South Dakota Insurance Plans is an independent insurance agency website operated by Lander LLC. It is not a government website and is not affiliated with the State of South Dakota, any state agency, or the federal government.
South Dakota Insurance PlansThe Mount Rushmore StateCall 855-367-1095

Rapid City, South Dakota: health insurance

Rapid City is in Pennington County. Here is what Rapid City residents should know about coverage.

Coverage in Rapid City

Rapid City has about 79,404 residents (U.S. Census Bureau 2023 estimate).

Plans for Rapid City residents are determined by Pennington County, home to about 115,903 people (2023 estimate). Medicare Advantage plans and marketplace plans are offered by area, so use your ZIP code when you compare, and make sure a plan covers Pennington County before you choose it.

  • Turning 65 in Rapid City? Your Initial Enrollment Period runs seven months around your birthday. South Dakota SHIINE (Senior Health Information and Insurance Education) offers free counseling at (800) 536-8197.
  • Buying your own plan? Shop through HealthCare.gov (federal Marketplace).
  • Medicaid questions? South Dakota Department of Social Services (DSS) handles applications.

South Dakota note: SHIINE organizes its volunteer counselors by region (western, southeastern, northeastern South Dakota), so a caller can be routed toward someone familiar with local providers and Medicare Advantage networks in their specific part of the state.

Colleges and universities near Rapid City

South Dakota public institutions include University of South Dakota, South Dakota State University, South Dakota School of Mines and Technology. Students and employees at these schools should check their school’s student health or benefits office, because campus plans and employer plans work differently from individual coverage. More about South Dakota colleges.

Do Rapid City and Pennington County have the same plans?

Plans are offered by service area, and Rapid City falls under Pennington County. A plan that serves Pennington County is generally the one that applies to you.

Do I have to enroll if I call?

No. A call is a conversation about your options.

Rapid City residents: call 855-367-1095

Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.

Call 855-367-1095

Other major South Dakota cities

Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.

Do it yourself

Prefer to look and enroll yourself?

Compare plans and enroll on your own time. Or call 855-367-1095 any time you want a licensed agent’s help.

Medicare

Medicare Open Enrollment starts October 15th

Take a look at South Dakota plans, or go ahead and enroll yourself. Call if you need any help with your application.

Look at plansCall 855-367-1095
Under 65 · ACA

ACA Open Enrollment opens November 1st

Take a look at South Dakota plans, or go ahead and enroll yourself when it opens. Call if you need any help with your application.

Look at plansCall 855-367-1095
Short-term · TriTerm

Need coverage in between?

Short-term and TriTerm plans can start quickly and help with big unexpected medical bills. They are not ACA plans: they can ask health questions, may not cover pre-existing conditions, and what is offered varies by state.

TriTermWhat does South Dakota allow? →

Questions along the way? Call 855-367-1095 for assistance.