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What ACA marketplace plans are available in Sioux Falls, South Dakota in 2026?

Sioux Falls, South Dakota (population 201,469), covering ZIP codes 57101, 57103, 57104, 57105, 57106 and 10 more sits in Minnehaha County, where 41 ACA marketplace plans from 2 insurers are available in 2026 with a benchmark (second-lowest-cost silver) plan at $514 per month for a 40-year-old. 2027 plans for Minnehaha 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

  • 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 Sioux Falls city page with stats and ZIP codes →

Source: PY2026 QHP Landscape, Individual Market Medical (CMS Public Use File, released May 2026).