Health Insurance When You Travel

Inside Our Coverage Area

If you’re traveling away from home but still within Avera Health Plans' service area, which includes South Dakota and parts of Iowa, you can access many in-network providers and facilities—even if it’s not your usual doctor or clinic. Be sure to log into the member portal before or during your travels to find in-network options.

Outside Our Coverage Area

If you need immediate medical care, but are outside of the Avera Health Plans service area, your member ID card has instructions for notifying us.
When it's medically appropriate, arrangements may be made for you to transfer to the care of an in-network provider in order for you to receive benefits at the lowest cost.
It's important to note that you may be required to pay for medical services at the time they're provided, but you'll be reimbursed for any covered services.

Learn more about the convenient after-hours and emergency care you have access to as an Avera Health Plans member.

Medicare Supplement While Traveling

If you have our Medicare Supplement Insurance, here are some important things to know.

Coverage

If you’re outside the service area: AgilityPlus Select Plans offer coverage anywhere for 90 continuous days at a time for both emergency and non-emergency care. AgilityPlus Standard Plans provide coverage anywhere for emergency and non-emergency care without the 90-day limitation. Avera Select Plans cover emergency and non-emergency care anywhere for up to 180 continuous days at a time. Avera Standard Plans offer coverage anywhere for emergency and non-emergency care.
If traveling in South Dakota: You may use any hospital or surgical center listed in your network directory. This restriction does not apply for Standard Plans.
Network Hospital Directory for AgilityPlus Select Plans. Network Hospital Directory for Select Plans.
If you have an AgilityPlus Select Plan and are outside the service area: Necessary health services are covered from the first day you receive care through the 90th day in one calendar year (January – December).

Emergency Care

Avera Health Plans benefits will be paid for emergency care at any Medicare-approved hospital or clinic. Review our policy for further details.

If you need treatment that's not available from an in-network hospital, you or your physician should call 888-322-2115 or email us for admission procedures to a non-network hospital.

Call 888-322-2115

Health Insurance Traveling Tips

Before you travel, make sure you have your member ID card and contact details with you – in case you need medical attention while away from home.

Member ID Card in App

Download the Avera Health Plans mobile app for 24/7 access to member ID cards on your smartphone for you and all your dependents. If you don’t have the app, pack your member ID card and take a photo of the front and back of it with your smartphone.

Phone Number

Add our Customer Care Center direct phone number (605-322-4545) into your phone contacts, so it's easily accessible to you. Note that the toll-free number (888-322-2115) may not work while traveling overseas. You can also find all contact information in the Avera Health Plans mobile app.

Medications

Make sure you have enough of all of your medication(s) and, if needed, request a refill at your home pharmacy before you leave. Your pharmacy may be able to refill your medications early to allow for your travel plans.

Need Something Else?

See all of our member resources online.

Member Resources Member Portal

Or contact our Customer Service team.

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