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Sanford Health Plan

Milliman Care Guidelines (MCG) being used for Sanford Health Plan Medical Policies:  

Sanford Health Plan recognizes the rapid pace of changes in medical care delivery and technological advances. Therefore, we have implemented one of the most widely used, medically grounded database and analysis tools that places medical evidence at the forefront of our determinations. This care guideline tool is from Milliman.

MCG guidelines provide fast access to evidence-based best practices and care-planning tools across the continuum of care, supporting clinical decision-making and documentation as well as enabling efficient transitions between care settings. Data analysis provides insight into critical benchmarks such as length of stay, readmissions and skilled nursing facility/inpatient rehabilitation admission rates. Eight of the ten largest U.S. health plans and more than 1,600+ hospitals use the MCG evidence-based guidelines and software.  

A physician portal (coming soon) will provide you access to these guidelines directly.

Thank you for the service to the people in our communities.

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Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

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Tell Us About Yourself

Insurance terms are confusing. Let us help make sense of it all.

Purchasing through Sanford Health Plan or the Marketplace, let us explain the differences

Sanford Health Plan offers two different provider network products in your area. Select what option that best fits your needs.

Click here to search our provider directory. If your doctor does not display, they most likely are not a participating provider with Sanford Health Plan. Feel free to continue the Plan Picker tool if you are still interested in what options Sanford Health Plan has to offer. If not, we appreciate you using our Plan Picker!

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