About Your Application & Your Avera Health Plan

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For guidance and answers to your health insurance questions, talk with one of our experts by calling 1-888-322-2115, Monday - Friday, 8 a.m. - 5 p.m. (CT) or email us.

Welcome to Avera Health Plans! Whether you applied for Medicare Supplement Insurance or an individual health plan, you'll learn more about what to expect next on this page.

Individual Plan Members

Your Health Insurance Application

If you applied for Avera Health Plans individual insurance through an agent or AveraHealthPlans.com, your application is being reviewed for accuracy. You'll receive a welcome letter within 10 days from when our application is received.

You'll also receive a payment coupon in the mail. If you didn't pay for your first month's premium during the application process, please return the coupon with your payment right away to ensure timely coverage. Discover additional ways to make a payment.

Your Member ID Card

Your member identification (ID) card contains important information about your health plan. Take time to familiarize yourself with the information on the card. Also, be sure to carry it with you at all times because you'll be required to show it whenever you need health care services.

Employer plan members

If you receive Avera Health Plans insurance through your employer, your member ID card(s) will be mailed to you within 10 to 14 business days after processing the application and setting up your plan benefits.

Individual plan members

If you've purchased your own individual insurance, your member identification cards will be mailed to you within 10 to 14 business days after your first payment has been received and cleared.

After you receive your member ID card, log in to the online member portal or through our MyHealthPlan mobile app for access to all of your personalized plan information. Your member ID card has the information you need to log in and create your new username and password.

If your policy is effective, but you haven't received your member ID card yet, you can call 1-888-322-2115 to request the information you need to log in - your group number and member ID number. Once logged in, you can view and print an image of your member ID card.

If you lose your member ID card, you can print a temporary card and order a replacement card by logging in to the member portal and choosing the "CLICK HERE to print a copy or order a replacement ID card" link in green. If you need further assistance, call 1-888-322-2115.

Learn more about your individual insurance plan including benefits, wellness tips and how to navigate your health care.

Medicare Supplement Members

After your Medicare Supplement application has been approved, you'll receive a welcome kit in the mail that includes your:

  • Medicare Supplement application copy
  • Medicare Supplement policy
  • Medicare Supplement policy summary
  • Network hospital directory - applicable to Select plans only
  • Online resources flyer

NOTE: Your member ID card will arrive in a separate mailing. If your application is a reinstatement of a previous policy, you can continue to use your current member ID card.

It's important to note that when you become an Avera Health Plans medicare Supplement Insurance policyholder, you cannot have another Medicare Supplement or Medicare Advantage policy. To avoid duplication of coverage and unnecessary expenses, our Medicare Supplement Insurance policy should replace any other Medicare Supplement Insurance you may have.

To learn more about the Medicare Supplement policies and the application process, view Medicare's Choosing a Medigap Policy booklet.

Your Medicare Supplement Insurance Member ID Card

Your member ID card contains important information about your plan. Be sure to carry it with you at all times, as you'll be required to show it whenever you need health care services.

After you receive your member ID card

Once you receive your member ID card, log in to the online member portal or through our MyHealthPlan mobile app for access to all of the details specific to your plan. Your member ID card has the information you need to log in and create your new username and password.

If you haven't received your member ID card

If your policy is effective, but you haven't received your member ID card yet, you can call 1-888-322-2115 to request the information you need to log in - your group number and member ID number. Once logged in, you can view and print an image of your member ID card.

If you lose your member ID card

If you lose your member ID card, you can print a temporary card and order a replacement card by logging in to the member portal and choosing the "CLICK HERE to print a copy or order a replacement ID card" link in green. If you need further assistance, call 1-888-322-2155.

Learn more about your Medicare Supplement Insurance including benefits, how to find a provider, how to make a payment and how to navigate your health care.

New Members

If you're a new Avera Health Plans member, you'll be able to log in to the member portal once your coverage is effective. To register for access to the member portal, you'll need your member ID number and group number (both found on your member ID card). If your policy is effective, but you haven't received your member ID card yet, you can call 1-888-322-2115 to request the information you need to register.

Each member over the age of 18 may register for his or her own login.

Authorization for Access of Health Information

If you would like to authorize someone to access your health information via the member portal, please complete and submit this form.

However, before this form can be processed, all members listed on the form must first register for their own account, including the member authorizing the release of information.

Why Log In to the Online Member Portal?

As soon as you receive your member ID card, the next best thing to do is to log in to our secure online member portal. Once you log in, you'll have convenient access to your specific benefit information. This information is confidential and allows you to view your health benefits any time of the day - when you need it most.

Depending on your plan, you may be able to do the following once you log in:

  • Access our free online health and wellness portal
  • Check the status of your claims
  • Go paperless with your explanation of benefits
  • Make a secure payment for your monthly premium
  • Search a provider directory specific to your health plan in order to find in-network providers and facilities
  • View a summary of your health plan benefits. Depending on your policy, this will be referred to as one of the following:
    • Certificate of Coverage (SD)
    • Evidence of Coverage (IA/NE)
    • Individual Health Benefits Policy
    • Outline of Coverage (Medicare Supplement Insurance)
    • Summary Plan Description
  • View pharmacy and prescription resources, including a drug formulary and lists of medications that may need preauthorizations
  • View your Summary of Benefits and Coverage, including a quick reference to pharmacy and medical benefits