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Explore Health Partners Medicare Special

Health Partners Medicare Special is the perfect choice if you have Medicare and full Medicaid health coverage. You get medical and prescription drug coverage plus extra benefits not covered by Original Medicare. Cost sharing depends on your Medicaid category and level of Extra Help.

Benefit/Service

Health Partners Medicare Special
(HMO SNP)

Original Medicare

Primary Care Provider (PCP) Visit

0% or 20%

20%

Specialist Visit

0% or 20%

20%

Prescription Drugs (for each 30-day supply during initial coverage period)

$0 or $415 deductible

$0, $1.25 or $3.40 for generic drugs

$0, $3.80 or $8.50 for all other drugs

Not covered

Over-the-counter Health Items

$50 monthly allowance for selected items

Not covered

Diagnostic Testing and Lab Services

0% or 20%

20%

Emergency Room

0% or 20%
(up to $120)

20% coinsurance

Fitness

Free annual membership or Home Fitness Kit

Not covered

Transportation (Routine)

60 trips covered annually

Not covered

Chiropractic

$0 copay for up to 20 routine visits

Routine care not covered

Dental Care

$0 copay for two routine exams and cleanings; $3,000 supplemental allowance

Routine care not covered

Hearing Services

$0 copay for routine annual exam, plus $1,000 hearing aid allowance every 3 years

Routine care and hearing aids not covered

Podiatry

$20 copay for up to 4 visits

Routine care not covered

Vision Services

$0 copay for one routine exam yearly, plus eyeglasses or contact lenses (up to $200 every year)

Routine services not covered

Ready to talk with a licensed benefit advisor?

We’re happy to explain plan benefits in detail. Just call us at 1-866-901-8000 (TTY 711). You can call 8 a.m. – 8 p.m., seven days a week, from October 1 through March 31. Call 8 a.m. – 8 p.m., Monday – Friday, the rest of the year.

Or if it’s more convenient, use the links below to schedule a home visit or phone call:

Want to kick the tires a bit more before we talk? Get more details using the information and tools linked below.

 

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