Medica Advantage Solution® PartnerCare

Minnesota HMO I-SNP

Talk with a Medica Sales Consultant

1-800-266-2157


Overview

Medica Advantage Solution® PartnerCare (HMO I-SNP) is different from most Medicare plans. It’s made for adults living in skilled nursing facilities, memory care units or assisted living. There are two options that offer the best care at budget-friendly costs - Advantage Solution PartnerCare Premier and Advantage Solution PartnerCare Focus.

What's covered?

Here's some of what these plans offers:

  • Onsite primary care
  • Care coordination
  • Affordable premiums for combined medical and Part D drug coverage
  • Comprehensive network of doctors, clinics, and hospitals
  • Comprehensive network of local and national pharmacies

Who's eligible?

These plans are designed for adults who:

  • Are eligible for to Medicare Part A
  • Are enrolled in Medicare Part B
  • Live in a participating skilled nursing facility, memory care unit, or assisted living
  • Need an institutional level of care for 90 days or longer
  • Live in the plan's 13-county service area
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The easiest way to enroll in Medica Advantage Solution® PartnerCare is to call.

1-800-266-2157 (TTY:711)


8 a.m.-8 p.m. CT, seven days a week

Network basics 

Ensure the highest quality of life. This plan provides coverage for those who need  a higher level of care. Select from two cost-saving options.

Where is this plan available?

To be eligible to enroll in Medica Advantage Solution® PartnerCare, you must reside in one of these Minnesota Counties:

Anoka, Benton, Chisago, Dakota, Hennepin, Isanti, Morrison, Ramsey, Scott, Sterns, Washington, and Wright, and new in 2022: Sherburne

Facility partnerships

This plan is available for members living in one of the following facilities:
 
  • Assumption Community
  • Benedictine Health System
  • Cassia – An Augustana/ELIM Affiliation
  • Catholic Eldercare
  • Charitable Trust
  • Ecumen
  • Episcopal Homes of Minnesota
  • Good Shepard Community
  • Lyngblomsten
  • North Cities Health Care Inc.
  • Presbyterian Homes and Services
  • St. Anthony Health & Rehabilitation
  • St. Francis Health Services
  • St. Otto's Care Center
  • Saint Therese
  • Shakopee Friendship Manor
  • Sholom Home
  • Sterling Park
  • Volunteers of America
  • Walker Methodist

 Medica + Part D coverage for 2021

Choose from two plan options. The Premier plan has a higher premium with more savings  when services are used. The Focus plan has lower premiums with higher cost sharing when services are used.

Monthly Premium
$66

  • Primary care delivered on-site by the Genevive Primary Care Team
  • Maximum medical out of pocket limit of $3,500
  • $0 deductible
  • $0 copay for on-site primary care visits and $25 coinsurance for specialist visits
  • Mental Health Services: $0 copay for outpatient group or individual therapy delivered in living setting, 20% coinsurance outside living setting
  • Podiatry Services: $0 copay in living setting, 20% coinsurance outside living setting
  • 0 day hospital stay required prior to skilled nursing facility admission:
    • $0 copay days 1-2
    • $184 copay days 21-100
  • Inpatient Hospital Stays:
    • $300 copay for days 1-6
    • $0 copay for days 7-90
  • 5 tier formulary with more than 3,600 drugs
  • Includes $5 copays for Tier 1 drug and $12 copays for Tier 2 drugs
  • $140 Part D deductible
  • Additional gap coverage for select insulins
    • This program limits cost share for insulins to $35 copay for 30-day supply

Monthly Premium
$16

  • Primary care delivered on-site by the Genevive Primary Care Team
  • Maximum medical out of pocket limit of $7,550
  • $0 deductible
  • $0 copay for on-site primary care visits and $50 copayment for specialist visits
  • Mental Health Services: $0 copay for outpatient group or individual therapy delivered in living setting, $40 copay outside living setting
  • Podiatry Services: $0 copay in living setting, 20% coinsurance outside living setting
  • 0 day hospital stay required prior to skilled nursing facility admission:
    • $0 copay days 1-20
    • $184 copay days 21-100
  • Inpatient Hospital Stays:
    • $325 copay for days 1-6
    • $0 copay for days 7-90
  • 5 tier formulary with more than 3,600 drugs
  • Includes $5 copays for Tier 1 drug and $12 copays for Tier 2 drugs
  • $140 Part D deductible

Programs + services

Manage your health in a way that works for you
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Pharmacy

Get convenient access to your medications from a wide range of pharmacies.
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Prescription drug services through Express Scripts®

Get convenient access to drugs covered by your plan.
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Virtual care

Reliable care from the comfort of your home. Get 24/7 treatment online or over the phone.
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Providers and facilities

Providers and facilities
Find the right care provider for you. It’s easy to pick from top-notch providers and facilities in your area. 

 
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Transplant

Whether it's a bone marrow/stem cell
or organ transplant, our goal is always
for you to have the best possible
outcome. We'll make sure you fully
understand your diagnosis and care
plan so you can make the decisions
that are right for you. We can also
help you find a Centers of Excellence
transplant facility.
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Care coordinator services

Find a trusted and skilled partner to give you one-on-one attention. Care
coordinators are nurses, social workers, and other trained specialists

Other care + wellness benefits

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Mental health + well-being

  • Mental health providers and counselors
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Programs + tools

  • No-cost routine hearing exams
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Money-saving programs

  • No-cost rides to health care appointments
  • Reimbursements for hearing aids,
    contact lenses, and eyeglasses

Plan documents

Here are all the plan details.

Medica Advantage Solution PartnerCare Premier
Medica Advantage Solution PartnerCare Focus

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Enroll in this plan

We’re here to help you find the best plan and enroll.

1-800-266-2157

Talk with us.

8 a.m. - 8 p.m. CT, seven days a week

Y0088_1001143

Last Updated: July 2021

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