Avera Health Plans

ACA marketplace issuer - 35 plans across 66 counties

1
State
66
Counties
35
Plans
$552
Avg Premium (Age 27)
The short answer

Avera Health Plans is a single-state ACA marketplace issuer offering 35 plans across 1 state and 66 counties. Its average age-27 premium of $552/mo runs $88 below the national marketplace average of $640/mo.

vs Market Average

Avera Health Plans's average premium of $552/mo is $88 below the national market average of $640/mo.

Avera Health Plans at a Glance

Avera Health Plans is an ACA marketplace issuer offering 35 plans across 1 state and 66 counties. Its average age-27 premium is $552/mo, the standardized rate marketplaces use for apples-to-apples comparison. Plan types on offer include PPO, HMO, each with distinct network rules for referrals, in-network cost-sharing, and out-of-network access.

Compared with the national marketplace average of $640/mo, Avera Health Plans's average premium lands about $88 below. Lower issuer averages typically indicate concentration in lower-cost regions or a Bronze-heavy plan mix rather than leaner benefits, since all ACA plans must cover the same 10 essential health benefits.

The largest single-state presence is SD with 880 plans, though availability and exact plan lineup vary county by county within each state. Confirm specific plans, network hospitals, and provider directories directly with the issuer or on HealthCare.gov before enrolling. PlainHealthPlan is not affiliated with Avera Health Plans. This page is informational only and is not insurance, medical, or financial advice.

Plan Types

PPOHMO

Metal Levels Offered

Gold Catastrophic Expanded Bronze Silver

Avera Health Plans average premium by metal level

The premium ladder across Avera Health Plans's 35 ACA plans, average monthly premium (age 27) by metal tier. Bronze trades a low premium for a high deductible; Gold and Platinum invert it.

Avera Health Plans: average premium by metal level

Catastrophic$339/moExpanded Bronze$456/moSilver$597/moGold$627/mo
Source: CMS Marketplace Public Use Files, plan year 2026.

Health Insurance Guides

Choosing a Metal Level
Bronze vs Silver vs Gold vs Platinum, which tier fits your needs and budget
Understanding ACA Subsidies
How premium tax credits work and how to estimate your subsidy amount

Explore More ACA Data

All Issuers
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Estimate Your Subsidy
Premium tax credit calculator for your household and county

Frequently Asked Questions

How many plans does Avera Health Plans offer on the ACA marketplace? ▼
Avera Health Plans offers 35 ACA marketplace plans across 1 state and 66 counties. Plans are available in Gold, Catastrophic, Expanded Bronze, Silver metal tiers.
What is Avera Health Plans's average premium? ▼
Avera Health Plans's average monthly premium is $552 for a 27-year-old. This is $88 below the national marketplace average of $640/mo.
What plan types does Avera Health Plans offer? ▼
Avera Health Plans offers PPO, HMO plan types. Plan type determines how you access providers, HMO plans require referrals and in-network care, while PPO and POS plans offer more flexibility at higher premiums.
In which states does Avera Health Plans sell ACA plans? ▼
Avera Health Plans sells ACA marketplace plans in 1 state, covering 66 counties. The largest presence is in SD with 880 plans. Availability varies by county, check your specific county for plan options.

Disclaimer: This page is for informational purposes only. Data comes from CMS Marketplace Public Use Files. PlainHealthPlan is not affiliated with Avera Health Plans or any insurance company. Premiums shown are base rates and may not reflect your actual cost.

Read our methodology - how this data is sourced, computed, and verified.

Related

Browse all issuers → | Rankings →
Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial