Marcia Hultman

Cabinet Secretary

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Division of Insurance - Consumer Information


Mandated Benefits by the State

References are to South Dakota Codified Law (SDCL) unless noted as Administrative Rule of South Dakota (ARSD).

  Individual Group
Alcoholism Treatment 58-17-30.5 58-18-7.1
Applied Behavior Analysis 58-17-157  
Breast Reconstruction ARSD 20:06:39:23 ARSD 20:06:40:17
Dental Anesthesia 58-17-84.1 58-18-45.1
Diabetic Supplies 58-17-1.2 58-18-83
Formula for PKU 58-17-62 58-18-41
Mammogram Screening 58-17-1.1 58-18-36
Mental Health Parity 58-17-98 58-18-80
Minimum maternity Stay 58-17-88 58-18-76
Prostrate Screening 58-17-107 58-18-85
Emergency Services 58-17H-5 58-17H-5
Off-label Drug Use 58-17-101 58-17-101
Any Willing Pharmacy   58-18-37

 

Other Benefits

  Individual
Chiropractors 58-17-54
Dentists 58-17-54
Licensed Health Professionals 58-17-54
Nurse Midwives 36-9A
Nurse Anesthetists 58-17-54
Nurse Practioners 36-9A
Optometrists 58-17-53
Osteopaths 58-17-54
Podiatrists 58-17-54
Psychologists 58-17-54
Social Workers 58-17-54

 

Covered Persons Individual Group
Adopted Children 58-17-30.2 to 58-17-30.4 58-18-32 to 58-18-34
Continuation / Dependents 58-18-7.4 to 58-18-7.6 &
58-18C-1
Continuation / Employees   58-18-7.4 to 58-18-7.6 &
58-18C-1
Handicapped Dependents 58-17-30.1 58-18-31
Hearing Impaired < 19 yrs of age 58-17-153 58-18-95
Newborns 58-17-30.2 to 58-17-30.4 58-18-32 to 58-18-34

 

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