AUGUSTANA COLLEGE
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Health Insurance

Augustana College Health Insurance Plan Coverage - Effective August 1, 2012.

SANFORD HEALTH PLAN (effective August 1, 2009)
www.sanfordhealthplan.com

Sanford Health Plan Network: www.sanfordhealthplan.com
Beechstreet Network (outside service area): www.beechstreet.com
PreferredOne Network (outside service area): www.preferredone.com
Member Services - 605-328-6800 or 800-752-5863
Utilization Management - 605-328-6807

Certificate of Coverage
Health Plan Coverage Choices
Sanford Summary of Plan Benefits - $600
Sanford Summary of Plan Benefits - $1,200
Sanford Preventive Health Guidelines and Other Covered Screening Services
Notice Of Privacy Practices
Uniformed Services Employment and Reemployment Rights (as Federally Mandated)
Amendment due to Health Care Reform (effective 10/1/2010)
Medicare D Eligibility
Medicaid and the Children's Health Insurance Program (CHIP)
2010-2011 Summary Annual Report (For the Health Plan)

A limited supply of $4 prescriptions are available at:
Target (see list)
Walmart (see list)
HyVee (see list)
Lewis Drug (see list/program)