The decision by Sanford Health to close their insurance network to those with coverage from Dakotacare or Avera Health will impact those using the health care exchanges.

Alexa Raymond is a Navigator with the Rural Office of Community Services in Lake Andes……

Raymond says people in rural areas will have some difficult choices……

Raymond says the 2017 sign up for coverage under the Affordable Care Act will begin on November first.

She says people will have to ask a lot of questions as they look to re-enroll…………

Raymond says meetings will be held in early October to lay out the costs and coverage changes for 2017.