Avera Health Plans (Sioux Falls)

My mother has this insurance and has been fighting for 8 months to get health issues taken care of. Her main artery is 75 percent blocked and she needs surgery. Avera has been denying all the tests and the surgery. It’s been denied 10 times now. They must want her to have a stroke before they do anything. Absolute disgrace. Thank you avera. *note the sarcasm

I have called 4 times to set up auto pay first call they need routing number not card number so I had to hang up after waiting for 30 minutes and retrieve that info called back waiting another 30 minutes just to have someone hang up that has now happened 2 more times. I am regretting changing to Avera.

Shiloh White helped me out today getting new insurance cards. Even emailed me a copy so i could use at the moment! She was super nice and considerate! No hold time or anything :)) great experience!

I am new to Avera Health Plans. My experience so far hasn't been great. My plan became active March 1st, so I called the health plan on February 28th to make basic inquiries. I was on hold for 30 minutes. The gentleman was very polite and just expressed how busy they had been. He couldn't provide any member ID information since it wasn't active till the next day. He warned me that it would be 4 to 5 weeks before the cards would be printed and shipped. Again, he apologized and just expressed how busy they were. My only recourse was to call back after March 1st. I called back March 7th, hoping my cards/info might have been processed. This was a 20 minute hold for assistance. The cards weren't printed, there was no way to email the cards, and I couldn't use the portal yet either. A

Worst insurance in history. Nothing is covered, premiums continue to skyrocket, you couldn’t possibly meet your deductible because it’s all non-covered charges. On top of that they force you to get “care” at Avera facilities. This entire operation is a bunch of extortionists. They also work with Avera health to keep people from getting healthy by denying treatment that is prescribed by their own doctors. No better way to stay profitable than deny treatment so that their customers never get healthy and need to keep going back for more billable hours. It should be illegal for medical providers to be in the insurance business.