We are happy to assist you in filing your insurance claims. We are currently an in-network provider for the following insurance carriers:
- Avera Health Plans (including Avera employees, excluding coverage through Smithfield Foods, and excluding Avera Preferred and Avera Direct)
- Sanford Health Plans (including Sanford employees, excluding Sanford True)
- Blue Cross Blue Shields (certain plans- please call your insurance company to verify)
- Medica (certain plans- please call your insurance company to verify)
- Midland’s Choice
- TLC Advantage
- Tricare West
- Tricare for Life
- Coventry Total Care- Avera
- Coventry PPO, HMO, Advantra PPO
- Preferred One
- Health Partners
- United Medical Resources (UMR)-City of Sioux Falls Employees- Choose either Avera or Sanford Healthcare System
- United Healthcare (certain plans- please call your insurance company to verify)
- Unified Group Services (Orthopedic Institute employees)
- America’s PPO
- Aetna First Choice
- Aetna Medicare Advantage
- Indian Health Servcices
- VA Community Care
No physician referral is needed unless required by your insurance.
It is your responsibility to determine if your insurance company has placed restrictions on your choice of provider. Refer to your directory of providers or contact your insurance company prior to your appointment.
All professional services rendered are charged to the patient or responsible party. Necessary forms will be sent directly to the patient to expedite insurance payments. The patient or responsible party is responsible for payment of all fees, regardless of insurance coverage.
Our Business Office will submit claims for covered services and will assist you in any way we reasonably can to help get your claims paid. It is the patient’s responsibility to provide all current and necessary information. If you have a secondary insurance, we will automatically file a claim as soon as the primary carrier has paid. Your insurance company may require you to supply certain information directly. It is your responsibility to comply with their request.
If you are insured by a plan we participate with but do not have an insurance card with you, payment in full may be required until we can verify your coverage.
Insurance co-pays are due upon check-in at your visit.
Please contact our Business Office at 605-575-3725 with any insurance questions you may have.
Good Faith Estimates
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage (“Uninsured/Self-Pay Patients”) an estimate of their bill for health care items and services before those items or services are provided.
If you are an Uninsured or Self-Pay Patient, you have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask. If your bill for expected costs is $400 or more for any provider than your GFE for that provider, federal law allows you to dispute the bill.
This GFE does not include any unknown or unexpected costs that may arise during treatment. Often in Dermatology care, you may schedule your appointment for a particular reason and during your visit you or the provider may identify other areas of concern and the provider may perform unexpected procedures which were not contemplated at the time this GFE was created (such as a biopsy which would also result in unanticipated charges for pathology services). You could be charged more if complications or circumstances previously described occur.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.