Health Insurance

Best Cheap Health Insurance in South Dakota 2022

Best Cheap Health Insurance in South Dakota 2022

Find Cheap Health Insurance Quotes in South Dakota

Currently insured?

Residents can purchase cheap health insurance in South Dakota on the federally run state insurance exchange. South Dakota currently has two insurers that provide coverage for the state: Avera Health Plans Inc. and Sanford Health Plan.

In South Dakota, the average premium for 2022 health plans is $671 per month, representing a 24% increase over the past year.

For a 40-year-old, this is $128 more expensive than in 2021.

We conducted research and found that the Sanford Simplicity $4,750 is the cheapest Silver health plan available in the majority of counties in South Dakota. The Sanford TRUE $4,750 is the cheapest Silver plan in the state, but it is only available in three counties.

Cheapest health insurance by metal tier

We researched all of the policies available in the state and identified the lowest-cost health insurance options by metal tier to help you compare the different costs and benefits among the levels. For example, the Sanford TRUE $4,750 is the cheapest Silver plan, which has a monthly premium of $460 and a deductible of $4,750. However, the cheapest Gold plan, the Sanford TRUE $1,750, costs $10 more per month but has a much lower deductible of $1,750.

In the table below, we list the cheapest health insurance plans by metal tier for South Dakota, along with the deductible, out-of-pocket maximum and monthly cost for a 40-year-old.

Metal tier
Cheapest plan
Monthly cost
Maximum out of pocket
CatastrophicSanford TRUE $8,700$224$8,700$8,700
Expanded BronzeSanford TRUE $7,000$330$7,000$8,700
SilverSanford TRUE $4,750$460$4,750$8,700
GoldSanford TRUE $1,750$470$1,750$6,750

Find Cheap Health Insurance Quotes in Your Area

Currently insured?

There are currently four different tiers available to purchase in South Dakota: Catastrophic, Expanded Bronze, Silver and Gold. These plans differ in the costs and benefits that they provide. Generally, the higher the metal tier, the higher the monthly premium. Age is another key factor that will affect your monthly premium: As you grow older, your monthly health insurance costs will increase regardless of metal tier.

Average cost of health insurance in South Dakota by metal tier

Finding your best health insurance coverage in South Dakota

The best health insurance for you depends on where you live, your health care needs and your financial situation. Here are some general guidelines to follow when looking through the state health insurance marketplace.

Typically, policies in the higher metal tiers like Silver and Gold have more expensive monthly premiums in exchange for lower out-of-pocket expenses, like deductibles, copays and coinsurance. These plans are best if you think you may become sick or already have high recurring medical costs that arise from chronic conditions.

On the other hand, those who are young and healthy or don't expect to have many medical costs may wish to choose a plan in a lower tier, such as Expanded Bronze and Catastrophic, to save money.

Gold plans: Best for high expected medical costs

Gold plans make up the highest metal tier available in South Dakota and typically cover the greatest share of out-of-pocket costs, which means you'll pay lower deductibles, copays and coinsurance.

Generally, Gold health insurance policies are the best in terms of cost effectiveness if you expect to incur high medical expenses, such as from chronic conditions, or you have costly prescriptions. You can expect these plans to cover about 80% of your medical costs, while you pay for the remaining 20%.

The cheapest Gold plan in South Dakota is the Sanford TRUE $1,750. Compare all tiers in South Dakota above.

Silver plans: Best for those with low incomes or average medical costs

Silver plans are a good health insurance option for those looking for a balance between costs and benefits.

For example, the Sanford TRUE $4,750 Silver plan has a deductible of $4,750, which means you need to pay this amount for your medical costs before the plan begins to cover your expenses. The $4,750 deductible is higher than the $1,750 deductible on the Sanford TRUE $1,750 Gold plan, but it is much lower than the $7,000 deductible on the Sanford TRUE $7,000 Expanded Bronze plan.

However, Silver health plans can still be quite costly if you don't qualify for premium tax credits. Now, insurers have to cover the cost-sharing reduction (CSR) subsidies instead of the federal government. This can result in companies increasing their Silver premiums.

If you are part of a lower-income household, you may qualify for CSR subsidies with a Silver health plan, which would further lower your out-of-pocket expenses. Typical Silver plans cover about 70% of your health care costs, while you pay 30%. But under CSR subsidies, you could qualify for a Silver plan that covers up to 94% of your health care costs.

The cheapest Silver plan in South Dakota is the Sanford TRUE $4,750. Compare all tiers in South Dakota above.

Bronze and Catastrophic plans: Best for young, healthy people

Catastrophic plans may offer the lowest monthly rates, but they're limited to people younger than 30 or those who qualify for an exemption. You are also unable to use premium tax credits to reduce the costs. Furthermore, these health plans provide the least coverage and are only recommended if you have the financial means to cover a large portion of your health care expenses in case of an emergency.

Bronze plans are open to everyone and similarly offer cheaper monthly premiums than higher metal tier plans alongside reduced coverage and higher out-of-pocket costs. So, if you need medical care during the year, you have to pay more out of pocket before coverage kicks in. On average, you can expect a Bronze plan to cover about 60% of your health costs, while you pay for the other 40%. Expanded Bronze plans increase coverage to about 65%, while you pay roughly 35%.

The cheapest Expanded Bronze plan in South Dakota is the Sanford TRUE $7,000. The cheapest Catastrophic plan is the Sanford TRUE $8,700. Compare all tiers in South Dakota above.

Health insurance companies in South Dakota

There are currently only two health insurance companies on the South Dakota state exchange: Avera Health Plans Inc. and Sanford Health Plan. Both of these insurers have been on the exchange for the past few years, and no change to the number of insurers in South Dakota is expected next year. All counties have access to both insurance companies, but the monthly rates for their health plans might be different depending on where you live.

Cheapest health insurance plan by county

Finding the best health plan for your family can be challenging since the plans offered and their monthly premiums may change depending on the region you're in. To make this process simpler, we compared rates for every policy in South Dakota to find the cheapest Silver health plan in each county.

County name
Cheapest plan
Age 40
Couple, age 40
Couple, age 40 & child
AuroraSanford Simplicity $4,750$770$1,539$2,000
BeadleSanford Simplicity $4,750$770$1,539$2,000
BennettSanford Simplicity $4,750$770$1,539$2,000
Bon HommeSanford Simplicity $4,750$770$1,539$2,000
BrookingsSanford Simplicity $4,750$770$1,539$2,000
BrownSanford TRUE $4,750$460$920$1,195
BruleSanford Simplicity $4,750$770$1,539$2,000
BuffaloSanford Simplicity $4,750$770$1,539$2,000
ButteSanford Simplicity $4,750$770$1,539$2,000
CampbellSanford Simplicity $4,750$770$1,539$2,000
Charles MixSanford Simplicity $4,750$770$1,539$2,000
ClarkSanford Simplicity $4,750$770$1,539$2,000
Show All Rows

Average cost of health insurance by family size in South Dakota

When considering health insurance plans for your family, keep in mind that factors like the number of people who need coverage and their ages will affect the monthly premium. If you add children to your health insurance plan, each child will cost a flat rate for coverage until they are 15 years old. Upon reaching the age of 15, the monthly rate will increase as they grow older.

For instance, the average monthly health insurance cost for a family of three, assuming two 40-year-old parents and a child on a Silver plan, is $2,108 in South Dakota. If you were to add another child to the plan, the monthly premium would increase by $486. So for a family of four, the total monthly cost of health coverage would be $2,594.

Family size
Average monthly cost
Individual + child$1,297
Couple, age 40$1,622
Family of three (adult couple and a child)$2,108
Family of four (adult couple and two children)$2,594
Family of five (adult couple and three children)$3,079

Adults are assumed to be 40 years old. Children are assumed to be 14 or younger. Sample rates are based on the average cost of a Silver plan in South Dakota.

Health insurance rate changes in South Dakota

The average monthly cost of health insurance for a 40-year-old in South Dakota has increased by 24%, or $128, since 2021. Premiums across each metal tier varied, with Gold policies experiencing the largest cost increase — 26% higher rates for 2022 plans.

Expanded Bronze health insurance policies had the smallest average price increase at approximately 21%; however, a 40-year-old in South Dakota would still pay $102 more per month.

Metal tier
2021 premium
2022 premium
Expanded Bronze$481$58321%


South Dakota health insurance premium and plan details for this analysis were taken from the Centers for Medicare & Medicaid Services (CMS) government website. We then calculated the average cost of a policy by metal tier, county and family size within the state using the CMS Public Use Files (PUF). Plans and providers for which county-level data was included in the CMS Crosswalk file were used in our analysis; those excluded from this dataset may not appear.

Editorial Note: The content of this article is based on the author’s opinions and recommendations alone. It has not been previewed, commissioned or otherwise endorsed by any of our network partners.