MSHO is for people who are dually eligible for both Medical Assistance (Medicaid) and Medicare Parts A and B. MSHO combines these two programs’ coverages into one plan. That can make it easier to manage your health insurance benefits. With an MSHO plan, you’ll only have one ID card to carry. And there’s only one number to call.

Our MSHO plan combines Medical Assistance and Medicare benefits. That means all-in-one coverage for routine physical exams, office visits, dental care, prescription drugs and much more. Out-of-network U.S. emergency care, urgent care and renal dialysis are also covered.

Beyond the basics, you’ll also get valuable extra perks. These no-cost extras include:

• RideCare^℠ non-emergency medical transportation to appointments and more
• A non-prescription over-the-counter (OTC) allowance for medications and health-related items
• Access to Virtuwell for quick care for common conditions
• The SilverSneakers^® exercise program

If you qualify, you can also get*:

• Monthly fresh produce vouchers to shop at participating grocery stores
• A senior-friendly GrandPad tablet to support connection and wellness
• Your choice of a lifelike support pet, and more

*The benefits mentioned are a part of special supplemental benefits for members with certain chronic conditions such as heart failure, dementia, diabetes, cancer or a disabling mental health condition. Not all members will qualify, and all applicable eligibility requirements must be met. For details and a complete list of eligible conditions, please contact us.

You can enroll in an MSHO plan at any time if you have or are eligible for both Medical Assistance and Medicare Parts A and B.

Once you’ve enrolled, you can switch to a different MSHO plan once each month.

MSHO can help you save money through:

• $0 monthly premiums
• $0 copays for covered in-network services
• $0 copays for out-of-network U.S. emergency care, urgent care or renal dialysis
• Copays as low as $0 for covered prescription drugs. Copays are based on your income and level of Extra Help (Low-Income Subsidy).

Keep in mind that you’re still responsible for paying your Medicare Part B premium. There are several programs that can help with Medicare costs.

You’ll likely be able to keep the doctors and specialists you already have. Our MSHO network covers most health care providers in our service area. This includes HealthPartners and Park Nicollet hospitals and clinics, plus many others. You can search our MSHO network to see if your providers are included.

You can search our plan’s drug list (formulary) to see if your prescriptions are covered.

Our MSHO plan supports you with one-on-one help from a dedicated care coordinator. Your care coordinator works with you to navigate your health plan so you don’t have to do it alone. They can help you understand how to use your plan and get the most out of your plan. They can also help you with scheduling care, setting up appointments and much more. There’s no cost to you.

Your care coordinator will contact you soon after your coverage begins. Our Member Services team can also connect you with your care coordinator.

The main difference between MSHO and MSC+ is how your coverage works together.

MSHO combines the benefits of Medicare Parts A and B and Medical Assistance into one plan. You’ll also get valuable extra perks. You must have or be eligible for both Medical Assistance and Medicare to enroll in an MSHO plan.

MSC+ includes only Medical Assistance coverage. It’s for people 65 and older who are eligible for Medical Assistance, regardless of whether they have Medicare.