Avera eCare
Avera Health Plans is a regional health insurance subsidiary of Avera Health offering Individual & Family Plans, Medicare Supplement insurance, and Employer Group Plans to residents and businesses in South Dakota, Iowa, and Nebraska through licensed agents, online portals, and the Federal Marketplace.
- Company typePrivate
- Founded1993
- HeadquartersSioux Falls, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What Avera eCare does
Avera Health Plans operates as the health insurance subsidiary of Avera Health, distributing Individual & Family Plans, Medicare Supplement Insurance, and Employer Group Plans across South Dakota, Iowa, and Nebraska. The company serves three primary customer segments: individuals and families (including Federal Marketplace enrollees), Original Medicare beneficiaries seeking supplemental coverage, and employer groups ranging from 2-person businesses to enterprises with 1001+ employees. Distribution is hybrid: a 642+ licensed insurance agent network across the Upper Midwest provides in-person and phone-based consultation, complemented by online quote tools, the Federal Health Insurance Marketplace, and self-service portals. Premium revenue is recurring on a monthly billing cadence; pricing is quote-based and not publicly disclosed.
The company's technology backbone is Epic, implemented in May 2026 to consolidate legacy patient and member systems into a unified platform. Three interconnected Epic-based portals anchor the digital surface: Avera MyChart serves as the combined member/patient portal (claims, coverage, digital ID cards, scheduling, messaging, virtual visits), Avera System Link provides the provider portal for claims, eligibility, and prior authorization, and Employer Link centralizes employer administration (enrollment, billing, eligibility, rosters). The pharmacy benefit integrates with a 56,000+ network pharmacy base plus Amazon Pharmacy and Mark Cuban Cost Plus Drug Company as cost-transparency options.
Commercially, Avera Health Plans leverages its parent system integration and a UnitedHealthcare Options PPO agreement to provide members access to 1.3 million providers and 6,500 hospitals nationwide. The company has served Midwest communities for more than 25 years and, as of 2026, expanded coverage into northwest Iowa and northeast Nebraska. Revenue, ownership transfer history, and external funding are not publicly disclosed in the source material beyond a 2018 $7.8M grant from The Leona M. and Harry B. Helmsley Charitable Trust. Deanna Larson is identified as Chief Executive Officer.
Avera eCare firmographics
Firmographics- Name
- Avera eCare
- Legal name
- Avera Health Plans
- Website
- https://www.averaecare.org/ecare/
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Avera Health Plans is a regional health insurance subsidiary of Avera Health offering Individual & Family Plans, Medicare Supplement insurance, and Employer Group Plans to residents and businesses in South Dakota, Iowa, and Nebraska through licensed agents, online portals, and the Federal Marketplace.
- Ownership category
- akta.pro rank
Avera eCare industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Insurance Carriers (5241)
- SIC
- Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- ACA Marketplace (On-Exchange) Individual Plans (FSAIAEAA)
- akta.pro secondary industries
- Off-Exchange Individual & Family Plans (HLAEABAB), Off-Exchange Individual Major Medical Plans (FSAIAEAB), Ancillary & Supplemental Health Products (Accident/Critical Illness/Hospital Indemnity) (HLAEABAJ)
Keywords
Where Avera eCare is headquartered
LocationHeadquarters
- HQ city
- Sioux Falls
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Avera eCare business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Individual & Family Insurance Premiums: Monthly premium payments from individuals and families purchasing health insurance coverage. Premiums vary by plan type (bronze, silver, catastrophic), deductible levels, and coverage options. Revenue is recurring on a monthly or annual basis.
- Medicare Supplement Premiums: Monthly premium payments from Medicare beneficiaries supplementing Original Medicare coverage. Plans include Standard and Select options with varying network restrictions.
- Employer Group Premiums: Monthly premium payments from employer groups providing health insurance to employees. Employers typically deduct premiums through payroll. Coverage for groups ranging from 2 employees to 1001+ employees.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual & Family Plans with varying deductible and coverage levels |
| Subscription | Monthly | Medicare Supplement Standard and Select Plans |
| Subscription | Monthly | Employer Group Plans |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels6 records
Avera eCare product offering
Product offeringCore offering
Avera eCare, through its Avera Health Plans subsidiary, sells health insurance products including Individual & Family Plans, Medicare Supplement Insurance, and Employer Group Plans across South Dakota, Iowa, and Nebraska. Members access their coverage via the Epic-based Avera MyChart portal, providers use Avera System Link for claims and eligibility, and employers use Employer Link for enrollment and billing administration. The company also provides Avera Health Plans Rx pharmacy benefits integrated with national and online pharmacy networks.
Product overview
Avera Health Plans operates as the insurance subsidiary of Avera Health, offering a portfolio of health insurance products including Individual & Family Plans, Medicare Supplement Insurance, and Employer Group Plans across South Dakota, Iowa, and Nebraska. The company's digital ecosystem consists of three interconnected core platforms: Avera MyChart serves as the unified member and patient portal combining insurance benefits with health information; Avera System Link provides the provider portal for claims, authorizations, and eligibility; and Employer Link enables employer administration of enrollments and payments. The subsidiary's pharmacy benefits integrate with external pharmacies including Amazon Pharmacy and Mark Cuban Cost Plus Drug Company, while all portals transitioned to Epic's platform in May 2026.
Differentiator
Problem solved
Functional benefit
Products and services
- Individual & Family Plans
Quantifiable outcome
- Network of 1.3 million providers and 6,500 hospitals nationwide through UnitedHealthcare Options PPO
- +1 more outcomes
Companies that use Avera eCare
Customer profileSegments3 records
Ideal customer profiles3 records
Avera eCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
Feature4 records
Avera eCare partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Epic SystemscoreEpic provides the electronic health record (EHR) and health plan management systems powering Avera MyChart, Avera System Link, and Employer Link portals. The May 2026 transition unified patient health records with insurance member functions.
- UnitedHealthcarecoreUnitedHealthcare Options PPO provides Avera Health Plans members with national network access to 1.3 million providers and 6,500 hospitals. This partnership extends coverage for members traveling outside the Avera service area or with dependents living in other regions.
Scale indicators4 records
Recent moves10 records
Expansion highlights5 records
Avera eCare competitors and assessment
Company assessmentDirect peers
- Medica: Upper Midwest-focused health plan offering individual ACA, Medicare, and employer group coverage across Minnesota, Iowa, Nebraska, and the Dakotas — directly comparable multi-product regional carrier operating in Avera's footprint and adjacent markets.
- HealthPartners: Minnesota-based integrated payer-provider offering individual, Medicare, and employer group plans — comparable regional health plan with a vertically integrated care delivery model similar to Avera's Avera Health integration.
- Blue Cross and Blue Shield of Nebraska: Nebraska's dominant Blue Cross licensee selling individual, Medicare Supplement, and employer group plans — competes directly with Avera Health Plans in Nebraska with comparable products and a similar regional carrier profile.
- Sanford Health Plan: Regional health insurer owned by Sanford Health operating in the Dakotas and surrounding states, offering ACA individual, Medicare Supplement, and employer group plans — the closest head-to-head comparable to Avera Health Plans in geography, product mix, and vertically integrated payer-provider model.
- Wellmark Blue Cross Blue Shield: Iowa- and South Dakota-licensed Blue Cross Blue Shield carrier offering individual, group, and Medicare Supplement coverage — directly competes with Avera Health Plans in the same geographies with overlapping product lines and similar regional mid-market positioning.
Emerging players
- Oscar Health: ACA Marketplace-focused insurtech selling individual and small group plans with a technology-led member experience — competes for the same Individual & Family customers as Avera Health Plans, particularly in Iowa and Nebraska where Oscar has expanded exchange footprint.
Broad incumbents
- Humana: National health insurer and Medicare Advantage/Supplement leader — competes across Avera's individual and Medicare Supplement product lines at greater scale and broader geographic reach, exerting pricing and network pressure on regional carriers.
- Cigna: Global health services company offering individual, Medicare Supplement, and employer group plans — competes with Avera in the employer group and individual segments, with materially larger scale and broader network leverage.
- UnitedHealthcare: Largest U.S. health insurer and Avera's national-network partner via the Options PPO arrangement — sets competitive benchmarks across individual, Medicare, and group segments while also providing Avera's out-of-area network access.
- Elevance Health (Anthem): National Blue Cross Blue Shield-licensed carrier selling individual ACA, Medicare, and employer group products across most U.S. states — competes with Avera in overlapping geographies and benefits from significantly larger scale on PBM and provider contracting.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Avera eCare social profiles
Digital presenceAvera eCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
Avera eCare leadership team
Management profileNumber of profiles
Profiles1 record
Avera eCare funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Avera eCare M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Avera eCare
What does Avera eCare do?
Avera eCare, through its Avera Health Plans subsidiary, sells health insurance products including Individual & Family Plans, Medicare Supplement Insurance, and Employer Group Plans across South Dakota, Iowa, and Nebraska. Members access their coverage via the Epic-based Avera MyChart portal, providers use Avera System Link for claims and eligibility, and employers use Employer Link for enrollment and billing administration. The company also provides Avera Health Plans Rx pharmacy benefits integrated with national and online pharmacy networks.
Is Avera eCare a public or private company?
Avera eCare is a private company. It is classified as corporate owned and is currently operating.
When was Avera eCare founded?
Avera eCare was founded in 1993. It employs 101 to 250 people.
Where is Avera eCare based?
Avera eCare is headquartered in Sioux Falls, United States, in the North America region.
How does Avera eCare make money?
Three revenue lines are on record. Individual & Family Insurance Premiums are the primary driver. The others are medicare Supplement Premiums and employer Group Premiums.
Who are Avera eCare's main competitors?
Direct peers on record are Medica, HealthPartners, Blue Cross and Blue Shield of Nebraska, Sanford Health Plan and Wellmark Blue Cross Blue Shield. Oscar Health is listed as an emerging player. Broad incumbents are Humana, Cigna, UnitedHealthcare and Elevance Health (Anthem).
Does Avera eCare have an API?
No public API is recorded for Avera eCare.
What industry is Avera eCare in?
Avera eCare's product category is Health Insurance. Its primary akta.pro industry code is FSAIAEAA, ACA Marketplace (On-Exchange) Individual Plans, with a secondary code of HLAEABAB, Off-Exchange Individual & Family Plans. Its NAICS code is 524114 and its SIC code is 6321.