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.
Below are a few key facts and commonly-asked questions about HealthPartners Minnesota Senior Health Options (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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.
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 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, 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 is covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan, with a 20% coinsurance.
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 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 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.
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 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 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 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 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 are covered by the HealthPartners Minnesota Senior Health Options (HMO D-SNP) plan, with a coinsurance between 20% and 20%.
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 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 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 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) 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 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.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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