2022 Medicare resources and forms

Looking for information on 2023 plans? Explore 2023 plans instead.

Medicare is complex, and it’s normal to have a lot of questions. We want to make it easy for you to find the answers. Here, you can browse plan documents, Medicare information and more – all in one place.

  • HealthPartners offers Medicare plans in Minnesota, Wisconsin, North Dakota and South Dakota. Looking for information about plans in Iowa or Illinois? Our friends at HealthPartners UnityPoint Health are ready to help.

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 and administration. These changes are effective starting in January.

The Summary of Benefits outlines what each plan covers and what you’ll pay for those services. The booklet doesn’t list everything that is covered by your plan, 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

HealthPartners has an expansive network of doctors, clinics and pharmacies in your area that you can see for a lower cost.

Search our networks to find in-network care near you.

If you have a Medicare Advantage plan through HealthPartners, your plan includes prescription drug coverage (Medicare Part D).

Part D plans include a formulary, which is a list of drugs covered by the plan.

On our formularies page, you can also find:

  • Drug list FAQs
  • Prior authorization criteria
  • Step therapy criteria
  • Formulary change notices
  • Information on the Medicare Extra Help program
  • Our transitional medication policy

Get one-on-one help from a pharmacist to be sure you’re getting the most out of your medications. MTM is available at no cost with any HealthPartners Medicare plan that includes prescription drug coverage, like a Medicare Advantage plan.

This list contains prior authorization (PA) and step therapy requirements for network providers for certain services and Part B drugs.

If you have concerns about the care you received, you can find information on filing an appeal or grievance or requesting a coverage decision.

You can also learn about appointing a representative (PDF) and completing the form (PDF) . In addition, you can take a look at the Medicare complaint form and see information from the Medicare Ombudsman Center .

The Centers for Medicare and Medicaid Services (CMS) may release National Coverage Determinations (NCDs) throughout the year. NCDs inform Medicare beneficiaries of new services or therapies that are covered (or changed) under Original Medicare.

If a new NCD impacts services covered by your HealthPartners Medicare plan or MSHO plan, we post it here. Previous NCDs include:

It might also be helpful to visit the CMS Medicare Coverage Database .

Reduce clutter, clear space and be kind to the environment. If you’d like to receive statements, bills and other communications online instead of by mail, learn more about going paperless today.

Use these Medicare resources to find more information about:

Have questions?

If you need assistance finding care in your network, a Medicare form or details about your plan, our Member Services staff is ready to help.

Looking for something else?

Our member resources page has additional information and tools for getting the most out of your coverage, living healthier and more.

Legal information

Last updated January 2022
H2422_001601 Approved 10/1/2021
H2462 H4882_001601 Accepted