- Access more than 32,000 providers in the Freedom plan network, including Allina, Park Nicollet, Fairview and HealthPartners clinics and hospitals.
- Get generous travel coverage for up to nine months each year in the U.S. with the same benefits as if you were home. Plus, coverage for emergency and urgent care worldwide!
- Stay healthy with our new fitness program Silver&Fit®, plus get healthy discounts* at more than 40 retailers nationwide.
View the 2012 HealthPartners® Freedom Options brochure for more detailed benefits and plan information (36 pages).
Freedom Basic (Cost) Choose this plan | Freedom Vital (Cost) | Freedom Balance(Cost)Choose this plan | Freedom Ultimate(Cost)Choose this plan | |
|---|---|---|---|---|
Monthly premium | $45 | $53 | $93 | $138 |
Monthly premium with Rx | Rx not offered | $60.20 See Part D information | $102.80 See Part D information | $162.90; Enhanced Rx $347 See Part D information |
Routine physical exams and preventive care | $0 copay (100 percent covered) | |||
Office visits | You pay 20% of the cost | You pay $15 for primary care and $40 for specialty care | You pay $15 per visit | You pay $0 per visit |
virtuwell® 24/7 online clinic | First three virtuwell visits are free. After that, member pays no more than $40 per visit. What is virtuwell? | |||
Hospital | You pay $600 deductible per benefit period | You pay $300 deductible per benefit period | You pay $150 deductible per benefit period | You pay $0 deductible per benefit period |
Emergency room | $100 copay in U.S. | $75 copay in U.S. | $65 copay in U.S. | $0 copay in U.S. |
Coverage outside the service area | Coverage for up to 9 months within the U.S. Just call Member Services to activate! More about the Extended Absence Benefit. | |||
Coverage outside the U.S. | No coverage | You pay 20% of the cost for urgently needed and emergency care worldwide. | ||
Hearing services | Annual routine check not covered. 20% of the cost for diagnostic exams. Hearing aid discounts of up to 30 percent. | $0 copay for annual routine check. $40 copay for diagnostic exams. Hearing aid discounts of up to 30 percent. | $0 copay for annual routine check. $15 copay for diagnostic exams. Hearing aid discounts of up to 30 percent. | $0 copay for annual routine check. $0 copay for diagnostic exams. Hearing aid discounts of up to 30 percent. |
Vision services | $0 copay for annual glaucoma screening. 20% of the cost for diagnostic exams. $0 copay for one pair of eyeglasses or contact lenses after cataract surgery. | $0 copay for annual routine check. $0 to $40 copay for diagnostic exams. $0 copay for one pair of eyeglasses or contacts after cataract surgery. | $0 copay for annual routine check. $0 to $15 copay for diagnostic exams. $0 copay for one pair of eyeglasses or contacts after cataract surgery. | $0 copay for annual routine check. $0 copay for diagnostic exams. $0 copay for one pair of eyeglasses or contacts after cataract surgery. |
Dental | Not covered. | Not covered, but you can select optional preventive and comprehensive dental coverage. | You pay $0 for: Comprehensive dental coverage is available. | You pay $0 for: Comprehensive dental coverage is available. |
Fitness | You have access to Healthy Discounts at more than 40 local and national retailers | Access to the Silver&Fit® Program! You pay $25 fee for an entire year of membership at the fitness facility of your choice. Plus, access to Healthy Discounts* at more than 40 local and national retailers. | ||
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premiums and/or copayments may change on January 1, 2013.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call:
- 800-MEDICARE (800-633-4227). TTY users should call 877-486-2048, 24 hours a day/7 days a week.
- The Social Security Office at 800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 800-325-0778.
- Or your Medicaid Office.
*The products and services described under Healthy Discounts are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the HealthPartners grievance process.