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My Benefits At A Glance

 

•  $200 Deductible per year

•  $500,000 Maximum Benefit (per Plan Year)

•  Student Health Center services will be covered at 100% of preferred allowance and are not subject to deductible

 

Health Benefits

Preferred Provider

Out-of-Network Provider

Inpatient Hospital Services

80% @ preferred allowance

60% @ usual & customary

Outpatient Hospital Services

80% @ preferred allowance

60% @ usual & customary

Physician Visits

80% @ preferred allowance

60% @ usual & customary

Medical Emergency Services-$100 co-pay

80% @ preferred allowance

60% @ usual & customary

Lab and X-ray Services

80% @ preferred allowance

60% @ usual & customary

 

 

 

Pharmacy Benefits*

Generic drug

$10.00 copay per prescription

 

Brand name drug

$25.00 copay per prescription

 

Non-preferred drug

40% coinsurance per prescription

*Limited to one 30-day supply

 

 

To learn more about the entire plan benefits, click HERE.  *You will want to review the exclusions to identify all benefit exclusions. 

To review the 'in-network' providers with Avera Health, please click HERE

To review BOR Policy 3:14, please click HERE.  All Foreign National Students will be auto-enrolled if not enrolled timely.


FY2013-2014 Student Insurance Rates ( August - July)

Plan Fall

Spring/

Summer

Student    

»Single to Age 25

$530.45 $726.74

»Single Age 25-29

$663.81 $909.54

»Single Age 30+

$863.10 $1,182.26

NOTE: Please check with your campus representative or on this website in December for more information regarding spring semester student health insurance availability.

Tobacco users are charged an additional 20%.

DISCLAIMER: Final premiums are always approved by the South Dakota Board of Regents.

 

Avera Health Plans:
1-888-322-2115
Fax 1-605-322-4689

Program Manager:
Malcolm McKillop
1-605-920-0670
Fax 1-605-773-2501