Navigating Your Health Care

Care Management Nurses Available To Advocate For You

When you or a family member are diagnosed with a condition or need major surgery, our care management nurses are available to answer your questions. They’re registered nurses and patient advocates who are available to:

  • Help you navigate the health care system
  • Assist with care transitions, finding a physician or specific specialist within your provider network
  • Help with communication between you and your provider
  • Provide education about wellness, preventive services, health conditions, community resources, insurance benefits and any other concerns
  • Collaborate with your primary care doctor

Finding Appropriate Care for Your Chronic and Complex Conditions

Managing a chronic disease or complex illness can feel like a full-time job. That’s why our experts are available and ready to help members through our free case management and disease management programs.

Our specially trained nurses work closely with members and their providers to ensure appropriate, timely and cost-effective medical services. We also provide information about care options. All to help you make informed decisions, improve quality of life and reduce medical expenses.

We help our members manage care for chronic conditions such as:

  • Heart disease
  • Diabetes
  • Cancer
  • Transplant
  • Trauma
  • COPD

My Recovery Chemical Dependency Treatment Program

Adult members can benefit from a chemical dependency treatment program specially designed to meet financial and emotional needs all while achieving recovery success.

Avera Health Plans and Avera Behavioral Health Center in Sioux Falls have collaborated to provide this unique combination of both inpatient and outpatient therapy for alcohol or drug addictions.

My Recovery Chemical Dependency Treatment Program uses a success model that focuses on a short-term inpatient stay followed by an outpatient rehabilitation program under the direction of highly specialized physicians and counselors.

Program timeline:

  • Three- to seven-day inpatient stay for a member who may need detoxification, supervision by medical professionals.
  • Eight-week program of outpatient counseling: Three sessions per week over an eight-week timeframe for members who live within a 90-mile radius of Sioux Falls. Day or night time options are scheduled to accommodate work and family schedules.

Contact us at Service@AveraHealthPlans.com or 1-888-322-2115 to see if you qualify for coverage or to find out how to enroll in the program.