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Drug List

Being on the drug list does not guarantee that a particular drug will be covered under your contract.

The inclusion of brand-names is for information only and doesn’t necessarily mean that you’ll receive the brand-name drug. Minnesota law requires pharmacies to substitute a generic equivalent for the prescribed brand-name drug if a less expensive U.S. Food and Drug Administration (FDA)-approved generic is available and safely interchangeable unless your doctor specifically prescribes otherwise or you object. Like our preferred drug lists (formularies), this consumer protection law is intended to protect consumers from paying for a more expensive drug when a therapeutically equivalent drug is available.

Coverage Criteria

The information regarding coverage guidelines is regularly updated and is subject to change without notice. HealthPartners reserves the right to publish additional and revised coverage guidelines without speific notice to members.

Consult your plan documents (Membership Contract or Summary Plan Description [SPD]) to determine governing contractual provisions, including exclusions and limitations relating to your specific plan. These guidelines apply to most, but not all, plans offered by HealthPartners. We strive to ensure that the contents of this site are correct and complete, but to verify your benefits, please check your contract or SPD, or contact Member Services. In the event of a conflict between your specific plan documents and this general information, the plan documents will govern.

These guidelines are highly technical and written to assist medical personnel in making coverage determinations. They are not medical advice.

These guidelines in no way imply that you shouldn’t receive specific services based on the recommendation of your provider. The providers treating you are responsible for medical advice and treatment of patients. If you have specific health care needs, you should consult an appropriate health care professional.

You have rights to appeal coverage decisions. These rights are spelled out in your plan documents (Membership Contract or SPD). If you have questions about your appeal rights, please contact Member Services.

This information isn’t an offer of coverage, solicitation of coverage, summary of coverage or guarantee of coverage. All products and coverage guidelines are subject to applicable laws and regulations. Your coverage is contingent on all the applicable terms, conditions, limitations and exclusions of your plan documents (Membership Contract or SPD).

HealthPartners Individual Plans

Individual plans are available in Minnesota only.

Provider Eligibilty

Information presented in this Eligibility application is subject to change and isn’t a guarantee of claim payment. All benefits are subject to the terms and conditions (e.g., authorizations, network requirements) outlined in HealthPartners member and provider contracts.

Provider has no authority to make representations to HealthPartners members regarding coverage of items or services displayed through this application.

For additional coverage information, please contact Member Services.

Prescription Refills

By clicking on Complete Check Out, you confirm that you’re the patient named or are an authorized caregiver for that patient. You also confirm that all the information is correct. HealthPartners isn’t liable for the submission of false or unauthorized refills ordered through this site.

Broker Disclaimer

By clicking on "I Accept," you acknowledge that you understand and accept the following:

  • Information in the [For Brokers] section of this Web site is provided without warranty of any kind including express or implied. HealthPartners shall not be liable to any person or entity for any damages resulting from its use or reliance upon information contained in this site.
  • HealthPartners strives to ensure that the contents of this site are correct and complete, but to verify the information, please call [your HealthPartners Sales Executive]. In the event of a conflict between our records and the information found here, our records will govern.
  • By authorizing the use of this LOG-ON and PASSWORD, the broker represents that the person using this account is authorized to access this information. The broker should take reasonable and prudent steps to safeguard the LOG-ON and PASSWORD from unauthorized use and disclosure.
  • Although HealthPartners has used reasonable precautions to safeguard the confidentiality of information received and sent over the Internet or via e-mail, HealthPartners cannot guarantee the confidentiality of such information.
  • Information displayed in this Web site is subject to and changes.
  • Information provided in the [For Brokers] section of this Web site is to be used for plan administration purposes only.

Employer Disclaimer

By clicking on "I Accept" below, you acknowledge that you understand and accept the following:

  • Information in the [For Employers] section of this Web site is provided without warranty of any kind including express or implied. HealthPartners shall not be liable to any person or entity for any damages resulting from its use or reliance upon information contained in this site.
  • HealthPartners strives to ensure that the contents of this site are correct and complete, but to verify the information, please call [your HealthPartners Sales Executive]. In the event of a conflict between our records and the information found here, our records will govern.
  • By authorizing the use of this LOG-ON and PASSWORD, the employer represents that the person using this account is authorized to access this information. The employer should take reasonable and prudent steps to safeguard the LOG-ON and PASSWORD from unauthorized use and disclosure.
  • Although HealthPartners has used reasonable precautions to safeguard the confidentiality of information received and sent over the Internet or via e-mail, HealthPartners cannot guarantee the confidentiality of such information.
  • Information displayed in this Web site is subject to and changes.
  • Information provided in the [For Employers] section of this Web site is to be used for plan administration purposes only.

HealthPartners Clinics Online Appointment Scheduling

Online Appointment Scheduling should only be used to schedule and request appointments for non-emergent, non-urgent conditions. If you have an urgent need to see a medical provider or you need to see a provider for a medical emergency, please call 911 immediately.

Appointment requests received by 5:00 PM will be responded to on the same business day. Requests received after 5:00 PM will be responded to within 24 hours.

HealthPartners Clinics Online Patient Services

The Consult With My Doctor features should only be used to send questions of a non-emergent, non-urgent nature to your clinic care team. If you have an urgent concern, an urgent need to see a medical provider or you need to see a provider for a medical emergency, please call 911 immediately. We will use reasonable efforts to respond to your message within one business day.

User Name and Password

The unique user name and password that you create to access HealthPartners Web site is for your own personal use. You are responsible for protecting the confidentiality of your user name and password.

Contact Us

Please Note: Inquiries submitted over the Internet aren’t considered a written complaint under the terms of your plan. If you wish to submit a written complaint, please do so in writing, via U.S. mail or fax, or request a complaint form.

Although HealthPartners has used reasonable precautions to safeguard the confidentiality of information received and sent over the Internet, HealthPartners cannot guarantee the confidentiality of such information. Individuals corresponding with us in this manner waive claims regarding any third party’s access to or use of confidential information.

If you don’t wish to communicate via e-mail, please contact Member Services.

By submitting this e-mail, you authorize HealthPartners Member Services to communicate with you via e-mail.