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HealthPartners Glory (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HealthPartners Glory (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HealthPartners Glory (PPO) in 2025, please refer to our full plan details page.
HealthPartners Glory (PPO) is a PPO plan offered by HealthPartners, Inc. available for enrollment in 2025 to people living in Northeastern Wisconsin including Door County. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that HealthPartners Glory (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HealthPartners Glory (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 Glory (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $59.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $6500.00 (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 $6500.00 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:
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Drug Coverage
Prescription drugs are not covered by HealthPartners Glory (PPO).
Additional Benefits
The HealthPartners Glory (PPO) plan offers a range of benefits, including inpatient hospital stays with a $300 copay for the first six days, and then no copay for the rest of the stay. Outpatient services have varying copays, such as $375 for hospital services, and $30 for substance abuse sessions. The plan also covers primary care visits with a $20 copay for chiropractic services, and a $40 copay for specialist visits. Additional benefits include coverage for ambulance services with a $300 copay, emergency services with a $125 copay, and vision services like eye exams with a $40 copay. Dental services include a $40 copay for Medicare dental services. The plan also covers hearing exams with a $40 copay, and offers coverage for prescription hearing aids with copays ranging from $499 to $999.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a $300 copay for days 1-6, and no copay for days 7-90. Additional days for both are covered, and Non-Medicare-covered stays and Upgrades are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a $375 copay, Observation Services with a $300 copay, Ambulatory Surgical Center (ASC) Services with a $275 copay, Outpatient Substance Abuse Services with a $30 copay for both individual and group sessions, and Outpatient Blood Services. This plan also waives the three-pint deductible for blood services.
Partial Hospitalization See details
Partial Hospitalization is covered under the HealthPartners Glory (PPO) plan, with a copay of $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services, offered by HealthPartners Glory (PPO), includes coverage for both ground and air ambulance services with a $300 copay, and no coinsurance. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the HealthPartners Glory (PPO) plan. Emergency Services have a $125 copay, Urgently Needed Services have a $40 copay, and Worldwide Emergency Coverage has a $125 copay, Worldwide Urgent Coverage has a $40 copay, and Worldwide Emergency Transportation has a $300 copay.
Primary Care See details
The HealthPartners Glory (PPO) plan covers primary care physician services, chiropractic services with a $20 copay, occupational therapy services with a $35 copay, physician specialist services with a $40 copay, mental health specialty services with a $30 copay for individual and group sessions, physical therapy and speech-language pathology services with a $35 copay, additional telehealth benefits with a $0-$40 copay, and opioid treatment program services. Podiatry services are not covered.
Preventive Services See details
The HealthPartners Glory (PPO) plan covers preventive services, including annual physical exams, with no copay. Additional preventive services are partially covered, but health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss, weight management programs, alternative therapies, therapeutic massage, adult day health services, home-based palliative care, in-home support services, support for caregivers of enrollees, and enhanced disease management are not covered.
Hearing Services See details
Hearing services include routine hearing exams with a $40 copay, and fitting/evaluation for hearing aids. Prescription hearing aids (all types) are covered with a copay between $499 and $999, while prescription hearing aids for the inner, outer and over the ear are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision services under HealthPartners Glory (PPO) include eye exams with a $40 copay, routine eye exams (1 every year), and eyewear including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades, all of which are unlimited.
Dental Services See details
The HealthPartners Glory (PPO) plan covers Medicare Dental Services with a $40 copay, and other dental services including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services. This plan also covers Periodontics, but does not cover Restorative Services, Adjunctive General Services, Endodontics, Prosthodontics (removable and fixed), Maxillofacial Prosthetics, Implant Services, Oral and Maxillofacial Surgery, or Orthodontics. There is a maximum benefit of $1000 per year for both in-network and out-of-network services.
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. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the HealthPartners Glory (PPO) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, and Medical Supplies with 20% coinsurance. Durable Medical Equipment for use outside the home and Diabetic Supplies are not covered, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including all diagnostic and radiological services, are covered. Diagnostic Procedures/Tests have a copay of $50, and Lab Services have a coinsurance of at most 10%. Diagnostic Radiological Services have a copay of $250, while Therapeutic Radiological Services have a coinsurance of at most 20%, and Outpatient X-Ray Services have a copay of $25.
Home Health Services See details
Home Health Services are covered by the HealthPartners Glory (PPO) plan with no copay and no coinsurance. However, 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 Glory (PPO) plan. While the plan covers the benefit generally, it does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by HealthPartners Glory (PPO), with no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for Skilled Nursing Facility (SNF) are not covered.
Other Services See details
The HealthPartners Glory (PPO) plan covers acupuncture with a $40 copay, up to 20 treatments per year, and over-the-counter (OTC) items with a $75 maximum benefit every three months. The plan also covers a meal benefit for chronic illness, US emergency travel logistics, travel counseling, and treatment at the scene with a $300 copay. However, several other services are not covered.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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