Key Benefit - Service
- Administration is performed locally so Members can expect a prompt response to their inquiries from someone who understands their needs.
- Knowledgeable claims staff can assist you with your general questions or help guide you through complex issues.
- Claims are paid in accordance with our plan documents. We work hard to ensure our Members are satisfied with the claims process.
- Claims are processed and paid promptly without the need to submit a paper claim.
- As a self-insured and self-funded health plan, we have the flexibility to tailor our benefits to fit our Members needs.
- The HPSD is sponsored by the South Dakota Municipal League. You can expect the same great service from the HPSD that you have come to rely on from the League.
Coverage Benefits
Benefit highlights of the Health Pool of South Dakota (HPSD) include:
- Unlimited Lifetime Maximum Benefit
- Optional Life and Dependent Life Insurance available
- Preventive Services paid at 100% in-network; not subject to deductible or co-insurance
- Maternity, Well Newborn and Baby Care
- In-Patient & Out-Patient Alcohol Treatment
- In-Patient & Out-Patient Chemical Dependency/Mental & Nervous
- No Pre-set Ambulance Limit
- Claims paid in-state in 7 -10 days without claim forms
- $10 Generic; $30 Formulary; $50 Non Formulary Pharmacy Card
- $25 PPO Physicians Copay
- $150 PPO Emergency Room Copay
- The Health Pool of South Dakota is in compliance with all ACA provisions of the Health Care Reform laws
