Coverage Atlas

ACA Health Insurance Plans in South Dakota (2026)

326 ACA medical marketplace plans from 3 insurers are listed in South Dakota for the 2026 plan year, alongside 8 standalone dental plans — per the CMS ACA Plan Attributes Public Use File.

Last updated: June 24, 2026 · Source: CMS ACA Plan Attributes PUF (2026 plan year)

326
Medical plans
3
Medical issuers
4
Metal tiers offered
8
Standalone dental plans
This page is a reference catalog of which plans exist, with sticker (pre-subsidy) premiums where available. It informs and compares; it does not recommend a "best plan" and gives no advice. Plan attributes come from the CMS ACA Plan Attributes PUF; premiums (shown below for federal-marketplace states) come from the separate CMS Rate PUF — sticker prices only, never your net cost after subsidies. For eligibility, subsidies, and to enroll, go to HealthCare.gov or your state marketplace.

How many ACA plans are available in South Dakota?

The CMS ACA Plan Attributes Public Use File lists 326 medical plan variants from 3 issuers in South Dakota for 2026, plus 8 standalone dental plans from 1 issuers. Counts are plan variants (each cost-sharing variation is a row in the source file).

Segment Plans Issuers
Medical (qualified health plans) 326 3
Standalone dental (SADP) 8 1

Source: CMS ACA Plan Attributes PUF (2026 plan year).

What metal tiers are offered in South Dakota?

South Dakota medical plans span Silver, Expanded Bronze, Gold, Catastrophic. The most common tier is Silver (154 plans).

Metal tier Plans Share of medical
Silver 154 47%
Expanded Bronze 84 26%
Gold 80 25%
Catastrophic 8 2%

Source: CMS ACA Plan Attributes PUF (2026 plan year).

HMO, PPO, EPO or POS — what plan types are available in South Dakota?

PPO is the most common plan type in South Dakota (159 plans).

Plan type Plans Share of medical
PPO 159 49%
HMO 99 30%
EPO 68 21%

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Plan features in South Dakota

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Which insurers offer ACA plans in South Dakota?

4 distinct issuer IDs appear in South Dakota across medical and standalone dental plans (3 offer medical, 1 offer standalone dental; some offer both):

4 issuer names are listed below. Some CMS rows carry issuer IDs without a display name in this projection, so the named list can be smaller than the distinct issuer-ID count.

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Sources & provenance

Every figure on this page comes from the CMS ACA Plan Attributes PUF (2026 plan year) (source id src:cms:aca-plan-attributes-puf:2026), published by the Centers for Medicare & Medicaid Services: https://www.cms.gov/marketplace/resources/data/public-use-files.

Medical plans are metal tiers Silver, Gold, Bronze, Expanded Bronze, Platinum and Catastrophic; standalone dental plans (SADPs) use the Low/High tiers and are counted separately. Premiums are not in this file and are not shown here.

Data exported June 24, 2026 · content hash · machine-readable brief: /coverage/states/sd.context.md

Recorded · CMS Rate PUF

What ACA plans cost in South Dakota

Read these as sticker prices, not your price.

These are the full premiums before income-based tax credits. Most marketplace enrollees pay far less — a premium tax credit is tied to your income and can bring a plan's cost down sharply, sometimes to near $0 for lower incomes. These figures show how plans compare and what coverage costs unsubsidized — not what you'll pay. For your actual price, enter your income at healthcare.gov.

A typical Silver plan runs $703/month for a 40-year-old, ranging $512–$882 across South Dakota's 4 rating areas. Silver is the benchmark tier that income-based credits are sized against.

Metal tier Typical (median) Range across rating areas Plans
Catastrophic $394 $291–$469 10
Bronze $539 $406–$718 48
Silver $703 $512–$882 52
Gold $733 $559–$934 46

Benchmark: a 40-year-old, individual, non-tobacco. Premiums also rise with age and vary by rating area — a 60-year-old pays roughly 3× a 21-year-old for the same plan. "Typical" is the median monthly premium across the state's 4 rating areas and 67 plans; a tier only appears if it is offered in the state. Catastrophic plans are generally available only to enrollees under 30 or with a hardship exemption — the figure is the on-file rate, not an option most 40-year-olds can buy.

RECORDED — the premiums are the CMS Marketplace Rate Public Use File's published figures for the current plan year. INTERPRETATION — "sticker, not your price" and the subsidy note are framing, because net cost depends on your income and current tax-credit rules. Coverage scope is the SD federally-facilitated marketplace; this atlas informs and compares — it is not advice on which plan to buy. Verify and enroll at healthcare.gov.

South Dakota across the Atlas Commons

The same state in the other source-backed Atlas Commons domains.