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Avera Health Plans New Programs

Physician Life and Disability Products

Avera Health Plans has expanded its benefit program by partnering with Sun Life and Medical Group Insurance Services (MGIS), leading insurance providers to physicians and medical groups. Sun Life and MGIS offer innovative solutions for Group Long Term Disability, Group Short Term Disability and Group Life.

Highlights of the plan include:

  • Physician-only, group long-term disability that protects physician's specialty or sub-specialty
  • “Best in class” contract features that benefit physicians and medical groups 
  • No restrictive language and no mandatory rehab for physicians
  • Special benefits and rates only available through Avera Health Plans 

Brochures and Forms

For more information or a quote, please contact Avera Health Plans at (605) 322-4500 Monday through Friday, 8 a.m. - 5 p.m. CT.

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Avera Benefit Solutions

Avera Benefit Solutions provides groups of 2 or more benefit eligible employees with the flexibility to choose the benefits most important to you and to put together a package that fits your company’s needs.

A quoting model has been designed to provide employers the flexibility to choose benefits that are affordable and essential to the group. These plans allow you to select between the following options:

  • Deductibles
  • Coinsurance
  • Out-of-Pocket Maximums
  • Physician Office Visit (deductible vs. co-pay)
  • Physician Office Visit Copay: Primary Care/Specialist
  • Wellness Office Visit (deductible vs. co-pay)
  • Chiropractic Office Visit (deductible vs. co-pay)
  • Pharmacy Plan Variations (including a pharmacy deductible)
  • Emergency Room Coverage (deductible, co-pay, access fee)
  • Outpatient Mental Health (co-pay vs. deductible and coinsurance)

The following riders are also available:

  • Family Planning Coverage
  • Vision
  • Employee Assistance Program (EAP)

COBRA Administration is included in the price of the package.

Other Products and Services

The following products are available as an enhancement to the selected plan design:

  • Dental Insurance
  • Life Insurance
  • Disability Insurance
  • Flexible Spending Accounts (Section 125)

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Health Savings Accounts - High Deductible Health Plans

Another product that is available is the High Deductible Health Plan with a Health Savings Account(HSA). Avera Health Plans offers the Avera HSA. The following are some highlights of this product for employers:

  • Affordable yet adequate health care coverage for your employees
  • Flexibility to structure your health plan to meet your needs
  • Increased employee empowerment, responsibility and satisfaction with health care spending

The highlights for employees are:

  • Pay for current and future health care expenses with tax-free dollars
  • More control over health care dollars
  • Account balance rolls over from year-to-year
  • Use of HSA to invest for future medical needs

For more information, please review the pdf documents below or contact your Account Representative or Agent.

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Screening Partners

Avera’s strategy towards a healthier workforce is to offer healthcare solutions that meet the challenges of rising costs and benefits. Our Screening Partners Program offers onsite health screenings for employees. A basic screening includes:

  • Blood Pressure
  • Cholesterol and Glucose Panel
  • Height/Weight
  • Health Coaching

Screening Partners gives employees access to health information and knowledge of potential health risks without time off from work. In addition, the employer is increasing employee retention and satisfaction, reducing absenteeism and identifying potential high risk cases before they occur. If you would like more information about Avera’s Screening Partners Program, please contact the Marketing Department or review the pdf files below.

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Group Products and Services

Visit the following links to learn more about some of AHP products and programs.