South Dakota Health Insurance Consumer Help

South Dakota does not operate a Consumer Assistance Program under the Affordable Care Act. The consumer protections and benefits of the law still apply to you.

The agencies listed below can help you take advantage of some of these 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 Department of Labor and Regulation
123 W Missouri Ave
Pierre, SD 57501
(605) 773-3563
http://dlr.sd.gov/insurance/consumer

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
(605) 773-4678
https://dss.sd.gov/medicaid/ 

Find your local office: https://dss.sd.gov/findyourlocaloffice/

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: 

South Dakota Children's Health Insurance Program (CHIP)
(605) 773-4678
https://dss.sd.gov/medicaid/generalinfo/medicalprograms.aspx#chip

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) 444-3272
http://askebsa.dol.gov

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)
www.shiine.net

Eastern South Dakota
(800) 536-8197
easternoffice@shiine.net

Central South Dakota
(877) 331-4834
centraloffice@shiine.net

Western South Dakota
(877) 286 9072
westernoffice@shiine.net

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)
https://www.va.gov/health-care/

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.

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