The ID card issued by Wellmark Blue Cross Blue Shield will include a L5I or L5J prefix to the enrollee ID, and include the word 'dental' in the bottom left corner of the ID card.

Special note: When submitting a dental claim, DO NOT include the L5I or L5J prefix for the enrollee ID. Use only the identifier that begins with "W" (e.g. W12345678).

Wellmark Blue Cross Blue Shield has four Medicare Advantage plans:

• Blue Medicare Advantage PPO
• Blue Medicare Advantage Enhanced PPO
• Blue Medicare Advantage Valor PPO (new in 2023)
• Blue Medicare Advantage PPO | Avera (new in 2023)

The name of the plan is identified on the upper right-hand corner of the patient’s ID card.

No, there is no deductible on Wellmark Medicare Advantage plans. Office visit co-pays vary by plan.

They can be done any time in the benefit year.  

The copay goes towards the patient’s portion of the service. The below example is for a service covered at 50%

• Allowed Amount $258
• Office Visit Fee $35
• Plan Payment $111.50
  50% of $223 (allowed amount – office visit fee)
• Patient Payment $146.50
  (50% of $223 ($111.50) + office visit fee $35) 

Sanford has four Medicare Advantage plans:

• Align ChoiceElite PPO
• Align ChoicePlus PPO
• Great Plains Medicare Advantage HMO I-SNP
• Great Plains Medicare Advantage Gold HMO I-SNP

The name of the plan is identified on the top of the patient's ID card.

I-SNP stands for Institutional Special Needs Plan. I-SNP plans are for patients who reside in a skilled nursing facility and are expected to continue to need institutionalized care for 90 days or longer.

They can be done any time in the benefit year.  

There is no deductible on Sanford Medicare Advantage plans.