Avera Health Plans Optional Products & Services
Avera Health Plans offers a range of optional products/services.
These optional products/services include:
If you are interested in any of these optional products/services, please click on the products/services listed above to learn more.
Vision Services Rider
In addition to the benefits provided in our standard group benefit plans, Avera Health Plans offers employers the opportunity to purchase a routine vision benefit for their employees. Avera Health Plans contracts with Vision Service Plan (VSP), the nation’s largest provider of routine eye coverage. Nationwide, VSP provides access to more than 18,300 eye doctors. The benefits that are included are:
- One refraction examination per calendar year with a participating VSP provider
- 20% discount on certain lenses and frames purchased from the VSP provider during the 12-month period following the exam
- 15% discount on contact lens services, for the VSP providers professional services
Avera Health Plans members who have this benefit included in their plan can locate a VSP provider for services by referring to a VSP brochure, which is provided in their membership materials, at www.vsp.com or by contacting our Marketing Department at (605) 322-4545 or toll-free at 1 (888) 322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.
Family Planning Rider
Avera Health Plans has contracted with an outside vendor, Unified Life Company, to provide network access, processing of claims, member education and payment to providers for family planning services. Family planning services are not mandated in South Dakota, however are mandated in Iowa and Minnesota. South Dakota groups may purchase a rider to include these services. When the services are part of the purchased benefit, the subscriber receives the Unified Life information in their Avera Health Plans welcome packet. The Unified Life envelope contains the following items:
- Benefit Notice that explains the coverage
- Contraceptive Benefit Fee Schedule
- List of Participating Providers
To learn more, please refer to the Producer Guidelines Manual or contact our Marketing Department at (605) 322-4545 or toll-free at 1 (888) 322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.
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Flexible Spending Account
Avera Health Plans offers the following programs that are authorized by the Internal Revenue Service (IRS). These plans include:
Premium Only Plan - A Premium Only Plan is an employee benefit plan that allows for payment of premium dollars for certain group insurance benefits before taxes are calculated, thus lowering taxable income. By lowering taxable income, employees will have more take-home pay.
Flexible Spending Account - A Flexible Spending Account allows for payment of certain health care expenses with pre-tax dollars.
- Health Care Expense Account - A Health Care Expense Account may be used for costs such as deductibles, coinsurance, co-payments, vision care, dental care, or prescription drug expenses. The Avera Health Plans Flex Prepaid Visa Card makes it easy for members to access the money set aside in their Health Care Expense Accounts.
- Dependent Care Expense Account - A Dependent Care Expense Account may be used for costs such as day care, home care or nursery care services for dependent children under age 13. In certain circumstances, it may be used when support is provided for a disabled spouse, child or parent who lives with the member and is a dependent.
The charges for the Flexible Spending Account include:
- Monthly administration fee per plan participant*
- Company monthly processing fee
- One time fee for Plan Document Printing*
*May be negotiable depending on size of the group
To learn more, please refer to the Producer Guidelines Manual or contact our Marketing Department at (605) 322-4545 or toll-free at 1 (888) 322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.
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Life Insurance Products
Avera Health Plans (AHP) offers its employer groups the opportunity to purchase these optional products:
- Group Term Life Insurance (2 + employees)
- Group Supplemental Life (50 + employees)
- Long -Term Disability (2 + employees)
- Short - Term Disability (2 + employees)
- Voluntary Dental (25 + employees)
- Contributory Dental (5 + employees)
To learn more, please refer to the Producer Guidelines Manual or contact our Marketing Department at (605) 322-4545 or toll-free at 1 (888) 322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.
Dental Insurance
Avera Health Plans offers its employer groups an opportunity to purchase these Dental Insurance products:
- Group Dental Plan
- Voluntary Dental Plan
These products can include orthodontic coverage and the freedom to choose any dentist. To learn more, contact our Marketing Department at (605) 322-4545 or toll-free at 1 (888) 322-2115, Monday - Friday, 8 a.m. - 5 p.m. CT.
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