Medical/Rx Benefits

South Dakota Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
167Employers
524Plans
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Medical/Rx benchmarks

Employee Benefits in South Dakota

Updated November 2026

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 167 employers in South Dakota offering 524 verified benefit plans. PPO plans are the most common (46% of employers), followed by HDHP (43%). Funding approaches are mixed, with self-insured (51%) and fully-insured (41%) both common. Most employers offer three or more plan options to employees (58%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

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South Dakota plan design & cost benchmarks

In-Network Cost Sharing: sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$544
$1,375
$2,616
$1,37552Bal
Family Deductible
$1,968
$3,278
$5,416
$3,27852Bal
Individual OOP Max
$3,698
$5,552
$6,629
$5,55252Bal
Family OOP Max
$7,165
$9,126
$12,426
$9,12652Bal
Coinsurance
13%
21%
29%
21%52Bal
Primary Care
$20
$35
$50
$3552Bal
Specialist
$35
$49
$67
$4952Bal
Emergency Room
$217
$371
$470
$37152Bal
Urgent Care
$55
$78
$90
$7852Bal

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Real plan-design and cost benchmarks for south dakota, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO46%
HDHP43%
HMO4%
POS4%

Plan Funding

% of employers by funding

VERIFIED
Self-Insured51%
Fully-Insured41%
Level-Funded8%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans58%
Two Plans32%
One Plan10%

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