Avera Health Plans provider networks, plan by plan.
InPlan holds provider listings for 47 Avera Health Plans marketplace (ACA) plans in Iowa and South Dakota. Together they hold more than 3.5 million provider-plan links, each with the date we read the directory.
InPlan is independent and not affiliated with Avera Health Plans. Plan and insurer names appear as the plans publish them.
- PLANS WITH LISTINGS
- 47
- STATES
- 2
- PLAN YEARS
- 2026
- LATEST READ
- 2026-10-28
What we hold for Avera Health Plans.
Each plan below has a provider directory that lists providers in our data. The API answers from these listings, one provider and one plan at a time, and returns the source type and read date with every answer.
| MARKET | PLANS | STATES | PLAN YEARS | PROVIDER-PLAN LINKS | LATEST READ |
|---|---|---|---|---|---|
| Marketplace (ACA) | 47 | 2 | 2026 | 3,557,646 | 2026-10-28 |
How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.
Where: 2 states.
Plans with provider listings in each state. A Medicare Advantage plan that serves several states counts in each of them.
| STATE | MARKETPLACE PLANS |
|---|---|
| South Dakota | 35 |
| Iowa | 12 |
Example Avera Health Plans plans.
5 of the plans we hold, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.
| PLAN | PLAN ID | YEAR | TYPE | STATE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|---|
| DirectConnect $6500 HSA Eligible HDHPAvera Health Plans | 60536SD0060014 | 2026 | Marketplace (ACA)Expanded Bronze · HMO | South Dakota | 116,412 |
| ConnectPlus $0 GoldAvera Health Plans | 74980IA0020021 | 2026 | Marketplace (ACA)Gold · PPO | Iowa | 64,870 |
| DirectConnect $7500 HSA Eligible HDHPAvera Health Plans | 60536SD0060015 | 2026 | Marketplace (ACA)Expanded Bronze · HMO | South Dakota | 116,412 |
| DirectConnect Standard $2000Avera Health Plans | 60536SD0060017 | 2026 | Marketplace (ACA)Gold · HMO | South Dakota | 116,412 |
| DirectConnect Standard $6000Avera Health Plans | 60536SD0060018 | 2026 | Marketplace (ACA)Silver · HMO | South Dakota | 116,412 |
Is Michael S. Dirks, MD in this Avera Health Plans plan?
Yes. The directory for 60536SD0060014 lists Michael S. Dirks, MD in Aberdeen, SD. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1043479629&plan_id=60536SD0060014"
{
"npi": "1043479629",
"plan_id": "60536SD0060014",
"market": "aca",
"in_network": true,
"answer": "listed",
"plan_year": 2026,
"source": { "type": "insurer_directory", "as_of": "2026-10-28" }
}Michael S. Dirks, MD
Neurosurgery · Aberdeen, SD
Listed
- PLAN
- DirectConnect $6500 HSA Eligible HDHP
- INSURER
- Avera Health Plans
- MARKET
- Marketplace (ACA), plan year 2026
- PLAN TYPE
- Expanded Bronze · HMO
- NETWORK TIER
- DIRECTCONNECT
- SOURCE
- insurer_directory · read 2026-10-28
Check any provider against Avera Health Plans plans.
Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.
Other insurers in the same states
- Devoted Health
- Ambetter Health
- Oscar Health
- UnitedHealthcare
- Molina Healthcare
- Sanford Health Plan
- All insurers
- All states
- Why network status is per plan
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries.