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Sanford Health Plan

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Department

Question About:

Email

 

Phone Number

Member Services

Member claim inquiries, eligibility and enrollment,
provider access, complaints and appeals and
order ID cards


Email

  605-328-6800 
800-752-5863

Pharmacy Management

Prior-authorization of prescription drug coverage and formulary


 
Email   605-328-6807
800-805-7938
Choose Option 1

Utilization Management

Prior-authorization of medical services and
utilization review


Email

  605-328-6807 
800-805-7938
Choose Option 2

Care Management

Case management, medical conditions and health management and quality programs


Email

 
888-315-0884

Client Services

Employer group reports, forms, order member
enrollment packets, and general employer questions


Email

  605-328-6803

Provider & Payor Relations

Provider claim inquiries, pricing, contracting,
and timely filing


Email

  605-328-6877 
800-601-5086

Flexible Spending Accounts

Member claim inquiries, eligibility and enrollment


Email

  605-328-6810 
877-737-7730

Sales

For individuals, for employers, for Medicare options


Email    605-328-7000
800-251-5316

TTY Line

For individuals who have hearing impairments

     877-652-1844
LanguageLine Solutions  Language assistance.      800-892-0675
             


General Information Phone Number

(605) 328-6868 or toll free at 1-877-305-5463

Office Location
Cherapa Place
300 Cherapa Place, Suite 201
Sioux Falls, SD 57103

Mailing Address

Sanford Health Plan
PO Box 91110
Sioux Falls, SD 57109-1110

Sanford Health Plan’s My Sanford Nurse

Have access to a 24-hour health information resource that provides answers to health-related questions that arise outside of your healthcare visits.
Call 1-888-315-0886 or register/login to your myhealthplan account to submit a question online.

The system will calculate the estimated rates based on the information you have provided. Your premium may change if there's a change to the date coverage starts or a change to the ages or number of individuals enrolling for coverage or you agree to a plan modification or the rates change. Final rates are subject to eligibility review.

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Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

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Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

The annual open enrollment period for 2014 has ended. Effective April 1, 2014 and onward individual health insurance policies can only be sold if you have a qualifying event, also known as a special enrollment period, which can be things such as having a baby, loss of coverage, marriage etc. If you are shopping for health insurance due to a special enrollment feel free to proceed with our Plan Picker and our application will capture the necessary information in regards to your effective date of coverage.

Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

Click here to search our provider directory. If your doctor does not display, they most likely are not a participating provider with Sanford Health Plan. Feel free to continue the Plan Picker tool if you are still interested in what options Sanford Health Plan has to offer. If not, we appreciate you using our Plan Picker!

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