Sioux Falls Area Comparisons

Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D - Drug Benefits      Indicates $0 Premium Plans
Click the Senior Choice Gold Award highlighted Medicare Plan for enrollment details
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Click here to view health status details		 If your health is FAIR
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Click here to view health status details		 If your health is POOR
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#1 WellMark
(Blue Medicare Advantage PPO) 		 $520 Sanford Health
(Align ChoicePlus PPO) 		 $2,059 Sanford Health
(Align ChoicePlus PPO) 		 $5,065
#2 Sanford Health
(Align ChoicePlus PPO) 		 $689 WellMark
(Blue Medicare Advantage PPO)  		 $3,566 WellMark
(Blue Medicare Advantage PPO) 		 $5,972
#3 Aetna
(Premier PPO)  		 $1,360 Aetna
(Premier PPO)  		 $3,798 Aetna
(Premier PPO)  		 $6,458
#4 United HealthCare
(AARP Medicare Advantage Choice PPO) 		 $1,647 Humana
(Choice PPO) 		 $4,009 United HealthCare
(AARP Medicare Advantage Choice PPO) 		 $7,002
#5 Humana
(Choice PPO) 		 $1,801 Medica
(Prime Solution Std Rx HMO)  		 $4,602 Humana
(Choice PPO) 		 $8,500
#6 Medica
(Prime Solution Std Rx HMO)  		 $2,441 United HealthCare
(AARP Medicare Advantage Choice PPO) 		 $4,619 Medica
(Prime Solution Std Rx HMO)  		 $9,524
  Average: All Plans $1,410 Average: All Plans $3,776 Average: All Plans $7,087

*Annual estimated costs (out-of-pocket expenses) include applicable 2025 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($TBA in 2025 for most beneficiaries) are not included.  Estimated costs may be greater for beneficiaries who are late enrolling for Medicare Part D (prescription drug) coverage or lower for beneficiaries with limited income and resources who may be eligible for low-income subsidies.  Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, transportation.  

The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans. 

Medicare has neither reviewed nor endorsed this information.  The Senior Choice Gold Award is not given by Medicare.

This is not a complete listing of plans available in your service area.  For a complete listing, please contact 1-800-MEDICARE or consult www.Medicare.gov. 

(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.Medicare.gov.) 

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