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.
| # | Insurer | Hospitals 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 level | Lowest | Typical county average | Highest |
|---|---|---|---|
| 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.
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.
- Sanford Usd Medical CenterSioux Falls, SD5 of 5CMS stars
- Avera Heart Hospital of South DakotaSioux Falls, SD5 of 5CMS stars
- Avera St Benedict Health Center - CAHParkston, SD5 of 5CMS stars
- Avera McKennan Hospital & University Health CenterSioux Falls, SD4 of 5CMS stars
- Avera St LukesAberdeen, SD4 of 5CMS stars
- Brookings HospitalBrookings, SD4 of 5CMS stars
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.