South Dakota Marketplace intelligence

South Dakota ACA Marketplace coverage, explained with current sources.

South Dakota uses HealthCare.gov for Marketplace enrollment. CMS reports 50,951 cumulative 2026 Open Enrollment plan selections across South Dakota counties in the 2026 County-Level Public Use File.

Source: Centers for Medicare & Medicaid Services · Verified September 17, 2026

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2026 South Dakota Marketplace50,951 plan selectionsMinnehaha County leads South Dakota with 8,638 selections. CMS county-level OEP data; not a personal quote.

State evidence snapshot

What stands out in South Dakota's 2026 Marketplace data?

Across the 66 counties in this CoveragePath CMS dataset, CMS reports 50,951 Marketplace plan selections. The largest county total is Minnehaha County with 8,638 selections.

83.3% of selections in counties with unsuppressed APTC counts received advance premium tax credits. The selection-weighted county premium benchmarks are $684 before APTC and $211 after APTC. These are historical county aggregates, not household quotes.

What stands out in South Dakota

Turn statewide totals into local context.

50,951

2026 CMS Marketplace plan selections represented across 66 county records.

Minnehaha County

8,638 selections, 17.0% of the state total represented in this county dataset.

$684

Selection-weighted county average gross premium where CMS reports the measure.

$566

Selection-weighted county average APTC where CMS reports the measure.

Largest county markets in the file:Minnehaha · 8,638Pennington · 5,778Lincoln · 3,238

CoveragePath calculations use 2026 CMS county public-use-file measures. Weighted figures are descriptive historical benchmarks, not 2027 quotes, plan availability or eligibility determinations.

What the South Dakota data can tell you

Enrollment

Use current CMS enrollment data to understand Marketplace participation without treating plan selections as active enrollment or a guarantee of coverage.

Financial assistance

Eligibility for premium tax credits depends on current federal rules and household circumstances. CoveragePath verifies rule changes before publishing numeric guidance.

County intelligence

CoveragePath now publishes verified 2026 CMS Marketplace benchmarks for 66 South Dakota counties, including enrollment, premium and APTC measures.

2026 ACA Marketplace data by South Dakota county

Choose your county to review its verified CMS Marketplace enrollment, premium and financial-assistance benchmarks. County figures are historical measures, not a quote or guarantee of eligibility or plan availability.

Continue your coverage path

Start with eligibility factors, then review savings and Special Enrollment guidance. Final eligibility and plan availability must be verified through the Marketplace.

Eligibility Savings Special Enrollment