South Dakota · Medicaid
Medicaid in South Dakota
Looking for Medicaid eligibility in South Dakota? Here is how this coverage lane works specifically for South Dakota residents, what it costs, and how to get it.
Facts on this page checked Jan 15, 2026. Sources are listed at the end.
How it works here
Medicaid, explained for South Dakota.
South Dakota expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.
Medicaid in South Dakota provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.
If you do not qualify for Medicaid in South Dakota, a subsidized Marketplace plan through HealthCare.gov is usually the next best option.
South Dakota expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.
Medicaid rules in South Dakota still depend on household size, income, and category (for example pregnancy or disability). An application through HealthCare.gov or the state Medicaid agency is the reliable way to confirm.
Given South Dakota's approximate 9.5% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.
South Dakota facts
- Marketplace
- HealthCare.gov
- Medicaid expansion
- Adopted
- Uninsured rate
- ~9.5%
Open enrollment 2027
When South Dakota can enroll.
- Opens
- Nov 1, 2026
- Sun
- Enroll by, for Jan 1 coverage
- Dec 15, 2026
- Tue
- Last day to enroll
- Jan 15, 2027
- Fri
South Dakota residents enroll at HealthCare.gov. Enroll after Dec 15 and coverage usually starts February 1. Outside this window, a qualifying life event (a move, a new baby, losing other coverage) can open a Special Enrollment Period.
Medicare is different.Medicare’s annual enrollment runs Oct 15 to Dec 7, 2026. For Medicare help, visit our sister site OLYRON Medicare or Medicare.gov.
Dates checked Oct 15, 2026. Sources: HealthCare.gov: dates and deadlines; CMS statement, Jul 27, 2026.
More in this state
Other coverage in South Dakota.
- ACA Marketplace plansSubsidy-eligible major-medical plans sold on the exchange.
- Health sharingMember-funded medical cost sharing — not insurance.
- Short-term plansTemporary coverage to bridge a gap — limited benefits.
- MedicareOriginal Medicare, Advantage, and Medigap for 65+ and eligible.
- DentalStandalone and bundled dental coverage options.
- VisionEye exams, glasses, and contacts coverage.
- TelehealthVirtual primary and urgent care memberships.
Questions
Good questions, short answers.
Who qualifies for Medicaid in South Dakota?
Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
Can I apply for Medicaid any time in South Dakota?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did South Dakota expand Medicaid?
Yes. South Dakota adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.
Sources
- Medicaid.gov — federal Medicaid program information · reviewed 2026-01-15
- KFF (Kaiser Family Foundation) — health policy research · reviewed 2026-01-15
- OLYRON HealthMatch editorial methodology — how we source and rate options · reviewed 2026-01-15
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