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Sanford Health Plan

myHealthPlan for Providers


Online Access to Member Benefits, EOPS, Submit Prior Authorizations and more.

myHealthPlan is Sanford Health Plan's online benefits tool available to providers. Through this online tool, we are able to offer you more streamlined services and access to information any time of day all at your fingertips. We recognize our provider network is vital to the quality service we promise our members. Therefore, Sanford Health Plan is committed to providing you with the online tools you need to process claims, manage member information and improve your administrative efficiency. Please encourage members of your staff to sign up for an account and begin taking advantage of the benefits myHealthPlan can provide.

With myHealthPlan you will enjoy these features:
  • View benefits accumulators for members - deductibles, coinsurance and out-of-pocket expense totals at a glance.
  • Verify up to two years of member eligibility information
  • View check numbers to track payment - identify if a check has posted or cleared.
  • Register under multiple Tax Ids and NPI Numbers - access information for multiple billing entities.
  • Email Express Requests to Provider Relations, Member Services and Utilization Management for prior authorization requests.
  • View provider resources including forms, the Manual and its Policies
Register for a myHealthPlan account today. This will transport you to the login page where you can sign up for a Provider account.
If there is anything you would like to see added to myHealthPlan, please let your Provider Relations representative know or email us at ppr@sanfordhealth.org.

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!

Please complete all steps in the questionnaire to see your results.