What are the Best Health Insurance Options in South Dakota?
The state of South Dakota makes use of the exchange that is run by the Federal Govt, for health insurance. Those interested in health care plans in South Dakota as per Federal insurance can enroll by visiting Healthcare.gov website.
For the year 2019, enrolment was between November 1st to December 15th, 2018 and it is complete. However, those having qualifying events like marriage, childbirth, divorce, etc. can apply as and when they go through the qualifying events. Documents support the same need to be submitted.
Short-term health plans are available which as per state laws are those plans that are for six months and are not renewable. The following are the insurance providers that offer short-term insurance plans:
- National General
- Everest Prime
- Life Shield
- Independence American Life
In South Dakota is estimated that there are 172,000 people who are enrolled with Medicare. Around 19% of the population of South Dakota is enrolled for Medicare. This is in line with the national average, where 18% are enrolled for Medicare. The national average of disabled persons is 16%, whereas in South Dakota it is 12%.
Medicare beneficiaries can opt for the Federal benefits via the Original Medicare plan or can for private plans under Medicare Advantage schemes. Throughout the country, 33% have selected Medicare Advantage plans, while in South Dakota the data shows that 20% of beneficiaries have registered for Medicare Advantage.
When it comes to Part D coverage, that is coverage for outpatient medicines, those in South Dakota can choose from any of the 28 part D plans. The premiums for these Part D plans on an average range from $15 to $94.
Medicare spending nationally is at $9,533 per person, however, in South Dakota, it is $8,158.
There are two private insurers in South Dakota who offer health insurance for individuals. They are Avera and Sanford. For dental health plans, there are two insurers from the private sector; they are BEST Life and health and Delta Dental.
The Medicaid program as per the ACA is not being expanded by South Dakota. Instead, it has sought approval from the Federal Govt to put in place a work requirement for the existing people enrolled for Medicaid. As in July 2018, there were 117,558 people who had Medicaid coverage. Since the state has not accepted additional coverage, it is believed that another 43,000 people who could have got access have now been prevented from getting access.
Issues related to health insurance
- Mandatory clause: While people are advised to buy health insurance for their good, it is no longer mandatory to buy health insurance. While there used to be a tax penalty for those who did not have health insurance, it is no longer there now.
- Buying insurance: Insurance in South Dakota can be purchased by any US citizen or a legal resident. In South Dakota insurance, can be bought from Healthcare.gov portal. Even if someone opts to buy health insurance from a private company, the same rates would be applicable. Details of social security, employer details, income details would need to be provided while applying for a health insurance policy.
- Subsidies: Subsidy is given based on the number of people in the household and the income earned. If one is eligible for a subsidy, they can make use of it to either reduce their monthly premium or get the subsidy amount when they file taxes.
- Resolution: Resolution of problems can be done by contacting the agency designated for this purpose, which is the South Dakota Division of Insurance. They can also be contacted online.