Rapid City, South Dakota
Medicare agents in Rapid City, SD
Find a licensed agent with an office in Rapid City, and see what Medicare looks like locally: how many people have it, how many are in Medicare Advantage, and how many plans are offered for 2027.
Last reviewed October 27, 2026. General information, not advice about any plan.
Agents in Rapid City
No agents with an office in Rapid City are listed yet. Agents licensed anywhere in South Dakota can help by phone or video: see agents in South Dakota.
Before you meet anyone, check their South Dakota license. Agents in nearby towns are on the Pennington County page.
Medicare in Pennington County
- People with Medicare
- 30,315
- In Medicare Advantage or another Medicare health plan
- 32% (9,596)
- With both Medicare and Medicaid*
- 9% (2,663)
Source: CMS Medicare Monthly Enrollment, July 2026, for all of Pennington County; Rapid City itself has about 79,894 residents (Census, 2024). Medicare health plans include Medicare Advantage, cost plans and PACE, not Medigap or drug plans. *Includes people who get help only with Medicare costs from a Medicare Savings Program.
2027 plans offered in Pennington County
- Medicare Advantage with drug coverage
- 3 plans, 0 with a $0 plan premium
- Medicare Advantage without drug coverage
- 2 plans
- Special Needs Plans
- 4 plans: 2 for people with both Medicare and Medicaid; 2 for people who live in, or need the care of, a nursing home. Only people who qualify can join.
- Companies offering these plans
- 3
Standalone drug plans in South Dakota: 9 plans, with monthly premiums from $5.30.
Source: CMS 2027 plan landscape (updated October 2026), which lists plans by county. A $0 plan premium doesn't mean $0 costs: you still pay the Part B premium, plus copays, and plans differ in their yearly limit and in which doctors and drugs they cover. How to compare.
Free local help
- Senior Health Information and Insurance Education (SHIINE)
- South Dakota's free, unbiased Medicare counseling program. 1-888-854-5321 · Website
- The South Dakota Department of Labor & Regulation, Division of Insurance
- Licenses agents and takes complaints. 605-773-3563 · How to check a license
- 1-800-MEDICARE
- 1-800-633-4227 (TTY 1-877-486-2048), 24 hours a day, 7 days a week, except some federal holidays.
South Dakota rules to know
- Switching Medigap plans
- South Dakota doesn't add a yearly Medigap switching right. Outside your 6-month Medigap Open Enrollment Period (which starts when you're 65 or older and have Part B) and certain federal protections, such as losing other coverage, insurers can usually ask health questions and turn you down. States with switching rights.
- Medigap under 65
- Required, with limits. If you get Medicare because of a disability, you can buy any Medigap policy without health questions if you apply within 6 months of your Part B start date (applies if you became Medicare-eligible on or after July 1, 1999); the rule names disability only and does not mention kidney failure (ESRD).
- Agent licenses
- Agents must be licensed for health insurance in South Dakota. Look one up.
Dates to know
- October 15 to December 7
- Open Enrollment: change Medicare Advantage or drug plans for the next year.
- January 1 to March 31
- Medicare Advantage Open Enrollment: one change for people already in a Medicare Advantage plan.
- Turning 65
- A 7-month window around your birthday month. The checklist.
Moving to Rapid City from another state opens a special enrollment period for Medicare Advantage and drug plans. It doesn't by itself let you buy Medigap without health questions. What to do.
Common questions
How many people in Rapid City have Medicare?
In Pennington County, 30,315 people had Medicare in July 2026, according to CMS. About 32% were in Medicare Advantage or another Medicare health plan; the rest had Original Medicare.
How many Medicare Advantage plans are offered in Rapid City for 2027?
CMS lists 3 Medicare Advantage plans with drug coverage in Pennington County for 2027 (0 with a $0 plan premium; you still pay the Part B premium), 2 without drug coverage, and 4 Special Needs Plans for people who qualify, from 3 companies. Medicare.gov's Plan Finder shows which ones cover your address, doctors and drugs.
Where can I get free Medicare help in Rapid City?
South Dakota's free counseling program, Senior Health Information and Insurance Education (SHIINE) (1-888-854-5321), gives unbiased one-on-one help. You can also call 1-800-MEDICARE (1-800-633-4227) any time.
Will I pay more for a plan if I use an agent?
No. A plan's premium is set by the plan, and you pay the same whether you enroll through an agent, the plan, or Medicare.gov. Agents can't charge a fee to enroll you in a Medicare Advantage or drug plan.
Other cities in South Dakota
Keep reading
- How to find a good Medicare agent near youWhere to look for a local Medicare agent, how to narrow the list to one or two, and the five-minute checks to do before you share anything.
- Medicare Open Enrollment checklist: what to check before December 7A step-by-step checklist for the October 15 to December 7, 2026 Open Enrollment Period: what to read in your plan's letter, what's changing for 2027, what you can switch, and what happens if you do nothing.
- Medicare Advantage or Medigap? The questions that decide itNeither is better for everyone. How the two common Medicare set-ups differ, the questions that point to one or the other, and why the first choice is the hardest to undo.
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