Health Care Benefits: South Dakota

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates, LLC

Summary

• South Dakota chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Group health plans in South Dakota must include maternity and newborn/adopted child coverage. See Maternity and Newborn/Adopted Child Coverage.
• Health plans in South Dakota must provide coverage for mental illness and offer coverage for alcohol abuse treatment. See Mental Health and Alcohol Abuse Coverage.
• Group health plans must provide coverage for specified providers. See Coverage for Specified Providers.
• Health plans that cover mastectomies must also cover reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans must provide coverage for certain illnesses, diseases and services. See Diabetes Coverage; Mammograms; Prostate Cancer Screening.
• Certain coverage for children and dependents must be provided. See Coverage for Children and Dependents.
• An employer that sponsors a group health plan or holds a group health policy may consent to electronic delivery of insurance documents and notices on behalf of a covered employee or other covered person under certain conditions. See Electronic Delivery of Insurance Documents and Notices.