Avera Health Plans Insurance Review & Ratings (2024)

Experience affordable and comprehensive health coverage with Avera Health Plans Insurance. Find the perfect plan tailored to your needs and budget, ensuring access to quality healthcare without breaking the bank. Trust in Avera's commitment to providing accessible and reliable insurance options for individuals and families.

UPDATED: Sep 24, 2024Fact Checked

Karen Condor

Insurance and Finance Writer

Karen Condor is an insurance and finance writer who has degrees in both journalism and communications. She began her career as a reporter covering local and state affairs. Her extensive experience includes management positions in newspapers, magazines, newsletters, and online marketing content. She has utilized her researching, writing, and communications talents in the areas of human resources...

Insurance and Finance Writer

Schimri Yoyo

Licensed Agent & Financial Advisor

Schimri Yoyo is a financial advisor with active life and health insurance licenses in seven states and over 20 years of experience. During his career, he has held roles at Foresters Financial, Strayer University, Minnesota Life, Securian Financial Services, Delaware Valley Advisors, Bridgemark Wealth Management, and Fidelity.  Schimri is an educator eager to assist individuals and families in ...

Licensed Agent & Financial Advisor

UPDATED: Sep 24, 2024

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

UPDATED: Sep 24, 2024

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

UPDATED: Sep 24, 2024Fact Checked
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Avera Health Plans Insurance

Average Monthly Rate For Good Drivers

N/A

A.M. Best Rating:

N/A

Complaint Level:

Low

Pros

  • Comprehensive range of coverage options, including individual, family, group, and Medicare plans.
  • Strong focus on accessibility and affordability aligned with the not-for-profit mission.
  • Robust wellness programs to promote and support healthy habits.
  • Efficient and user-friendly claims filing process through various channels.
  • Positive customer feedback on claim resolutions and payout fairness.

Cons

  • Some customers report high insurance costs, especially for those without financial assistance.
  • Cost of insurance can vary based on factors like plan type, coverage level, and location.
  • Availability of certain insurance products and discounts may vary by state.
  • While the claims process is generally efficient, individual experiences may vary.
  • Limited geographical coverage compared to some national providers.

Avera Health Plans Insurance is a health insurance provider based in South Dakota. The company offers a range of health insurance products and services, including individual health insurance, group health insurance, and Medicare supplement insurance.

Avera Health Plans Insurance operates in several states, including South Dakota, Minnesota, Iowa, and North Dakota. The company offers a variety of discounts, including a multi-policy discount, a healthy habits discount, an electronic payments discount, and an automatic renewal discount.

Avera Health Plans Insurance is a great option for those looking for quality health coverage. However, the cost of insurance can be high, so be sure to explore all of your options before making a decision.

Welcome to our comprehensive guide on Avera Health Plans Insurance. In this article, we will delve into the key topics surrounding Avera Health Plans Insurance, including its history, mission, coverage options, costs, discounts, and customer reviews. We’ll explore the strengths and weaknesses of this reputable insurance provider, highlighting what sets it apart from others in the market.

Whether you’re an individual, family, or group seeking affordable and reliable health coverage, Avera Health Plans Insurance has you covered. To ensure you make an informed decision, we encourage you to enter your zip code below and compare rates from the best insurance providers in your area. It’s time to find the perfect plan that suits your needs and budget.

What You Should Know About Avera Health Plans Insurance

Welcome to our comprehensive guide on Avera Health Plans Insurance. In this article, we will delve into the key topics surrounding Avera Health Plans Insurance, including its history, mission, coverage options, costs, discounts, and customer reviews. We’ll explore the strengths and weaknesses of this reputable insurance provider, highlighting what sets it apart from others in the market.

Whether you’re an individual, family, or group seeking affordable and reliable health coverage, Avera Health Plans Insurance has you covered. To ensure you make an informed decision, we encourage you to enter your zip code below and compare rates from the best insurance providers in your area. It’s time to find the perfect plan that suits your needs and budget.

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History and Mission of Avera Health Plans Insurance

Avera Health Plans Insurance has its roots in the Avera Health System, which was established in 1993. As a not-for-profit health system, Avera is dedicated to providing affordable and accessible healthcare services to its communities.

This mission extends to Avera Health Plans Insurance, which was created with the goal of providing quality health coverage to its customers.

The mission of Avera Health Plans Insurance is to make healthcare accessible and affordable for its customers. The company operates with the same values as the Avera Health System, including compassion, collaboration, and innovation.

This means that they are dedicated to providing excellent customer service, using cutting-edge technology to streamline processes, and working with other healthcare providers to deliver the best possible care to their customers.

Avera Health Plans Insurance Coverage Options

Avera Health Plans Insurance offers a wide range of products and services designed to meet the diverse needs of its customers. The main products and services offered by the company include:

  • Individual health insurance: Avera Health Plans Insurance offers individual health insurance plans for those who do not have access to coverage through their employer. These plans provide comprehensive coverage, including preventive care, medical services, hospitalization, and prescription drugs.
  • Family health insurance: Avera Health Plans Insurance also offers family health insurance plans for families with one or more children. These plans are designed to provide coverage for the entire family and include all of the benefits of individual health insurance plans.
  • Group health insurance: For businesses and organizations, Avera Health Plans Insurance offers group health insurance plans. These plans provide comprehensive coverage for employees and their families and are a cost-effective way to offer health insurance benefits to employees.
  • Medicare plans: For seniors, Avera Health Plans Insurance offers Medicare Advantage and Supplement plans. These plans provide additional coverage for those enrolled in Original Medicare, including prescription drug coverage and other benefits.
  • Wellness programs: In addition to health insurance coverage, Avera Health Plans Insurance offers a range of wellness programs and resources to help customers maintain good health. These programs are designed to encourage healthy habits, provide access to preventive care, and help customers manage chronic conditions.

Overall, the products and services offered by Avera Health Plans Insurance are designed to meet the diverse needs of its customers. Whether you are looking for individual, family, or group coverage, the company has a range of options to meet your needs.

States Where Avera Health Offers Insurance

Avera Health Plans Insurance operates in multiple states throughout the United States. Some of the states where the company offers insurance include:

  • South Dakota
  • Minnesota
  • Iowa
  • North Dakota

It is important to note that the availability of insurance coverage may vary depending on the state. For example, some insurance products may only be available in certain states, or certain discounts may only be available in certain states.

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Avera Health Plans Insurance Rates Breakdown

The cost of insurance offered by Avera Health Plans Insurance will vary depending on several factors, including the type of plan, the level of coverage, and the location of the customer. Some of the factors that can impact the cost of insurance include:

  • Type of plan: The cost of insurance will vary depending on the type of plan you choose. For example, individual health insurance plans may be more expensive than group health insurance plans.
  • Level of coverage: The cost of insurance will also vary depending on the level of coverage you choose. For example, a plan with a higher deductible will generally be less expensive than a plan with a lower deductible.
  • Location: The cost of insurance may also vary depending on the location of the customer. This is because the cost of healthcare can vary significantly depending on where you live.

It is important to keep in mind that while the cost of insurance is an important factor to consider, it is also important to choose a plan that provides the coverage you need.

Avera Health Plans Insurance offers a variety of plans and coverage levels to meet the needs of its customers, and the company’s customer service representatives are available to help you find the plan that is right for you.

Avera Health Plans Insurance Discounts Available

Avera Health Plans Insurance offers a range of discounts to help customers save on the cost of their insurance coverage. Some of the discounts available to customers include:

  • Multi-policy discount: If you have more than one insurance policy with Avera Health Plans Insurance, you may be eligible for a multi-policy discount. This discount can help you save on the cost of your insurance coverage.
  • Healthy habits discount: Avera Health Plans Insurance offers a Healthy Habits discount to customers who participate in certain wellness activities, such as regular exercise and regular check-ups.
  • Electronic payments discount: If you choose to pay your insurance premiums electronically, you may be eligible for a discount on the cost of your insurance coverage.
  • Automatic renewal discount: If you choose to renew your insurance coverage automatically, you may be eligible for a discount on the cost of your insurance.

To qualify for these discounts, customers may need to meet certain eligibility requirements, such as participating in certain wellness activities or paying their insurance premiums electronically.

The availability of discounts may also vary depending on the type of insurance policy and the location of the customer.

Navigating Avera Health Plans Insurance Claims Process

Ease of Filing a Claim

Avera Health Plans Insurance provides a hassle-free experience for filing claims. Customers have the convenience of filing claims through various channels, including online platforms, over the phone, and mobile apps. This user-friendly approach ensures that policyholders can report claims swiftly and efficiently, making the process accessible to a wide range of users.

Average Claim Processing Time

Avera Health Plans Insurance prides itself on its efficient claim processing system. On average, claims are processed promptly, ensuring that customers receive timely responses and settlements. This quick turnaround time reflects the company’s commitment to providing a seamless experience for policyholders during the claims process.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback regarding claim resolutions and payouts with Avera Health Plans Insurance is overwhelmingly positive. Many policyholders have expressed satisfaction with the company’s resolution methods and the fairness of payouts. Avera’s dedication to transparent communication and fair settlements has garnered high praise from its customers, reinforcing its reputation as a reliable insurance provider.

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Exploring Digital and Technological Features of Avera Health Plans Insurance

Mobile App Features and Functionality

Avera Health Plans Insurance offers a feature-rich mobile app, providing policyholders with convenient access to their insurance accounts. The app allows users to manage policies, file claims, view policy documents, and track claims processing status, all from the palm of their hand.

With a user-friendly interface and robust functionality, the mobile app enhances the overall customer experience, ensuring policyholders have essential insurance tools at their fingertips.

Online Account Management Capabilities

The online account management system provided by Avera Health Plans Insurance empowers customers to have complete control over their policies. Policyholders can access their accounts through the company’s website, where they can review policy details, update personal information, and make premium payments securely.

The intuitive online platform simplifies the management of insurance policies, offering a seamless and efficient way for customers to stay informed and up-to-date.

Digital Tools and Resources

Avera Health Plans Insurance offers a suite of digital tools and resources designed to educate and assist policyholders. These resources include informative articles, FAQs, and interactive tools that help customers make informed decisions about their insurance coverage.

By providing valuable digital resources, Avera Health Plans Insurance ensures that customers have access to the information they need to understand their policies fully. These tools contribute to a transparent and informed insurance experience for all policyholders.

How Avera Health Plans Insurance Ranks Among Providers

In the competitive landscape of health insurance, Avera Health Plans faces challenges and comparisons with other prominent players in the market. Understanding its main competitors provides valuable insights into the choices available to consumers. Here, we highlight some of Avera Health Plans Insurance’s main competitors.

  • Blue Cross Blue Shield: Blue Cross Blue Shield (BCBS) is a federation of independent health insurance companies operating in the United States. As one of the largest health insurance providers, BCBS offers a wide range of individual and group health insurance plans, including comprehensive coverage options.
  • UnitedHealthcare: UnitedHealthcare is a leading health insurance provider that offers a diverse range of health plans for individuals, families, and businesses. Known for its extensive network and innovative health solutions, UnitedHealthcare competes with Avera Health Plans Insurance on a national scale.
  • Cigna:  Cigna is a global health service company providing a variety of insurance products, including health, dental, and Medicare plans. With a focus on improving the health and well-being of its customers, Cigna is a significant competitor to Avera Health Plans Insurance.
  • Aetna: Aetna, a subsidiary of CVS Health, is a major player in the health insurance industry. Offering a range of health insurance products and services, Aetna competes with Avera Health Plans Insurance in providing comprehensive coverage and health management solutions.
  • Humana: Humana is a leading health and well-being company offering health insurance plans, Medicare, and various wellness programs. With a commitment to helping people achieve their best health, Humana is a notable competitor in the health insurance market.
  • Kaiser Permanente: Kaiser Permanente is an integrated managed care consortium, providing both health insurance and healthcare services. Operating as a nonprofit organization, Kaiser Permanente competes with Avera Health Plans Insurance in offering comprehensive and coordinated healthcare coverage.

These competitors share similarities with Avera Health Plans Insurance but may differ in terms of coverage options, regional availability, and specific features. Individuals and businesses exploring health insurance options should carefully compare these providers to make informed decisions based on their unique needs and preferences.

Customer Reviews for Avera Health Plans Insurance

Customers generally have positive things to say about Avera Health Plans Insurance. Many customers report that the company provides excellent customer service and that the claims process is efficient and easy to navigate.

However, some customers have reported that the cost of insurance can be high, especially for those who do not qualify for financial assistance. Avera Health Plans Insurance is a great option for those looking for quality health coverage. However, the cost of insurance can be high, so be sure to explore all of your options before making a decision.

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Frequently Asked Questions

What is Avera Health Plans?

Avera Health Plans is a health insurance provider based in South Dakota that offers a variety of health plans to individuals and businesses in the region.

What types of health plans does Avera Health Plans offer?

Avera Health Plans offers a range of health plans, including individual and family plans, Medicare plans, and group plans for businesses.

What are some of the benefits of Avera Health Plans?

Some of the benefits of Avera Health Plans include a wide range of network providers, flexible plan options, and personalized customer service.

How does Avera Health Plans rate compared to other insurance providers?

Avera Health Plans has received mixed reviews from customers and industry experts. However, it has been recognized for its commitment to quality care and customer service.

How can I enroll in an Avera Health Plans insurance plan?

You can enroll in an Avera Health Plans insurance plan by visiting their website or speaking with a representative.

What should I consider when choosing a health insurance plan?

When choosing a health insurance plan, you should consider factors such as the cost of premiums and deductibles, the size of the provider network, the benefits offered, and your own healthcare needs.

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Karen Condor

Insurance and Finance Writer

Karen Condor is an insurance and finance writer who has degrees in both journalism and communications. She began her career as a reporter covering local and state affairs. Her extensive experience includes management positions in newspapers, magazines, newsletters, and online marketing content. She has utilized her researching, writing, and communications talents in the areas of human resources...

Insurance and Finance Writer

Schimri Yoyo

Licensed Agent & Financial Advisor

Schimri Yoyo is a financial advisor with active life and health insurance licenses in seven states and over 20 years of experience. During his career, he has held roles at Foresters Financial, Strayer University, Minnesota Life, Securian Financial Services, Delaware Valley Advisors, Bridgemark Wealth Management, and Fidelity.  Schimri is an educator eager to assist individuals and families in ...

Licensed Agent & Financial Advisor

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

Free Insurance Comparison

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