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South Dakota Marketplace plans by county — 2026
66 counties in South Dakota are served by 1,822 Marketplace plans from 3 insurers in 2026. The benchmark silver premium at age 40, before subsidies, runs from $514.37 to $774.01 a month; the county average is $693.57. 744,117 residents are under 65.
| County | Plans | Insurers | Benchmark silver, age 40 | Lowest bronze, age 40 | Residents under 65 | Benchmark vs. prior year |
|---|
| Aurora County | 21 | 2 | $705.85 | $532.51 | 2,122 | +$66.81 |
|---|
| Beadle County | 28 | 3 | $708.76 | $513.50 | 15,748 | +$63.87 |
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| Bennett County | 28 | 3 | $774.01 | $539.74 | 2,833 | +$35.96 |
|---|
| Bon Homme County | 21 | 2 | $705.85 | $532.51 | 5,530 | +$66.81 |
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| Brookings County | 28 | 3 | $708.76 | $513.50 | 30,617 | +$63.87 |
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| Brown County | 41 | 2 | $537.34 | $425.67 | 31,146 | +$42.61 |
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| Brule County | 21 | 2 | $705.85 | $532.51 | 4,173 | +$66.81 |
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| Buffalo County | 21 | 2 | $705.85 | $532.51 | 1,642 | +$66.81 |
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| Butte County | 28 | 3 | $774.01 | $539.74 | 8,527 | +$35.96 |
|---|
| Campbell County | 28 | 3 | $708.76 | $513.50 | 1,164 | +$63.87 |
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| Charles Mix County | 21 | 2 | $705.85 | $532.51 | 7,522 | +$66.81 |
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| Clark County | 28 | 3 | $708.76 | $513.50 | 2,996 | +$63.87 |
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| Clay County | 37 | 3 | $548.69 | $416.02 | 13,363 | −$65.71 |
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| Codington County | 28 | 3 | $708.76 | $513.50 | 23,142 | +$63.87 |
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| Corson County | 28 | 3 | $708.76 | $513.50 | 3,305 | +$63.87 |
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| Custer County | 28 | 3 | $774.01 | $539.74 | 5,895 | +$35.96 |
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| Davison County | 32 | 2 | $535.01 | $422.71 | 15,796 | −$104.03 |
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| Day County | 28 | 3 | $708.76 | $513.50 | 3,988 | +$63.87 |
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| Deuel County | 28 | 3 | $708.76 | $513.50 | 3,372 | +$63.87 |
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| Dewey County | 28 | 3 | $708.76 | $513.50 | 4,687 | +$63.87 |
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| Douglas County | 21 | 2 | $705.85 | $532.51 | 2,135 | +$66.81 |
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| Edmunds County | 28 | 3 | $708.76 | $513.50 | 3,120 | +$63.87 |
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| Fall River County | 28 | 3 | $774.01 | $539.74 | 4,876 | +$35.96 |
|---|
| Faulk County | 28 | 3 | $708.76 | $513.50 | 1,614 | +$63.87 |
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| Grant County | 28 | 3 | $708.76 | $513.50 | 5,796 | +$63.87 |
|---|
| Gregory County | 21 | 2 | $705.85 | $532.51 | 2,948 | +$66.81 |
|---|
| Haakon County | 28 | 3 | $774.01 | $539.74 | 1,221 | +$35.96 |
|---|
| Hamlin County | 28 | 3 | $708.76 | $513.50 | 5,462 | +$63.87 |
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| Hand County | 21 | 2 | $705.85 | $532.51 | 2,381 | +$66.81 |
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| Hanson County | 32 | 2 | $535.01 | $422.71 | 2,906 | −$104.03 |
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| Harding County | 28 | 3 | $774.01 | $539.74 | 910 | +$35.96 |
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| Hughes County | 21 | 2 | $705.85 | $532.51 | 14,476 | +$66.81 |
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| Hutchinson County | 32 | 2 | $535.01 | $422.71 | 5,791 | −$104.03 |
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| Hyde County | 21 | 2 | $705.85 | $532.51 | 854 | +$66.81 |
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| Jackson County | 28 | 3 | $774.01 | $539.74 | 2,454 | +$35.96 |
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| Jerauld County | 21 | 2 | $705.85 | $532.51 | 1,227 | +$66.81 |
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| Jones County | 28 | 3 | $774.01 | $539.74 | 759 | +$35.96 |
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| Kingsbury County | 28 | 3 | $708.76 | $513.50 | 4,033 | +$63.87 |
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| Lake County | 28 | 3 | $675.18 | $488.64 | 8,306 | +$60.78 |
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| Lawrence County | 28 | 3 | $774.01 | $539.74 | 20,420 | +$35.96 |
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| Lincoln County | 41 | 2 | $514.37 | $406.40 | 60,272 | +$43.03 |
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| Lyman County | 21 | 2 | $705.85 | $532.51 | 3,042 | +$66.81 |
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| Marshall County | 28 | 3 | $708.76 | $513.50 | 3,335 | +$63.87 |
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| McCook County | 39 | 3 | $514.37 | $406.40 | 4,669 | −$100.03 |
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| McPherson County | 28 | 3 | $708.76 | $513.50 | 1,434 | +$63.87 |
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| Meade County | 28 | 3 | $774.01 | $539.74 | 25,442 | +$35.96 |
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| Mellette County | 28 | 3 | $774.01 | $539.74 | 1,624 | +$35.96 |
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| Miner County | 21 | 2 | $705.85 | $532.51 | 1,704 | +$66.81 |
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| Minnehaha County | 41 | 2 | $514.37 | $406.40 | 174,983 | +$43.03 |
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| Moody County | 28 | 3 | $675.18 | $488.64 | 5,104 | +$60.78 |
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| Oglala Lakota County | 28 | 3 | $774.01 | $539.74 | 12,478 | +$35.96 |
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| Pennington County | 28 | 3 | $774.01 | $539.74 | 90,642 | +$35.96 |
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| Perkins County | 28 | 3 | $774.01 | $539.74 | 2,195 | +$35.96 |
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| Potter County | 28 | 3 | $708.76 | $513.50 | 1,654 | +$63.87 |
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| Roberts County | 28 | 3 | $708.76 | $513.50 | 8,084 | +$63.87 |
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| Sanborn County | 21 | 2 | $705.85 | $532.51 | 1,902 | +$66.81 |
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| Spink County | 28 | 3 | $708.76 | $513.50 | 4,697 | +$63.87 |
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| Stanley County | 21 | 2 | $705.85 | $532.51 | 2,280 | +$66.81 |
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| Sully County | 21 | 2 | $705.85 | $532.51 | 1,173 | +$66.81 |
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| Todd County | 28 | 3 | $774.01 | $539.74 | 8,518 | +$35.96 |
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| Tripp County | 21 | 2 | $705.85 | $532.51 | 4,231 | +$66.81 |
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| Turner County | 37 | 3 | $548.69 | $416.02 | 7,078 | −$65.71 |
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| Union County | 37 | 3 | $548.69 | $416.02 | 13,753 | −$65.71 |
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| Walworth County | 28 | 3 | $708.76 | $513.50 | 4,059 | +$63.87 |
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| Yankton County | 32 | 2 | $535.01 | $422.71 | 18,409 | −$104.03 |
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| Ziebach County | 28 | 3 | $774.01 | $539.74 | 2,098 | +$35.96 |
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South Dakota Medicare plans by county
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.