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)
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
- 92 HSA-eligible plans (28% of medical plans).
- 326 plans do not require a referral to see a specialist (100% of medical plans).
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.
- Avera Health Plans
- BEST Life
- Sanford Health Plan
- Wellmark of South Dakota, Inc.
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
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machine-readable brief: /coverage/states/sd.context.md