Health Insurance in South Dakota

Health insurance in South Dakota is available through HealthCare.gov, the federal marketplace, along with health sharing, short-term plans, Medicare, and supplemental coverage. About 9.5% of South Dakota's roughly 0.9 million residents are uninsured. South Dakota expanded Medicaid, so low-income adults may qualify for free or low-cost coverage. Prices and plan choice vary across the state's 66 counties, so where you live matters. Use the guides below to find the right lane for your situation.

Marketplace: HealthCare.gov·Medicaid expansion: Adopted·Uninsured rate: ~9.5%·Counties: 66·Population: ~0.9M

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Frequently asked questions

Where do I buy health insurance in South Dakota?
South Dakota residents enroll through HealthCare.gov (HealthCare.gov). You can also buy off-Marketplace plans, health sharing, or supplemental coverage directly.
Is Medicaid available in South Dakota?
Yes. Because South Dakota expanded Medicaid, adults under a certain income may qualify regardless of family status. Eligibility is based on income and household size.
How much does health insurance cost in South Dakota?
It depends on your age, county, plan tier, and — most importantly — whether you qualify for a subsidy. Many South Dakota enrollees pay well under $100/month after ACA premium tax credits. Use our calculators to estimate your cost.

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