Our doctors and clinicians accept most health plans and insurance. When planning your care, make sure you know what services your health plan covers and who you can see for them.

If your plan has a provider network, it’s important to know whether the specific HealthPartners Clinic you’re seeking care at is in your network. If your plan is outside of the HealthPartners network, you may not be seen.

You can find your benefit information in your plan documents or on your health plan’s website.

We accept a variety of Medicare plans, with some exceptions.

Medicare plans we accept include:

• All Medicare supplements
• Blue Cross Blue Shield (Some plans accepted. Please check your coverage with your health plan.)
• HealthPartners
• Medica (Some plans accepted. Please check your coverage with your health plan.)
• Medicare Part B
• Palmetto GBA Railroad Medicare
• UHC Medicare Advantage

Medicare plans we do not accept include:

• Aetna Value - Premier
• Humana Gold Choice
• NorthStar
• Secure Horizons
• Sterling
• UHC Plan of the River
• Unicare

Medicare patients may receive coverage for an Annual Wellness Visit (AWV). This is a yearly office visit that focuses on preventive health. During the AWV, health care providers will review a patient’s history and risk factors for diseases, ensure that the patient’s medication list is up to date, and provide personalized health advice and counseling. The first AWV also allows the provider to establish a written, personalized prevention plan. This benefit will provide an ongoing focus on prevention that can be adapted as a patient’s health needs change over time.

Medicare provides coverage for the Initial Preventive Physical Examination (IPPE), commonly known as the "Welcome to Medicare" visit. This exam is provided as a one-time service to newly enrolled beneficiaries. The IPPE is an introduction to Medicare and covered benefits, with a focus on promoting health and detecting disease.

The IPPE must be performed within the first 12 months after the patient’s effective date of their Medicare Part B coverage. It contains a number of components that focus on prevention, including:

• Complete medical, social and family history
• Focused physical examination (including measurements like body mass index, blood pressure and visual acuity)
• Functional ability assessment
• Counseling

Medicare requires care providers to determine when Medicare should be billed for a patient’s services. HealthPartners may have to complete the Medicare Secondary Payer questionnaire when you schedule an appointment with us.

Depending on the visit type, we may have to complete the questionnaire more than once if you are scheduling multiple appointments for the same day. Completion of this form provides proof to Medicare that they are or are not responsible for the costs of the patient’s visit.

Compliance in completing these forms is mandatory for Medicare patients. We understand that it can be frustrating to answer these questions, especially more than once, but we appreciate your cooperation and partnership in helping us bill your insurance correctly.

The Advanced Beneficiary Notice of Noncoverage (ABN) is issued by providers, including independent laboratories, physicians, practitioners and suppliers, in situations where Medicare payment is expected to be denied. If necessary, you will be asked to sign the ABN form in your provider’s office.