Marketplace health plans in South Dakota, county by county
66 counties in South Dakota buy on HealthCare.gov. What is sold, and what it costs, changes at the county line: pick yours.
| County | Plans | Insurers | Cheapest at 40 | Cheapest Silver | Average paid after credit |
|---|---|---|---|---|---|
| Aurora County | 21 | 2 | $401.73 | $702.27 | $145 |
| Beadle County | 28 | 3 | $386.21 | $679.23 | $173 |
| Bennett County | 28 | 3 | $452.50 | $760.94 | $238 |
| Bon Homme County | 21 | 2 | $401.73 | $702.27 | $188 |
| Brookings County | 28 | 3 | $386.21 | $679.23 | $220 |
| Brown County | 41 | 2 | $297.38 | $527.85 | $195 |
| Brule County | 21 | 2 | $401.73 | $702.27 | $200 |
| Buffalo County | 21 | 2 | $401.73 | $702.27 | $183 |
| Butte County | 28 | 3 | $452.50 | $760.94 | $150 |
| Campbell County | 28 | 3 | $386.21 | $679.23 | $231 |
| Charles Mix County | 21 | 2 | $401.73 | $702.27 | $162 |
| Clark County | 28 | 3 | $386.21 | $679.23 | $150 |
| Clay County | 37 | 3 | $290.64 | $515.88 | $238 |
| Codington County | 28 | 3 | $386.21 | $679.23 | $173 |
| Corson County | 28 | 3 | $386.21 | $679.23 | $193 |
| Custer County | 28 | 3 | $452.50 | $760.94 | $241 |
| Davison County | 32 | 2 | $401.73 | $532.42 | $224 |
| Day County | 28 | 3 | $386.21 | $679.23 | $181 |
| Deuel County | 28 | 3 | $386.21 | $679.23 | $161 |
| Dewey County | 28 | 3 | $386.21 | $679.23 | $161 |
| Douglas County | 21 | 2 | $401.73 | $702.27 | $188 |
| Edmunds County | 28 | 3 | $386.21 | $679.23 | $227 |
| Fall River County | 28 | 3 | $452.50 | $760.94 | $200 |
| Faulk County | 28 | 3 | $386.21 | $679.23 | $155 |
| Grant County | 28 | 3 | $386.21 | $679.23 | $177 |
| Gregory County | 21 | 2 | $401.73 | $702.27 | $192 |
| Haakon County | 28 | 3 | $452.50 | $760.94 | $168 |
| Hamlin County | 28 | 3 | $386.21 | $679.23 | $130 |
| Hand County | 21 | 2 | $401.73 | $702.27 | $220 |
| Hanson County | 32 | 2 | $401.73 | $532.42 | $215 |
| Harding County | 28 | 3 | $452.50 | $760.94 | $224 |
| Hughes County | 21 | 2 | $401.73 | $702.27 | $240 |
| Hutchinson County | 32 | 2 | $401.73 | $532.42 | $214 |
| Hyde County | 21 | 2 | $401.73 | $702.27 | $292 |
| Jackson County | 28 | 3 | $452.50 | $760.94 | $189 |
| Jerauld County | 21 | 2 | $401.73 | $702.27 | $184 |
| Jones County | 28 | 3 | $452.50 | $760.94 | $200 |
| Kingsbury County | 28 | 3 | $386.21 | $679.23 | $197 |
| Lake County | 28 | 3 | $377.45 | $663.83 | $211 |
| Lawrence County | 28 | 3 | $452.50 | $760.94 | $202 |
| Lincoln County | 41 | 2 | $290.64 | $511.88 | $232 |
| Lyman County | 21 | 2 | $401.73 | $702.27 | $192 |
| Marshall County | 28 | 3 | $386.21 | $679.23 | $215 |
| McCook County | 39 | 3 | $377.45 | $511.88 | $288 |
| McPherson County | 28 | 3 | $386.21 | $679.23 | $197 |
| Meade County | 28 | 3 | $452.50 | $760.94 | $205 |
| Mellette County | 28 | 3 | $452.50 | $760.94 | $166 |
| Miner County | 21 | 2 | $401.73 | $702.27 | $196 |
| Minnehaha County | 41 | 2 | $290.64 | $511.88 | $222 |
| Moody County | 28 | 3 | $377.45 | $663.83 | $201 |
| Oglala Lakota County | 28 | 3 | $452.50 | $760.94 | $465 |
| Pennington County | 28 | 3 | $452.50 | $760.94 | $219 |
| Perkins County | 28 | 3 | $452.50 | $760.94 | $206 |
| Potter County | 28 | 3 | $386.21 | $679.23 | $230 |
| Roberts County | 28 | 3 | $386.21 | $679.23 | $193 |
| Sanborn County | 21 | 2 | $401.73 | $702.27 | $201 |
| Spink County | 28 | 3 | $386.21 | $679.23 | $204 |
| Stanley County | 21 | 2 | $401.73 | $702.27 | $224 |
| Sully County | 21 | 2 | $401.73 | $702.27 | $186 |
| Todd County | 28 | 3 | $452.50 | $760.94 | $182 |
| Tripp County | 21 | 2 | $401.73 | $702.27 | $249 |
| Turner County | 37 | 3 | $290.64 | $515.88 | $245 |
| Union County | 37 | 3 | $290.64 | $515.88 | $301 |
| Walworth County | 28 | 3 | $386.21 | $679.23 | $206 |
| Yankton County | 32 | 2 | $401.73 | $532.42 | $294 |
| Ziebach County | 28 | 3 | $452.50 | $760.94 | $161 |
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. 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.