Before subsidies, the average benchmark silver plan for a 40-year-old in South Dakota costs $704 a month for 2027, against a national average of $704. Premium tax credits lower that for many households.
This page lists top-rated local agencies across South Dakota by city. Every listing shows distance and address, and every city page explains local plan costs. For a side-by-side comparison of carriers, call 866-645-8540 to reach a licensed agent.
How health insurance works in South Dakota
People in South Dakota buy marketplace coverage through HealthCare.gov. Open enrollment runs from November 1 through January 15. South Dakota Medicaid covers adults with income up to 138% of the poverty level. For 2027, marketplace plans in South Dakota come from 3 insurers: Avera Health Plans, Sanford Health Plan and Wellmark Blue Cross Blue Shield of South Dakota. Not every insurer sells in every county. Short-term health plans are sold in the state, though they are not ACA-compliant coverage.
Agent licensing in South Dakota
- The South Dakota Division of Insurance, part of the Department of Labor & Regulation, licenses insurance producers and regulates health insurers. Consumers can file complaints with the Division against insurers, HMOs, producers and other entities it licenses. Source
- The South Dakota Division of Insurance offers a License Look Up/Verification Service through the NAIC's State Based Systems for checking a producer's license. Source
- South Dakota producers who sell health coverage need the Accident & Health or Sickness line of authority. Source
Free enrollment help in South Dakota
HealthCare.gov Marketplace assisters: CMS-funded Navigator organizations plus Certified Application Counselors, who give free, impartial help applying and enrolling; consumers search for nearby help with the HealthCare.gov Find Local Help tool. You can search for in-person help on the official find-help page. If you'd rather have someone compare plans and recommend one, a licensed agent can do that at no cost to you.
Licensed agents can quote plans from multiple South Dakota carriers in one call.
Call 866-645-8540Health insurance by city in South Dakota
- Aberdeen
- Belle Fourche
- Box Elder
- Brandon
- Brookings
- Harrisburg
- Huron
- Madison
- Mitchell
- Pierre
- Rapid City
- Rapid Valley
- Sioux Falls
- Spearfish
- Sturgis
- Tea
- Vermillion
- Watertown
- Yankton