Medicare plays a key role in providing health and financial security to beneficiaries residing in South Dakota. With more than 178,800 South Dakota beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in South Dakota. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.

South Dakota Medicare Enrollments

137,724

Original Medicare Plans (Part A and B)

41,105

Medicare Advantage & Other Health Plans

109,299

Stand-alone Medicare Part D (Drug Plans)

178,829

Total Medicare Beneficiaries in South Dakota

Who Qualifies for Medicare in South Dakota?

Medicare covers most South Dakota residents who are 65 or older, and it also covers disabled South Dakota residents. Medicare enrollment in South Dakota works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, 80% of your health care costs will be covered.

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:

  • Begins 3 months before the month you turn 65
  • Includes the month you turn 65
  • Ends 3 months after the month you turn 65

In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.

Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.

Who Qualifies for Medicare

Local Medicare Health Plan Resources in South Dakota

  • Senior Health Information and Insurance Education (SHIINE) is a federally funded program through the Administration for Community Living (ACL) and administered by the South Dakota Department of Human Services Division of Long Term Services and Support (LTSS). SHIINE Regional Coordinators are located in three different regions of the state to assist Medicare beneficiaries, support local volunteer counselors, recruit new volunteers, and provide local SHIINE promotion.
    Contact: Call the Eastern South Dakota office toll-free at 1-800-536-8197, the Central South Dakota office at 1-877-331-4834, and the Western South Dakota office at 1-877-286-9072.

  • South Dakota’s Department of Social Services (DSS) offers an array of social service resources that includes providing information and enrollment for Medicaid, information on Medicare prescription drug coverage, and links to plan-finding portals and further avenues of support.
    Contact: Call 605-773-3495 or fill out an online contact form on the website.

  • Dakota at Home, operating under the oversight of the South Dakota Department of Human Services, is the state’s Aging and Disability Resource Center (ADRC). Dakota at Home provides free objective information, referral, and assistance to individuals regardless of age, disability, income, or resources. Dakota at Home also provides counseling and information about services and assistance available through Medicare.
    Contact: Call 1-833-663-9673

The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of South Dakota. Our process makes it easier for you to access your Medicare eligibility in South Dakota so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.

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