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HealthPartners Minnesota Senior Health Options (HMO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for HealthPartners Minnesota Senior Health Options (HMO D-SNP). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on HealthPartners Minnesota Senior Health Options (HMO D-SNP) in 2025, please refer to our full plan details page.

HealthPartners Minnesota Senior Health Options (HMO D-SNP) is a HMO D-SNP plan offered by HealthPartners, Inc. available for enrollment in 2025 to people living in Minneapolis/St. Paul Metro Area. This plan received an overall rating of 4 out of 5 stars in 2025.

It's important to know that HealthPartners Minnesota Senior Health Options (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Important:

HealthPartners Minnesota Senior Health Options (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about HealthPartners Minnesota Senior Health Options (HMO D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

  • First, the monthly premium — the amount you pay every month.
  • Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
  • Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
  • Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

For HealthPartners Minnesota Senior Health Options (HMO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $27.40. This is the amount you must pay every month.

This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.

Deductibles

This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.

This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.

Out-of-Pocket Maximums

We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of $0 (no copay) and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of $0 (no copay) and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $0 (no copay) and coinsurance of 20%. Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0 (no copay) and coinsurance of 20%. Coverage may vary for in-network and out-of-network hospitals.

Sign up for HealthPartners Minnesota Senior Health Options (HMO D-SNP)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, you will pay the costs for your drugs based on their tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, your Part D premium is $27.40. Once your yearly out-of-pocket drug costs reach $2000, you will enter the catastrophic coverage phase and pay nothing for your Part D covered drugs.

Additional Benefits IconAdditional Benefits

The HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan offers a variety of benefits, including coverage for inpatient and outpatient services, ambulance and emergency services, and primary care. Many services have a coinsurance of 20%, but some services, such as ambulance services and home health services, have no copay. This plan also covers preventive services, hearing and vision services, and dental services, with varying cost-sharing structures. Additionally, the plan provides coverage for home infusion, dialysis, medical equipment, and diagnostic services with a coinsurance. Other services, such as home health services and skilled nursing facilities, are covered with varying cost-sharing.

Inpatient Hospital See details

Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. The plan does not cover additional days for inpatient hospital-acute, non-Medicare-covered stays for inpatient hospital-acute, upgrades for inpatient hospital-acute, additional days for inpatient hospital psychiatric, and non-Medicare-covered stays for inpatient hospital psychiatric.

Outpatient Services See details

Outpatient Services, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, and Outpatient Substance Abuse Services, are covered with a 20% coinsurance for Outpatient Hospital Services, Observation Services, Individual Sessions for Outpatient Substance Abuse, and Group Sessions for Outpatient Substance Abuse. Outpatient Blood Services are not covered.

Partial Hospitalization See details

Partial Hospitalization is covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan, with a 20% coinsurance.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered, with no copay for ambulance services. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location are covered via rideshare services. Transportation services to any health-related location are not covered.

Emergency Services See details

Emergency Services are covered by HealthPartners Minnesota Senior Health Options (HMO D-SNP), with a 20% coinsurance, and no copay. Worldwide Emergency Services are not covered.

Primary Care See details

Primary Care services include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits and Opioid Treatment Program Services. Primary Care Physician Services, Physician Specialist Services, Physical Therapy, and Speech-Language Pathology Services have a 20% coinsurance. Chiropractic Services cover all services except routine care, which is not covered. Individual and Group Sessions for Mental Health and Psychiatric Services have a minimum and maximum coinsurance of 20%. Podiatry Services and Opioid Treatment Program Services have a minimum and maximum coinsurance of 20%. Routine Foot Care is covered.

Preventive Services See details

The HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan covers preventive services, though annual physical exams are not covered. Kidney Disease Education Services, Glaucoma Screenings, and Diabetes Self-Management Training have a 20% coinsurance, while other preventive services such as Barium Enemas, Digital Rectal Exams, and EKGs are covered with no coinsurance.

Hearing Services See details

Hearing services are partially covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan. Hearing exams are covered with at most 20% coinsurance, while routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids are not covered.

Vision Services See details

Vision Services include coverage for eye exams and eyewear, but routine eye exams, contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames are not covered. Eye exams and eyewear have a 20% coinsurance, and there is no deductible.

Dental Services See details

Dental Services are covered, including oral exams, fluoride treatments, restorative services, endodontics, and orthodontic services, with a service-specific out-of-pocket maximum of $2,500 per year for orthodontic services. Dental X-rays, prophylaxis (cleaning), adjunctive general services, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, but require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan, with a coinsurance between 20% and 20%.

Medical Equipment See details

Medical equipment is covered, with a 20% coinsurance for Durable Medical Equipment, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts. Durable Medical Equipment for use outside the home is not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered, with no copay. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 0%.

Home Health Services See details

Home Health Services are covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan. Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are also not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered days or non-Medicare-covered stays. The cost share for SNF services is the Medicare-defined cost share for tier 1, and there is a copay.

Other Services See details

Other Services includes coverage for Over-the-Counter (OTC) items, with a maximum benefit of $75.00 every three months, but does not cover acupuncture, meal benefits, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, or Self-Directed Personal Assistance Services. This plan does not cover all drugs on the CMS OTC list.

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