| The Medicare Project 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 help & articles |
Who Offers South Dakota Medicare Prescription Drug Plans? |
The Medicare Project (Home) | South Dakota MEDICAID help |
South Dakota Medicare, South Dakota Medicare Prescription Drug Coverage
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. |
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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. 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 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 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..." 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..." 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..." 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 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...." State Pharmacy Listing - Aetna Medicare RxSM Plans - Iowa / Minnesota / Montana / North Dakota / Nebraska / South Dakota / Wyoming Aetna Medicare 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. 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." 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." |
| 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.) | ||||||
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| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Coverage in the Gap About the gap |
Contact Service Phones |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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