Sanford Health Plan
Beyond health care coverage.
A Partner and Advocate
Uniquely positioned in the upper Midwest, Sanford Health Plan is a provider-owned health plan that is part of Sanford Health’s integrated system of care. As one of the largest non-profit, rural health systems in the country, we lead the region in affordable, sustainable health coverage in an evolving health care landscape.
About Us
- Our network includes expert providers across Minnesota, Iowa, North Dakota and South Dakota, with access to providers nationwide.
- Second largest carrier in South Dakota and North Dakota
- Leader in integrated coverage and care between insurance and providers
- Innovator in care and disease management coordination and benefits
- 20+ years in business
- 200,000 members served
- 25,000 regional providers and 700,000 providers nationwide
- 349 hospitals
NCQA Accreditation
Commercial HMO and QHP Marketplace HMO Plans
Sanford Health Plan’s Commercial HMO and Marketplace plans are accredited by the National Committee for Quality Assurance (NCQA). NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral health care organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, population health programs and other health-related programs. NCQA’s mission is to improve the quality of health care.
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| Commercial HMO | Marketplace HMO and PPO |
Quality Improvement Program
Sanford Health Plan has implemented a quality improvement program designed to monitor, evaluate and improve the quality, safety, and appropriateness of the health care services our members receive.
HEDIS®
HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to ensure that purchasers and consumers have the information they need to reliably compare health care quality. Quality improvement activities, population health programs and practitioner profiling efforts have all used HEDIS as a core measurement set.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).