Discover MSHO, a plan for seniors who receive Medical Assistance (Medicaid) and Medicare

Our HealthPartners® Minnesota Senior Health Options (MSHO) plan combines Medical Assistance and Medicare into one plan. It also provides extra perks and benefits. With our MSHO plan, you won’t pay any monthly premium. And you’ll pay $0 for covered services if you go to an in-network doctor or provider. Plus, you’ll have a $0 copay for covered prescription drugs.

You’re eligible for our MSHO plan if:

• You’re at least 65 years old, and
• You get Medical Assistance from the State of Minnesota, and
• You’re eligible for or enrolled in Medicare Parts A and B, and
• You live in one of these Minnesota counties: Anoka, Benton, Carver, Chisago, Dakota, Hennepin, Ramsey, Scott, Sherburne, Stearns, Washington or Wright

MSHO is a program for people who are dual eligible for both Medical Assistance and Medicare Parts A and B. MSHO works by combining these two programs’ coverages into one plan. That can make your health insurance benefits easier to keep track of and manage. You’ll only have one ID card in your pocket. You’ll get extra perks and benefits, too.

You’ll also get the services of a care coordinator. A care coordinator assists you with your benefits and well-being by:

• Partnering with you to set health goals and make a care plan
• Helping ensure your care providers are in contact with each other
• Assisting with prescription drugs and refills (as needed)
• Helping you navigate Medicare and Medical Assistance

With a HealthPartners MSHO plan, that means you’ll get all-in-one coverage for:

When you enroll in MSHO, you’ll choose a primary care provider (PCP). Your PCP will help coordinate your medical care. In general, you’ll only get coverage when you visit your PCP or use an in-network doctor or provider. But if you need emergency care, urgent care or renal dialysis, you’ll have out-of-network coverage, too.

Our MSHO network includes HealthPartners and Park Nicollet hospitals and clinics. It also includes many other providers. You’ll likely be able to keep the doctors and specialists you already have. And you won’t pay anything when you get in-network care or covered prescription drugs.

Your HealthPartners MSHO plan includes an annual over-the counter (OTC) allowance of up to $300. Each quarter (every three months), you’ll get $75 that you can use to buy health, dental and well-being items through a catalog. Benefit dollars can only be used for that quarter and don’t carry over. This benefit is included with your plan at no cost.

Your HealthPartners MSHO plan also includes these no-cost extras:

• Home-delivered meals and care support after a hospital stay or surgery
• SilverSneakers^® exercise program, where you can visit thousands of fitness locations, get virtual workouts, and attend classes
• Unlimited access to Virtuwell , an online clinic where you can get care anywhere
• A pocket hearing amplifier
• Support for caregivers, including coaching, counseling, short-term respite care and psychotherapy, plus transportation support for these services*
• A box of fresh produce delivered each month through FarmboxRx*
• A lifelike support pet (a dog, cat or bird)*
• A tablet with education and wellness tools*

You’ll also get gift cards of up to $100 for key health screenings. These screenings include your Medicare Annual Wellness Visit and bone density tests. They also include breast cancer screenings (mammograms), colorectal cancer screenings and A1c screenings.

*The benefits mentioned are a part of special supplemental benefits for members with certain chronic conditions such as heart failure, dementia, diabetes, cancer or a disabling mental health condition. Not all members will qualify, and all applicable eligibility requirements must be met. For details and a complete list of eligible conditions, please contact us.

• When you become eligible for both Medical Assistance and Medicare Parts A and B
• Once each month
• During annual open enrollment (October 15 through December 7)
• During a special enrollment period if your eligibility changes

• RideCare℠
• Healthy eating resources (PDF)
• Appeals and grievances
• HealthPartners^® Minnesota Senior Health Options (HMO SNP) – Summary of Benefits (PDF)
• MSHO Member Handbook (PDF)
• Nondiscrimination notice and language assistance for MSHO (PDF)
• Health care directive information (PDF)