To change your health plan during AHPS, follow the instructions in the AHPS notice you get in the mail and return the completed form, or call your health plan for MSHO and your county or tribal worker for MSC+.
If you want to keep your health plan, and it is still available in your county, you do not have to do anything. However, you are welcome to choose a new health plan.
To make your decision, you may want to contact your health care provider. Ask the provider whether he or she is part of one of the health plans listed on the back of your notice.
You can change health plans by placing an X in front of the health plan choice on your annual health plan selection (AHPS) notice and mailing it in the return envelope you got in your packet by Dec. 7, 2023.
Some households have members that are eligible for MinnesotaCare and other members that are eligible for Medical Assistance (MA). All members in a household in MinnesotaCare must enroll in the same health plan. The family members eligible for MA in the household can enroll in the same health plan, if it is available to them, or they can enroll in a different health plan that is available in the county. In some counties, the health plans available to MinnesotaCare and MA members may be different.
No. All health plans provide the same basic benefits. There may be differences between health plans in their provider networks. Exception: If you have SNBC or MSHO, check with the health plans on supplemental benefits they provide. These may vary by health plan.
During AHPS, follow the instructions in the AHPS notice you get in the mail. You can change health plans by returning the completed form or by calling either the DHS Health Care Consumer Support or, if you have SNBC, Disability Hub MN™.
For Medical Assistance or MinnesotaCare, DHS Health Care Consumer Support: 651-431-3722 or 833-970-0047
For SNBC: Disability Hub MN™ at 866-333-2466
TTY: Use your preferred relay service to reach either office listed here.
If you need emergency care on or after Jan. 1, 2024, the emergency care will be covered by the new health plan. Emergency care is covered even if you have not yet received a new health plan card. Emergency services are covered even if provided by a provider that is not in your new health plan's network.
Yes. All health plans in the Medical Assistance and MinnesotaCare programs must cover all the required program services once you are enrolled and coverage begins on Jan. 1, 2024.
Your coverage for doctor visits, hospital care, mental health, pharmacy benefits and other services will not change when you switch health plans within the same program. There may be some differences in the health care providers you may use or whether certain drugs are covered, but your benefits stay the same.
Health plans must provide appropriate care to people with special health care needs, including access to specialists if appropriate for the member's condition and identified needs. You can call your new health plan to discuss any concerns about continuing treatment.
Yes. If you are currently in treatment for a medical condition, the new health plan must pay for medically necessary covered services. You should contact your new health plan to discuss how and where your care will be continued.
The new health plan may require you or your doctor to request a service authorization, and your doctor or health care provider may need to agree to certain requirements established by the new health plan.
Yes. If you arranged for surgery, chemical dependency treatment, or another specific health care service under your health plan, the new health plan must honor that arrangement, but may require you receive services from your new health plan’s provider network. Contact your new health plan to discuss how and where your care will be continued.
If you or your family is receiving mental health services, your new health plan must work with you to develop a transition plan to ensure you can keep getting the services you need, even though you may need to work with a new mental health provider.
Yes. Your new health plan must honor current prescriptions that need to be filled after Jan. 1, 2024. In some cases, your new health plan may cover different drugs for your condition than what you are used to taking. If that is your situation, the new health plan will continue covering the drugs you are taking under a current prescription for 90 days or until the health plan can work with you and your provider to switch to drugs it covers.
For certain drugs used to treat serious mental health conditions, health plans may be required to continue to cover those drugs for as long as you are enrolled with them and as long as your provider continues to prescribe the drug.
If you are taking a specialty medication and using your health plan’s specialty mail-order pharmacy, you may need to switch to your new health plan’s specialty mail-order pharmacy. Contact your new health plan to get your specialty prescription transferred to the new specialty pharmacy.