Expanded_bronzeEPOHSA Eligible

ConnectPlus $6500 HSA Eligible HDHP

Avera Health Plans

Starting at

$692

/month before subsidy

Key facts

ConnectPlus $6500 HSA Eligible HDHP is a 2027 Expanded_bronze EPO health insurance plan from Avera Health Plans, sold on the ACA Marketplace in South Dakota under plan ID 60536SD0080028. The monthly premium starts at $692 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $6,500 ($13,000 for a family), and the individual out-of-pocket maximum is $12,000 ($24,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
60536SD0080028
Plan year
2027
State
South Dakota
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$6,500

Family: $13,000

Out-of-Pocket Max

$12,000

Family: $24,000

Coinsurance

50%

You pay after deductible

Network Type

EPO

SDN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$60.00
Specialist Visit$150.00
Urgent Care$60.00
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$35.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$9,460

your estimated cost

Deductible
$6,500
Copays
$400
Coinsurance
$2,500

Managing type 2 diabetes

A year of routine care

$3,520

your estimated cost

Deductible
$1,200
Copays
$600
Coinsurance
$1,700

A simple fracture

ER visit + follow-up

$2,500

your estimated cost

Deductible
$2,100
Copays
$200
Coinsurance
$200
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Avera Health Plans. These are the authoritative source for coverage details.
Who This Plan Is Best For

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.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,692/month

Annual Premium

$8,304

OOP Maximum

$12,000

💡 What this means:

With a $6,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $12,000 total. Then insurance covers everything else for the year.

More plans from Avera Health Plans in South Dakota

View all Marketplace plans in South Dakota

Frequently asked questions about ConnectPlus $6500 HSA Eligible HDHP

How much does ConnectPlus $6500 HSA Eligible HDHP cost per month?

ConnectPlus $6500 HSA Eligible HDHP from Avera Health Plans starts at $692 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 ConnectPlus $6500 HSA Eligible HDHP?

The individual medical deductible is $6,500, and the family deductible is $13,000. 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 ConnectPlus $6500 HSA Eligible HDHP?

The most you would pay in a year for covered in-network care is $12,000 for an individual and $24,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is ConnectPlus $6500 HSA Eligible HDHP HSA-eligible?

Yes. ConnectPlus $6500 HSA Eligible HDHP 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 ConnectPlus $6500 HSA Eligible HDHP use?

ConnectPlus $6500 HSA Eligible HDHP is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

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.