:
Medicare Web Page:
South Dakota: Medicare Rx Fact Sheet
languages: English
from the web page: "South Dakota already runs two programs that help people with limited incomes pay for drugs and a third program that helps pay for other Medicare-related costs like premiums. These programs are: Medicaid, AIDS Drug Assistance Program (ADAP), and Medicare Savings Programs..."

.
Medicare Web Page:
South Dakota: Medicare Prescription Drug Plan (PDP) Premiums, 2007

source:Kaiser Family Foundation / statehealthfacts.org
languages: English
from the web page: "...Beneficiaries can join a prescription drug plan (PDP) for drug coverage only and get their other Medicare benefits through the fee-for-service program, as the majority of people with Medicare currently do. Alternatively they can join a Medicare Advantage (MA) plan..."
.
Medicare Web Page:
What Medicare Covers & How Much You Will Pay

source:Medicare Rights Center
languages: English  
Charts of premiums, deductables, and other information for medicare coverage under Part A, Part B, and Part D
.
Medicaid brochure or publication:
Your Medicare Rights and Protections

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
44pp   languages: English
Fairly detailed explanations and descriptions about your Medicare rights and protections.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in South Dakota

source:healthinsuranceinfo.net
file size: 38pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a South Dakota resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a South Dakota resident...."
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Iowa / Minnesota / Montana / North Dakota / Nebraska / South Dakota / Wyoming

Aetna Medicare
.
Medicaid brochure or publication:
Your Medicare Rights and Protections

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
44pp   languages: English
Fairly detailed explanations and descriptions about your Medicare rights and protections.
.
Medicaid brochure or publication:
Medicare & You 2007 (South Dakota specific version - other states are included also)

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
152pp   languages: English and Spanish
from www.medicare.gov: "Medicare & You 2007... contains important information about what’s new, health plans, prescription drug plans, and rights and protections to help people with Medicare review their coverage options and prepare to enroll in a new plan if they choose. These files are ... the printed version that people with Medicare will get in the mail this fall. Plan information contained in each book may change after printing."
.
Medicare brochure or publication:
Landscape: 2007 South Dakotah Stand-Alone Prescription Drug Plans

source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services
file size:3 pg.   languages: English  date:2007
South Dakota 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded."


Medicare brochure or publication:
Landscape: South Dakota Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:26 pg.   languages: English
"South Dakota 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded."

How to get more information about South Dakota Medicare Prescription Drug Programs

Medicare.gov has summary information about the plans offered by the companies listed in the tables below. The data sheets are called "Landscapes".
  1. The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
    • Cost (premiums, deductibles and payments)
    • Coverage (important issues around what and how drugs are covered)
    • Convenience (pharmacy and mail-order options)
  2. Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
  3. We have provided links to the landscape documents for this state in the list of publications above. 
.
.



 

Medicare prescription drug coverage plans offered in South Dakota: 

Important advice about how to use this data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.

 
41 Prescription Drug Plans in South Dakota   This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
AARP MedicareRx Plan
(S5820-024)
UnitedHealthcare No gap coverage Non-Members
1-888-867-5564
TTY Users should call:
1-877-730-4192
Members
1-888-867-5575
TTY Users should call:
1-888-867-5575
Advantage Freedom Plan
(S5644-059)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
Advantage Star Plan
(S5644-080)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
AdvantraRx Premier
(S5674-033)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
AdvantraRx Premier Plus
(S5674-035)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
AdvantraRx Value
(S5674-032)
Coventry AdvantraRx No gap coverage Non-Members
1-800-882-3822
TTY Users should call:
1-800-508-9548
Members
1-866-823-5178
TTY Users should call:
1-866-823-5178
Aetna Medicare Rx Essentials
(S5810-059)
Aetna Medicare No gap coverage Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
Aetna Medicare Rx Plus
(S5810-161)
Aetna Medicare Generic Only Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
Aetna Medicare Rx Premier
(S5810-195)
Aetna Medicare Generic Only Non-Members
1-800-445-1796
TTY Users should call:
1-800-628-3323
Members
1-877-238-6211
TTY Users should call:
1-877-238-6211
CIGNATURE Rx Complete Plan
(S5617-195)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Plus Plan
(S5617-125)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Value Plan
(S5617-123)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Community Care Rx BASIC
(S5803-094)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
Community Care Rx CHOICE
(S5803-162)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
Community Care Rx GOLD
(S5803-128)
MEMBERHEALTH No gap coverage Non-Members
1-866-684-5353
TTY Users should call:
1-866-684-5351
Members
1-866-684-5353
TTY Users should call:
1-518-449-6800
Fox Rx Care
(S5557-003)
FOX Insurance Company No gap coverage Non-Members
1-888-369-7979
TTY Users should call:
1-866-369-7373
Members
1-888-369-7373
TTY Users should call:
1-480-423-8184 ext: 5917
Humana PDP Complete S5884-053
(S5884-053)
Humana Insurance Company Generic and Brand Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
Humana PDP Enhanced S5884-023
(S5884-023)
Humana Insurance Company No gap coverage Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
Humana PDP Standard S5884-083
(S5884-083)
Humana Insurance Company No gap coverage Non-Members
1-800-706-0872
TTY Users should call:
1-877-833-4486
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
MedicareBlue Rx Option 1
(S5743-001)
Wellmark Blue Cross Blue Shield of South Dakota No gap coverage Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareBlue Rx Option 2
(S5743-003)
Wellmark Blue Cross Blue Shield of South Dakota No gap coverage Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareBlue Rx Option 3
(S5743-004)
Wellmark Blue Cross Blue Shield of South Dakota Generic and Brand Non-Members
1-866-456-3725
TTY Users should call:
1-866-456-1550
Members
1-888-832-0075
TTY Users should call:
1-888-832-0075
MedicareRx Rewards
(S5960-025)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Plus
(S5960-061)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Premier
(S5960-095)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
PacifiCare Comprehensive Plan
(S5921-249)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Saver Plan
(S5921-248)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Select Plan
(S5921-247)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Prescription Pathway Bronze Plan Reg 25
(S5597-090)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
1-800-698-8394
TTY Users should call:
1-850-432-1700
Prescription Pathway Gold Plan Reg 25
(S5597-057)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
Prescription Pathway Silver Plan Reg25
(S5597-189)
Pennsylvania Life Insurance Company No gap coverage Non-Members
1-800-765-8900
TTY Users should call:
1-866-222-3904
Members
1-800-698-8394
TTY Users should call:
1-850-432-1700
SilverScript
(S5601-050)
SilverScript Insurance Company No gap coverage Non-Members
1-866-552-6106
TTY Users should call:
1-866-552-6288
Members
1-866-235-5660
TTY Users should call:
1-866-235-5660
SilverScript Plus
(S5601-051)
SilverScript Insurance Company No gap coverage Non-Members
1-866-235-4582
TTY Users should call:
1-866-552-6288
Members
1-866-235-5660
TTY Users should call:
1-866-235-5660
Sterling Prescription Drug Plan
(S4802-030)
Sterling Life Insurance Company No gap coverage Non-Members
1-888-909-1713
TTY Users should call:
1-888-858-8567
Members
1-866-865-0664
TTY Users should call:
1-866-865-0664
UA Medicare Part D Prescription Drug Cov
(S5755-028)
United American Insurance Company No gap coverage Non-Members
1-866-524-4169
TTY Users should call:
1-866-524-4170
Members
1-866-524-4169
TTY Users should call:
1-866-524-4169
United Medicare MedAdvance
(S5820-128)
UnitedHealthcare No gap coverage Non-Members
1-888-556-6657
TTY Users should call:
1-888-556-7065
Members
1-888-556-7047
TTY Users should call:
1-888-556-7047
UnitedHealthRx
(S5820-139)
UnitedHealthcare No gap coverage Non-Members
1-888-556-7052
TTY Users should call:
1-888-556-7053
Members
1-888-556-7060
TTY Users should call:
1-888-556-7060
WellCare Complete
(S5967-094)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Premier
(S5967-128)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Signature
(S5967-059)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
YOURx PLAN
(S5660-025)
Medco YOURx PLAN No gap coverage Non-Members
1-800-758-3605
TTY Users should call:
1-800-716-3231
Members
1-800-758-4574
TTY Users should call:
1-800-758-4574


1 Medicare Special Needs Plans in South Dakota  This list is to familiarize you with Medicare Special Needs Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
HeartLine Plus
(H5586-001-0)
DAKOTACARE For people with certain chronic or disabling conditions. Non-Members
1-866-437-3288
TTY Users should call:
1-800-811-1113
Members
1-866-437-3288
TTY Users should call:
1-800-811-1113


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