Sanford Health Plan


Font Size A A A

Forms and Documents


If you would like your monthly premiums automatically deducted from your checking account, please complete the Pre-Arranged Payment Authorization Form.

Outline of Coverage
SD SELECT
SD Supplement
IA SELECT
IA Supplement
MN SELECT
MN Supplement

Policy
SELECT
SD & IA Plan A
SD & IA Plan C
SD & IA Plan F
MN Basic
MN Extended Basic

Supplement
SD & IA Plan A
SD & IA Plan C
SD & IA Plan F
SD & IA Plan F (high deductible)
MN Basic
Riders
Part A Deductible
Part B Deductible
100% Part B Excess

MN Extended Basic

SELECT Discount Programs
SELECT Member Discount

SELECT Provider Network
Sanford SELECT Participating Facilities