Your Evidence of Coverage (EOC) explains what the plan covers, how much you pay and more. Your EOC also includes:
- Information about in- and out-of-network coverage rules
- Your rights and responsibilities as a member
- Your rights and responsibilities if you disenroll
- Our rights and responsibilities if you disenroll
Your Annual Notice of Changes (ANOC) describes changes to your plan's coverage, costs or administration. These changes are effective starting in January.
View the EOC and ANOC for your plan
To see all out-of-network coverage rules, please see Chapter 3 of your EOC.
The Summary of Benefits outlines what each plan covers and what you’ll pay for those services. The booklet doesn’t list everything that we cover, or every limitation or exclusion. For a full list of covered services, see the Evidence of Coverage.
Minnesota plans
- HealthPartners Freedom (Cost) Summary of Benefits
- HealthPartners Journey (PPO) Medicare Advantage Summary of Benefits
- HealthPartners MSHO (HMO SNP) Summary of Benefits
Wisconsin plans
- HealthPartners Freedom WI (Cost) Summary of Benefits
- HealthPartners Robin (PPO) Medicare Advantage Summary of Benefits
North Dakota and South Dakota plans
If you have concerns about the care you received, you can get more info on filing an appeal or grievance and requesting a coverage decision. You can also learn about appointing a representative and completing the form.
In addition, you can take a look at the Medicare complaint form and see info from the Medicare Ombudsman Center.
Did you know using a doctor or pharmacy in your network can save you money?
Search directories online
Search the directory to find a doctor, clinic or pharmacy that’s in your network:
Minnesota plans
- Find a doctor or clinic in the Freedom (Cost) network
- Find a doctor or clinic in the Journey (PPO) Medicare Advantage network (Pace, Stride and Steady plans)
- Find a doctor or clinic in the Journey (PPO) Medicare Advantage network (Dash plan)
- Find a doctor or clinic in the MSHO (HMO SNP) network
Wisconsin plans
- Find a doctor or clinic in the Freedom WI (Cost) network
- Find a doctor or clinic in the Robin (PPO) Medicare Advantage network
North Dakota and South Dakota plans
Pharmacies
See the entire directory
Contact Member Services to have a directory mailed to you. You can also view or download a provider or pharmacy directory for each network:
Minnesota plans
- See the Freedom (Cost) network provider and pharmacy directory
- See the Journey (PPO) Medicare Advantage provider directory (Pace, Stride, and Steady plans)
- See the Journey (PPO) Medicare Advantage provider directory (Dash plan)
- See the Journey (PPO) Medicare Advantage pharmacy directory (all plans)
- See the MSHO (HMO SNP) provider and pharmacy directory
- See the Retiree National Choice (RNC) dental provider directory
- See the Retiree National Choice (RNC) pharmacy directory
Wisconsin plans
- See the Freedom WI (Cost) provider and pharmacy directory
- See the Robin (PPO) Medicare Advantage provider directory
- See the Robin (PPO) Medicare Advantage pharmacy directory
North Dakota and South Dakota plans
Get rid of the clutter. Get less mail by choosing to get your insurance information delivered safely to you online.
Want help understanding your meds? There’s no cost to have a pharmacist review your medicine.
- Diabetes supplies
- Prior authorization list and Part B step therapy list
This list contains prior authorization (PA) and step therapy requirements for network providers for certain services and Part B drugs.
If you’re eligible for Part D, you can sign up for prescription drug coverage, which includes a formulary (drug list).
The drug list for HealthPartners is a comprehensive drug list. A comprehensive drug list is the entire list of drugs covered by a Part D plan. A team of pharmacists and doctors selects these drugs. Our experts review information on new medicines and compare it to the medicines that are already on the list. The goal? To make sure our drug list has the safest and most effective medicines.
For more information on your prescription medication coverage through HealthPartners, see our Part D formulary and resources page. There, you can find:
- The HealthPartners Part D formulary (drug list) for your plan
- Formulary change notices
- Drug list FAQs
- Prior authorization criteria
- Step therapy criteria
- Info on the Medicare Extra Help program
- Our transitional medication policy
- Best available evidence policy
Other Medicare plan information
Get info on:
If you’re a HealthPartners UnityPoint Health member, you can find your plan documents here.
Legal information
Last updated October 2020
H2422_000402 Approved
H2462 H4882_000402 Accepted