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Frequently Asked Questions About Tier 1

 

What was Tier One?


Tier One was a cost savings program for certain services including cardiac, orthopedic, bariatric, renal care, and gastroenterology. To receive the highest level of benefit, members had to go to an approved Tier 1 facility by an approved Tier 1 provider for specific services and procedures.

Why was Tier One eliminated?

To give members more flexibility and convenience, the South Dakota State Employee Benefits Program has negotiated cost-savings contracts for these services, previously part of Tier One, with all in-network providers.

How can I be sure I am getting the best possible savings on my upcoming procedure?

Savings agreements were put in place to allow members the freedom to choose from any in-network provider across South Dakota.

 

 

 

 

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