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Obamacare 2019 Rates for Fall River County


Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Fall River County, South Dakota.

The health insurance rates listed below are for calendar year 2019.

Obamacare Providers, Plans and 2019 Rates for Fall River County, South Dakota

Below, you’ll find a summary of the 15 plans for Fall River County and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at HealthCare.gov
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Hot Springs, SD area accept this insurance coverage as within the plan's network.

2019 Obamacare Rates, Providers, and Plans for Fall River County

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Sanford Health Plan

Local: 1-605-328-6800 | Toll Free: 1-800-752-5863 | TTY: 1-877-652-1844

Gold

Plan: (PPO) Sanford Simplicity $1,750

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $1,750 | Family: $3,500
Out of Pocket Maximum per year: Individual: $6,250 | Family: $12,500

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$562.25
$638.16
$718.56
$1,004.18
$1,525.95
$1,124.50
$1,276.32
$1,437.12
$2,008.36
$3,051.90
$1,554.62
$1,706.44
$1,867.24
$2,438.48
$1,984.74
$2,136.56
$2,297.36
$2,868.60
$2,414.86
$2,566.68
$2,727.48
$3,298.72
$992.37
$1,068.28
$1,148.68
$1,434.30
$1,422.49
$1,498.40
$1,578.80
$1,864.42
$1,852.61
$1,928.52
$2,008.92
$2,294.54
$513.34

Silver

Plan: (PPO) Sanford Simplicity $2,800

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $2,800 | Family: $5,600
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$522.76
$593.34
$668.09
$933.65
$1,418.78
$1,045.52
$1,186.68
$1,336.18
$1,867.30
$2,837.56
$1,445.43
$1,586.59
$1,736.09
$2,267.21
$1,845.34
$1,986.50
$2,136.00
$2,667.12
$2,245.25
$2,386.41
$2,535.91
$3,067.03
$922.67
$993.25
$1,068.00
$1,333.56
$1,322.58
$1,393.16
$1,467.91
$1,733.47
$1,722.49
$1,793.07
$1,867.82
$2,133.38
$477.28

Silver

Plan: (PPO) Sanford Simplicity $3,500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $3,500 | Family: $7,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$539.77
$612.64
$689.83
$964.03
$1,464.94
$1,079.54
$1,225.28
$1,379.66
$1,928.06
$2,929.88
$1,492.46
$1,638.20
$1,792.58
$2,340.98
$1,905.38
$2,051.12
$2,205.50
$2,753.90
$2,318.30
$2,464.04
$2,618.42
$3,166.82
$952.69
$1,025.56
$1,102.75
$1,376.95
$1,365.61
$1,438.48
$1,515.67
$1,789.87
$1,778.53
$1,851.40
$1,928.59
$2,202.79
$492.81

Silver

Plan: (PPO) Sanford Simplicity $4,750

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $4,750 | Family: $9,500
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$489.96
$556.10
$626.17
$875.06
$1,329.75
$979.92
$1,112.20
$1,252.34
$1,750.12
$2,659.50
$1,354.74
$1,487.02
$1,627.16
$2,124.94
$1,729.56
$1,861.84
$2,001.98
$2,499.76
$2,104.38
$2,236.66
$2,376.80
$2,874.58
$864.78
$930.92
$1,000.99
$1,249.88
$1,239.60
$1,305.74
$1,375.81
$1,624.70
$1,614.42
$1,680.56
$1,750.63
$1,999.52
$447.33

Expanded Bronze

Plan: (PPO) Sanford Simplicity $5,000 HSA/HDHP

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $5,000 | Family: $10,000
Out of Pocket Maximum per year: Individual: $6,550 | Family: $13,100

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$431.66
$489.94
$551.67
$770.95
$1,171.53
$863.32
$979.88
$1,103.34
$1,541.90
$2,343.06
$1,193.54
$1,310.10
$1,433.56
$1,872.12
$1,523.76
$1,640.32
$1,763.78
$2,202.34
$1,853.98
$1,970.54
$2,094.00
$2,532.56
$761.88
$820.16
$881.89
$1,101.17
$1,092.10
$1,150.38
$1,212.11
$1,431.39
$1,422.32
$1,480.60
$1,542.33
$1,761.61
$394.11

Bronze

Plan: (PPO) Sanford Simplicity $6,000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $6,000 | Family: $12,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$405.80
$460.58
$518.61
$724.76
$1,101.34
$811.60
$921.16
$1,037.22
$1,449.52
$2,202.68
$1,122.04
$1,231.60
$1,347.66
$1,759.96
$1,432.48
$1,542.04
$1,658.10
$2,070.40
$1,742.92
$1,852.48
$1,968.54
$2,380.84
$716.24
$771.02
$829.05
$1,035.20
$1,026.68
$1,081.46
$1,139.49
$1,345.64
$1,337.12
$1,391.90
$1,449.93
$1,656.08
$370.50

Bronze

Plan: (PPO) Sanford Simplicity $7,000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $7,000 | Family: $14,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$403.61
$458.10
$515.81
$720.85
$1,095.40
$807.22
$916.20
$1,031.62
$1,441.70
$2,190.80
$1,115.98
$1,224.96
$1,340.38
$1,750.46
$1,424.74
$1,533.72
$1,649.14
$2,059.22
$1,733.50
$1,842.48
$1,957.90
$2,367.98
$712.37
$766.86
$824.57
$1,029.61
$1,021.13
$1,075.62
$1,133.33
$1,338.37
$1,329.89
$1,384.38
$1,442.09
$1,647.13
$368.50

Catastrophic

Plan: (PPO) Sanford Simplicity $7,900

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Sanford Health Plan)
Customer Service Phone: 1-800-752-5863

Deductible: Individual: $7,900 | Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$284.98
$323.45
$364.20
$508.97
$773.43
$569.96
$646.90
$728.40
$1,017.94
$1,546.86
$787.97
$864.91
$946.41
$1,235.95
$1,005.98
$1,082.92
$1,164.42
$1,453.96
$1,223.99
$1,300.93
$1,382.43
$1,671.97
$502.99
$541.46
$582.21
$726.98
$721.00
$759.47
$800.22
$944.99
$939.01
$977.48
$1,018.23
$1,163.00
$260.19

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Avera Health Plans, Inc.

Local: 1-605-322-4545 | Toll Free: 1-888-322-2115

Gold

Plan: (PPO) Avera 1500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $1,500 | Family: $3,000
Out of Pocket Maximum per year: Individual: $3,500 | Family: $7,000

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$623.77
$707.97
$797.17
$1,114.05
$1,692.90
$1,247.54
$1,415.94
$1,594.34
$2,228.10
$3,385.80
$1,724.72
$1,893.12
$2,071.52
$2,705.28
$2,201.90
$2,370.30
$2,548.70
$3,182.46
$2,679.08
$2,847.48
$3,025.88
$3,659.64
$1,100.95
$1,185.15
$1,274.35
$1,591.23
$1,578.13
$1,662.33
$1,751.53
$2,068.41
$2,055.31
$2,139.51
$2,228.71
$2,545.59
$569.50

Silver

Plan: (PPO) Avera 4000

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $4,000 | Family: $8,000
Out of Pocket Maximum per year: Individual: $4,000 | Family: $8,000

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$559.11
$634.58
$714.54
$998.56
$1,517.42
$1,118.22
$1,269.16
$1,429.08
$1,997.12
$3,034.84
$1,545.93
$1,696.87
$1,856.79
$2,424.83
$1,973.64
$2,124.58
$2,284.50
$2,852.54
$2,401.35
$2,552.29
$2,712.21
$3,280.25
$986.82
$1,062.29
$1,142.25
$1,426.27
$1,414.53
$1,490.00
$1,569.96
$1,853.98
$1,842.24
$1,917.71
$1,997.67
$2,281.69
$510.46

Catastrophic

Plan: (PPO) Avera 7900

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $7,900 | Family: $15,800
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$289.96
$329.09
$370.56
$517.85
$786.93
$579.92
$658.18
$741.12
$1,035.70
$1,573.86
$801.73
$879.99
$962.93
$1,257.51
$1,023.54
$1,101.80
$1,184.74
$1,479.32
$1,245.35
$1,323.61
$1,406.55
$1,701.13
$511.77
$550.90
$592.37
$739.66
$733.58
$772.71
$814.18
$961.47
$955.39
$994.52
$1,035.99
$1,183.28
$264.72

Silver

Plan: (PPO) Avera 3500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $3,500 | Family: $7,000
Out of Pocket Maximum per year: Individual: $7,500 | Family: $15,000

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$535.16
$607.39
$683.92
$955.78
$1,452.40
$1,070.32
$1,214.78
$1,367.84
$1,911.56
$2,904.80
$1,479.71
$1,624.17
$1,777.23
$2,320.95
$1,889.10
$2,033.56
$2,186.62
$2,730.34
$2,298.49
$2,442.95
$2,596.01
$3,139.73
$944.55
$1,016.78
$1,093.31
$1,365.17
$1,353.94
$1,426.17
$1,502.70
$1,774.56
$1,763.33
$1,835.56
$1,912.09
$2,183.95
$488.59

Bronze

Plan: (PPO) Avera 5500

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $5,500 | Family: $11,000
Out of Pocket Maximum per year: Individual: $7,900 | Family: $15,800

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$392.68
$445.68
$501.83
$701.31
$1,065.71
$785.36
$891.36
$1,003.66
$1,402.62
$2,131.42
$1,085.75
$1,191.75
$1,304.05
$1,703.01
$1,386.14
$1,492.14
$1,604.44
$2,003.40
$1,686.53
$1,792.53
$1,904.83
$2,303.79
$693.07
$746.07
$802.22
$1,001.70
$993.46
$1,046.46
$1,102.61
$1,302.09
$1,293.85
$1,346.85
$1,403.00
$1,602.48
$358.50

Bronze

Plan: (PPO) Avera 6750

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $6,750 | Family: $13,500
Out of Pocket Maximum per year: Individual: $6,750 | Family: $13,500

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$406.31
$461.15
$519.26
$725.66
$1,102.71
$812.62
$922.30
$1,038.52
$1,451.32
$2,205.42
$1,123.44
$1,233.12
$1,349.34
$1,762.14
$1,434.26
$1,543.94
$1,660.16
$2,072.96
$1,745.08
$1,854.76
$1,970.98
$2,383.78
$717.13
$771.97
$830.08
$1,036.48
$1,027.95
$1,082.79
$1,140.90
$1,347.30
$1,338.77
$1,393.61
$1,451.72
$1,658.12
$370.95

Silver

Plan: (PPO) Avera 2750

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for (Avera Health Plans, Inc.)
Customer Service Phone: 1-888-322-2115

Deductible: Individual: $2,750 | Family: $5,500
Out of Pocket Maximum per year: Individual: $7,100 | Family: $14,200

Monthly Premiums:

Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$528.95
$600.34
$675.98
$944.68
$1,435.54
$1,057.90
$1,200.68
$1,351.96
$1,889.36
$2,871.08
$1,462.54
$1,605.32
$1,756.60
$2,294.00
$1,867.18
$2,009.96
$2,161.24
$2,698.64
$2,271.82
$2,414.60
$2,565.88
$3,103.28
$933.59
$1,004.98
$1,080.62
$1,349.32
$1,338.23
$1,409.62
$1,485.26
$1,753.96
$1,742.87
$1,814.26
$1,889.90
$2,158.60
$482.92

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Fall River County here.

Fall River County is in “Rating Area 1” of South Dakota.

Currently, there are 15 plans offered in Rating Area 1.

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2014 | 2015 | 2016| 2017 | 2018

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