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Open Enrollment Extended to August 15, 2021, for Individual or Family Health Insurance

Act Now to Receive Possible Discounts through Tax Credits

Avera Health Plans is extending open enrollment to individuals and families through August 15, 2021. This extended enrollment period is in accordance with guidance from the Biden Administration. It was determined that the COVID-19 emergency is an exceptional circumstance, and you should be able to apply and enroll for the coverage you need, and potentially save money through tax credits.

Policy effective dates are March 1, 2021, through September 1, 2021. This extended open enrollment is for new applications as well as for updating existing applications.

Download Now: Your Guide to Choosing Health Insurance

Health insurance can be confusing. It’s also an essential investment for your long-term health. This downloadable guide will help you make sense of it all and help you in making the best purchase for you and your family.

Your Guide to Choosing Health Insurance

2021 Plan Options

For individual and family health coverage effective Jan. 1, 2021, review the following Summary of Benefits and Coverage and identify what works best with your budget.

You can also view our:

Gold Plans

Gold Plans feature lower deductibles, resulting in higher monthly premiums.

Silver Plans

Cost-share reductions (extra savings) can be used on Silver plans only to lower the amount you pay for deductibles, co-pays and coinsurance.

Bronze Plans

Bronze Plans feature higher deductibles, resulting in lower monthly premiums.

Catastrophic Plan

To qualify for these plans, you must be under the age of 30 before Jan. 1, 2020, or qualify for a federal hardship exemption.


Find Dental Coverage through Ameritas or Delta Dental.

Pharmacy Coverage Options - Find out if your medications are covered and learn how to get the most from your plan's pharmacy benefits.

FAQs

Do I qualify for reduced payments or tax credits?

Did you know that 90% of people who apply for health insurance from the Federal Marketplace receive financial assistance? It’s true! Of those people, 75% pay $50 or less per month. So, for example, in South Dakota if you are making less than $100,000 a year, supporting three dependents and are self-employed, you could quality for tax credits.

If, because of COVID-19, you are underemployed — you lost your job or are on reduced hours — and you can no longer afford your current health insurance, you could qualify for reduced payments through this extended open enrollment period.

Review our application checklist, learn how to get health insurance, and identify the best health insurance plan for you.

You can also see how you can save on premiums with tax credits and other types of assistance. Or one of our licensed agents can determine if you qualify, which can lower your monthly premium. Call 855-692-8372 or find an agent near you.

Why should I utilize the extended open enrollment?

Health insurance protects you from unexpected, high medical costs. You also pay less for covered in-network care because of our partnership with Avera Medical Group. You receive free preventive care, including wellness exams and vaccines and, depending on your age, preventive screenings like mammography and colon tests. Here are some key things to know about what you pay, what insurance pays, and how to get the most from your plan.

Check out our list of preventive services.

Download our Consumer Insights for Health Insurance.

What if I already have health insurance?

You can still update your application during this extended enrollment period. If you picked a high deductible plan during the initial enrollment period, but your circumstances have changed, you can update to a plan more suited to your needs.

For example, during this extended enrollment period, you can pick a plan with richer benefits or get on a plan if, in the last few months, you realized you’ll have ongoing medical needs. If you are now pregnant and need a different plan, you can switch. Or if you received a COVID-19 diagnosis or were diagnosed with a chronic condition, you are now able to get on a plan, or switch to a different plan, more suited to your needs.

What is open enrollment vs. a qualifying life event?

Open enrollment generally occurs once a year and is the time when you can make changes to your health coverage. Outside of open enrollment, you’re able to apply for new health insurance coverage or update your current coverage if you experience a qualifying life event. For example, if you get married or have a baby.

Once I enroll, when does my plan start?

During this extended open enrollment and outside of the general open enrollment, your plan starts the first day of the following month after you enroll. For example, if you enroll for a plan in February, your plan will start March 1.

During the annual open enrollment (generally November through Dec. 15 each year), coverage will begin Jan. 1 of the following year.

What’s new this year?

  • Under age 30? Live in Lincoln, Brown or Minnehaha county and in overall good health? Our new Avera Focused plan might be a great option for you.
  • Want more coverage for less? When you compare our Avera 3000 silver plan with our competitor’s silver plan, by spending just $4 extra per month, you get $1,750 in potential annual deductible savings and more coverage.

What documents do I need to enroll?

For each applicant - individual or family member - who will be covered by the policy, provide the following information:

    • Name
    • Birth date
    • Social Security number
    • Address
    • Phone number

If you apply in person or through an agent, bring your previous year's tax return, because it will usually contain this, and other important information needed for your application.

Search Our Provider Network

To ensure you’re getting the most bang for your insurance buck, it’s important to use an in-network provider. Doing so will save you money, and who doesn’t like that?

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