Get Coverage Resources

Your Medicare Supplement Insurance plan helps close the gap in your coverage for the expenses that Medicare approves, but does not pay in full. But there’s much more to your plan.

Whether you’re new to this coverage or had it for a while, it’s important to know where to find the resources you need to make educated health care decisions, maximize your coverage, control your health care costs and be inspired to live a healthier life.

Member Portal

The member portal — accessible online and through the app — is your go-to location for details about your insurance policy, coverage, claims, explanation of benefits (EOB) and more. If you’re not signed up already, you can register for access. You just need your member ID card to get started.

Coming Soon: Avera MyChart

The Avera Health Plans member portal is transitioning to Avera MyChart on May 30. MyChart gives you one secure place to view health information and health insurance member benefits together. You’ll be able to:

  • Schedule care more easily.
  • Connect virtually with providers.
  • Pay premiums.
  • Access the new provider directory.
  • Manage preauthorization requests.
  • Message Avera Health Plan and Avera providers securely.

What You Need to Do

  • On May 30, Avera MyChart will be available for all members. Your login won't transfer automatically, so you'll need to create a new account. If you're also an Avera patient, you will create one account for both the health system and health plan. We'll provide more information on how to do this soon.
  • If your patient medical record or insurance plan information was shared with other people who help manage your health care, or someone had shared their record with you, you must reestablish proxy access. We'll provide steps on how to do that soon.

What to Expect

Plan and benefit access for dependents on your insurance plan will be automatically established in your new member portal. There, you'll be able to find all the things you'd expect from your health insurance plan — such as your explanation of benefits (EOBs), coverage details, preauthorizations and more. Here are the important details individual and family insurance plan members need to know:

  • If you have an off-exchange plan, your electronic funds transfer (EFT) for premium payments will continue in MyChart. However, the date your autopay processes will change from the 5th of the month to the 26th of the month prior. This means you will have two premium payments in May, as your June premium payment will be paid on May 26.
    • Your payment method will not change if you enrolled in your plan through the Marketplace or your employer.

ID Numbers and Prescription Plans

  • You will get a new member ID number, and these cards will be digital only. These will be accessible in your portal and have only the subscriber's name going forward.
  • You must share your new member ID with non-Avera providers at your next appointment to ensure visits are submitted to insurance. The update will be automatic with Avera providers.
  • Prescription numbers also will change and must be provided to pharmacies as soon as possible to ensure refills are not declined.
  • You can manage refills and other tasks in the MyChart app if you use an Avera Pharmacy.

Provider and Location Network Lookup

You’ll have access to a new directory to look up providers and locations in and out of your network.

Care and Scheduling Options

You’ll benefit from combined access to Avera MyChart if you are also a patient with access to patient information, online scheduling and other patient information.

  • Schedule with your primary care provider in Avera MyChart.
  • Use telehealth services.
    • Avera Health Plans Virtual Visits 24/7 anywhere in the United States
    • Avera on-demand virtual services as an Avera patient seeking care in the Avera service care
  • Schedule your yearly mammogram.
  • See recent lab work, pay bills, message your provider and see upcoming appointments.

Member FAQ

Get answers to common questions about your monthly premium, preauthorizations and more.

Member ID Card

Find out how and when to use your member ID card and what to do if you need a replacement.

After-Hours & Emergency Care

Understand how coverage works when you need help after hours or when it's an emergency.

Insurance When You Travel

Rest easy. You have coverage options when you're traveling.

Virtual Visits

Take advantage of 24/7 access to a provider via a virtual visit.


More Coverage Questions

Health Insurance Glossary

New Here?

Getting Started & Choosing a Provider

See what to expect as you become a new member and what to do once your policy application is approved.

  1. Learn what to expect when you’re a new member, including when to expect your member ID card.
  2. After you have your member ID card, create an account for our secure member portal.
  3. Log in to the member portal and view information specific to your plan, including the Outline of Coverage, which explains your benefit details.
  4. Visit the physician of your choice! With Avera Health Plans Medicare Supplement Insurance, there’s no need for a referral for basic care. Learn more about choosing a provider, health care facility and other services.
  5. Be sure to go back to the member portal to review claims including your explanation of benefits (EOB).

Our Robust Provider & Hospital Network

Directory for AgilityPlus Select (pdf) Directory for Select Plans (pdf)

One

With a Medicare Supplement Select plan, enjoy the freedom to see any doctor for primary care services. No referral needed.

Our network includes services for your home health, home medical equipment and hospice needs.

Two

Our provider network includes Avera Health (South Dakota, Minnesota, Iowa and Nebraska locations) plus community network hospitals such as Monument Health, Mercy Medical Center, Brookings Health System and more.

Three

For outpatient surgery or hospital-based care (including any laboratory, imaging or office visits that process billing through the hospital), make sure your provider has admitting privileges at an in-network hospital. If not, ask for a referral to a provider who does.

Update Your Health Coverage

We get it. Change happens. It’s important to let us know when you need to make updates to your plan. You can download, fill out forms and submit them to us.

See All Forms

Need to Pay Your Premium?

Check out convenient online and auto pay options and more ways to pay your monthly insurance premium. 

Payment Options

Your Trusted Partners in Health

Explore health topics that interest you, learn about health plans and find guidance to stay healthy.

Read More Blog Stories

Need Something Else?

We’re here to help. Our Avera Health Plans customer service team and agents are local! We’ll answer your questions and meet with you at your convenience to discuss Medicare Supplement plans including transitioning from a plan or renewing a plan.

Contact Us

© Avera Health Plans, All Rights Reserved. Network restrictions apply with Select plans. Neither Avera Health Plans nor its agents are connected with Medicare or state or federal government. AVHP-1124101