QHP Index

Wellmark Bronze Traditional EPO

Expanded Bronze · EPO · Wellmark of South Dakota, Inc. · South Dakota

At age 40 it costs between $488.64 and $513.50 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.

What CMS publishes about it

Plan ID50305SD0310008
InsurerWellmark of South Dakota, Inc.
Metal levelExpanded Bronze
Plan typeEPO
Deductible (individual)$7,200
Deductible (family)$14,400
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$9,900
Family maximum$19,800
Primary care visit$80
Specialist visit$150
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$35
Preferred brand drugs50% Coinsurance after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedNo
Child dental includedYes
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-800-819-0893 · TTY 1-888-781-4262

Where it is sold, and what it costs there

26 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Clay County $382.35$433.97 $488.64$682.88 $1,037.70
Lake County $382.35$433.97 $488.64$682.88 $1,037.70
McCook County $382.35$433.97 $488.64$682.88 $1,037.70
Moody County $382.35$433.97 $488.64$682.88 $1,037.70
Turner County $382.35$433.97 $488.64$682.88 $1,037.70
Union County $382.35$433.97 $488.64$682.88 $1,037.70
Beadle County $401.80$456.04 $513.50$717.61 $1,090.48
Brookings County $401.80$456.04 $513.50$717.61 $1,090.48
Campbell County $401.80$456.04 $513.50$717.61 $1,090.48
Clark County $401.80$456.04 $513.50$717.61 $1,090.48
Codington County $401.80$456.04 $513.50$717.61 $1,090.48
Corson County $401.80$456.04 $513.50$717.61 $1,090.48
Day County $401.80$456.04 $513.50$717.61 $1,090.48
Deuel County $401.80$456.04 $513.50$717.61 $1,090.48
Dewey County $401.80$456.04 $513.50$717.61 $1,090.48
Edmunds County $401.80$456.04 $513.50$717.61 $1,090.48
Faulk County $401.80$456.04 $513.50$717.61 $1,090.48
Grant County $401.80$456.04 $513.50$717.61 $1,090.48
Hamlin County $401.80$456.04 $513.50$717.61 $1,090.48
Kingsbury County $401.80$456.04 $513.50$717.61 $1,090.48
Marshall County $401.80$456.04 $513.50$717.61 $1,090.48
McPherson County $401.80$456.04 $513.50$717.61 $1,090.48
Potter County $401.80$456.04 $513.50$717.61 $1,090.48
Roberts County $401.80$456.04 $513.50$717.61 $1,090.48
Spink County $401.80$456.04 $513.50$717.61 $1,090.48
Walworth County $401.80$456.04 $513.50$717.61 $1,090.48

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.