Marketplace issuer snapshot

Sanford Health Plan coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Sanford Health Plan.

Plans tracked: 154 State: South Dakota Coverage exceptions: 528
Browse plan directory Healthcare data dashboard View source-quality details
Plans tracked 154
Formularies 154
Latest refresh Tue, 13 Oct 2026 06:03 GMT
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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 154
State served

South Dakota

Latest source refresh Tue, 13 Oct 2026 06:03 GMT
Coverage exceptions 528

Drug coverage overview

910,910 drugs tracked across 154 formularies

Prior authorization requirements
Status Drugs
Required 154,616
Not Required 756,294

Plan roster

Marketplace plans from Sanford Health Plan

Plan ID Plan name Year Network Last update
31195SD0110020 Sanford Individual Simplicity $1,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110001 Sanford Individual Simplicity $2,000 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110021 Sanford Individual Simplicity $3,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110022 Sanford Individual Simplicity $3,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110003 Sanford Individual Simplicity $4,000 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110011 Sanford Individual Simplicity $4,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110023 Sanford Individual Simplicity $4,500x HSA Qualified | North Dakota 2027 NETWORK Oct 06, 2026
31195SD0110005 Sanford Individual Simplicity $5,000 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110010 Sanford Individual Simplicity $5,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110024 Sanford Individual Simplicity $5,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110007 Sanford Individual Simplicity $6,500 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110025 Sanford Individual Simplicity $6,500x HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110006 Sanford Individual Simplicity $8,000 HSA Qualified | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110018 Sanford Individual Simplicity Standardized $2,500 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110017 Sanford Individual Simplicity Standardized $6,400 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0110016 Sanford Individual Simplicity Standardized $7,500 | South Dakota 2027 SIMPLICITY Oct 06, 2026
31195SD0080030 Sanford Individual TRUE $1,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080018 Sanford Individual TRUE $2,000 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080031 Sanford Individual TRUE $3,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080032 Sanford Individual TRUE $3,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080008 Sanford Individual TRUE $4,000 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080021 Sanford Individual TRUE $4,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080033 Sanford Individual TRUE $4,500x HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080016 Sanford Individual TRUE $5,000 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080020 Sanford Individual TRUE $5,000x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080034 Sanford Individual TRUE $5,500x | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080007 Sanford Individual TRUE $6,500 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080035 Sanford Individual TRUE $6,500x HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0080009 Sanford Individual TRUE $8,000 HSA Qualified | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080028 Sanford Individual TRUE Standardized $2,500 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080027 Sanford Individual TRUE Standardized $6,400 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0080026 Sanford Individual TRUE Standardized $7,500 | South Dakota 2027 SHPTRUE Oct 06, 2026
31195SD0120001 Sanford Small Group Simplicity $1,000 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120002 Sanford Small Group Simplicity $1,950 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120009 Sanford Small Group Simplicity $2,700 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120003 Sanford Small Group Simplicity $3,400 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120005 Sanford Small Group Simplicity $3,950 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120004 Sanford Small Group Simplicity $4,500 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120011 Sanford Small Group Simplicity $5,100 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120006 Sanford Small Group Simplicity $6,000 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120007 Sanford Small Group Simplicity $6,250 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120008 Sanford Small Group Simplicity $7,000 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0120010 Sanford Small Group Simplicity $8,300 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090018 Sanford Small Group TRUE $1000 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090017 Sanford Small Group TRUE $1,950 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090024 Sanford Small Group TRUE $2,700 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090015 Sanford Small Group TRUE $3,400 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090013 Sanford Small Group TRUE $3,950 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090012 Sanford Small Group TRUE $4,500 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090026 Sanford Small Group TRUE $5,100 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090014 Sanford Small Group TRUE $6,000 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090016 Sanford Small Group TRUE $6,250 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090011 Sanford Small Group TRUE $7,000 | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0090025 Sanford Small Group TRUE $8,300 HSA Qualified | South Dakota 2027 NETWORK Oct 06, 2026
31195SD0110009 Sanford Individual Simplicity $10,600 2026 NETWORK Dec 16, 2025
31195SD0110020 Sanford Individual Simplicity $1,300x 2026 NETWORK Oct 06, 2026
31195SD0110001 Sanford Individual Simplicity $1,750 2026 NETWORK Dec 16, 2025
31195SD0110021 Sanford Individual Simplicity $2,500x 2026 NETWORK Oct 06, 2026
31195SD0110022 Sanford Individual Simplicity $2,750x 2026 NETWORK Oct 06, 2026
31195SD0110003 Sanford Individual Simplicity $3,500 2026 SIMPLICITY Dec 16, 2025
31195SD0110011 Sanford Individual Simplicity $3,500x | South Dakota 2026 NETWORK Oct 06, 2026
31195SD0110023 Sanford Individual Simplicity $4,000x HSA Qualifed 2026 NETWORK Oct 06, 2026
31195SD0110005 Sanford Individual Simplicity $4,750 2026 NETWORK Dec 16, 2025
31195SD0110010 Sanford Individual Simplicity $4,750x | South Dakota 2026 NETWORK Oct 06, 2026
31195SD0110024 Sanford Individual Simplicity $5,100x 2026 NETWORK Oct 06, 2026
31195SD0110025 Sanford Individual Simplicity $5,500x HSA Qualified 2026 NETWORK Oct 06, 2026
31195SD0110007 Sanford Individual Simplicity $6,500 2026 SIMPLICITY Dec 16, 2025
31195SD0110006 Sanford Individual Simplicity $7,200 HSA Qualified 2026 NETWORK Dec 16, 2025
31195SD0110018 Sanford Individual Simplicity Standardized $2,000 2026 SIMPLICITY Dec 16, 2025
31195SD0110017 Sanford Individual Simplicity Standardized $6,000 2026 SIMPLICITY Dec 16, 2025
31195SD0110016 Sanford Individual Simplicity Standardized $7,500 2026 NETWORK Dec 16, 2025
31195SD0080015 Sanford Individual TRUE $10,600 2026 NETWORK Dec 16, 2025
31195SD0080030 Sanford Individual TRUE $1,300x 2026 NETWORK Oct 06, 2026
31195SD0080018 Sanford Individual TRUE $1,750 2026 NETWORK Dec 16, 2025
31195SD0080031 Sanford Individual TRUE $2,500x 2026 NETWORK Oct 06, 2026
31195SD0080032 Sanford Individual TRUE $2,750x 2026 NETWORK Oct 06, 2026
31195SD0080008 Sanford Individual TRUE $3,500 2026 NETWORK Dec 16, 2025
31195SD0080021 Sanford Individual TRUE $3,500x 2026 NETWORK Oct 06, 2026
31195SD0080033 Sanford Individual TRUE $4,000x HSA Qualified 2026 NETWORK Oct 06, 2026
31195SD0080016 Sanford Individual TRUE $4,750 2026 SHPTRUE Dec 16, 2025
31195SD0080020 Sanford Individual TRUE $4,750x 2026 NETWORK Oct 06, 2026
31195SD0080034 Sanford Individual TRUE $5,100x 2026 NETWORK Oct 06, 2026
31195SD0080035 Sanford Individual TRUE $5,500x HSA Qualified 2026 NETWORK Oct 06, 2026
31195SD0080007 Sanford Individual TRUE $6,500 2026 SHPTRUE Dec 16, 2025
31195SD0080009 Sanford Individual TRUE $7,200 HSA Qualified 2026 NETWORK Dec 16, 2025
31195SD0080028 Sanford Individual TRUE Standardized $2,000 2026 NETWORK Dec 16, 2025
31195SD0080027 Sanford Individual TRUE Standardized $6,000 2026 SHPTRUE Dec 16, 2025
31195SD0080026 Sanford Individual TRUE Standardized $7,500 2026 NETWORK Dec 16, 2025
31195SD0120002 Sanford Small Group Simplicity $1500 2026 NETWORK Oct 06, 2026
31195SD0120009 Sanford Small Group Simplicity $1750 2026 NETWORK Oct 06, 2026
31195SD0120003 Sanford Small Group Simplicity $2700 2026 NETWORK Oct 06, 2026
31195SD0120005 Sanford Small Group Simplicity $3500 2026 NETWORK Oct 06, 2026
31195SD0120004 Sanford Small Group Simplicity $3600 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0120011 Sanford Small Group Simplicity $3950 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0120001 Sanford Small Group Simplicity $500 2026 NETWORK Oct 06, 2026
31195SD0120006 Sanford Small Group Simplicity $5500 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0120007 Sanford Small Group Simplicity $5550 2026 NETWORK Oct 06, 2026
31195SD0120008 Sanford Small Group Simplicity $6300 2026 NETWORK Oct 06, 2026
31195SD0120010 Sanford Small Group Simplicity $7500 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0090017 Sanford Small Group TRUE $1500 2026 NETWORK Oct 06, 2026
31195SD0090024 Sanford Small Group TRUE $1,750 2026 NETWORK Oct 06, 2026
31195SD0090015 Sanford Small Group TRUE $2700 2026 NETWORK Oct 06, 2026
31195SD0090013 Sanford Small Group TRUE $3500 2026 NETWORK Oct 06, 2026
31195SD0090012 Sanford Small Group TRUE $3600 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0090026 Sanford Small Group TRUE $3950 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0090018 Sanford Small Group TRUE $500 2026 NETWORK Oct 06, 2026
31195SD0090014 Sanford Small Group TRUE $5500 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0090016 Sanford Small Group TRUE $5550 2026 NETWORK Oct 06, 2026
31195SD0090011 Sanford Small Group TRUE $6300 2026 NETWORK Oct 06, 2026
31195SD0090025 Sanford Small Group TRUE $7500 HSA/HDHP 2026 NETWORK Oct 06, 2026
31195SD0110001 Sanford Individual Simplicity $1,750 2025 SDN003 Nov 15, 2024
31195SD0110003 Sanford Individual Simplicity $3,500 2025 SDN003 Nov 15, 2024
31195SD0110011 Sanford Individual Simplicity $3,500x 2025 SIMPLICITY Oct 06, 2026
31195SD0110005 Sanford Individual Simplicity $4,750 2025 SDN003 Nov 15, 2024
31195SD0110010 Sanford Individual Simplicity $4,750x 2025 SIMPLICITY Oct 06, 2026
31195SD0110007 Sanford Individual Simplicity $6,000 2025 SDN003 Nov 15, 2024
31195SD0110006 Sanford Individual Simplicity $7,100 HSA Qualified 2025 SDN003 Nov 15, 2024
31195SD0110009 Sanford Individual Simplicity $9,200 2025 SDN003 Nov 15, 2024
31195SD0110018 Sanford Individual Simplicity Standardized $1,500 2025 SDN003 Nov 15, 2024
31195SD0110017 Sanford Individual Simplicity Standardized $5,000 2025 SDN003 Nov 15, 2024
31195SD0110016 Sanford Individual Simplicity Standardized $7,500 2025 SDN003 Nov 15, 2024
31195SD0080018 Sanford Individual TRUE $1,750 2025 SDN004 Nov 15, 2024
31195SD0080008 Sanford Individual TRUE $3,500 2025 SDN004 Nov 15, 2024
31195SD0080021 Sanford Individual TRUE $3,500x 2025 SHPTRUE Oct 06, 2026
31195SD0080016 Sanford Individual TRUE $4,750 2025 SDN004 Nov 15, 2024
31195SD0080020 Sanford Individual TRUE $4,750x 2025 SHPTRUE Oct 06, 2026
31195SD0080007 Sanford Individual TRUE $6,000 2025 SDN004 Nov 15, 2024
31195SD0080009 Sanford Individual TRUE $7,100 HSA Qualified 2025 SDN004 Nov 15, 2024
31195SD0080015 Sanford Individual TRUE $9,200 2025 SDN004 Nov 15, 2024
31195SD0080028 Sanford Individual TRUE Standardized $1,500 2025 SDN004 Nov 15, 2024
31195SD0080027 Sanford Individual TRUE Standardized $5,000 2025 SDN004 Nov 15, 2024
31195SD0080026 Sanford Individual TRUE Standardized $7,500 2025 SDN004 Nov 15, 2024
31195SD0120002 Sanford Small Group Simplicity $1500 2025 SIMPLICITY Oct 06, 2026
31195SD0120009 Sanford Small Group Simplicity $1750 2025 SIMPLICITY Oct 06, 2026
31195SD0120003 Sanford Small Group Simplicity $2700 2025 SIMPLICITY Oct 06, 2026
31195SD0120004 Sanford Small Group Simplicity $3200 HSA/HDHP 2025 SIMPLICITY Oct 06, 2026
31195SD0120005 Sanford Small Group Simplicity $3500 2025 SIMPLICITY Oct 06, 2026
31195SD0120011 Sanford Small Group Simplicity $3750 HSA/HDHP 2025 SIMPLICITY Oct 06, 2026
31195SD0120001 Sanford Small Group Simplicity $500 2025 SIMPLICITY Oct 06, 2026
31195SD0120006 Sanford Small Group Simplicity $5150 HSA/HDHP 2025 SIMPLICITY Oct 06, 2026
31195SD0120007 Sanford Small Group Simplicity $5250 2025 SIMPLICITY Oct 06, 2026
31195SD0120008 Sanford Small Group Simplicity $6000 2025 SIMPLICITY Oct 06, 2026
31195SD0120010 Sanford Small Group Simplicity $7050 HSA/HDHP 2025 SIMPLICITY Oct 06, 2026
31195SD0090017 Sanford Small Group TRUE $1500 2025 SHPTRUE Oct 06, 2026
31195SD0090024 Sanford Small Group TRUE $1,750 2025 SHPTRUE Oct 06, 2026
31195SD0090015 Sanford Small Group TRUE $2700 2025 SHPTRUE Oct 06, 2026
31195SD0090012 Sanford Small Group TRUE $3200 HSA/HDHP 2025 SHPTRUE Oct 06, 2026
31195SD0090013 Sanford Small Group TRUE $3500 2025 SHPTRUE Oct 06, 2026
31195SD0090026 Sanford Small Group TRUE $3750 HSA/HDHP 2025 SHPTRUE Oct 06, 2026
31195SD0090018 Sanford Small Group TRUE $500 2025 SHPTRUE Oct 06, 2026
31195SD0090014 Sanford Small Group TRUE $5,150 HSA/HDHP 2025 SHPTRUE Oct 06, 2026
31195SD0090016 Sanford Small Group TRUE $5250 2025 SHPTRUE Oct 06, 2026
31195SD0090011 Sanford Small Group TRUE $6000 2025 SHPTRUE Oct 06, 2026
31195SD0090025 Sanford TRUE $7050 HSA/HDHP 2025 SHPTRUE Oct 06, 2026

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.