What ACA marketplace plans are available in Clay County, South Dakota in 2026?
Clay County, South Dakota has 37 ACA marketplace plans from 3 insurers in 2026, with monthly premiums for a 40-year-old ranging from $291 to $751 and a benchmark (second-lowest-cost silver) plan at $549 per month, per the CMS PY2026 QHP Landscape file. 2027 plans for Clay County are now available.
Updated July 23, 2026 · Reviewed by Jason Burns, Editorial Steward
Reviewed by Heather Fabrizio, Licensed Insurance Agent (NPN 20983651) · reviewed Jul 25, 2026
Three lowest-cost silver plans at age 40
- Sanford Health Plan — Sanford Individual TRUE Standardized $6,000 · $515.88/mo · deductible $6,000 · MOOP $8,900
- Sanford Health Plan — Sanford Individual TRUE $3,500 · $548.69/mo · deductible $3,500 · MOOP $9,750
- Sanford Health Plan — Sanford Individual TRUE $4,750 · $557.93/mo · deductible $4,750 · MOOP $9,750
See the full Clay County plan table with all issuers, metal tiers, and cost-sharing →
Source: PY2026 QHP Landscape, Individual Market Medical (CMS Public Use File, released May 2026).