Sanford Individual TRUE $7,200 HSA Qualified
Starting at
$438
/month before subsidy
Sanford Individual TRUE $7,200 HSA Qualified is a 2026 Expanded_bronze HMO health insurance plan from Sanford Health Plan, sold on the ACA Marketplace in South Dakota under plan ID 31195SD0080009. The monthly premium starts at $438 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,200 ($14,400 for a family), and the individual out-of-pocket maximum is $7,200 ($14,400 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.
- Plan ID
- 31195SD0080009
- Plan year
- 2026
- State
- South Dakota
- Metal level
- Expanded_bronze
- Plan type
- HMO
- HSA-eligible
- Yes
Individual Deductible
$7,200
Family: $14,400
Out-of-Pocket Max
$7,200
Family: $14,400
Coinsurance
0%
You pay after deductible
Network Type
HMO
SDN004
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Not rated
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$7,260
your estimated cost
- Deductible
- $7,200
- Copays
- $0
- Coinsurance
- $0
Managing type 2 diabetes
A year of routine care
$5,320
your estimated cost
- Deductible
- $5,300
- Copays
- $0
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,800
your estimated cost
- Deductible
- $2,800
- Copays
- $0
- Coinsurance
- $0
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Review the plan details above to determine if this plan fits your healthcare needs and budget.
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,038/month
Annual Premium
$5,256
OOP Maximum
$7,200
💡 What this means:
With a $7,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $7,200 total. Then insurance covers everything else for the year.
More plans from Sanford Health Plan in South Dakota
- Sanford Individual Simplicity $10,600from $377/mo
- Sanford Individual TRUE $10,600from $291/mo
- Sanford Individual Simplicity $6,500from $563/mo
- Sanford Individual Simplicity $7,200 HSA Qualifiedfrom $577/mo
- Sanford Individual Simplicity Standardized $7,500from $540/mo
- Sanford Individual TRUE $6,500from $433/mo
- Sanford Individual TRUE Standardized $7,500from $416/mo
- Sanford Individual Simplicity $3,500from $704/mo
Frequently asked questions about Sanford Individual TRUE $7,200 HSA Qualified
How much does Sanford Individual TRUE $7,200 HSA Qualified cost per month?
Sanford Individual TRUE $7,200 HSA Qualified from Sanford Health Plan starts at $438 per month before any subsidy in South Dakota. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Sanford Individual TRUE $7,200 HSA Qualified?
The individual medical deductible is $7,200, and the family deductible is $14,400. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Sanford Individual TRUE $7,200 HSA Qualified?
The most you would pay in a year for covered in-network care is $7,200 for an individual and $14,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Sanford Individual TRUE $7,200 HSA Qualified HSA-eligible?
Yes. Sanford Individual TRUE $7,200 HSA Qualified is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.
What type of network does Sanford Individual TRUE $7,200 HSA Qualified use?
Sanford Individual TRUE $7,200 HSA Qualified is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.