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Medicaid has Expanded

More people are now eligible.
See if you now qualify.

WHAT IS MEDICAID EXPANSION?

July was a pivotal point for the well-being of many South Dakotans. With Medicaid’s new expansion, a vast number of people who did not previously qualify for health insurance are now eligible to receive care—perhaps for the first time in their life.

If you have applied before and been denied coverage, you are encouraged to apply again as eligibility requirements have changed.

WHAT IS MEDICAID?

Medicaid is a federal and state-funded program providing health care coverage for people who meet certain eligibility standards. 

Eligible groups include families with incomes below the poverty line, pregnant people, children (CHIP), and individuals who have a disability.  

With Medicaid’s higher income limits, an estimated 52,000 South Dakotans may be eligible for Medicaid. If you’re an adult not enrolled or eligible in another aid program such as Medicare, you may qualify for coverage.

Expanded Eligibility

Household Income Guidelines

Benefits

  • Adults ages 19-64
  • People with or without children
Household Size* Maximum Gross
Monthly Income
1 $1,677
2 $2,268
3 $2,859
4 $3,450
5 $4,042
6 $4,633
7 $5,224
8 $5,815

*A “household” includes earners and dependents. Child Healthcare Insurance Program (CHIP) income guidelines are different from the above. Navigators are here to assist you if you have questions.

  • Preventative and wellness services
  • Emergency services
  • Hospital stays
  • Prescriptions
  • Pregnancy and newborn care
  • Mental health services

HOW CAN I APPLY?

To apply online visit The Marketplace or South Dakota’s Medicaid office. The Marketplace will help determine what coverage someone qualifies for, whether that’s Medicaid or a Marketplace plan with premium tax credits.

Are you needing assistance or have questions? Receive free help from a navigator or call your local Medicaid Office 877.999.5612.

Navigators are trained by the Marketplace to provide free, fair, impartial, and accurate information about health coverage options, answer questions, and help people enroll in a Marketplace plan, Medicaid, or CHIP.

Apply Now

Do you no longer qualify for Medicaid or CHIP?

You may be eligible for high quality affordable health insurance.

ENROLL IN AFFORDABLE
HEALTH INSURANCE TODAY.

Connect with one of our certified local navigators who can help answer questions and assist you to find an insurance plan that works best for you. This service is free to anyone needing assistance finding the right healthcare plan.

Locate a Navigator Today!

Visit healthcare.gov if you are ready to apply.

For More Info

This page is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $1,200,000 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S Government.