Medicare SELECT

Application for Coverage
pdf (107k)

HIPAA Pre-Enrollment Form
pdf (82k)

Pre-Arranged Payment Authorization
pdf (20k)

Discount Card Brochure
pdf (188k)

SELECT Disclosure Statement
pdf (19k)

Network Providers
pdf (86k)

Enrollment Change Form
pdf (32k)

Replacement Notice
pdf (74k)




Marketing For You!

Do you want to participate in your community health fairs, VFW, Elks Club and other social events? We have the materials you need to do coop advertising and tradeshows. Sanford Health Plan maintains a trade show booth, give-away trinkets and door prizes for you to use. For more information please call Sue Thompson at Great Plains Brokerage at 605-328-7000.


FAQ Brochure
pdf (277k)