UPDATED: SEPTEMBER 05, 2023 | 3 MIN READ
Looking for affordable South Dakota health insurance? Health insurance options can be confusing. We’ve compared different plans and prices to help you get the best coverage at the lowest possible rate.
South Dakota Open Enrollment dates for health insurance
South Dakota’s health insurance Open Enrollment period runs annually from November 1st to January 15th.
Health insurance demographics
Insurance rates are dependent on the demographics of the person. Age, gender, and location all affect individual insurance plan rates.
It’s good to know these factors when choosing your insurance company. This is because some companies will charge different rates depending on these demographics.
- Average Household Income: The median household income in South Dakota is $59,896. This is slightly less than the United States median household income of $64,994.
- Median Age Range: The median age of residents in South Dakota is 36.8.
- Education: More than 92% of South Dakota residents have graduated high school, with 29.3% having college degrees. The state has 4.7% of residents currently working their way through college.
What type of health insurance Marketplace does South Dakota have?
Every state has a different way of obtaining health insurance. South Dakota uses the federally run marketplace, so residents enroll through HealthCare.gov. The marketplace is an online marketplace that allows people to compare and purchase health insurance plans from various providers at a reduced cost and with fewer requirements.
How many people are insured through the South Dakota health insurance marketplace?
In December 2021, 39,292 people enrolled for 202 coverage, with a month remaining open. This is an increase from 2021 where 31, 375 people enrolled.
Did South Dakota implement the ACA’s Medicaid expansion?
Medicaid expansion is an important part of the Affordable Care Act. It expanded health insurance coverage to low-income adults with no children living at home. South Dakota is one of 12 states that has not yet accepted Medicaid expansion.
When can you purchase ACA health insurance in South Dakota?
South Dakota’s open enrollment window for 2022 health coverage runs from November 1, 2021-January 15, 2022.
People may also buy ACA health insurance if they experience a qualifying event. This includes marriage, birth, or adoption.
Types of ACA plans in South Dakota
South Dakota has three types of plans: Bronze, Silver, and Gold.
- Bronze plans have the lowest premiums and the highest deductibles.
- Silver plans have higher premiums but cover more than bronze plans.
- Gold plans offer higher premiums than silver but lower deductibles than bronze. They also provide benefits such as prescription drug coverage and preventive care services. This means that checkups or screenings would be free to the individual or their family members.
What carriers offer ACA health insurance in South Dakota?
Plans in South Dakota’s exchange for 2023 are available from the following providers:
- Avera
- Sanford
How much does health insurance cost in South Dakota?
South Dakota residents can expect to pay an average of $322.99 per person monthly. This price is based on a Silver plan.
Cheapest health insurance by metal tier in South Dakota
| Metal Tier | Cheapest Plan | Monthly Premium | Deductible | Maximum Out-of-Pocket |
|---|---|---|---|---|
| Catastrophic | Sanford TRUE | $225 | $8,700 | $8,700 |
| Bronze Expanded | Sanford TRUE | $330 | $7,000 | $8,700 |
| Silver | Sanford TRUE | $460 | $4,750 | $8,700 |
| Gold | Sanford TRUE | $470 | $1,750 | $6,750 |
Cheapest silver health insurance plans by county
Individual and family health plan prices vary by county. The chart below displays some of the cheapest Silver plan options for the largest counties in the state.
| County Name | Cheapest Plan | Individual, Age 40 | Couple, Age 40 |
|---|---|---|---|
| Brookings | Sanford Simplicity $4,750 | $770 | $1,540 |
| Brown | Sanford TRUE $4,750 | $460 | $920 |
| Lincoln | Sanford TRUE $4,750 | $460 | $920 |
| Minnehaha | Sanford TRUE $4,750 | $460 | $920 |
| Pennington | Sanford Simplicity $4,750 | $770 | $1,540 |
Are health insurance subsidies available in South Dakota?
Millions of Americans receive financial assistance via the Affordable Care Act, which is available through tax credits and cost-sharing reductions. This helps to cover some of their health insurance premiums.
The ACA offers people with low and moderate incomes financial assistance through advance premium tax credits (APTCs) and cost-sharing reductions (CSRs) when they purchase coverage through the marketplace.
Can you purchase off-exchange health insurance coverage in South Dakota?
The short answer is yes. Off-exchange health insurance coverage is available in South Dakota.
Off-exchange health insurance coverage is a type of plan you purchase outside the Affordable Care Act (ACA). You are buying off-exchange insurance on your state’s market.
Can you purchase short-term insurance in South Dakota?
If you are an individual looking for short-term health insurance in South Dakota, you may be able to get it. However, depending on your situation, you may find purchasing short-term health insurance in South Dakota challenging.
Health insurance options for low-income people in South Dakota
In South Dakota, there are several different health insurance options. These include Medicaid, the Children’s Health Insurance Program (CHIP), and private insurance plans.
The Affordable Care Act has also made it easier for low-income individuals to enroll in a health plan. The ACA offers subsidies to help make insurance more affordable for those who qualify.
What Medicare options are available in South Dakota?
Medicare is a federally-funded healthcare insurance program for people aged 65 and over. It is available to anyone who has worked in the United States for at least 10 years.
Medicare plans are divided into four categories: Original Medicare, Medicare Advantage, Medicare Part D (prescription drug coverage), and Medicare Supplement.
There are a variety of options available to South Dakotans when it comes to their health insurance coverage. The government website has helpful information on all the different types of plans offered in the state. This allows you to make an informed decision on what might work best for you.
Medicaid in South Dakota
Medicaid is a type of insurance program that provides health care to individuals and families who cannot afford it.
South Dakota’s Medicaid program is named the South Dakota Medical Assistance Program (SDMAP).
Cheapest health insurance plans in South Dakota
Health insurance can be confusing and expensive. The cheapest plans are not always the best. It is important to find a plan that fits your needs and budget.
Cheapest health plan in South Dakota with low out-of-pocket maximums
Some companies are offering low-cost health insurance plans with high out-of-pocket maximums. These plans are designed for people who usually have lower incomes but still want affordable coverage.
The cheapest plan in South Dakota is the Avera 4500 HSA Eligible HDHP from Avera Health Plans.
Cheapest health plan in South Dakota with high out-of-pocket maximums
The cheapest plan in South Dakota is the Sanford TRUE $8,500 from Sanford Health Plan.
Cheapest health plan in South Dakota with an HSA option
The cheapest plan in South Dakota with an HSA option is the Sanford TRUE $6,900 HSA/HDHP from Sanford Health Plan.
Cheapest HMO/PPO/POS health plans in South Dakota
- The cheapest HMO Silver plan in South Dakota is the Sanford TRUE $4,750 plan from Sanford Health Plans.
- The cheapest PPO Silver plan in South Dakota is the Avera 3000 plan from Avera Health Plans.
FAQs
Does South Dakota have state health insurance?
Medicaid is a federal and state-funded program that provides health coverage for those who meet specific eligibility standards. It is run by the states, with each state having its own eligibility requirements.
Is health insurance required in South Dakota?
South Dakota residents must have health insurance under the Affordable Care Act (also known as ObamaCare).
Is healthcare in South Dakota good?
According to the Commonwealth Fund, healthcare in South Dakota ranked 29th in 2020 on State Health System Performance.
Does South Dakota have Medicaid for adults?
Medicaid covers South Dakota residents, including pregnant women, parents, and caretaker relatives, adults with no dependent children, disabled children and adults, and seniors.
What is Medicaid called in South Dakota?
Medicaid is also called the South Dakota Medical Assistance Program.
How do you buy affordable individual and family health insurance plans in South Dakota?
Individual and family health insurance plans can be expensive in South Dakota, so finding a plan that fits your budget is important.
Many factors go into determining a plan’s affordability, such as deductibles, copays, and premiums. If you are looking for an affordable health insurance plan in South Dakota, get a free quote today.
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