2025: Providers not accepting specific Medicare Advantage Plans (as of 12/18/2024)
Provider name	Medicare Advantage plans NOT accepted	Areas primarily affected	More information
Allina Health	Humana	Statewide and also 18,000 enrollees	Allina Health - out of network
Avera Health	Humana	Southwest MN	Avera Health - out of network
Essentia Health Care System	Humana United Health Care **11/12/2024 Essentia Health Care System and United Health Care have reached an agreement.	Northern MN and Northern WI	Essentia Health Care - will not bill UHC enrollees that use Essentia Health providers can switch back to UHC for 2025 if they have already switched plans, as long as they enroll in the UHC plan on or before 12/7
M Health Fairview Health Care System	Aetna, Humana	Statewide	M Health Fairview - out of network
HealthPartners and Park Nicollet	United HealthCare ** 11/5/2024 HealthPartners and United HealthCare have reached an agreement.   **12/16/2024 HealthPartners providers will not participate with UCare. This applies only to clinics and physicians and not hospitals.  ***12/20/2024 UCare and HealthPartners reached an agreement. HealthPartners will now be in-network for UCare, so Medicare and Minnesota Health Care Programs (MHCP) members can continue seeing their HealthPartners provider in 2025.	Statewide	UHC enrollees that use HP providers, including Park Nicollet can switch back to UHC for 2025 if they have already switched plans, as long as they enroll in the UHC plan on or before 12/7   HealthPartners already does not bill Humana HealthPartners hospital - will not bill
Mayo Clinic	HealthPartners	Statewide	Mayo Clinic - out of network
North Memorial Medical Center	Humana	Primarily Metro area	North Memorial - out of network
Sanford Health	Humana	Western MN	Sanford Health - out of network

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Why are provider networks leaving these Medicare Advantage Plans? We can share just the facts as this information has already been shared by providers: 

• These Medicare Advantage plans have denied coverage for procedures that providers believe are medically necessary and should be covered. 
• Providers state that these Medicare Advantage plans are slow to pay claims, which is affecting the provider's financial health
• Providers state that payments to providers by these Medicare Advantage plans are less than they receive from other plans. 

Action to take: Advise people that:

• It is possible that plans are still negotiating with the providers to resolve the issues, but we do not know if this is happening for sure. As a result, beneficiaries should look at other plan options and enroll in the new plan if they want to continue to see their providers in 2025. 
• Senior LinkAge Line should not encourage people to wait until it gets close to the end of OEP to make a decision about changing plans so they can continue to see their current providers. 
• If a person enrolls in a new plan so they can see their providers and the plan resolves the issues with the providers after they have changed plans, it is possible for them to change back to their previous Medicare Advantage plan during the Medicare Advantage Open Enrollment Period, which is from January 1, 2025 through March 31, 2025. 
• A person does not have a special enrollment period if a provider leaves a Medicare Advantage Plan network. 

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