facebook tracking South Dakota Health Insurance (2027): Insurers and Hospitals

Health insurance in South Dakota (2027)

South Dakota residents buy 2027 individual plans on HealthCare.gov; in the insurers' provider directory files loaded November 4, 2026, Wellmark Blue Cross Blue Shield lists the most South Dakota hospitals in network (55 of 59).

MarketplaceHealthCare.govHealthCare.gov
Open enrollmentNov 1 – Jan 15for 2027 coverage
Insurers3with hospitals in network
Medicaid, adults133%of the poverty line

Where to buy a plan in South Dakota

South Dakota uses HealthCare.gov for individual and family plans. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 (source).

South Dakota Marketplace insurers by hospitals in network, 2027

Hospitals listed in at least one of each insurer's 2027 South Dakota plan networks, from the insurers' provider directory files loaded November 4, 2026. One plan's network can be smaller than another's from the same insurer.

#InsurerHospitals in network
1 Wellmark Blue Cross Blue Shield 55 of 59
2 Avera Health Plans 47 of 59
3 Sanford Health Plan 43 of 59

"Of" counts the open, non-VA hospitals in South Dakota on this site that have a Medicare number.

2027 monthly premiums in South Dakota by metal level

40-year-old, no tobacco, before tax credits. Lowest and highest premium across South Dakota counties, and the typical county's average. Most people pay less after tax credits.

Metal levelLowestTypical county averageHighest
Bronze $439 $530 $751
Silver $561 $681 $1,011
Gold $602 $716 $997

2027 Marketplace plan rates for 40-year-old, no tobacco, before tax credits, in 3 counties.

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Medicaid income limits in South Dakota

The income limit for each group, as a share of the federal poverty line, as HealthCare.gov reports it for 2027. Adults in South Dakota qualify for Medicaid up to 133% of the poverty line. Ask a hospital which South Dakota Medicaid plans it takes.

  • Adults133%of the poverty line
  • Parents42%of the poverty line
  • Pregnant people133%of the poverty line
  • Children182%of the poverty line

Check a South Dakota hospital's networks

Each hospital page has an Insurance section with the Marketplace insurers whose plans list it and a plan checker.

Source: HealthCare.gov Marketplace API (state exchange, Medicaid limits, plan rates). Individual Marketplace (ACA) plans only.

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals

Networks change; confirm with your insurer before you go. Not affiliated with any insurer, HealthCare.gov or CMS.