Medicare resources and forms

We make it easy for you to find important Medicare details and get answers to common questions. Here, you can browse plan documents, Medicare information and more – all in one place.

Find doctors, clinics and pharmacies

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 or 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.

Part D formulary (drug list) and resources

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 our Formulary I drug list. The formulary was last updated 9/2024.

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

Coverage and assistance while traveling

Most HealthPartners Medicare 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.

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 plans also offer access to pre-travel consultations and worldwide emergency and urgent care coverage, with additional assistance available through Assist America ® .*

Medication therapy management (MTM)

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.

Medical services, supplies and drugs

Evidence of Coverage (EOC) and Annual Notice of Changes (ANOC)

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.

Summary of Benefits

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

Appeals and grievances

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 .

Medicare Star Ratings

Medicare coverage updates

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 .

Other Medicare plan information

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

*Assist America services are only available during the first 90 consecutive days that you're away from your home, and all arrangements must be made through Assist America.

Last updated September 2024

H2422_003671_M Accepted
H2462 H4882_003671_M Accepted