ACA Direct Answers

What ACA marketplace plans are available in Minnehaha County, South Dakota in 2026?

Minnehaha County, South Dakota has 41 ACA marketplace plans from 2 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 $514 per month, per the CMS PY2026 QHP Landscape file.

Updated July 21, 2026 · Reviewed by Jason Burns, Editorial Steward

Three lowest-cost silver plans at age 40

  • Avera Health Plans — DirectConnect Standard $6000 · $511.88/mo · deductible $6,000 · MOOP $8,900
  • Avera Health Plans — DirectConnect $4500 · $514.37/mo · deductible $4,500 · MOOP $10,150
  • Sanford Health Plan — Sanford Individual TRUE Standardized $6,000 · $515.88/mo · deductible $6,000 · MOOP $8,900

See the full Minnehaha 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).