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Marketplace health plans in Fall River County, SD — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Fall River County, South Dakota has 28 Marketplace health plans from 3 insurers: 9 bronze, 9 silver, 8 gold, 2 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $774.01 per month; the lowest bronze premium is $539.74.
What changed vs 2025
- Benchmark silver premium up $35.96 a month (+4.9%) from 2025
- 2 more plans than 2025
- Lowest bronze premium up $0.68 a month
Market snapshot
- Residents under 65
- 4,876
- Insurers
- 3
- Plans by metal level
- 9 bronze, 9 silver, 8 gold, 2 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $774.01/mo
- Lowest bronze premium, age 40, before subsidies
- $539.74/mo
- Lowest gold premium, age 40, before subsidies
- $740.44/mo
- Lowest silver deductible
- $0
- Lowest out-of-pocket maximum
- $7,200
Insurers in the county
- Avera Health Plans — 12 plans (Catastrophic, Bronze, Silver, Gold)
- Sanford Health Plan — 9 plans (Catastrophic, Bronze, Silver, Gold)
- Wellmark of South Dakota, Inc. — 7 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Catastrophic | ConnectPlus $10,600 HSA Eligible HDHP (60536SD0020050) | Avera Health Plans | PPO | $452.50 | $10,600 | $10,600 | 2 |
|---|
| Bronze | Wellmark Bronze Traditional EPO (50305SD0310001) | Wellmark of South Dakota, Inc. | EPO | $539.74 | $7,200 | $9,900 | 9 |
|---|
| Silver | Wellmark Silver Traditional EPO (50305SD0310003) | Wellmark of South Dakota, Inc. | EPO | $760.94 | $5,000 | $7,500 | 9 |
|---|
| Gold | Wellmark Gold Traditional EPO (50305SD0310004) | Wellmark of South Dakota, Inc. | EPO | $740.44 | $1,750 | $7,500 | 8 |
|---|
One plan per metal level shown, of 28 plans in the county.
Benchmark silver premium by age
The benchmark plan (Wellmark of South Dakota, Inc.) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $605.64 | $634.71 | $687.40 | $774.01 | $1,081.67 | $1,643.70 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
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.