Last updated December 12, 2024
Medicare Advantage Special Needs Plans
Medicare Advantage Special Needs Plans (MA-SNP) are a type of Medicare health plan specifically designed to provide targeted care to people with certain diseases or characteristics.
MSHO, MSC+, and SNBC
Medicare Savings Programs (MSP)
- QR: Financial assistance for people with low to modest income
- Senior LinkAge Line website: Help with Medicare Costs
This information is to be used with results from the Medicare.gov plan finder tool.
The information shown is a condensed version and does not include all benefits. Always contact the insurance company to confirm benefits and costs.
Insurance companies that sell Advantage Special Needs Plans
Insurance companies are listed alphabetically, and plans are listed by ascending premium amount within each company.
There are no five star plans in Minnesota in 2025.
BlueCross BlueShield of Minnesota
New member enrollment: 866-477-1584
Customer service: 888-740-6013
TTY: 711
Website: bluecrossmn.com/secureblue
SecureBlue
H2425-001
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Limited to people who are age 65 and older, enrolled in Medical Assistance with both Medicare Part A and Part B |
| Travel coverage | Out-of-area services are covered for emergencies, post-stabilization care, medically-necessary urgent care when you are outside the plan service area and covered services that are not available in the plan service area, no coverage outside the U.S. |
| Dental | In-Network: $0 copay/Medicare or Medicare Assistance-covered dental benefits Out-of-Network: Not covered, except in limited situations Note: covers 1 electric toothbrush and 1 package of 3 electric toothbrush replacement heads each year, 1 additional preventive exam per year and 2 dental crowns per year (2 teeth/year) |
| Vision | In-Network: $0 copay/Medicare or Medicare Assistance-covered vision benefits Out-of-Network: Not covered, except in limited situations. Eyeglass lens upgrades: progressive (no-line) lenses, anti-glare coating and photo-chromatic lens tinting, up to 2 lenses/year |
| Hearing | $0 copay/Medicare or Medicare Assistance-covered benefits |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D Deductible | $0 |
| Discounts & programs | Stop smoking support; BlueRideSM rides to your doctor, pharmacy, SilverSneakers fitness locations, health and wellness classes, AA/NA meetings; 24-hour Nurse Line; Doctor on Demand; SilverSneakers fitness benefit; health and wellness classes, meals and visits from a Community Health Worker after a hospital or nursing home stay; $750 safety items for the home; additional podiatry services; personal emergency response system; music therapy for members in a facility with mental health-related needs; medication dispenser with reminders; $150/quarter OTC allowance for items from a CVS catalog; Friendly Helper visits and help with everyday tasks; six-month caregiver education and coaching program; $0 copay for Part D medications; one $50 reward card upon completion of a comprehensive medication review. Additional benefits for members with certain chronic health conditions – 6 round-trip rides per month for grocery shopping; $260 per quarter allowance to help pay utility bills and rent; 12 weeks of meals and food for chronic conditions; blood pressure monitoring service; caregiver emergency care planning; 1 animatronic pet for members with a cognitive impairment. |
HealthPartners
New member enrollment: 877-713-8215
Customer service: 888-820-4285
TTY: 711
Website: healthpartners.com/msho
HealthPartners MN Senior Health Options MSHO
H2422-002
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are age 65 and older; eligible for Medical Assistance and Medicare Parts A and B; and live in the service area. |
| Travel coverage | No coverage outside the U.S. |
| Dental | In-Network: $0 copay/Medicare or Medicare Assistance-covered dental benefits, offers additional comprehensive dental benefits Out-of-Network: Not covered, except in limited situations |
| Vision | $0 copay/Medicare and Medicare Assistance-covered services |
| Hearing | $0 copay/Medicare and Medicare Assistance-covered services |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | In-Network: Contact Member Services for information on additional available benefits services |
Humana
New member enrollment: 833-991-1151
Customer service: 800-457-4708
TTY: 711
Website: https://www.humana.com/medicare/medicare-advantage-plans/humana-special-needs/c-snp
HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-415
Advantage PPO-Chronic Special Needs Plan
Monthly Premium: $44.80
| Enrollment requirements | Limited to individuals that have diabetes mellitus, cardiovascular disorders, or chronic heart failure. |
| Travel coverage | $0 copay/plan approved location up to 24 one-way trip(s) per year by car, rideshare services, van, wheelchair access vehicle. This benefit is not to exceed 25 miles per trip. |
| Dental | 20% coinsurance/Medicare-covered In- and Out-of-Network: $0 copayment for scaling and root planing (deep cleaning) up to 1 per quadrant every 3 years. $0 copayment for comprehensive oral evaluation or periodontal exam, occlusal adjustment, scaling for moderate inflammation up to 1 every 3 years. $0 copayment for bridge recementation, bridges-pontic, complete dentures, crown recementation, panoramic film or diagnostic x-rays, partial dentures up to 1 every 5 years. $0 copayment for bridges-crown up to 2 every 5 years. $0 copayment for crown, other restorative services - core buildup and prefabricated post and core, root canal, root canal retreatment up to 1 per tooth per lifetime. $0 copayment for bitewing x-rays, intraoral x-rays up to 1 set(s) per year. $0 copayment for adjustments to dentures, denture rebase, denture reline, denture repair, emergency diagnostic exam, tissue conditioning up to 1 per year. $0 copayment for emergency treatment for pain, oral surgery, periodic oral exam, prophylaxis (cleaning) up to 2 per year. $0 copayment for periodontal maintenance up to 4 per year. $0 copayment for amalgam and/or composite filling, necessary anesthesia with covered service, simple or surgical extraction up to unlimited per year. $3,000 combined maximum benefit coverage amount per year for all diagnostic/preventive and comprehensive benefits. Note: Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions. |
| Vision | $0 copayment for routine exam up to 1 per year. $40 combined maximum benefit coverage amount per year for routine exam. $350 maximum benefit coverage amount per year for contact lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames or $400 maximum benefit coverage amount per year at PLUS Provider for contact lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames. Eyeglass lens options may be available with the maximum benefit coverage amount up to 1 pair per year. Maximum benefit coverage amount is limited to one time use per year. |
| Hearing | $0 copayment for routine hearing exams up to 1 per year. $0 copayment for follow-up provider visits up to unlimited per year. $199 copayment for each Advanced level hearing aid up to 1 per ear per year. $499 copayment for each Premium level hearing aid up to 1 per ear per year. Note: Includes 80 batteries per aid and 3 year warranty. Unlimited follow-up provider visits during first year following TruHearing hearing aid purchase. |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0/tiers 1&6, $590/tiers 2-5 |
| Discounts & programs | In-Network: Go365 by Humana Rewards, meal benefit |
Itasca Medical Care (IMCare)
New member enrollment: 800-843-9536
Customer service: 800-843-9536
TTY: 800-627-3529
Website: imcare.org
Itasca Medical Care IM Classic MSHO
H2417-001
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are age 65 and older, enrolled in Medical Assistance with both Medicare Part A and Part B and live in the service area |
| Travel coverage | Covered |
| Dental | Covered, no copays, standard coinsurance |
| Vision | Covered, no copays, standard coinsurance |
| Hearing | Covered, no copays, standard coinsurance |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | Fitness benefits, Medical safety devices, Health education and promotion programs, Medication storage devices, expanded dental benefits, additional over the counter (OTC) benefits, grocery benefit |
Medica
New member enrollment: 800-918-2416
Customer service: 866-269-6804
TTY: 711
Website: medica.com/medicare
Medica AccessAbility Solution Enhanced SNBC
H9952-001
Advantage HMO-Special Needs Plan <65
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are ages 18-64, enrolled in Medical Assistance with both Medicare Part A and Part B, live in the service area, and are certified disabled |
| Travel coverage | Does not apply |
| Dental | In-Network: $0 copay/Medicare or Medicare Assistance-covered dental benefits Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care Note: $0 copay/enhanced dental services, 1 additional dental exam each year in addition to the one covered by Medical Assistance, 1 full mouth x-ray per 5 years, 1 outreach call per year from a trained Delta Dental staff to educate on oral health and assist to schedule a dental visit. |
| Vision | In-Network: $0 copay/Medicare or Medicare Assistance-covered services Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care Note: $0 copay/covered eyewear upgrade of an anti-glare lens coating on up 2 lenses per 24 months |
| Hearing | In-Network: $0 copay/Medicare or Medicare Assistance-covered services Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care |
| Medicare Part D coverage | Yes, $0/$1.60/$4.90 per generic prescriptions, $0/$4.80/$12.15 per brand prescriptions. If you enroll in a separate Medicare Part D stand-alone plan you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | $0 copay/all additional benefits: personalized telephonic tobacco cessation coaching to include home-delivered nicotine replacement therapy, 24/7 HealthAdvocate telephonic support service, Ovia Health digital applications to support pregnancy, Healthy Savings $40 combined monthly allowance for over-the-counter items and/or fitness expenses, Reemo personalized smartwatch that only tracks steps and heart rate. |
Medica DUAL Solution MSHO
H2458-002
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are age 65 and older, enrolled in Medical Assistance with both Medicare Part A and Part B and live in the service area |
| Travel coverage | Does not apply |
| Dental | In-Network: $0 copay/Medicare or Medicare Assistance-covered dental benefits Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care Note: $0 copay/enhanced dental services, 1 additional dental exam each year in addition to the one covered by Medical Assistance, 1 full mouth x-rays per 5 years, 1 outreach call per year from a trained Delta Dental staff to educate on oral health and assist to schedule a dental visit. |
| Vision | In-Network: $0 copay/Medicare or Medicare Assistance-covered services Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care Note: $0 copay/covered eyewear upgrade of an anti-glare lens coating on up two lenses per 24 months |
| Hearing | In-Network: $0 copay/Medicare or Medicare Assistance-covered services Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically-necessary care |
| Medicare Part D coverage | Yes, $0 for all covered Part D drugs. If you enroll in a separate Medicare Part D stand-alone plan you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | $0 copay/all additional benefits: One Pass fitness center membership with additional online resources to include CogniFit memory fitness program and available home fitness kit, a Reemo personalized smartwatch that only tracks steps and heart rate, Healthy Savings $60 combined monthly allowance for over-the-counter items and/or fitness expenses, telephonic tobacco cessation coaching, 24/7 HealthAdvocate telephonic support service, LSS hospital readmission prevention program, Healthy Savings $110 combined monthly allowance for healthy foods and/or utility bill payment assistance. |
PrimeWest Health
See each plan for contact information.
Prime Health Complete
H2926-001
Advantage HMO-Special Needs Plan <65
Monthly Premium: $0
New member enrollment: 877-600-4913
Customer service: 877-600-4913
TTY: 800-627-3529
Website: primewest.org/phc
| Enrollment requirements | Participation in the program is limited to people who are ages 18 - 64, enrolled in Medical Assistance with both Medicare Part A and Part B, live in the service area, and are certified disabled. |
| Travel coverage | Except for emergency or urgent care, services received out-of-network are not covered without a plan authorization; no coverage outside the U.S. |
| Dental | In-Network: $0 copay/Medicare- or Medical Assistance-covered dental services. As a supplemental benefit, one porcelain crown per calendar year up to a limit of $1,500 is covered. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Vision | In-Network: $0 copay/Medicare- or Medical Assistance-covered services. Plan authorization may be required. As a supplemental benefit, polarization, tints, scratch-resistant coating, and antiglare coating with a limit of $150 per year is covered, as well as $300 for progressive lenses. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Hearing | In-Network: $0 copay/Medicare- or Medical Assistance-covered services. Plan authorization may be required for hearing aids. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Medicare Part D coverage | Yes. $0 copay for all covered Part D drugs. If you enroll in a separate Part D stand-alone plan, you will be disenrolled from this health plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | $0 copay/all additional benefits: $80 per month healthy food and OTC allowance. Gym membership reimbursement up to $30 per month. Home and bathroom safety devices/modifications up to $3,000 per year. PERS for members with history/risk of falls who do not meet nursing home level of care. Home-delivered meals* for members with diabetes and/or heart failure during a 6-month period. 14 days of home-delivered meals following discharge to home/homelike setting from surgery or inpatient hospitalization; limited to 4 discharges and $420 per year. Non-medical and non-emergency common carrier transportation up to 60 round trip miles per day to fitness centers, AA, and NA. *Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact PrimeWest Health. |
PrimeWest Senior Health Complete
H2416-001
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
New member enrollment: 800-366-2906
Customer service: 800-366-2906
TTY: 800-627-3529
Website: primewest.org/pwshc
| Enrollment requirements | Participation in the program is limited to people who are age 65 or over, enrolled in Medical Assistance with both Medicare Part A and Part B, and live in the service area. |
| Travel coverage | Except for emergency or urgent care, services received out-of-network are not covered without a plan authorization; no coverage outside the U.S. |
| Dental | In-Network: $0 copay/Medicare- or Medical Assistance-covered dental services. As a supplemental benefit, one additional replacement set of dentures every 6 years and one porcelain crown per calendar year up to a limit of $1,500 are covered. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Vision | In-Network: $0 copay/Medicare- or Medical Assistance-covered services. Plan authorization may be required. As a supplemental benefit, polarization, tints, scratch-resistant coating, and antiglare coating with a limit of $150 per year is covered, as well as $300 for progressive lenses. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Hearing | In-Network: $0 copay/Medicare- or Medical Assistance-covered services. Plan authorization may be required for hearing aids. Out-of-Network: Requires plan authorization unless a medical emergency, urgently needed service, or a network provider cannot provide the medically necessary care. |
| Medicare Part D coverage | Yes. $0 copay for all covered Part D drugs. If you enroll in a separate Part D stand-alone plan, you will be disenrolled from this health plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | $0 copay/all additional benefits: $204 per month healthy food and OTC allowance. Gym membership reimbursement up to $30 per month. Home and bathroom safety devices/modifications up to $3,000 per year. PERS for members with history/risk of falls who do not meet nursing home level of care. Home-delivered meals* for members with diabetes and/or heart failure during a 6-month period. 14 days of home-delivered meals following discharge to home/homelike setting from surgery or inpatient hospitalization; limited to 4 discharges and $420 per year. Non-medical and non-emergency common carrier transportation up to 60 round trip miles per day to fitness centers, AA, and NA. Animatronic pets* for people with Alzheimer’s disease or related dementias. *Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact PrimeWest Health. |
South Country Health Alliance
New member enrollment: 866-567-7242
Customer service: 866-567-7242
TTY: 800-627-3529
Website: mnscha.org
AbilityCare SNBC
H5703-001
Advantage HMO-Special Needs Plan <65
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are under age 65, enrolled in Medical Assistance with both Medicare Part A and Part B, live in the service area, and are certified disabled. |
| Travel coverage | Except for emergency or urgent care, services received out-of-network are not covered without a prior authorization, no coverage outside the U.S. |
| Dental | $0 copay/Medicare- or Medicare Assistance-covered dental services, prior authorization may be required. Plan covers 1 annual porcelain dental crown upon medical necessity. |
| Vision | $0 copay/Medicare- or Medicare Assistance-covered vision services, eye exams, eyeglasses (including repairs and replacement for loss, theft or damage) and more. South Country will pay for any combination of lens upgrades such as anti-glare coating, photochromatic lens tinting, or progressive lenses up to $148.80. |
| Hearing | $0 copay/Medicare- or Medicare Assistance-covered hearing services, hearing and balance tests, plan authorization required for hearing aids |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. Copays are waived for Part D prescription drugs for 2025. |
| Medicare Part D deductible | $0 |
| Discounts & programs | In-Network: BeActive Fitness Program’s $40 discount on monthly health club member ship fees, 24-hour nurse advice line, up to $15 off the registration fee for up to 5 community education classes per year, tobacco cessation assistance, rewards program for preventive care, 2 daily home delivered meals for up to 89 days after hospitalization or rehab stay at nursing facility (only eligible if not covered under another waiver program), personal emergency response system coverage for non-waivered members or whose waiver benefits have reached budget cap (no annual maximum), $1,000 home and safety benefit for equipment or modifications that promote safe independent living and are not covered by a waiver program, quarterly grocery assistance program of $210 for members to purchase healthy foods from select retailers. |
SeniorCare Complete MSHO
H2419-001
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are age 65 and older, enrolled in Medical Assistance with both Medicare Part A and Part B and live in the service area. |
| Travel coverage | Except for emergency or urgent care, services received out-of-network are not covered without a prior authorization, no coverage outside the U.S. |
| Dental | $0 copay/Medicare- or Medicare Assistance-covered dental services, prior authorization may be required. Plan covers 1 annual porcelain dental crown upon medical necessity. |
| Vision | $0 copay/Medicare- or Medicare Assistance-covered vision services, eye exams, eyeglasses (including repairs and replacement for loss, theft or damage) and more. South Country will pay for any combination of lens upgrades such as anti-glare coating, photochromatic lens tinting, or progressive lenses up to $148.80. |
| Hearing | $0 copay/for Medicare- or Medicare Assistance-covered hearing services, hearing and balance tests, plan authorization required for hearing aids |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. Copays are waived for Part D prescription drugs for 2025. |
| Medicare Part D deductible | $0 |
| Discounts & programs | In-Network: BeActive Fitness Program’s $40 discount on monthly health club member ship fees, 24-hour nurse advice line, up to $15 off the registration fee for up to 5 community education classes per year, tobacco cessation assistance, rewards program for preventive care, 2 daily home delivered meals for up to 85 days after hospitalization or rehab stay at nursing facility (only eligible if not covered under another waiver program), personal emergency response system coverage for non-waivered members or whose waiver benefits have reached budget cap (no annual maximum), $1,000 home and safety benefit for equipment or modifications that promote safe independent living and are not covered by a waiver program, quarterly grocery assistance program of $130 for members to purchase healthy foods from select retailers. |
UCare
New member enrollment: 800-707-1711
Customer service: 855-260-9707
TTY: 800-688-2534
Website: ucare.org
UCare Connect + Medicare SNBC
H5937-001
Advantage HMO-Special Needs Plan <65
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are between the ages of 18 and 65, enrolled in Medical Assistance with both Medicare Part A and Part B, live in the service area, and are certified disabled |
| Travel coverage | Does not apply |
| Dental | In-Network: $0 copay/Medicare or Medical Assistance-covered services, plan offers additional dental benefits, porcelain fused to high noble metal crown (2/year), 1 crown repair/year, electric toothbrush (1 every 3 years), electric toothbrush replacement heads (1 package of 2/year), UCare Dental Connection provides coordination of dental services, transportation and interpreter services; Out-of-Network: Medicare or Medical Assistance-covered services that cannot be provided within network will be covered |
| Vision | In-Network: $0 copay/exams, eyeglasses, anti-glare lens coating, 1/year; photochromic (“transition”) lens tinting, 1/year; progressive (no-line) lenses, 1/year. Eyewear upgrade replacement for loss, theft or damage 1/year; and more |
| Hearing | In-Network: $0 copay/hearing screenings and hearing aids Out-of-Network: Medicare or Medicare Assistance-covered services that cannot be provided within network will be covered |
| Medicare Part D coverage | Yes. All Medicare Part D copays are eliminated. If you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | In-Network: Activity Tracker (includes PERS functionality) with 24/7 call-for-help, step and heart rate tracking and built-in GPS, 1/year, Activity Tracker Blood Pressure monitor plan covers 1/year for members with hypertension diagnosis and must be Activity Tracker user, OTC $60/quarter allowance for purchase of select OTC items in-store, online or by phone; $100 quarterly allowance to use for community education classes; One Pass access to more than 23,000 participating fitness locations, Connect to Wellness Kits; up to 3 round-trip rides/week to a participating health club, 1 round trip ride/day to Alcoholics Anonymous and/or Narcotics Anonymous meetings for members assessed as having a substance use disorder, up to 1 ride/week to participating healthy food allowance grocery stores for members with hypertension, diabetes, or lipid disorders, podiatry services for routine foot care (not related to a specific diagnosis already covered by Medicare) limits apply, quit smoking and vaping program, Healthy Food $75 monthly allowance for purchase of healthy foods and produce at participating stores for members with hypertension, diabetes or lipid disorders, medication toolkit, Therapeutic Massage 6 visits/year for members with back pain, neck and shoulder pain, headache, carpal tunnel syndrome, osteoarthritis, and fibromyalgia; Caregiver training and support; Post discharge community healthworker visits. |
UCare's Minnesota Senior Health Options MSHO
H2456-002
Advantage HMO-Special Needs Plan 65+
Monthly Premium: $0
| Enrollment requirements | Participation in the program is limited to people who are age 65 and older, enrolled in Medical Assistance with both Medicare Part A and Part B and live in the service area |
| Travel coverage | Does not apply |
| Dental | In-Network: $0 copay/Medicare or Medical Assistance-covered dental services. The plan contains additional benefits, 2 porcelain fused to high noble metal crowns/year, 1 crown repair/year, 1 electric toothbrush/three years, 1 package of 2 electric toothbrush replacement heads/calendar year; UCare Dental Connection provides coordination of dental services, transportation and interpreter services; Out-of-Network: Medicare or Medical Assistance-covered services that cannot be provided within network will be covered. |
| Vision | In-Network: $0 copay/exams, eyeglasses, anti-glare lens coating, 1/year; photochromic (“transition”) lens tinting, 1/year; progressive (no-line) lenses, 1/year. Eyewear upgrade replacement for loss, theft or damage 1/year; and more |
| Hearing | In-Network: $0 copay/hearing screenings, hearing aids Out-of-Network: Medicare or Medicare Assistance-covered services that cannot be provided within network will be covered |
| Medicare Part D coverage | Yes. All Medicare Part D copays are eliminated. If you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0 |
| Discounts & programs | OTC $70/quarter for purchase of select OTC items in-store, online or by phone, One Pass access to fitness locations, Juniper health management and wellness classes, smartwatch – activity tracker, Strong & Stable Kit, medication tool kit, $100 quarterly allowance to use for community education classes, quit smoking and vaping program, post-hospital discharge meals, medication reconciliation, caregiver training and support, $55/month for payment of utility bills, $75 Healthy Food monthly allowance, rides to Healthy Food Allowance participating grocery stores, memory support kit, Grandpad electronic tablet, activity tracker, blood pressure monitor, stress & anxiety kit, bath and home safety items, PERS and PERS replacement, Therapeutic Massage 6 visits/year, Additional acupuncture up to 12 visits/year, Up to 12 additional routine chiropractic visits per year for members with musculoskeletal disorder; Post discharge community healthworker visits. |
UCare Advocate Choice
H2459-031
Advantage HMO-Special Needs Plan Institutional
Monthly Premium: $0
| Enrollment requirements | Have Medicare Part A and Part B; live in a participating nursing facility within the service area; receive or qualify for a nursing-home level of care in a skilled nursing, assisted living or memory care facility |
| Travel coverage | Does not apply |
| Dental | Up to $1,325/year for medically-necessary non-cosmetic, nonexperimental dental services not covered by Medicare |
| Vision | 20% coinsurance/Medicare-covered exams; $0 copay/routine eye exam; $200 annual eyewear allowance |
| Hearing | Hearing exams 20% coinsurance/Medicare-covered exams; $0 copay/routine exams; $400 hearing aid allowance; $0 copay/unlimited fittings per year |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0/tier 1&2, $125/tiers 3-5 |
| Discounts & programs | $500 transportation allowance per year to approved locations within service area; over-the-counter drug benefit of $75 twice a year to purchase items such as cough drops, first aid supplies, pain relief and sinus medications; no-cost dental kit with an electric toothbrush/3 years and 2 replacement heads per year; telemonitoring scale for members with CHF; Strong & Stable fall prevention kit; GrandPad electronic tablet for members with depression, Memory Support kit for members with dementia, Caregiver training and support. |
UCare Advocate Plus
H2459-032
Advantage HMO-Special Needs Plan Institutional
Monthly Premium: $15
| Enrollment requirements | Have Medicare Part A and Part B; live in a participating nursing facility within the service area; Receive or qualify for a nursing-home level of care in a skilled nursing, assisted living or memory care facility |
| Travel coverage | Does not apply |
| Dental | Up to $1,125/year for medically-necessary non-cosmetic, nonexperimental dental services not covered by Medicare |
| Vision | 20% coinsurance/Medicare-covered exams; $0 copay/routine eye exam; $225 annual eyewear allowance |
| Hearing | Hearing exams 20% coinsurance/Medicare-covered exams; $0 copay/routine exams; $550 hearing aid allowance; $0 copay/unlimited fittings per year |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. |
| Medicare Part D deductible | $0/all tiers |
| Discounts & programs | $500 transportation allowance per year to approved locations within service area; over-the-counter drug benefit of $75 twice a year to purchase items such as cough drops, first aid supplies, pain relief and sinus medications; no-cost dental kit with an electric toothbrush/3 years and 2 replacement heads per year; Strong & Stable fall prevention kit, telemonitoring scale for members with CHF, unlimited routine foot care (does not require a specific diagnosis); GrandPad electronic tablet for members with depression, Memory Support kit for members with dementia, Caregiver training and support. |
UnitedHealthcare
See each plan for plan phone numbers.
TTY: 711
Website: UHC.com/Medicare
UnitedHealthcare and Minnesota health care programs
As of January 1, 2025, UnitedHealthcare can no longer participate in the Minnesota health care programs including Medical Assistance, MSHO and Special Needs Plans. People on these programs and are enrolled in UnitedHealthcare will need to make a new plan choice. They will receive notices from DHS about this change. If someone does not choose a new plan, they will automatically be enrolled into a different plan.
UHC Nursing Home Plan MN-F001
H0710-041
Advantage PPO-Special Needs Plan Institutional
Monthly Premium: $38.30
New member enrollment: 855-544-4342
Customer service: 844-867-3487
| Enrollment requirements | Institutional Special Needs Plan designed specifically for people who live in a contracted institution for 90 days or longer |
| Travel coverage | Not covered |
| Dental | In and out-of-network: $0 copay for exams, cleanings, X-rays and fluoride: 50% coinsurance on dentures and bridges, $0 copay for all other covered comprehensive services: $3,250 combined limit on all covered dental services |
| Vision | Routine Eye Exam: In-Network: $0 copay, 1 per year Out-of-Network: 30% coinsurance, 1 per year Routine Eyewear: In and out-of-network: $0 copay; Plan pays up to $300 every year toward your purchase of 1 pair of frames (with standard lenses covered in full) or contact lenses (fitting and evaluation may be an additional cost) through network providers. |
| Hearing | Routine Hearing Exam: In-Network: $0 copay, 1 per year Out-of-Network: 30% coinsurance, 1 per year Hearing Aids: In and out-of-network: Plan pays up to $2,500 every year for 2 hearing aids from network providers. |
| Medicare Part D coverage | Yes, if you enroll in a separate Medicare Part D stand-alone plan, you will be disenrolled from this plan. $35 cap/month on insulins available on the plan formulary. |
| Medicare Part D deductible | $590 |
| Discounts & programs | $355/quarter for OTC products, amount expires annually; Personal Emergency Response System (PERS) devices and fitness trackers available through a member discount |
UHC Complete Care MN-7
H2001-133
Advantage PPO-Chronic Special Needs Plan
Monthly Premium: $0
New member enrollment: 800-555-5757
Customer service: 844-867-3487
| Enrollment requirements | Limited to individuals that have one or more of the following conditions: Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. |
| Travel coverage | Access to UnitedHealthcare® Medicare National Network |
| Dental | In and out-of-network: $0 copay for exams, cleanings, X-rays and fluoride: 50% coinsurance on dentures and bridges, $0 copay for all other covered comprehensive services: $1,500 combined limit on all covered dental services |
| Vision | Routine Eye Exam: In-Network: $0 copay, 1 per year Out-of-Network: $0 copay, 1 per year Routine Eyewear: In and out-of-network: $0 copay; Plan pays up to $250 every 2 years toward your purchase of 1 pair of frames (with a $0 copay for standard lenses and a $40 - $153 copay for other covered lenses) or contact lenses (fitting and evaluation may be an additional cost) through network providers. |
| Hearing | Routine Hearing Exam: In-Network: $0 copay, 1 per year Out-of-Network: $0 copay, 1 per year Hearing Aids: In and out-of-network: $99 - $829 copay for each OTC hearing aid. $199 - $1,249 copay for each prescription hearing aid. Limited to 2 devices every year. |
| Medicare Part D coverage | Yes, if you enroll in a separate Part D stand-alone plan, you will be disenrolled from this health plan. |
| Medicare Part D deductible | $0/tiers 1&2, $340/tiers 3-5 |
| Discounts & programs | Virtual medical and mental health visits; meal benefit package; fitness program; $45/month over-the-counter and food allowance combined credit; Personal Emergency Response System (PERS) devices and fitness trackers available through a member discount |
UHC Complete Care MN-8
H2001-134
Advantage PPO-Chronic Special Needs Plan
Monthly Premium: $46.40
New member enrollment: 800-555-5757
Customer service: 844-867-3487
| Enrollment requirements | Limited to individuals that have one or more of the following conditions: Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. |
| Travel coverage | Access to UnitedHealthcare® Medicare National Network |
| Dental | In and out-of-network: $0 copay for exams, cleanings, X-rays and fluoride: 50% coinsurance on dentures and bridges, $0 copay for all other covered comprehensive services: $1,000 combined limit on all covered dental services |
| Vision | Routine Eye Exam: In-Network: $0 copay, 1 per year Out-of-Network: $0 copay, 1 per year Routine Eyewear: In and out-of-network: $0 copay; Plan pays up to $300 every 2 years toward your purchase of 1 pair of frames (with a $0 copay for standard lenses and a $40 - $153 copay for other covered lenses) or contact lenses (fitting and evaluation may be an additional cost) through network providers. |
| Hearing | Routine Hearing Exam: In-Network: $0 copay, 1 per year Out-of-Network: $0 copay, 1 per year Hearing Aids: In and out-of-network: $99 - $829 copay for each OTC hearing aid. $199 - $1,249 copay for each prescription hearing aid. Limited to 2 devices every year. |
| Medicare Part D coverage | Yes, if you enroll in a separate Part D stand-alone plan, you will be disenrolled from this health plan. |
| Medicare Part D deductible | $590 all tiers |
| Discounts & programs | Virtual medical and mental health visits; meal benefit package; fitness program; $90/month over-the-counter and food allowance combined credit; Personal Emergency Response System (PERS) devices and fitness trackers available through a member discount |
UHC Complete Care Support FG-5
H2001-135
Advantage PPO-Chronic Special Needs Plan
Monthly Premium: $36.60
New member enrollment: 800-555-5757
Customer service: 844-867-3487
| Enrollment requirements | Limited to individuals that have one or more of the following conditions: Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. |
| Travel coverage | Access to UnitedHealthcare® Medicare National Network |
| Dental | In and out-of-network: $0 copay for exams, cleanings, X-rays and fluoride Dental Platinum Rider available for an additional $54/month. See Evidence of Coverage for details. |
| Vision | Routine Eye Exam: In-Network: $0 copay, 1 per year Out-of-Network: $0 copay, 1 per year Routine Eyewear: In and out-of-network: $0 copay; Plan pays up to $250 every 2 years toward your purchase of 1 pair of frames (with a $0 copay for standard lenses and a $40 - $153 copay for other covered lenses) or contact lenses (fitting and evaluation may be an additional cost) through network providers. |
| Hearing | Routine Hearing Exam: In-Network: $0 copay, 1 per year Out-of-Network: $65 copay, 1 per year Hearing Aids: In and out-of-network: $99 - $829 copay for each OTC hearing aid. $199 - $1,249 copay for each prescription hearing aid. Limited to 2 devices every year. |
| Medicare Part D coverage | Yes, if you enroll in a separate Part D stand-alone plan, you will be disenrolled from this health plan. |
| Medicare Part D deductible | $590 all tiers |
| Discounts & programs | Virtual medical and mental health visits; meal benefit package; fitness program; $63/month over-the-counter and food allowance combined credit; Personal Emergency Response System (PERS) devices and fitness trackers available through a member discount |