MN Advantage Health plan contracts with three medical plan administrators; Blue Cross and Blue Shield of MN, Health Partners or Preferred One. You must choose a plan administrator and a Primary Care Clinic (PCC). There are out-of-pocket cost levels associated with your PCC. The 2014 Advantage Clinic Directory allows you to search a list of participating clinics in order to help you make select a plan administrator, a PCC and a cost level. For information on out-of-pocket costs, go to “Your Employee Benefits” on the “Get Started” page.
The MMB website also provides links to more detailed online provider directories of our three MN Advantage Plan administrators; Blue Cross and Blue Shield of MN, Health Partners, and Preferred One. To visit the plan administrator web sites go to the “Get Started” page where you will find “Insurance Carrier Contacts” that will connect you to contact information for all of our MN Advantage Plan administrators.
If you have questions about access to a specific doctor or other medical provider, a specific clinic, hospital or care facility, you must call the plan administrator directly. Each plan administrator offers a National Preferred Provider Organization (PPO) for SEGIP members whose permanent residence is outside the State of Minnesota. The PPO is also available for students and employees while in travel status out of the State of Minnesota. Urgent and emergency care is also available to all SEGIP members regardless of location.
Clinics to Choose From
MN Advantage Health Plan administrators, Blue Cross and Blue Shield of MN, Health Partners, and Preferred One, each contract with a network of Primary Care Clinics (PCC) and specialty care providers. “Clinics to Choose From” will provide you with the PCC number that you will need in order to enroll. Click on the link below to access the 2014 Advantage Clinic Directory. To ask questions about a specific clinic, call the plan administrator directly. Contact information for each plan administrator is located on the “Get Started” page.
Convenience care clinics are available in some areas. Convenience clinics provide a cost-effective alternative to emergency rooms, urgent care, and family practice clinics when used for simple illnesses, tests, and vaccinations. Each clinic is staffed by a certified family nurse practitioner or physician assistant. Appointments are not required. The co-pay for convenience care is $10 regardless of the cost level of you Primary Care Clinic. The first dollar deductible is waived for convenience care. Information on convenience care clinics and locations is available through the link below or by calling your plan administrator’s member services department, contact information found on the “Get Started” page.
Blue Cross, HealthPartners and PreferredOne now offer health care coverage at several convenience clinics in the Metro and St. Cloud areas for State of Minnesota Advantage Health Plan members and their dependents*. These convenience clinics can be used for simple illnesses, tests and vaccinations and are a quality alternative to emergency rooms, urgent care and family practice clinics.
Sample of covered services
Convenience clinics provide quality medical care for minor illnesses for state employees and their covered families as well as the general public. These clinics are staffed by nurse practitioners and physician assistants who are qualified to evaluate, diagnose and prescribe medications (when clinically appropriate) for simple illnesses, and to provide certain types of vaccinations and screenings. A sample of covered services is listed. Check with the clinic for a complete list.
Common illnesses: allergies (ages 6+), bladder infections (females, ages 12-65), bronchitis (ages 10-65), ear infections, pinkeye and styes, sinus infections (ages 5+), and strep throat.
Skin infections: athlete’s foot, cold sores, deer tick bites (ages 12+), impetigo, minor burns and rashes, minor skin infections, minor sunburn, poison ivy, ringworm, swimmer’s itch.
Screenings: allergy testing (ages 18+), full-panel cholesterol and glucose, HbA1c, health awareness (ages 18+), memory assessment (ages 40+), pregnancy, thyroid.
Vaccines: flu (October – December), Hepatitis B (adult), Hepatitis B (child), meningitis, MMR (measles, mumps, rubella), pneumonia, tetanus-diphtheria.
Individuals with illnesses outside the scope of services or who exhibit signs of a chronic condition will be referred to their physician or, if critical, the nearest urgent care center or emergency room. Patients who can't be treated are not charged for their visit.
*Please note that some convenience clinics have age limitations for treatment of infants.
Services are available to Advantage Health Plan participants for a $10 copayment (at each cost level) per visit, which is waived for preventive care (including vaccinations and some screenings). The first dollar deductible is also waived and copayments are credited to the out of pocket maximum.
Find a Clinic
To find a network convenience clinic visit your health insurance carrier web site. Fairview Express Care, HealthStation, MinuteClinic, NOW Express Care and Target Clinics participate in the MN Advantage Health Plan.