Country Guide
Best Health Insurance in South Dakota (2026)
South Dakota expanded Medicaid in 2023. Compare ACA marketplace plans for the right coverage in SD.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in South Dakota
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | Wellmark Blue Cross SD | Widest SD network | $5,040/yr | — |
| 2 | Sanford Health SD | SD-integrated care | $4,680/yr | — |
| 3 | Medica South Dakota | Regional coverage | $4,440/yr | — |
| 4 | Avera Health Plans | Rural SD coverage | $4,200/yr | — |
| 5 | UnitedHealthcare SD | Plan variety | $5,400/yr | — |