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Insurance Carriers | Insurance Forms

If you are a new patient or have not been here for a while, we ask that you provide us with some information. This information will allow us to contact you if necessary and to assist us in filing insurance claims. We also ask that you bring along your insurance card when you come for your appointment.

Sanford Health Plan Members

Orthopedic Institute will continue to provide the same quality care and services provided to you in the past. Please call our office at 605.331.5890 if you have additional questions or concerns about your plan.

Sanford Employees

Sanford Health Plan has informed their employees that as of January 1st, 2016, Orthopedic Institute will be considered out-of-network.  This applies to SANFORD EMPLOYEES, WITH SANFORD INSURANCE, AND THEIR FAMILY MEMBERS and not to everyone who has Sanford Health Plan coverage.

If you are a Sanford employee or a family member of a Sanford employee who has Sanford health insurance and you would like to see an Orthopedic Institute doctor, you should follow up with your human resources and benefits office to express your desire and ask about what options might be available to you to seek and continue your care at Orthopedic Institute.

Download the Sanford Transition of Care Request Form here.

We appreciate Sanford employees and their insured family members for putting their trust in Orthopedic Institute and for choosing us for their orthopedic and musculoskeletal care needs.  We will make every effort to work with you to provide you with financial options in order for you to receive exceptional orthopedic care.  Please call 605.271.1259 for more information.

Insurance Carriers

We are happy to assist you in filing your insurance claims. We are currently a provider for the following insurance carriers.  If you do not see your plan listed below, please call our office at 605.331.5890 to find out if Orthopedic Institute accepts your insurance. Insurance co-pays are due upon your visit.

NO PHYSICIAN REFERRAL IS NEEDED UNLESS REQUIRED BY YOUR INSURANCE.

      Referral Required
**     Preauthorization required for back pain diagnosis
***   Only if seen in the State of MN
**** Referral and Pre-Authorization Required

  • Aetna
  • Aetna Choice POS II
  • Aetna Choice POS II  – Beechstreet Network
  • Aetna ProNet
  • Aetna Rural Carrier Benefit Plan Choice POS II AHF
  • Aetna Select Care Open Choice PPO
  • Aetna Select Choice Open Access – Beechstreet Network
  • America’s PPO
  • Assurant Health
  • Avera Health Plan – Avera Employees
  • Avera Health Plan – Avera Heart Hospital Employees
  • Avera Health Plans
  • Avera My Plan
  • BCBS Federal (SD, IA, MN)
  • BCBS IA – Alliance Select
  • BCBS IA – Wellmark Blue PPO
  • BCBS MN – Blue Choice
  • BCBS MN – Blue Link
  • BCBS MN – Blue Plus
  • BCBS MN – Medicare Advantage Plan Plan MN BCBS Platinum Blue
  • BCBS MN – Minnesota Advantage Health Plan *
  • BCBS MN Blue Essentials
  • BCBS MN- Blue Link  PRC Tribal
  • BCBS Plans (call for other states)
  • BCBS- Raven Employees
  • BCBS Retired Federal (SD, IA, MN)
  • BCBS SD and IA (Wellmark)
  • ChampVA
  • Cigna HealthCare
  • Cigna- Healthpartners – Open Acess Plus
  • Cigna Midlands Choice
  • Cigna Open Access Plus/HRA
  • Cigna PPO Health EZ
  • Coventry PPO
  • Coventry – Medicare Advantage Plan Plan Advantra Platinum PPO
  • Coventry – Medicare Advantage Plan Plan Total Care PPO
  • Coventry – Medicare Advantage Plan Plan Total Care PPO with Avera (We are NOT in network with this plan)
  • Coventry – Rural Carrier Benefit Plan
  • Coventry One POS, Open Access POS
  • Cypress Benefit Administrators
  • DakotaCare
  • DakotaCare South Dakota State Employee Health Plan
  • First Choice Health Administrators
  • First Choice of Midwest PPO
  • Great Plains Medicare Advantage Plan Plan
  • Health Link
  • Health Partners Medicare Advantage Plan Plan- Freedom Cost
  • Health Partners Open Access Plus **
  • Health Scope
  • Humana ChoiceCare
  • Humana- Medicare Advantage Plan Plan Humana Choice PPO
  • Humana- Medicare Advantage Plan Plan Humana Golf Plus (HMO) ****
  • Indian Health Services *
  • Iowa Medicaid – Amerigroup
  • Iowa Medicaid – Including the Hawk-I Plan
  • Iowa Medicaid – United Healthcare Community Plan of the River Valley
  • Medica – Medicare Advantage Plan Medica Prime Solution Basic
  • Medica – Medicare Advantage Plan Medica Prime Solution Enhanced
  • Medica – Medicare Advantage Plan Medica Prime Solution Thrift
  • Medica – Medicare Advantage Plan Medica Prime Solution  Value
  • Medica – UnitedHealthcare- US Bank employees
  • Medica Choice Passport
  • Medica IFB Group – Insure Silver H NE
  • Medica IFB Group, (Medica Individual and Family Plans)
  • Medicare
  • Meritain Health – Aetna Network Open Choice PPO (Preferred One, Select Care, etc)
  • Meritain Health – Cigna Network  Cigna PPO
  • Midland’s Choice
  • MN Medicaid
  • MN Medicaid – BCBS Blue Plus PMAP, Blue Plus Secure Blue (MSHO) and Blue Plus MSC+ ***
  • MN Medicaid – BCBS MN Blue Plus/Blue Advantage Minnesota Care
  • MN Medicaid – HealthPartners MN Care, HealthPartners MSC+ and HealthPartners      MSHO ****
  • MN Medicaid – HealthPartners PMAP
  • MN Medicaid – Prime West MN Care, Prime West MSHO and Prime West MSC+  ****
  • MN Medicaid – PrimeWest -MA/PMAP plans
  • MN Medicaid – Ucare, MNC – Minnesota Care
  • MN Medicaid – Ucare, PMAP – Prepaid Medical Assistance Program
  • Nebraska Medicaid – Nebraska Total Care
  • Nebraska Medicaid – WellCare of Nebraska
  • Prime West  -Medicare Advantage Plan Prime West Health
  • Sanford – My Plan
  • Sanford Health Plan
  • Sanford Health Plan – 1st Premier Employees
  • Sanford Simplicity (specific to employer – call to verify)
  • SD Medicaid – Managed Care * and Title IX
  • Select Care
  • TLC Advantage
  • TriCare for Life  – Medicare Supplement
  • TriCare Prime *
  • TriCare Prime Remote *
  • TriCare Reserve Select – add to CPS
  • TriCare Standard
  • UMR
  • UMR Avera Health Plan Care System
  • UMR Sanford Health Plan Care System
  • United Health Care – United Health One
  • United HealthCare – GEHA
  • United HealthCare – Medicare Advantage Plan UHC
  • United HealthCare Choice Plus
  • Veterans Choice ****
  • Wellmark (BCBS of SD and IA)
  • Workers’ Compensation Plans