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Open Enrollment in the Marketplace for 2021 insurance coverage has ended.

You can still get 2021 health insurance two ways…

  • If you qualify for a Special Enrollment Period due to a life event like losing insurance coverage, getting married, or having a baby.
  • If you qualify for Medicaid or the Children’s Health Insurance Program (CHIP).

See if you can get insurance for 2021 at:

Easy-to-understand information and videos to answer common questions about insurance.
Find free in-person assisters in South Dakota at Community Health Centers.

Frequently Asked Questions

When is Open Enrollment in the Health Insurance Marketplace?

Open enrollment in the Marketplace is expected to begin November 1, 2021 and continue through December 15, 2021. January 1, 2022 will be the first date 2022 coverage can start.

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.

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.

What if I need help applying for insurance?

Contact a free in-person assister near you to help you with your application. Find local help at or contact a free in-person assister at a SD Community Health Center.

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.

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.

How do I apply for Medicaid/CHIP for my child(ren)?
  • Apply online with the SD Department of Social Services (DSS) at
  • Apply online in the Health Insurance Marketplace at

Contact your local DSS office or call 1-800-305-3064 to request an application be sent to you. Or print at 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.

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