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Find important Medicare details and get answers to common questions so you can get the most out of your HealthPartners plan.

HealthPartners has expansive networks of doctors, clinics and pharmacies where you live so you can get convenient, quality care at a lower cost.

If you’re already a member, it’s easiest to sign in to search your provider or pharmacy network.

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

 Search all Medicare provider and pharmacy networks

If you have a Medicare Advantage plan through HealthPartners, it includes Medicare Part D prescription drug coverage. Plans with Part D have a formulary, which is a list of covered drugs.

 Browse our Medicare Advantage drug list – Minnesota Browse our Medicare Advantage drug list – Northeast Wisconsin Browse our MSHO drug list – Minnesota

Looking for something else? On our formulary resources page, you can find:
  • Downloadable drug lists
  • Drug list FAQs
  • Prior authorization criteria
  • Diabetic supply list
  • Part B step therapy list
  • Step therapy criteria
  • Formulary change notices
  • Our transitional medication policy
See all Medicare formulary resources

You can also sign up for the Medicare Prescription Payment Program or, if you qualify, the Medicare Extra Help/LIS program.

HealthPartners Medicare Advantage plans include in-network coverage for up to nine consecutive months of the year when you travel inside the U.S. but outside your plan’s service area, so your benefits travel right alongside you.

  • Let us know when you plan to travel. Just call the number on the back of your insurance card or sign in to your account to activate your travel benefits.

Most HealthPartners Medicare plans also offer access to pre-travel consultations and worldwide emergency and urgent care coverage. Check your plan documents for specific details.

Additional assistance through Assist America® is also included with most HealthPartners Medicare plans when you’re more than 100 miles from home or in a foreign country. Assist America provides emergency services for 40 million travelers worldwide. When you’re navigating a medical emergency, Assist America’s vast network of resources can support you. Travel support services include pre-trip information on travel alerts and travel restrictions, finding a pharmacy to fill needed medications and prescriptions, replacing essential travel documents, access to skilled interpreters, help finding lost luggage, app-based services, and much more.*

With MTM, you can receive one-on-one help from a pharmacist to be sure you’re getting the most out of your medicines. It’s available at no extra cost with any HealthPartners Medicare plan that includes prescription drug coverage, like our Medicare Advantage plans.

 Learn more about medication therapy management for Medicare members

Our prior authorization list contains prior authorization (PA) requirements for network providers regarding certain services and Part B drugs.

 Review our Medicare prior authorization list (PDF)

Our Medicare formulary resources contain additional prior authorization criteria for Part D drugs, if your plan includes this coverage.

Your EOC and ANOC are legal documents that provide complete information about how your Medicare plan works:

  • Your EOC explains what your plan covers, how much you pay and more.
  • Your ANOC describes changes to your plan's coverage, costs or administration for the upcoming year. ANOCs are issued in October, and the changes they describe take effect the following January.
 See the EOC and ANOC for your plan

Your Summary of Benefits outlines what your plan covers and what you’ll pay for those services. It doesn’t list everything covered by your plan, or every limitation or exclusion. For a full list of covered services, see your Evidence of Coverage.

 Minnesota plans Wisconsin 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.

 Learn more about appeals and grievances

You can also learn about appointing a representative (PDF) and complete the Appointment of Representative form (PDF). In addition, you can review the Medicare complaint form and get information at the Medicare Ombudsman Center.

The Centers for Medicare & 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.

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 Midwest-based Member Services team is ready to help.

 Contact Member Services Looking for more resources?

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

 Review member resources
Legal information

*Services are only available during the first 90 consecutive days that you're away from your home. All arrangements must be made through Assist America. These additional discounts described cannot be applied to services covered under our Medicare plans, nor can they be combined with any other discounts. The availability of a product and service may vary by geographic service area. Additionally, these products and services described are neither offered nor guaranteed under our contract with the Medicare program and are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the HealthPartners grievance process.

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Y0095_005698_M Accepted 09/26/26
H2422_005698_M Accepted 09/26/26
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