South Dakota health plan · 2027

Wellmark Standard Silver EPO · 50305SD0310013

Wellmark of South Dakota offers this marketplace plan (Plan ID 50305SD0310013). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Issuer: Wellmark of South Dakota
Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed
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2027 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 10 Nov 2026 06:25 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

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Before subsidies

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Deductible

N/A

N/A

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Max out-of-pocket

N/A

N/A

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Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

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Issuer profile See benefits
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Enrollment guidance

Stay on top of 2027 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2027 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in South Dakota). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Silver-tier CSR plans lower deductibles for households ≤250% FPL.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 50305SD0310013
Coverage year 2027
State South Dakota
Issuer Wellmark of South Dakota
Marketing materials View marketing kit
Last plan update Sun, 08 Nov 2026 00:00 GMT
Last HealthPorta import Tue, 10 Nov 2026 06:25 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 10 Nov 2026 06:25 GMT).

All providers in South Dakota 7231
PCPs in South Dakota 794
Telehealth support Data pending
Nationwide providers 9640
7,231 doctors statewide 794 PCPs 16 OB/GYN

Provider network(s)

  • BLUERX-ESSENTIALS
Providers South Dakota All US states
All 7231 9640
PCP 794 1140
Allergy 1 1
OB/GYN 16 49
Dentists 234 295

Drug coverage overview

6,950 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
MEDICAL-SERVICE 5,042
SPECIALTY-DRUGS 1,908
Prior authorization Drugs
Required 1,388
Not Required 5,562
Step therapy Drugs
Required 0
Not Required 6,950
Quantity limits Drugs
Has Limit 1,483
No Limit 5,467

Customer highlights

What stands out for members

  • Issuer: Wellmark of South Dakota · Plan ID 50305SD0310013 · 2027 filing.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
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Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in South Dakota?

Wellmark Standard Silver EPO (50305SD0310013) is a marketplace plan from Wellmark of South Dakota in South Dakota for the 2027 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Wellmark Standard Silver EPO support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Wellmark Standard Silver EPO HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does Wellmark Standard Silver EPO support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Disclaimer: Based on the Tue, 10 Nov 2026 06:25 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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