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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

Wisconsin plans

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

Wisconsin plans

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

Wisconsin plans

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.

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

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