A non-government entity
HealthPartners Journey Steady (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HealthPartners Journey Steady (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HealthPartners Journey Steady (PPO) in 2025, please refer to our full plan details page.
HealthPartners Journey Steady (PPO) is a PPO plan offered by HealthPartners, Inc. available for enrollment in 2025 to people living in Metro and Central MN Counties. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that HealthPartners Journey Steady (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HealthPartners Journey Steady (PPO).
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 Journey Steady (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $146.00. 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 $300.00 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
This plan has a combined Maximum Out-Of-Pocket cost of $5100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $5100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for HealthPartners Journey Steady (PPO)
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
The HealthPartners Journey Steady (PPO) plan has a $300 deductible for prescription drugs. After meeting the deductible, you will pay a copay or coinsurance based on the drug tier and pharmacy type. For example, you will pay a $10 copay for preferred generic drugs at standard or mail-order pharmacies. For standard generic drugs, you will pay 20% coinsurance. For preferred brand drugs, you will pay 40% coinsurance. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for covered drugs.
Additional Benefits
The HealthPartners Journey Steady (PPO) plan provides coverage for a wide range of healthcare services. This plan includes coverage for inpatient hospital stays with a $200 copay per admission, outpatient services with varying copays, and emergency services with a $140 copay. This plan also offers benefits for primary care with no copay, hearing and vision services with copays, and dental services with a $1000 annual maximum. Other services like ambulance, home health, and skilled nursing facility services are covered with copays or coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For both acute and psychiatric services, there is a $200 copay per admission or stay. Additional days for both acute and psychiatric services are covered with no copay. Non-Medicare-covered stays and upgrades for acute services are not covered, and non-Medicare-covered stays for psychiatric services are not covered.
Outpatient Services See details
Outpatient services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient hospital services have a $200 copay, observation services have a $150 copay, ambulatory surgical center services have a $150 copay, and individual and group outpatient substance abuse sessions have a $25 copay.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the HealthPartners Journey Steady (PPO) plan, with prior authorization required for all ambulance services. Ground ambulance services have a $250 copay, while air ambulance services have a 20% coinsurance. Transportation Services to health-related locations are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the HealthPartners Journey Steady (PPO) plan. Emergency Services have a $140 copay, while Urgently Needed Services have a $30 copay, and neither have coinsurance. Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, have a 20% coinsurance.
Primary Care See details
The HealthPartners Journey Steady (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy with a $25 copay, physician specialist services with a $25 copay, mental health specialty services with a $25 copay for individual sessions and a $12.50 copay for group sessions, other healthcare professionals with a copay between $0 and $25, psychiatric services with a $25 copay for individual sessions and a $12.50 copay for group sessions, physical therapy and speech-language pathology services with a $25 copay, additional telehealth benefits with a copay between $0 and $25, and opioid treatment program services with a $25 copay. Routine chiropractic care and podiatry services are not covered.
Preventive Services See details
Preventive Services includes coverage for Medicare-covered preventive services with no copay, along with annual physical exams and other services not usually covered by Medicare plans. Some additional preventive services are not covered, including health education, in-home safety assessment, personal emergency response system, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, enhanced disease management, telemonitoring services, remote access technologies, home and bathroom safety devices and modifications, and counseling services.
Hearing Services See details
Hearing services for the HealthPartners Journey Steady (PPO) plan include hearing exams with a $25 copay. Prescription hearing aids (all types) are covered with a copay between $399 and $899, but prescription hearing aids for inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are also not covered.
Vision Services See details
Vision Services include eye exams with a $25 copay. Eyewear is covered with a combined maximum benefit of $250 every year for both in-network and out-of-network services, and also includes coverage for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades.
Dental Services See details
Dental Services are covered, with a maximum plan benefit of $1000 per year for both in-network and out-of-network services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), and fluoride treatment are covered with one visit per year, and other preventive dental services are covered with one visit every three years. Maxillofacial prosthetics and orthodontics are not covered, while restorative services, adjunctive general services, endodontics, prosthodontics (removable and fixed), implant services, and oral and maxillofacial surgery are offered as optional, supplemental benefits.
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. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For both 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 Journey Steady (PPO) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies has a 20% coinsurance, and Diabetic Equipment has a 20% coinsurance for Medicare-covered Diabetic Supplies and Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for Diagnostic Procedures/Tests with a $20 copay, and Diagnostic Radiological Services with a minimum $100 copay. Therapeutic Radiological Services have a 20% coinsurance, while Outpatient X-Ray Services have a $20 copay. Lab Services are not covered.
Home Health Services See details
Home Health Services are covered by the HealthPartners Journey Steady (PPO) 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 generally covered, but specific services including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered by the HealthPartners Journey Steady (PPO) plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the HealthPartners Journey Steady (PPO) plan. There is no copay for days 1-20, and a $214 copay for days 21-100, with no coinsurance. Additional days beyond Medicare-covered for Skilled Nursing Facility (SNF) and Non-Medicare-covered stays are not covered.
Other Services See details
The HealthPartners Journey Steady (PPO) plan covers acupuncture with a $25 copay, up to 20 treatments per year. The plan does not cover over-the-counter items, meal benefits, or several other services.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved