HealthPartners Sanford Vital (Cost)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by HealthPartners
Additional Coverage
Hearing Vision
Overall Government Star Rating
 5.0
out of 5 stars

State: South Dakota

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$40
$40
$0
$0
$3,400 In-network
No
Yes
Yes
No

Medical Benefits

Doctor Services

$15 per visit
$40 per visit

Tests, labs, & imaging

$0 copay
$0 copay
20%
10%
$100 per visit (always covered)
$40 per visit (always covered)

Hospital Services

$400 per stay
$150 per visit

Skilled nursing facility

$0 per day for days 1 through 20
$100 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

20%

Therapy services

$40
$40

Mental health services

$20
$40
$20
$40

Opioid treatment services

Covered

Other services

20% per item
20% per item
$0 copay

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

20%
20%

Extra Benefits

Hearing

$40
Not covered
$699-999

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Not covered
Limited coverage
Not covered
 4.5
 4
 4
 5
 4
 5

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