Wellmark Blue PPOSM Network
All of our members in South Dakota use the Wellmark Blue PPO network which covers 100 percent of hospitals and 95 percent of physicians in South Dakota1. That's more than 6,000 in-state health care providers.2 They also receive access to our national BlueCard® Network which covers 96 percent of hospitals and 95 percent of doctors nationwide.1 That's two million unique, in-network providers.3
Choose a plan type
From traditional coverage to high-deductible health plans (HDHPs), we offer a range of solutions to help meet your needs.
Modified plans
Similar to copayment plans but eliminate coinsurance entirely.
With these plans, your employees will have lower copays for visits with their primary care provider (PCP) and no coinsurance. Visits with non-primary care providers will have higher copays.
Copayment plans
Provide predictable copays for many common health care expenses like in-network office visits.
With these plans, your employees will have varying copays for covered office services depending on the provider, while other services are subject to deductible and coinsurance.
Primary plans
Offers a split office copay in a traditional plan structure to incentivize members to seek care through their PCP first.
Like modified plans, your employees will have lower copays for visits with their PCP and higher copays for non-PCP visits. With these plans, however, most other services are subject to deductible and coinsurance.
High-deductible health plans
Encourages members to engage in their health plan by paying the full cost of care until their deductible has been met.
These plans take care of covered health care expenses once their deductible has been exceeded. These plans also qualify for a health savings account (HSA) or be paired with a health reimbursement arrangement (HRA) to help pay for covered health care expenses.
Shop health plans for every stage of life
Dental and vision
Attract and retain great employees by making your benefits package even more appealing by adding specialty plans.
Health and wellness
Flexible health plan options for every family budget, to give you the coverage you need.
Disclaimers
1Consortium Network Compare Findings as of June 2020. Health care providers affiliated with Federal entities such as Veterans Affairs and Indian Health Services have been excluded from this calculation.
2Wellmark Blue Cross and Blue Shield network numbers as of June 2020.
3Provider Data Repository, December 2023.