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 – online and the app – are your go-to locations for details about your insurance policy, coverage, claims and more. Here are just some of the things you can find in the member portal:

  • Outline of Coverage (OOC): Explains your Medicare benefits, cost sharing information, travel benefits, network hospital restrictions and more
  • Explanation of Benefits (EOB): Provides information about your claims and how they were processed and paid
  • Provider directory: Outlines provider and facility specifics for your plan
  • And much more!

If you’re not signed up already, you can register for access. You just need your member ID card to get started.

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.

COVID-19 Coverage

Get answers to questions about COVID-19 treatment and testing.

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 into 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 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 and Iowa 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 – plus more ways to pay your monthly insurance premium.

Payment Options

Your Trusted Partners in Health

Connecting you to 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

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