You will get this notice in February. The notice is titled “Special Enrollment Period.”
If you do not get the notice by March 15, call the Minnesota Health Care Programs Member Help Desk.
The notice tells you:
The deadline is April 14, 2017.
The notice you get will tell you which plans are available to you.
These maps show the health plans available by county and by program:
Some households have members that are eligible for MinnesotaCare and others that are eligible for Medical Assistance (MA). All household members who have MinnesotaCare must enroll in the same plan. Household members eligible for MA can enroll in the same plan, if it is available to them, or they can enroll in different plans that are 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 benefits based on the program in which you are enrolled. There may be differences between plans in their provider networks.
Yes. Each health plan has its own network of providers. To find out if your provider is in a specific health plan, call the health plan’s member services.
During the special enrollment period, follow the instructions in the “Special Enrollment Period” notice you get in the mail. You can change health plans by completing and returning the notice’s form or by calling the Minnesota Health Care Programs (MHCP) Member Help Desk at 651-431-2670 or 800-657-3739.
Some health plans may limit enrollment, so we ask you to indicate your first, second and third choices of plans when choosing a new plan. You can do that by writing 1, 2, or 3 in the space next to the health plan name on the notice’s form and mailing the form in the return envelope. You can also call the phone number on the notice to tell us your choices. You must mail us your choices or call us with them by April 14, 2017.
Yes. If you choose a health plan and later decide you want another plan, you may change within 60 days. You must request a change by June 30, 2017.
If you do not choose a new health plan by April 14, 2017, we will assign you to a plan. We don’t know your health care needs, so we may not pick the best plan for you. That is why it’s important for you to pick a health plan.
If you need emergency care on or after May 1, the emergency care will be covered by the new 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 May 1, 2017.
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 which health care providers you may use or whether certain drugs are covered, but your benefits stay the same.
When deciding which plan to select, you should check to see whether your health care provider or providers work with the new plan. In many cases, the health care providers that are available to you now will be available under one of the new plans.
No. All health plans must accept everyone who is eligible for the program and enrolls with the plan.
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.
Your health plan must share information with the new health plan upon request. DHS and the health plans are responsible for keeping information private. Your health plan must wait until you select a new plan to provide information to your new health plan. You can call your new plan anytime to discuss concerns.