South Dakota Health Insurance Consumer Help
South Dakota does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still apply to you, however.
The agencies listed below can help you take advantage of some of these new protections and benefits. They can answer your questions about different types of coverage.
If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. It will help you find and compare health care coverage options in your area.
If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in South Dakota, contact:
South Dakota Division of Insurance
445 East Capitol Avenue
Pierre, SD 57501
(605) 773-3563
http://www.state.sd.us/drr2/reg/insurance
insurance@state.sd.us
If you have a hard time affording health coverage and you have questions about eligibility or current Medicaid benefits, go to:
South Dakota Medicaid Program
Eligibility Questions:
South Dakota Department of Social Services
Division of Economic Assistance
700 Governors Drive
Pierre, SD 57501
(605) 773-4678
(877) 999-5612
http://dss.sd.gov/medicaleligibility/familieschildren/index.asp
MedElig@state.sd.us
Program Questions:
Department of Social Services
Division of Medical Services
700 Governors Drive
Pierre, SD 57501
(605) 773-3495
Medical@state.sd.us
If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:
The South Dakota Children's Health Insurance Program
Department of Social Services
Division of Medical Services
700 Governors Drive
Pierre, SD 57501
(605)773-4678
http://dss.sd.gov/medicalservices/chip/
Medical@state.sd.us
If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to:
U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL (866-487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html
If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:
Senior Health Information & Insurance Education (SHIINE)
Toll Free: (800) 536-8197
Local: (605) 333-3314
www.shiine.net
If you have been denied health insurance by private insurance companies because of a pre-existing condition, you may be eligible for South Dakota’s Pre-Existing Condition Insurance Plan (PCIP). Go to:
South Dakota Risk Pool (PCIP)
Capitol Building
500 East Capitol Avenue
Pierre, SD 57501-5070
(605) 773-3148
http://riskpool.sd.gov/
Riskpool@state.sd.us
http://www.healthcare.gov/law/provisions/preexisting/states/sd.html
If you are a veteran and have a question or concern about veterans’ health care benefits, go to:
US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/
If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.