Best Cheap Health Insurance in South Dakota 2019

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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. We conducted research and found that the Sanford Simplicity $4,750 was the cheapest Silver health plan available in the majority of counties in South Dakota. However, the Avera 2750 or Sanford TRUE $4,750 policy was the most affordable Silver plan in approximately one-third of the state.

Cheapest Health Insurance by Metal Tier

We researched all of the health insurance policies available in the state and identified the lowest-cost options available by metal tier to help you compare the different costs and benefits between each level. For example, the Sanford TRUE $4,750 is the cheapest Silver plan, which has a monthly premium of $426 and a deductible of $4,750. However, the cheapest Gold plan, Sanford TRUE $1,250, costs $82 more per month, but has a much lower deductible of $1,250.

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

Metal TierCheapest PlanDeductibleOut-of-Pocket MaximumMonthly Cost for a 40-Year-Old
CatastrophicSanford TRUE $7,350$7,350$7,350$264.44
BronzeSanford TRUE $6,000$6,000$7,150$346.15
Expanded BronzeSanford Simplicity SIMPLE CHOICE $6,650$6,650$7,350$469.32
SilverSanford TRUE $4,750$4,750$7,350$426.32
GoldSanford TRUE $1,250$1,250$4,750$508.61

Find the Cheapest Health Insurance Quotes in Your Area

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There are currently five different metal tiers available to purchase in South Dakota: Catastrophic, Bronze, 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 Monthly Cost of Health Insurance Plans by Metal Tier in South Dakota

Finding the Best Health Insurance Coverage in South Dakota

The best health insurance 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 (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 metal tier (Bronze, Expanded Bronze and Catastrophic) to save money.

Gold Plans: Best for High Expected Medical Costs

Gold plans are 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%.

Silver Plans: Best for Those With Low Income 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 Avera 2750 has a deductible of $2,750, which means you would need to pay this amount for your medical costs before the plan begins to cover your expenses. The $2,750 deductible is higher than the $1,500 deductible on the Avera 1500 Gold plan, but it is much lower than the $6,550 deductible on the Avera 6550 Bronze plan. However, Silver health plans can still be quite costly if you don't qualify for premium subsidies, because the cost-sharing reduction (CSR) subsidies are no longer funded by the federal government.

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.

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. 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 would 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%.

Best Cheap 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 were on the exchange last year, 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 will 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. For instance, the monthly cost of the Avera 2750 plan, the cheapest Silver health plan in Clay County, is $69 more expensive for a 30-year-old than the same policy would cost in Aurora County. To make this process simpler, we compared rates for every policy in South Dakota to find the cheapest Silver health plan in each county, listed in the table below.

CountyCheapest Silver PlanSingle Adult, Age 40Couple, Age 40Couple, Age 40 and Child
AuroraAvera 2750$499$998$1,297
BeadleSanford Simplicity $4,750$530$1,060$1,378
BennettSanford Simplicity $4,750$530$1,060$1,378
Bon HommeAvera 2750$499$998$1,297
BrookingsSanford Simplicity $4,750$530$1,060$1,378
BrownSanford TRUE $4,750$426$853$1,108
BruleAvera 2750$499$998$1,297
BuffaloAvera 2750$499$998$1,297
ButteSanford Simplicity $4,750$530$1,060$1,378
CampbellSanford Simplicity $4,750$530$1,060$1,378
Charles MixAvera 2750$499$998$1,297
ClarkSanford Simplicity $4,750$530$1,060$1,378
ClayAvera 2750$526$1,051$1,366
CodingtonSanford Simplicity $4,750$530$1,060$1,378
CorsonSanford Simplicity $4,750$530$1,060$1,378
CusterSanford Simplicity $4,750$530$1,060$1,378
DavisonAvera 2750$499$998$1,297
DaySanford Simplicity $4,750$530$1,060$1,378
DeuelSanford Simplicity $4,750$530$1,060$1,378
DeweySanford Simplicity $4,750$530$1,060$1,378
DouglasAvera 2750$499$998$1,297
EdmundsSanford Simplicity $4,750$530$1,060$1,378
Fall RiverSanford Simplicity $4,750$530$1,060$1,378
FaulkSanford Simplicity $4,750$530$1,060$1,378
GrantSanford Simplicity $4,750$530$1,060$1,378
GregorySanford Simplicity $4,750$530$1,060$1,378
HaakonSanford Simplicity $4,750$530$1,060$1,378
HamlinSanford Simplicity $4,750$530$1,060$1,378
HandAvera 2750$499$998$1,297
HansonAvera 2750$499$998$1,297
HardingSanford Simplicity $4,750$530$1,060$1,378
HughesAvera 2750$499$998$1,297
HutchinsonAvera 2750$499$998$1,297
HydeAvera 2750$499$998$1,297
JacksonSanford Simplicity $4,750$530$1,060$1,378
JerauldAvera 2750$499$998$1,297
JonesSanford Simplicity $4,750$530$1,060$1,378
KingsburySanford Simplicity $4,750$530$1,060$1,378
LakeAvera 2750$526$1,051$1,366
LawrenceSanford Simplicity $4,750$530$1,060$1,378
LincolnSanford TRUE $4,750$426$853$1,108
LymanSanford Simplicity $4,750$530$1,060$1,378
MarshallSanford Simplicity $4,750$530$1,060$1,378
MccookAvera 2750$526$1,051$1,366
McphersonSanford Simplicity $4,750$530$1,060$1,378
MeadeSanford Simplicity $4,750$530$1,060$1,378
MelletteSanford Simplicity $4,750$530$1,060$1,378
MinerAvera 2750$499$998$1,297
MinnehahaSanford TRUE $4,750$426$853$1,108
MoodyAvera 2750$526$1,051$1,366
Oglala LakotaSanford Simplicity $4,750$530$1,060$1,378
PenningtonSanford Simplicity $4,750$530$1,060$1,378
PerkinsSanford Simplicity $4,750$530$1,060$1,378
PotterSanford Simplicity $4,750$530$1,060$1,378
RobertsSanford Simplicity $4,750$530$1,060$1,378
SanbornAvera 2750$499$998$1,297
SpinkSanford Simplicity $4,750$530$1,060$1,378
StanleySanford Simplicity $4,750$530$1,060$1,378
SullyAvera 2750$499$998$1,297
ToddSanford Simplicity $4,750$530$1,060$1,378
TrippSanford Simplicity $4,750$530$1,060$1,378
TurnerAvera 2750$526$1,051$1,366
UnionAvera 2750$526$1,051$1,366
WalworthSanford Simplicity $4,750$530$1,060$1,378
YanktonAvera 2750$499$998$1,297
ZiebachSanford Simplicity $4,750$530$1,060$1,378

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 $1,509 in South Dakota. If you were to add another child to the plan, the monthly premium would increase by $348. So for a family of four, the total monthly cost of health coverage would be $1,857.

Family SizeAverage Monthly Cost of Health Plan
Single Adult$581
Adult Couple$1,162
Family of three (Adult couple and a child)$1,509
Family of four (Adult couple and two children)$1,857
Family of five (Adult couple and three children)$2,205
Adults are assumed to be 40 years old. Sample rates are based on the average cost for a Silver plan in South Dakota.

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Editorial Note: The editorial content on this page is not provided or commissioned by any financial institution. Any opinions, analyses, reviews, statements or recommendations expressed in this article are those of the author’s alone, and may not have been reviewed, approved or otherwise endorsed by any of these entities prior to publication.