Need health insurance or know someone who does? Visit Healthcare.gov or call the Marketplace at 1-800-318-2596 to apply. Or connect to local help through Get Covered South Dakota.
There are some public insurance programs, such as Medicaid and CHIP, that require no - or very reduced - premium payments to cover children and youth in families with limited incomes.
Learn more about insurance and your family's insurance choices....
Navigators and Certified Application Counselors assist consumers to understand their Health Insurance Marketplace coverage options. They also provide unbiased, no-cost assistance to consumers who wish to enroll in a Marketplace health plan or Medicaid/CHIP. Navigators conduct outreach and education for communities throughout South Dakota.
GROW South Dakota
Potter, Roberts, Spink, Stanley, Sully, Walworth
Inter-Lakes Community Action Partnership
Brookings, Lake, Lincoln, McCook, Miner, Minnehaha, Moody and Turner
Clark, Codington, Deuel, Grant, Hamlin, Kingsbury
Rural Office of Community Services
Aurora, Bon Homme, Brule, Buffalo, Charles mix, Clay, Davison, Douglas, Gregory, Hanson, Hutchinson, Jerauld, Jones, Lyman, Mellette, Sanborn,
Western South Dakota Community Action
Bennett, Butte, Corson, Custer, Dewey, Fall River, Haakon, Harding, Jackson, Lawrence,
Easy to understand information and videos to answer common questions about insurance. You will also find free, local people to help you learn about and sign up for insurance.
Falls Community Health Counties Served: Minnehaha, Lincoln, Moody, Lake, McCook, Brookings, Turner
Pam Janney CAC firstname.lastname@example.org
Mustafa Rashid CAC email@example.com
Program Manager Andy Pederson firstname.lastname@example.org
Community Health of the Black Hills Counties Served: Pennington
605-721-8939 ex. 225
Kristen Thompson CAC 605-554-1015 email@example.com
Alcester Community Health Counties Served: Union
Aurora Co Community Health Counties Served: Aurora
Elk Point Community Health Counties Served: Union
Fort Thompson Community Health Counties Served: Buffalo
Horizon Health Care, Inc. Counties Served: Hamlin, Kingsbury
Howard Community Health Counties Served: Lake, Miner
James Valley Community Health Counties Served: Beadle, Brown
Jerauld County Community Health Counties Served: Jerauld Kristen Thompson
Lake Preston Community Health Counties Served: Kingsbury
Martin Community Health Center Counties Served: Bennett, Mellette, Todd
Woonsocket Community Health Counties Served: Sanborn
Yankton Community Health Counties Served: Yankton
Diana Melvin CAC 605-223-2200 firstname.lastname@example.org
Rural Health Care, Inc. Counties Served: Potter, Hyde, Hand, Jones, Lyman, Potter, Stanley, Sully, Hughes
Get answers to common questions, find local help or enroll in a plan online, by phone or with a paper application by visiting www.healthcare.gov or calling 1-800-318-2596. (TTY: 1-855-889-4325) 24 hours a day, 7 days a week.
- Am I required to have insurance for my family?
- Are there special provisions for American Indians?
- Can I apply for insurance anytime?
- How do I apply for Medicaid/CHIP for my child(ren)?
- Is there help if the cost of insurance premiums are more than my family can afford?
- When is Open Enrollment in the Health Insurance Marketplace?
- Who can apply through the Health Insurance Marketplace?
Am I required to have insurance for my family?
You may have to pay a fee if you don't have health insurance. The fee is the higher of these two amounts: 2.5% of your yearly household income or $695 per person ($347.50 per child under 18). You'll pay the fee on the federal income tax return you file for the year you don't have coverage. Back to top
Are there special provisions for American Indians?
Yes. American Indians can enroll through the Health Insurance Marketplace at any time; they may be eligible for special Medicaid and CHIP allowance; they may not have to pay cost-sharing expenses like copays if income is below an established level; will not have to pay cost-sharing expenses if receiving services through the IHS or other tribal health program and have health insurance; and may be eligible for lower premium costs depending on income and family size. Back to top
Can I apply for insurance anytime?
Generally, applying for insurance or changing insurance companies can only be done during certain periods called Open Enrollment. There are exceptions for life changes like marriage, having a baby, or losing health insurance coverage. Families with limited incomes can apply for Medicaid or CHIP for their children at any time. American Indians can apply for insurance through the Marketplace at any time. Back to top
How do I apply for Medicaid/CHIP for my child(ren)?
Apply online with the SD Department of Social Services (DSS) at https://apps.sd.gov/SS36SNAP/Web/Portal/SystemCompatibility.aspx
Apply online in the Health Insurance Marketplace at www.healthcare.gov/medicaid-chip/getting-medicaid-chip/
Contact your local DSS office or call 1-800-305-3064 to request an application be sent to you. Or print at http://dss.sd.gov/medicaid/generalinfo/apply.aspx. Mail, fax, or deliver your application to a local DSS office. You can also call your local DSS office to schedule an appointment and apply in person.
Contact a free in-person assister near you to help you with your application. Find local help at www.getcoveredsouthdakota.org/locator/find-local-help/
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Is there help if the cost of insurance premiums are more than my family can afford?
Most people who apply through the Health Insurance Marketplace qualify for insurance premium tax credits that lower the costs of coverage. Some also qualify for savings on deductibles, copayments, and other costs. Back to top
When is Open Enrollment in the Health Insurance Marketplace?
Open enrollment in the Marketplace begins November 1, 2018 and continues through December 15, 2018. January 1, 2019 will be the first date 2019 coverage can start. Back to top
Who can apply through the Health Insurance Marketplace?
If you or your family members don't have insurance through a job, Medicare, Medicaid, CHIP, or another source, the Marketplace helps you find and enroll in a plan that fits your budget and meets your needs. All plans cover pre-existing conditions, preventive care and essential health benefits, including dental and vision coverage for children. Back to top