South Dakota · 2026 plan year

Health insurance plans in South Dakota

South Dakota uses the federal Marketplace, with 63 plans across the Bronze, Silver and Gold tiers from up to 3 insurers. Which tier suits you depends far more on how much care you expect to use than on the premium alone.

63
Marketplace plans
3
Insurers
66
Counties covered
$318
Cheapest premium
These are benchmark premiums, not your price. Every dollar figure here is the individual rate at age 21 for a non-tobacco user, before any premium tax credit — the standard way plans are compared like for like. What you actually pay depends on your age, county, household and income. Estimate your real cost.

South Dakota Silver premiums rank 15th cheapest of 30.

Averaged across all 22 plans, Silver coverage in South Dakota costs $528 a month before subsidies — 15th lowest of the 30 states with federal-marketplace data. Premiums vary far more by county and age than this single number suggests.

By metal tier

The three tiers in South Dakota, compared

TierPlansInsurersFrom / moAverage / moAvg deductible
Bronze213$318$406$7,281
Silver223$401$528$4,545
Gold203$437$555$1,620
Also available

Catastrophic and other coverage

Some states also offer Catastrophic plans, which carry very low premiums and very high deductibles and are limited to people under 30 or those with a hardship exemption. They are a small share of the market and are not broken out into their own page here — you can find any available in South Dakota on the full South Dakota plan list. Platinum plans are rare on the federal Marketplace and are absent from most states.

Other states

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