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Health Insurance Plans for Individual & Family

Open Enrollment Happening Nov. 1, 2021, through Jan. 15, 2022!

If you’re looking for high-value health insurance, and you live in South Dakota it’s time to connect with Avera Health Plans. We have competitive individual and family health insurance plans that fit your budget and coverage needs combined with access to Avera’s award-winning health care system.

This exceptional value includes:

  • Well-being services and online wellness technology
  • Membership discounts at select fitness businesses
  • 24/7 AveraNow virtual visits at no cost**
  • Covered preventive care, including wellness exams, vaccines and preventive screenings like mammography and colonoscopy

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

2022 Plan Options

2022 Plan Options

For individual and family health coverage effective Jan. 1, 2022, 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.

2021 Plan Options

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 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 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?

Don’t forget: you need to re-enroll in your health insurance plan year after year. Therefore, open enrollment is a great time to ensure you still have the right plan for you and your family. 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 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.

This year, you have until Jan. 15 to enroll.

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 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 (Nov. 1 through Jan. 15), coverage will begin Jan. 1 of the following year if you enroll during November or December, and in February if you enroll in January.

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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