Medicare Advantage Plans in Spink County, SD:
Your Complete 2025 Guide
With 14 Medicare Advantage plans available in Spink County, South Dakota for 2025, you can choose from a variety of options that go beyond Original Medicare. Many plans also include valuable extras like vision, dental, and/or fitness benefits. There may not be a plan in Spink County that has all of these benefits in one plan.
Browse the plans below, or get personalized help by calling 833-748-3201 (TTY 711) to speak with a licensed HealthCompare agent.
Types of Medicare Advantage Plans in Spink County, SD
With 14 Medicare Advantage plans available in Spink County for 2025, you have a range of options to choose from. However, there are no 5-star plans available this year. Here’s a breakdown of your choices:
- Preferred Provider Organization (PPO) Plans: These plans (14 available) offer flexibility with out-of-network care at a higher cost. The average monthly premium for these plans is $44.91.
- Special Needs Plans (SNP): These are highly specialized Medicare Advantage plans for individuals with special healthcare needs. We organize these plans here: Medicare Special Needs Plans in Spink County, SD.
Preferred Provider Organization (PPO) Medicare Advantage Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. These plans often have higher costs for out-of-network care but provide more options for those who want greater freedom in choosing their healthcare providers.
Medicare Advantage PPO Plan Options
| Plan Name | Rating* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| AARP Medicare Advantage from UHC SI-0001 | $24 | $4,900 | $495 | |
| AARP Medicare Advantage Patriot No Rx SI-MA01 | $0 | $6,700 | N/A | |
| Aetna Medicare Eagle | $0 | $6,750 | N/A | |
| Aetna Medicare Enhanced Select | $142 | $4,500 | $250 | |
| Aetna Medicare Premier | $0 | $3,900 | $590 | |
| Aetna Medicare Value Plus | $48 | $5,500 | $590 | |
| Humana USAA Honor Giveback | $0 | $4,900 | N/A | |
| Humana USAA Honor Giveback | $0 | $4,900 | N/A | |
| Humana Value Plus H5216-171 | $46 | $9,350 | $590 | |
| HumanaChoice H5216-088 | $101 | $4,900 | $590 | |
| Medica Advantage Preferred | $201 | $3,000 | $0 | |
| Medica Advantage Select | $66 | $3,700 | $250 | |
| Medica Advantage Solution H8889-009 | $0 | $4,900 | N/A | |
| Medica Advantage Value | $0 | $3,900 | $495 | |
| * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. | ||||
- Out-of-Network Costs: PPO plans allow you to see out-of-network providers, but this flexibility often comes with higher costs. Be sure to evaluate how much extra you'll need to pay if you prefer to see providers outside of the plan's network.
- Provider Network: Make sure your preferred doctors and specialists are in the plan's network to keep your costs lower. If you value the ability to choose providers freely, confirm the plan's network coverage meets your needs.
- Premiums and Out-of-Pocket Maximums: Compare the monthly premiums and out-of-pocket maximums across plans. Higher premiums might offer more coverage, but consider whether the additional benefits justify the cost for your situation.
- Additional Benefits: Many PPO plans offer extras like dental, vision, and/or fitness programs. Assess which additional benefits matter most to you and how they align with your healthcare needs. There may not be a plan in your area that has all of these benefits in one plan.
How and When to Enroll in a Medicare Advantage Plan
Choosing a Medicare Advantage Plan in Spink County requires knowing the right time to enroll. Whether it’s your first time enrolling in Medicare or you’re switching plans, understanding the different enrollment periods will help you get the right coverage for your health needs.
When to Enroll
- Initial Enrollment Period (IEP): Enroll in Medicare during this period, which starts three months before your 65th birthday and ends three months after. This is your first opportunity to select a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): From January 1 to March 31, you can switch your current Medicare Advantage plan to a new one or return to Original Medicare if your current plan no longer suits you. Learn more
- Annual Enrollment Period (AEP): Occurring annually from October 15 to December 7, this period allows you to adjust your Medicare coverage for the upcoming year. Learn more
- Special Enrollment Periods (SEPs): If certain life events, such as moving or losing coverage, apply to you, you may qualify for a Special Enrollment Period to make changes to your plan. Learn more
How to Enroll
- Talk to a Licensed Agent: Speak with a licensed health insurance agent from HealthCompare 1-833-748-3201 (TTY 711) (Mon-Fri 5am-6pm, Sat 6am-5pm PST) for personalized guidance.
- Enroll Directly with the Plan Provider: Contact your chosen plan provider online or by phone to complete your enrollment.
- Visit Medicare.gov: Compare plans and enroll through the official Medicare website at Medicare.gov.
Your Medicare Advantage Questions Answered
What is Medicare Advantage, and how does it work?
Medicare Advantage (Part C) is an alternative to Original Medicare that bundles Medicare Part A (hospital insurance) and Part B (medical insurance) into one plan. These plans are offered by private insurance companies and often include additional benefits like dental, vision, and prescription drug coverage.
What are the benefits of choosing a Medicare Advantage plan?
Medicare Advantage plans often provide extra benefits not covered by Original Medicare, such as dental, vision, and hearing services. Additionally, these plans may include prescription drug coverage and have lower out-of-pocket costs compared to Original Medicare.
Can I switch between Medicare Advantage and Original Medicare?
Yes, you can switch between Medicare Advantage and Original Medicare during certain enrollment periods, such as the Annual Enrollment Period (AEP) or the Medicare Advantage Open Enrollment Period (MA OEP). Special Enrollment Periods (SEPs) may also allow changes under specific circumstances.
Medicare Advantage Enrollment: Your Questions Answered
What happens if I’m already enrolled in a Medicare Advantage plan and want to switch?
If you want to switch your Medicare Advantage plan, you can do so during the Annual Enrollment Period (AEP) from October 15 to December 7, or during the Medicare Advantage Open Enrollment Period (MA OEP) from January 1 to March 31. Special Enrollment Periods (SEPs) may also apply in certain circumstances.
Can I enroll in a Medicare Advantage plan if I have pre-existing conditions?
Yes, you can enroll in a Medicare Advantage plan even if you have pre-existing conditions. Medicare Advantage plans cannot deny you coverage or charge you more based on your health status.
How do I qualify for a Special Enrollment Period?
You may qualify for a Special Enrollment Period (SEP) if you experience certain life events, such as moving to a new area, losing other health coverage, or becoming eligible for Medicaid. SEPs allow you to make changes to your Medicare Advantage plan outside of the standard enrollment periods.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Redfield, and all other areas of Spink County, South Dakota.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.