Medicare resources and forms

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.

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

If you’re already a member, the easiest way to search your provider network or search your pharmacy network is to sign in.

If you’re not already a member, you can use our network search tools to see if your doctors, clinics and pharmacies are covered.

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.

Our individual Medicare Advantage plans use Formulary I. The formulary was last updated 2/2023

Looking for something else? On our formulary resources page, you can find:

  • Complete formulary lists for all our Medicare plans, including MSHO and group retiree plans
  • 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.

Your EOC explains what the plan covers, how much you pay and more. It’s a legal document that provides complete information about how your Medicare plan works.

Your ANOC describes changes to your health plan's coverage, costs or administration for the upcoming year. These changes take effect 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

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 .

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 February 2023

H2422_002804 Approved
H2462 H4882_002804 Accepted