South Dakota Medicaid · 2026
South Dakota Medicaid income limits (2026)
Who qualifies this year, and your options if you don’t.
In South Dakota, most adults can qualify for South Dakota Medicaid with income up to about $21,597 a year (one person). Check your household below, and if you don't qualify, we'll help you find coverage that fits.
Medicaid eligibility estimator
See what you may qualify for.
Answer three quick questions for a free estimate. If you don’t qualify for Medicaid, we’ll help you find what you do, in one call.
This is a general estimate based only on what you enter, not a determination of eligibility, an application, or an offer of coverage. Only your state Medicaid agency can determine Medicaid eligibility. CoverageCo is a licensed insurance agency, not a government agency.
South Dakota Medicaid income limits (2026)
Estimated South Dakota Medicaid income limits for adults, by household size, based on 138% of the 2026 federal poverty level.
| Household size | Annual income | Monthly |
|---|---|---|
| 1 person | $21,597 | $1,800 |
| 2 people | $29,187 | $2,432 |
| 3 people | $36,777 | $3,065 |
| 4 people | $44,367 | $3,697 |
| 5 people | $51,957 | $4,330 |
| 6 people | $59,547 | $4,962 |
| 7 people | $67,137 | $5,595 |
| 8 people | $74,727 | $6,227 |
Estimates based on 2026 federal poverty guidelines (138% of FPL). Children and pregnant women often qualify at higher limits. Confirm current figures with South Dakota Medicaid.
South Dakota expanded Medicaid
South Dakota adopted Medicaid expansion, so South Dakota Medicaid covers most adults earning up to 138% of the federal poverty level, regardless of whether they have children. If your income is above that line, you may still qualify for private Marketplace coverage with financial help.
Good to know: South Dakota adopted Medicaid expansion in 2023.
How to apply for Medicaid in South Dakota
- 1Gather income and household details for everyone applying, applying for Medicaid is free and open year-round.
- 2Apply through South Dakota Medicaid, South Dakota's Medicaid agency, online, by phone, by mail, or in person.
- 3If you're found ineligible for Medicaid, South Dakota's Health Insurance Marketplace, HealthCare.gov (HealthCare.gov), is where many people get covered with financial help. A licensed agent can check what you'd pay and enroll you.
Denied Medicaid in South Dakota, or over the limit?
Don’t leave it there. Many South Dakota residents who don’t qualify for South Dakota Medicaid can still get covered, often with financial help that lowers the cost. A licensed agent will find your options and handle the paperwork with you. It costs nothing to talk.
South Dakota Medicaid, questions & answers
What is the income limit for Medicaid in South Dakota in 2026?
In South Dakota, most adults can qualify for South Dakota Medicaid with income up to 138% of the federal poverty level, about $21,597 a year for one person and roughly $44,367 for a household of four. Children and pregnant women often qualify at higher limits. These are estimates; your state agency confirms the exact figures.
Did South Dakota expand Medicaid?
Yes. South Dakota adopted Medicaid expansion, which covers most low-income adults up to 138% of the federal poverty level.
I lost my South Dakota Medicaid, what can I do?
Losing Medicaid (including for missed renewal paperwork) can open a Special Enrollment Period to get Marketplace coverage, often with financial help that lowers your monthly cost. Timing matters, so it's worth calling a licensed agent quickly to review your options.
Is CoverageCo part of South Dakota Medicaid or the government?
No. The Coverage Company is a private, licensed insurance agency. We are not South Dakota Medicaid, Medicaid, or any government agency, and we are not affiliated with or endorsed by any government program.
Medicaid in other states
Sources: 2025 U.S. federal poverty guidelines (HHS); Medicaid.gov; KFF Status of State Medicaid Expansion Decisions; South Dakota Medicaid (South Dakota Medicaid); and South Dakota’s Health Insurance Marketplace, HealthCare.gov. Figures are estimates for general reference, confirm current limits with your state Medicaid agency.
Important disclosures
The Coverage Company (“CoverageCo”) is a private, licensed insurance agency. This website is not Medicaid, Medicare, HealthCare.gov, or any federal or state government program, and is not affiliated with, endorsed by, or connected to any government agency.
The eligibility estimator and any figures shown are for general education only. They are based on the limited information you provide and published federal poverty guidelines, are not guaranteed to be current, and are not a determination of eligibility, an application, or an offer of coverage. Only your state Medicaid agency can determine Medicaid eligibility. If you contact us, a state-licensed insurance agent may help you review private coverage options; enrollment in any plan is subject to eligibility and the plan’s terms.