Contact Avera Health Plans with your health insurance questions, where they are passionate about helping members make the most of their health plan. “Our case managers are looking out for you and want to bring peace and grace to every person’s health situation,” said Gunderson. Turn to them for help, resources and guidance.□ Employees not eligible for group health insurance plan ... For all clients that do not have insurance through Avera Health Plans or DAKOTACARE the fee is $200.Information about COVID-19 continues to evolve. Learn how you can keep you and your family safe as this infectious disease continues to circulate. You'll find details about …Register as New User. Already registered? Login now. Username Password PasswordGet tips and information on insurance plans, benefits and well-being. You need an affordable health insurance plan that covers you where you are in your life. Avera …The Aon Retiree Health Exchange is a Medicare health exchange solution for the retiring employees of organizations who are enrolled with the company, according to Aon. The health e...Feb 14, 2022 ... This matter is before the Court on Defendant Avera Health Plans, Inc.'s Motion to Dismiss or Transfer. (ECF No. 16). Plaintiff Valued Pharmacy ...Director of Quality and Health Management at Avera Health Plans Sioux Falls, South Dakota, United States. 180 followers 168 connections See your mutual connections. View mutual connections with ...Avera Health is a regional health system based in Sioux Falls, South Dakota, United States, comprising more than 300 locations in 100 communities throughout South …Each year Avera Health Plans asks providers to offer feedback using a short survey. Please submit your answers to help us better serve you. Thank you for your help—we look forward to hearing from you! Telehealth Expansion During the National Public Health Emergency for COVID-19 Pandemic Extended Through Dec. 31, 2020.Avera Health Plans: Avera Standard 9100 Coverage Period: Beginning on or after 01/01/2023 Coverage for: Individual/Family Plan Type: PPO 2023_60536SD0020059 AveraHealthPlans.com 2023_60536SD0020053-00/01 -00/01 (r. 07-28-2022) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC …To help manage health care costs, you can get discounts on services and medical procedures when you receive care from Avera Health Plans in-network providers. These include physicians, hospitals, facilities and other health care providers participating in …If you aren’t clear about any of the 1 of 8 Avera Health Plans: Avera $1500/20% Coinsurance Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. bolded terms used in this form, see … South Dakota Plans. We can help find the best plan to fit your needs. We have dedicated trusted local agents who understand Medicare and Medicare Supplements and make a confusing subject easier to navigate. Coverage for all plans is the same from all insurance carriers; however, pricing varies by carrier. You'll also see differences in price ... Created in 1999 to be a health plan that offers more than just traditional health insurance coverage — Avera Health Plans strives to provide the most cost-effective, innovative health plans for 88,000+ members. We have retail offices located in Aberdeen, Mitchell, Sioux Falls and Yankton, South Dakota to assist you and our members.Avera Health Plans & DAKOTACARE Telehealth Eligible Codes DOS 3/17/20 - 12/31/20 Includes Codes Under Standard Telehealth Policy and Codes Added For The National Public Health Emergency. ... COVID 92526 Tx swallowing dysf No No No No Avera Custom Add COVID 92601 Cochlear implt f/up exam <7 No No Yes No CMS Added 4/30/20 Avera Health Plans - Sioux Falls, SD. Home » Locations » Profile. New Search. 5300 S. Broadband Lane Sioux Falls , SD 57108. Get Directions Google Map & Driving Directions. 605-322-4545. Alternate: 888-322-2115. Provider Forms. Authorization for Automatic Bank Deposit Form (pdf): Fill out this form to have insurance payments directly deposited into your clinic/business bank account. Electronic Remittance Advice (835) Request Form (pdf): An electronic remittance advice (ERA) is an explanation from the health plan to a provider about a claim payment.1 of 8 Avera Health Plans: Avera 3200 Coverage Period: Beginning on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. If you aren’t clear about any of the bolded terms used in this … The employer portal is your go-to location to enroll, terminate, update demographics and change benefit plans. All enrollment transactions are processed through your employer portal, including your open enrollment needs. In addition, access the member portal for details about your insurance policy, coverage, claims and more. Feb 14, 2022 ... This matter is before the Court on Defendant Avera Health Plans, Inc.'s Motion to Dismiss or Transfer. (ECF No. 16). Plaintiff Valued Pharmacy ...Avera Health Plans: Avera 1150 Coverage Period: Beginning on or after 01/01/2023 Coverage for: Individual/Family Plan Type: PPO 2023_60536SD0020045 AveraHealthPlans.com 2023_60536SD0020039-05 -05 (r. 07-28-2022) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan wouldAvera Quality Plan 2023-2025. Every two years, Avera’s Quality team develops a system-wide, cross continuum Quality Plan. ... Avera will focus on system-wide initiatives to prepare for the advancement of digital quality measures (dQMs), support Avera’s Health equity journey, and the expansion of patient-reported outcome measures.Avera Health Plans: Avera 4800 HSA Eligible HDHP Coverage Period: Beginning on or after 01/01/2023 Coverage for: Individual/Family Plan Type: PPO 2023_60536SD001004500 AveraHealthPlans.com 2023_60536SD001002300 (r. 8-17-2022) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you …Avera Health Plans Population Health Services, 5300 S. Broadband Ln., Sioux Falls, SD 57108-2221. If you commit fraud or intentionally misrepresent your answers on this application, Avera Health Plans has the right to rescind your policy.As a provider, you need to fax 800-269-8561 or send a secure email to [email protected] with the supporting documentation for Avera Health Plans to begin the preauthorization process. If the preauthorization is approved: The pharmacy will be able to process the prescription for the appropriate co-pay (if applicable). Avera-employed agents can help if you’re looking for individual, family or Medicare Supplement insurance. Call: 877-322-4885. Email: [email protected]. New Search. 1000 W. 4th Street Suite #2 Yankton , SD 57078. Get Directions Google Map & Driving Directions. 605-665-3335. Alternate: 888-322-2115. Today, Avera Health Plans serves individuals, families, and employer groups in South Dakota and Iowa and is the third largest health plan in the state of South Dakota. With more than 16,000 employees and physicians, Avera is South Dakota’s largest private employer. Each year Avera Health Plans asks providers to offer feedback using a short survey. Please submit your answers to help us better serve you. Thank you for your help—we look forward to hearing from you! Telehealth Expansion During the National Public Health Emergency for COVID-19 Pandemic Extended Through Dec. 31, 2020.401 W Glynn Drive Parkston, SD 57366. 605-504-5400 Avera Medical Group McGreevy 7th Avenue. Get Driving Directions Find a Physician at this Location. 1200 S 7th Ave Sioux Falls, SD 57105. 605-697-9500 Access Health & Avera Medical Group in Brookings. Get Driving Directions Find a Physician at this Location.2 of 8 Avera Health Plans: Avera 2000 Coverage Period: Beginning on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO AveraHealthPlans.com Co-payments are fixed dollar amounts (for example, $15) you pay for covered health care, usually when you receive the service.Member Resources. You can find a number of resources in the Avera Health Plans member portal online and in the app version of the portal – the Avera Health Plans … See all of our member resources online. Member Resources Member Portal. Or contact our Customer Service team. Learn about all the benefits and features of the Avera Health Plan mobile app, free for all Avera Health Plans members. Check your insurance claims, get a new insurance ID card and much more. Avera Health Plans: Avera Direct Standard $7500 Coverage Period: Beginning on or after 01/01/2024 Coverage for: Individual/Family Plan Type: HMO AveraHealthPlans.com 2024_60536SD0060021-00/01 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would1 of 9 Avera Health Plans: Avera MyPlan $2500/$6350 Out of Pocket, Pediatric Dental Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1(888) 322-2115or visit us at AveraHealthPlans.com. If you aren’t clear about any of the underlined …Nov 8, 2023 ... Blue Medicare Advantage PPO | Avera offers individuals a $0 monthly premium, medical and prescription drug coverage that comes with $0 medical ...As a provider, you need to fax 800-269-8561 or send a secure email to [email protected] with the supporting documentation for Avera Health Plans to begin the preauthorization process. If the preauthorization is approved: The pharmacy will be able to process the prescription for the appropriate co-pay (if applicable). Find an Agent. You can also call our sales team toll-free at 855-692-8372. If you have more than 50 employees, check out the comprehensive small business health insurance plans from Avera Health Plans. Learn about the benefits we deliver you and your employees. Get a quote today. Experience: Avera Health Plans and South Dakota State Medical Holding Co. d/b/a DAKOTACARE · Location: Sioux Falls · 500+ connections on LinkedIn. View Debra Muller’s profile on LinkedIn, a ... The price estimate tool will help you plan for upcoming health services. Please note that the estimate is valid only for the insurance you provide. Estimates vary based on the insurance plan coverage. Before any service, please contact your insurance company to confirm coverage under your plan and that Avera is a participating provider. Avera QuickLabs Hours Monday - Friday - 7:30AM-5PM. Emergency DepartmentPhone: 605-322-1730 Open 24 hours. Find a Physician at this Location. For a list of clinics in your area offering COVID-19 vaccines, visit our vaccine finder. Avera Medical Group Family Health Center - Marion Road. Whether you live, work or play on the west side of Sioux ...We may not show information for every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.Email Us Find an Agent. You can also call our sales team toll-free at 855-692-8372. Learn how to choose an individual or family health insurance plan from Avera Health Plans. …Quitting smoking can a challenging journey. Fortunately, you don’t have to go at it alone. Here are 10 great resources to help you quit smoking. Many of them either free or covered...Change Form for Individual Health Insurance – for Individual or Family policyholders who enrolled directly with Avera Health Plans and want to update their address, phone number or name, to add/remove a dependent or to cancel a policy. NOTE: If you applied through Healthcare.gov, please contact the federal Marketplace at 1-800-318-2596.New Search. 1000 W. 4th Street Suite #2 Yankton , SD 57078. Get Directions Google Map & Driving Directions. 605-665-3335. Alternate: 888-322-2115.Avera Health Plans: Avera 1150 Coverage Period: Beginning on or after 01/01/2023 Coverage for: Individual/Family Plan Type: PPO 2023_60536SD0020045 AveraHealthPlans.com 2023_60536SD0020039-05 -05 (r. 07-28-2022) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan wouldMolina Healthcare is a leading provider of Medicaid plans designed to provide low-income families with comprehensive healthcare coverage. Molina Healthcare is a managed care organi...605-322-4005. 4400 West 69th Street. Sioux Falls, SD 57108. Avera Marshall Behavioral Health Center. 507-537-9318. 300 S Bruce St. Marshall, MN 56258. Avera St. Luke's Hospital.Information about COVID-19 continues to evolve. Learn how you can keep you and your family safe as this infectious disease continues to circulate. You'll find details about …1 of 8 Avera Health Plans: Avera 3200 Coverage Period: Beginning on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. If you aren’t clear about any of the bolded terms used in this …Avera Direct 1150. Avera Direct 1300. Avera Direct 1600. Avera Direct 2000. Avera Direct 2000 AI/AN Limited Cost Share. Avera Direct 2000 AI/AN Zero Cost Plan. Avera Direct 2000 Off Exchange. Avera Direct 3450. Avera Direct 3500 Limited Cost Share.Change Form for Individual Health Insurance – for Individual or Family policyholders who enrolled directly with Avera Health Plans and want to update their address, phone number or name, to add/remove a dependent or to cancel a policy. NOTE: If you applied through Healthcare.gov, please contact the federal Marketplace at 1-800-318-2596.Sep 20, 2023 ... One of the region's largest health care providers has named its next leader. Avera Health on Wednesday named Jim Dover its new president and ...If you aren’t clear about any of the 1 of 9 Avera Health Plans: Avera $5000/30% Coinsurance Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. bolded terms used in this form, see …Feb 14, 2022 ... This matter is before the Court on Defendant Avera Health Plans, Inc.'s Motion to Dismiss or Transfer. (ECF No. 16). Plaintiff Valued Pharmacy ...2 of 8 Avera Health Plans: Avera 2000 Coverage Period: Beginning on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO AveraHealthPlans.com Co-payments are fixed dollar amounts (for example, $15) you pay for covered health care, usually when you receive the service.Access to Avera Health Plans Virtual Visits is available for $64/visit. 2 For most members. Some limitations apply. NOTE: IRS Guidelines indicate that members with HSA-eligible plans may be subject to tax penalties if they use the free virtual visits. If you have an HSA-eligible plan, you may use your HSA or Flex spending dollars for this service.Avera Health Plans: Avera Preferred $4800 Medical Deductible with $50 Rx Deductible Coverage Period: Beginning on or after 01/01/2024 Coverage for: Individual/Family Plan Type: HMO AveraHealthPlans.com 2024_60536SD007000300 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you …Provider Forms. Authorization for Automatic Bank Deposit Form (pdf): Fill out this form to have insurance payments directly deposited into your clinic/business bank account. Electronic Remittance Advice (835) Request Form (pdf): An electronic remittance advice (ERA) is an explanation from the health plan to a provider about a claim payment.Avera Health Plan puts our most popular online features at your fingertips. Check a claim. View your virtual member ID card. Access your eligibility information of …1 of 8 Avera Health Plans: Avera 3200 Coverage Period: Beginning on or after 01/01/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. If you aren’t clear about any of the bolded terms used in this …[email protected] Steven Grogan Provider Relations Specialist Call: 605-322-4640 Fax: 605-322-4540 [email protected]. If filing paper claims is necessary, all paper claims should be sent to the Avera Health Plans offices in Sioux Falls. Paper Claims Filing Address: Avera Health Plans, Inc. 5300 S Broadband Lane Sioux Falls, SD 57108 14. 401 W Glynn Drive Parkston, SD 57366. 605-504-5400 Avera Medical Group McGreevy 7th Avenue. Get Driving Directions Find a Physician at this Location. 1200 S 7th Ave Sioux Falls, SD 57105. 605-697-9500 Access Health & Avera Medical Group in Brookings. Get Driving Directions Find a Physician at this Location. A registered nurse (RN) provides substantial care for patients while educating them on managing health. RNs oversee LPNs and CNAs. They have a wide scope of responsibilities that include creating nursing care plans, administering medications, performing diagnostic tests …If you have any questions about your statement or insurance processing, please call the business office at 605-697-9539 or 1-800-658-5405. We will be happy to answer your questions. Get high quality medical care in multiple specialties at Access Health & Avera Medical Group in Brookings. After hours Urgent Care is available at this location. Avera Health Plans provides a number of drugs available at no cost to you – in accordance with the Affordable Care Act (ACA). If your plan meets requirements, this means that costs are covered 100% with no co-pay or co-insurance. Member Resources. You can find a number of resources in the Avera Health Plans member portal online and in the app version of the portal – the Avera Health Plans …Shop Health Plans Browse and apply for Avera health insurance plans. Choose from quality healthcare solutions that create peace of mind for you and your family.Cancellation Conditions: Please notify Avera Health Plans if for any reason you are dissatisfied with the plan and wish to cancel. Avera Health Plans will accept and cancel program memberships at any time during the membership period. Description of Services: Please see the enclosed materials for a specific description of the programs included ...Avera Health Plans: Avera $5800 Coverage Period: Beginning on or after 01/01/2024 Coverage for: Individual/Family Plan Type: PPO AveraHealthPlans.com 2024_60536SD0020039-00/01 2024_60536SD0020045-00/01 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan wouldAvera Health Plan puts our most popular online features at your fingertips. Check a claim. View your virtual member ID card. Access your eligibility information of …Find, Compare, and Connect With Doctors who accept Avera Health Plans insurance. Read Ratings & Reviews from Other Patients. More than 3 million health ...1 of 8 Avera Health Plans: Avera MyPlan $6200 Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. If you aren’t clear about any of the bolded terms used in this …2024 Available Plan Options - On Exchange and Off Exchange. You have various plan options to fit your coverage needs and budget. For individual and family health …Nonsurgical Back and Neck Options. Avera Orthopedics specializes in treating a range of spine conditions affecting the back and neck. We tailor treatment to your unique circumstances and goals through nonsurgical procedures when possible. Injections. Medications (over-the-counter and prescriptions) Physical therapy.Choosing the right health insurance plan can be a daunting task, especially with the numerous options available in the market. Kaiser Silver 70 HMO is a comprehensive health insura... For instructions on how to use AveraChart for a virtual visit, see our portal instructions. If you need further assistance, contact the AveraChart help desk at 1-855-667-9704. Please Note: You cannot create a virtual appointment with your provider from this page. You must contact your clinic and have them set the appointment for you. Complaint and Appeals Coordinator, Avera Health Plans 3816 S. Elmwood, Suite 100, Sioux Falls, SD 57105-6538 1-800-322-2115 (phone), TTY 711, 1-800-269-8561 (fax) [email protected]. You can file a grievance in person or … The employer portal is your go-to location to enroll, terminate, update demographics and change benefit plans. All enrollment transactions are processed through your employer portal, including your open enrollment needs. In addition, access the member portal for details about your insurance policy, coverage, claims and more. Avera Health Plans - Mitchell, SD. Home » Locations » Profile. New Search. 525 Foster St. Room G419 Mitchell , SD 57301. Get Directions Google Map & Driving Directions. 605-995-1494.Direct Network Plans The Direct Network features Avera owned, managed and leased providers in Lincoln, Minnehaha and Brown counties in South Dakota — ... It is not 3 visits per coverage category ****These plans are considered High Deductible Health Plans (HDHP) that can be paired with a Health Savings Account (HSA)[email protected] Steven Grogan Provider Relations Specialist Call: 605-322-4640 Fax: 605-322-4540 [email protected]. If filing paper claims is necessary, all paper claims should be sent to the Avera Health Plans offices in Sioux Falls. Paper Claims Filing Address: Avera Health Plans, Inc. 5300 S Broadband Lane Sioux Falls, SD 57108 14.1 of 1 Avera Health Plans: Avera $1000/20% Coinsurance Coverage Period: Beginning on or after 01/01/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1(888) 322-2115 or visit us at www.AveraHealthPlans.com. If you aren’t clear about any of the underlined terms used in this …To help manage health care costs, you can get discounts on services and medical procedures when you receive care from Avera Health Plans in-network providers. These include physicians, hospitals, facilities and other health care providers participating in the our network. These in-network benefits are available with more than 2,000 primary care ...Forgot password? © 2024 Avera Health Plans ®. 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The Avera Health Plans online portal provides a variety of resources for members, employers, providers and agents. Log in or create an account below. If it’s your first visit, …. Roulette for free
Email Us Find an Agent. You can also call our sales team toll-free at 855-692-8372. Learn how to choose an individual or family health insurance plan from Avera Health Plans. …If you aren’t clear about any of the 1 of 9 Avera Health Plans: Avera $5000/30% Coinsurance Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. bolded terms used in this form, see …Avera Health Plans (DAKOTACARE) shares its leadership team organizational chart, 2022. ... Health Alliance Plan (HAP) shares their leadership team organizational ...Quitting smoking can a challenging journey. Fortunately, you don’t have to go at it alone. Here are 10 great resources to help you quit smoking. Many of them either free or covered... You can also call our sales team toll-free at 855-692-8372. Avera Health Plans offers affordable health insurance plans for individuals and families in South Dakota. Learn about our plan details, get tips on how to choose health insurance – plus pharmacy benefits, provider lookup and prescriptions covered. Get started today. Vomiting or diarrhea. Loss of taste or smell. Sore throat. Headache. Congestion or runny nose. The best way to protect yourself against COVID-19 is to get vaccinated and boosted. Vaccines are safe and effective. We recommend those eligible get vaccines and boosters. Talk to your doctor if you are immunocompromised. claim to Avera Health Plans. If you have questions about your benefits, please contact Avera Health Plans Customer Care team at 605-322-4545 or toll-free at 1-888-322-2115. This form is not all-inclusive of services requiring preauthorization. Refer to patient’s Certificate of Coverage, Master Contract or Summary Plan Document for more ... To help manage health care costs, you can get discounts on services and medical procedures when you receive care from Avera Health Plans in-network providers. These include physicians, hospitals, facilities and other health care providers participating in the our network. These in-network benefits are available with more than 2,000 primary care ...Avera Health Plans - Sioux Falls, SD. Home » Locations » Profile. New Search. 5300 S. Broadband Lane Sioux Falls , SD 57108. Get Directions Google Map & Driving … Access to Avera Health Plans Virtual Visits is available for $64/visit. 2 For most members. Some limitations apply. NOTE: IRS Guidelines indicate that members with HSA-eligible plans may be subject to tax penalties if they use the free virtual visits. If you have an HSA-eligible plan, you may use your HSA or Flex spending dollars for this service. Individual and Family Plan Members: You'll receive your member ID card(s) in the mail within 10 to 14 business days after your first premium payment is cleared.. Employer-Provided Insurance Members: If you receive Avera Health Plans insurance through your employer, your member ID card(s) will be mailed to you within 10 to 14 business days after … Complete the Authorization Agreement for Automatic Bank Payments Form (pdf) or email [email protected] to request to complete the form electronically through DocuSign. Mail in the form and a voided check or a copy of a check to this address: Avera Health Plans Finance 5300 S. Broadband Lane Sioux Falls, SD 57108 2 of 8 Avera Health Plans: Avera MyPlan $1,100 Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO AveraHealthPlans.com S833 Copayments are fixed dollar amounts (for example, $15) you pay for covered health care, usually when you receive the …If you aren’t clear about any of the 1 of 9 Avera Health Plans: Avera $5000/30% Coinsurance Coverage Period: Beginning on or after 01/01/2016 Summary of Benefits and Coverage: What this Plan Covers and What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-888-322-2115 or visit us at www.AveraHealthPlans.com. bolded terms used in this form, see ….