Avera Health Plans, Inc. (AHP)
Avera Health Plans Benefit Administrators (AHPBA)
Mission
Vision
Objectives
Avera Health Plans Values
Primary Care Provider Coordinating Model
Avera Health Plans, Inc. (AHP)
Avera Health Plans, Inc. (AHP) is a wholly owned subsidiary of Avera Health and has obtained a Certificate of Authority to operate as a health maintenance organization (HMO) in the states of South Dakota, Iowa and Nebraska.
The Avera tradition of compassionate care and innovative leadership is at the heart of the personalized services AHP members receive. Our network includes primary care providers, specialists, hospitals, and other healthcare professionals who work together to meet your healthcare needs in an efficient and cost-effective manner.
With our central office located in Sioux Falls, South Dakota, AHP provides a comprehensive healthcare delivery system throughout central and eastern South Dakota as well as areas within the borders of North Dakota, Minnesota, Iowa and Nebraska.
Avera Health Plans Benefit Administrators (AHPBA)
Avera Health Plans Benefit Administrators (AHPBA) is the Third Party Administration division of AHP offering administrative services and supplemental products to employer groups with 75 or more benefit eligible employees. AHPBA obtains stop loss quotes from a number of 'A rated' or higher stop loss carriers to provide the employer with the best options available. AHPBA representatives will meet with the employer to provide benefit consultation during the quoting process and continually throughout the plan year. AHPBA also offers its self-insured clients options to purchase medical management services, Employee Assistance Program, Section 125 and COBRA administration, and life, dental and disability insurance products.
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Mission
Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.
Vision
AHP intends to be and to maintain an outstanding health insurance financing and administration service guided by Christian values, with health care provided within a fully integrated care delivery system.
Objectives
- To be the most cost effective, innovative managed health care network, HMO and Point of Service products (“Products”) in the service area.
- To develop innovative Products that place emphasis on health promotion, health education, wellness, early detection, screening and disease prevention.
- To develop and foster a long-term alliance with providers who envision the future as a fully coordinated healthcare delivery system.
- To participate in a delivery system that promotes quality and cost effective health care delivery through a strong care coordination program that ensures the delivery of services in the most appropriate and cost effective setting.
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Avera Health Plans Values
AHP adheres to four important values that guide the actions of our participating providers and staff:
Compassion: The compassion of Jesus, especially for the poor and the sick of body and spirit, shapes the manner in which health care is delivered by Avera’s employees, physicians, administrators, volunteers and sponsors. Compassionate caring is expressed through sensitive listening and responding, understanding, support, patience and healing touch.
Hospitality: The encounters of Jesus with each person were typified by openness and mutuality. A welcoming presence, an attentiveness to needs, and a gracious manner, seasoned with a sense of humor, are expressions of hospitality in/by the Avera community.
Stewardship: Threaded through the mission of Jesus was the restoration of all the world to right relationship with its Creator. In that same spirit and mission, the members of Avera Health treat persons, organizational power and earth’s resources with justice and responsibility. Respect, truth and integrity are foundational to right relationships among those who serve and those who are served.
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Primary Care Provider Coordinating Model
At AHP, we believe all members should have a primary care physician/provider (PCP) to support their healthcare needs. Establishing a relationship based on the trust and confidence members need, supports better communication and the overall cooperation of all parties needed to take care of a member. This coordination and cooperation is important to assure a member's healthcare needs are carefully evaluated and met in a timely and effective manner.
AHP recommends that each Member select a PCP to be the coordinator of all their healthcare needs. PCPs may be MDs, DOs, Physician Assistants, or Nurse Practitioners in the areas of Family Practice, Internal Medicine, General Practice, Pediatrics and Obstetrics & Gynecology.
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