Member Resources

The benefits you receive as an Avera Health Plans member are designed to keep you healthy as well as provide care for you in case of illness or injury.

Access your benefits and resources by logging in to our member portal.

Member Identification Card

You and each of your covered dependents will receive a member identification (ID) card. Be sure to carry it with you at all times.

If you applied for Medicare Supplement for an individual policy, you will receive your member identification card(s) within 10 to 14 business days after the first premium payment is cleared or as soon as the application is processed.

If you are receiving health insurance through an employer, ID card(s) are mailed within weeks of processing the applications and setting up the plan benefits.

NOTE: If you have not received your member ID card(s) and have a doctor appointment scheduled or needing a prescription filled, please call our Service Center toll-free at 1-888-322-2115 to confirm your coverage. Service Center hours are 8 a.m. - 5 p.m. CST., Monday - Friday.

If you need a replacement card, a temporary ID card can be requested on our website.

  1. Select LOGIN on the top of the website.
  2. After you enter your username and password, scroll down on the Home page of our member portal.
  3. Look for the green link "Click HERE to Order a Replacement ID Card".
  4. Follow the steps to print or request new ID cards.

Certificate of Coverage/Individual Health Insurance Policy

Your policy is referred to as the Certificate of Coverage (for members with group insurance) or Individual Health Insurance Policy.

Note: For Iowa and Nebraska members, it's sometimes referred to as the Evidence of Coverage. For Medicare Supplement Insurance, it is referred as the Outline of Coverage.

Where can I find the details to my health plan?

Access your benefit explanation and a list of specific services and procedures that are covered or not covered by your health plan by logging into our member portal and clicking on the My Benefits page.

You can also email directly to Service@AveraHealthPlans.com or call us at
1-888-322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.

Summary of Benefits and Coverage

Your Summary of Benefits and Coverage identifies what your costs (co-pay, coinsurance, deductible and out-of-pocket maximums) will be and provides other benefit-related information.

Summary of Benefits and Coverage Example

Where can I find my Summary of Benefits and Coverage?

Access your specific Summary of Benefits and Coverage by logging into our member portal. After logging in, click the Summary of Benefits link (in green) that is located to the right of your name.

Explanation of Benefits (EOB)

The Explanation of Benefits (EOB) provides information about how your claim was processed and how much you may owe; it is not a bill or an invoice. You’ll receive a separate invoice from your provider.

Important: You can choose to receive an email when your claim is processed. Login to our member portal and click Profile to change your notification for paperless EOB. After receiving your EOB via email, you can save the electronic pdf to your computer. This is a great options that saves time and money for everyone!

Your claims and year-to-date deductible balances can also be viewed on your mobile device by downloading our free MyHealthPlan.