South Dakota Medicare Insurance Plans

Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of South Dakota.

Medicare Supplement (Medigap) Policies

The state flag of South Dakota | South Dakota Medicare Insurance Plans

Even though Federal law does not require insurance companies to sell Medigap policies to people under the age of 65, some states still require this. South Dakota is one of those states that does require Medigap insurance companies to sell you a Medigap policy, even if you’re under the age of 65.

Mini-COBRA Policies

COBRA benefits allow employees who have lost coverage due to various reasons to continue group coverage for a limited period of time.  This is for employers with more than 20 employees. If you’re employer has less than 20 employees, you will fall under the South Dakota state continuation law and may be able to receive continuation of coverage for up to 18 months.

Medicare Savings Programs

*South Dakota has four Medicare savings programs.  The following data is from 2016 and is based on federal amounts.  These amounts may increase in 2017.  If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.

  • *Qualified Medicare Beneficiaries (QMBs): For individuals with a monthly income under $1,010 and for couples with a monthly income under $1,355, the state pays all premiums for Part B and all Co-Pays and Deductibles for Parts A & B
  • *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income under $1,208 or couples with monthly income under $1,622, the state pays premiums for Part B.
  • *Qualified Individuals (QIs): For individuals with a monthly income under $1,357 or for couples with monthly income under $1,823, the state pays premiums for Part B.
  • *Qualified Disabled Working Individuals (QDWIs): For individuals with a monthly income under $4,045 or couples with a monthly income under $5,425.

*Data from Medicare.gov

According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.

The Senior Health Information and Insurance Education (SHIINE) Program

The Senior Health Information and Insurance Education (SHIINE) program of South Dakota is administered by the South Dakota Dept. of Social Services, Adult Services and Aging, in Pierre, SD. SHIINE offers information on Medicare and its related insurance, makes referrals for State and Federal programs and provides long term care education.

Low-Income Subsidy (“extra-help”) for Prescription Drugs

In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple).

If you live in South Dakota, you may consult with one of our licensed sales agents to get personal assistance. One of our licensed sales agents can compare South Dakota Medicare insurance plans in your area and help you find the Medicare insurance benefits that are right for your needs.