All-in-One Coverage that Cares for the Whole You


Your plan is unique. As a member, you can view your complete plan details through the online member portal. For more information on added features and benefits for our Dual Eligibility Special Needs plans (D-SNP) please visit our Align DUALPartnership Plan page.

Providers You Know and Trust

Support your health with easy access to the region’s leading hospitals, doctors and pharmacies. .

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Prescription Coverage

Our inclusive plans give you comprehensive coverage for the prescriptions you need and access to nearby pharmacies.

Pharmacy and Coverage Tools

24/7 Virtual Care

Get care when and where you need it most with virtual care options. Start a visit from home or on the go.

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Healthy Benefits+™ Flex Card

Choose how to spend your allowance for over-the-counter products and dental, hearing and vision expenses.

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Supplemental Coverage and Benefits

Healthy Benefits+ Flex Card

The Healthy Benefits+ flex card makes it easy to spend your allowance dollars, helping you make the most of your Medicare Advantage benefits.

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Over-the-Counter Coverage

Use your Healthy Benefits+ flex card containing your quarterly allowance for products such as aspirin and cold and flu medicine. You can purchase products in-store from local in-network retailers, online or over the phone.

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Dental Coverage

Get coverage for routine dental care, including cleanings, checkups and exams with Delta Dental®. For comprehensive services such as fillings or crowns, take advantage of your annual allowance using your Healthy Benefits+ flex card.

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Hearing Coverage

With NationsHearing®, you have a covered annual hearing exam through the NationsHearing® network. Use your Healthy Benefits+ flex card for other expenses, such as hearing aids.

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Vision Coverage

Receive an annual eye exam and reimbursements for glasses or contacts through VSP® Vision Care. Use your Healthy Benefits+ flex card for other expenses.

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Fitness membership

With access to the Silver&Fit® fitness program, you can learn how to improve your health using a variety of tools. Join classes from home or work out at your gym.

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Meal services

Get fully prepared, refrigerated meals delivered directly to your home through your benefits with Mom’s Meals®. Available to members recovering from a hospital stay. Members must meet eligibility requirements.

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Travel

No matter where you are in the United States, urgent care and emergency services are always covered at the same cost-share you have at home. With our visitor travel benefit, you can travel up to six consecutive months a year in the United States and receive in-network benefits from select providers. For details, refer to your Evidence of Coverage, accessible online within your member portal here. Worldwide emergency care reimbursement is included outside of the United States.

Member Benefits and Programs

Preventive Care

Plans include wellness visits, routine screenings, vaccines and more at no cost.

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Connected Coverage and Care

As a Sanford Health Plan member, you receive more than just coverage – you also receive access to high-quality health care through Sanford Health. By bringing coverage and care together, we’re removing obstacles, simplifying prior authorization processing, and providing personalized care and assistance at every step of your journey. You benefit from tailored healthcare guidance from health guides, comprehensive management for chronic conditions from care managers, and assistance with insurance coverage from health navigators.

Diabetes Prevention Program*

Change your risk of type 2 diabetes with a 12-month weight loss program designed to reduce your risk for type 2 diabetes. In this program, participants meet in a group with a trained lifestyle coach to focus on lifestyle-change strategies to lose weight, increase physical activity and decrease their risk of developing type 2 diabetes. The program includes 24 sessions, meeting weekly for 4 months and monthly for 8 months.

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Care Management Programs

Our Medicare Advantage plan comes with a full spectrum of care management programs. We know that living with a chronic health condition or experiencing a complex medical situation can be challenging and leave you with a lot of questions. Our services can give you extra support tailored to your specific needs. To learn more, contact our team at (888) 315-0884.

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Wellth Rewards

Earn rewards for your healthy habits with Wellth Rewards. Eligible members can earn up to $360 a year by using an app to take pictures of daily living tasks and keeping track of health habits.

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Our Approved Program Partners

 

Delta Dental Logo  Nations Hearing Logo VSP Vision Care Logo

Wellth Rewards Logo Healthy Benefits+ Logo Silver&Fit Logo

Health Navigator Services

Members have access to a health navigator, who acts as your personal health assistant. Your navigator will guide you through the health care system and connect you with the care and wellness options you need.

Navigators can help you find a doctor, schedule appointments and even provide you with a trusted partner to accompany you to your appointments. Health navigator services are confidential and provided at no additional cost.

FAQs

How can I access my member account?

Members can access their online member portal by using the Log In drop down list in upper right of this webpage and choosing Members. For your convenience, you may also link to the portal here.

How can I schedule a virtual care appointment?

Use your MySanfordChart account to access virtual care. To learn more, or to sign up for a MySanfordChart account, visit https://www.sanfordhealth.org/get-care-here/virtual-care.

What if I need health care while I’m traveling?

No matter where you are in the United States, urgent care and emergency services are always covered at the same cost-share you have at home.  Our plans also provide a visitor travel benefit – meaning you can travel up to six consecutive months a year in the United States and receive in-network benefits from select providers.  For details, refer to your Evidence of Coverage.

What is the Healthy Benefits+ Flex Card?

The Healthy Benefits+ flex card is a plan benefit for all Align powered by Sanford Health Plan members. The flex card gives members convenient access to their allowance for over-the-counter products and dental, hearing and vision expenses. Plus, it’s as simple to use as a credit card wherever Visa® is accepted.

Learn more about where to spend your allowance.

*Member benefits and programs for dually eligible members, those who have both Medicare and Medicaid, may differ from other Medicare Advantage plans. See our Align DUALPartnership Plan page for more information.

Sanford Health Plan and Sanford Health Plan of Minnesota have HMO and PPO plans with a Medicare contract. Sanford Health Plan D-SNPs have contracts with State Medicaid programs. Sanford Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, or any other classification protected under the law. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.


CMS ID Number: H8385_SHPMAWebsite_PY2025_ND_SD_IA, H3186_SHPMAWebsite_PY2025_MN H8967_DSNPWebsite_PY2025_ND

Last Updated On: 9.30.24 at 3:00 PM