Minnesota individual and family plan documents

Find all the documents and details for your plan

The documents below provide up-to-date details about your plan:

  • Summary of Benefits and Coverage (SBC) – Your SBC gives you general information about your plan, such as what’s covered, your out-of-pocket limits, prescription drug coverage, where to find in-network providers and more. This document is often the easiest-to-read summary of your plan.
  • Your legal contract with HealthPartners – Your contract contains all of the details about your insurance plan, including terms and conditions of your plan, your rights and responsibilities, and more.
  • Benefit chart – Your benefit chart includes the exact legal definition of coverage-related terms used in your plan documents. It also contains complete and comprehensive information about what your plan does and doesn’t cover.
  • Pediatric dental amendment – Some of our plans have dental benefits that only apply to people younger than 19, and those benefits are explained in this amendment.

2025 Minnesota plan documents

Apex plans

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Apex $1,000 Gold SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE173-25 (PDF)
Apex $2,000 Gold SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE174-25 (PDF)
Apex $2,700 Silver SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE176-25 (PDF)
Apex $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE175-25 (PDF)
Apex $4,150 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE177-25 (PDF)
Apex $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE178-25 (PDF)
Apex $9,200 Catastrophic SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE179-25 (PDF)
Apex $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-OMKMOBA-25 (PDF) BCH-103.11-MN-IND-IE180-25 (PDF)
Apex $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-OMKMOBA-25 (PDF) BCH-103.11-MN-IND-IE181-25 (PDF)
HealthPartners Easy Compare Gold Rx Copay Apex SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE211-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay Apex SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE212-25 (PDF)
HealthPartners Easy Compare Bronze Apex SBC (PDF) CON-103.11-MN-IND-OMKA-25 (PDF) BCH-103.11-MN-IND-IE213-25 (PDF)

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Apex $1,000 Gold SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE778-25 (PDF)
Apex Zero Cost Share Gold (IE839) SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE779-25 (PDF)
Apex $1,000 Limited Cost Share Gold SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE780-25 (PDF)
Apex $2,000 Gold SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE781-25 (PDF)
Apex $2,700 Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE790-25 (PDF)
Apex Zero Cost Share Gold (IE842) SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE782-25 (PDF)
Apex $2,000 Limited Cost Share Gold SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE783-25 (PDF)
HealthPartners Easy Compare Gold Rx Copay Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE907-25 (PDF)
HealthPartners Easy Compare Gold Zero Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE908-25 (PDF)
HealthPartners Easy Compare Gold Rx Copay Limited Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE909-25 (PDF)
Apex $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE784-25 (PDF)
Apex Zero Cost Share Silver (IE845) SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE785-25 (PDF)
Apex $2,900 Plus Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE786-25 (PDF)
Apex $50 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE787-25 (PDF)
Apex $700 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE788-25 (PDF)
Apex $2,650 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE789-25 (PDF)
Apex $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE796-25 (PDF)
Apex Zero Cost Share Bronze (IE857) SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE797-25 (PDF)
Apex $6,500 Plus Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE798-25 (PDF)
Apex $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE799-25 (PDF)
Apex Zero Cost Share Silver (IE860) SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE800-25 (PDF)
Apex $3,500 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE801-25 (PDF)
Apex $150 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE802-25 (PDF)
Apex $1,200 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE803-25 (PDF)
Apex $2,750 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE804-25 (PDF)
Apex $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE805-25 (PDF)
Apex Zero Cost Share Bronze (IE866) SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE806-25 (PDF)
Apex $8,000 Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBA-25 (PDF) BCH-103.11-MN-IND-IE807-25 (PDF)
Apex Zero Cost Share Silver (IE851) SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE791-25 (PDF)
Apex $2,700 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE792-25 (PDF)
Apex $2,250 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE795-25 (PDF)
Apex $850 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE794-25 (PDF)
Apex $50 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE793-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE910-25 (PDF)
HealthPartners Easy Compare Silver Zero Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE911-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay Limited Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE912-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay CSR94 Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE915-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay CSR87 Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE914-25 (PDF)
HealthPartners Easy Compare Silver Rx Copay CSR73 Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE913-25 (PDF)
HealthPartners Easy Compare Bronze Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE916-25 (PDF)
HealthPartners Easy Compare Bronze Zero Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE917-25 (PDF)
HealthPartners Easy Compare Bronze Limited Cost Sharing Apex SBC (PDF) CON-103.11-MN-IND-MKA-25 (PDF) BCH-103.11-MN-IND-IE918-25 (PDF)

Peak plans

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Peak $1,000 Gold SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE173-25 (PDF)
Peak $2,000 Gold SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE174-25 (PDF)
Peak $2,700 Silver SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE176-25 (PDF)
Peak $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE175-25 (PDF)
Peak $4,150 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE177-25 (PDF)
Peak $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE178-25 (PDF)
Peak $9,200 Catastrophic SBC (PDF) CON-103.11-MN-IND-OMK-25 (PDF) BCH-103.11-MN-IND-IE179-25 (PDF)
Peak $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-OMKMOB-25 (PDF) BCH-103.11-MN-IND-IE180-25 (PDF)
Peak $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-OMKMOB-25 (PDF) BCH-103.11-MN-IND-IE181-25 (PDF)

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Peak $1,000 Gold SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE778-25 (PDF)
Peak Zero Cost Share Gold (IE779) SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE779-25 (PDF)
Peak $1,000 Limited Cost Share Gold SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE780-25 (PDF)
Peak $2,000 Gold SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE781-25 (PDF)
Peak $2,700 Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE790-25 (PDF)
Peak Zero Cost Share Gold (IE782) SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE782-25 (PDF)
Peak $2,000 Limited Cost Share Gold SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE783-25 (PDF)
Peak $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE784-25 (PDF)
Peak Zero Cost Share Silver (IE785) SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE785-25 (PDF)
Peak $2,900 Plus Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE786-25 (PDF)
Peak $50 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE787-25 (PDF)
Peak $700 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE788-25 (PDF)
Peak $2,650 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE789-25 (PDF)
Peak $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE796-25 (PDF)
Peak Zero Cost Share Bronze (IE797) SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE797-25 (PDF)
Peak $6,500 Plus Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE798-25 (PDF)
Peak Zero Cost Share Silver (IE791) SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE791-25 (PDF)
Peak $2,700 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE792-25 (PDF)
Peak $50 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE793-25 (PDF)
Peak $850 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE794-25 (PDF)
Peak $2,250 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MK-25 (PDF) BCH-103.11-MN-IND-IE795-25 (PDF)
Peak $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE799-25 (PDF)
Peak Zero Cost Share Silver (IE800) SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE800-25 (PDF)
Peak $3,500 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE801-25 (PDF)
Peak $150 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE802-25 (PDF)
Peak $1,200 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE803-25 (PDF)
Peak $2,750 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE804-25 (PDF)
Peak $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE805-25 (PDF)
Peak Zero Cost Share Bronze (IE806) SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE806-25 (PDF)
Peak $8,000 Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKMOB-25 (PDF) BCH-103.11-MN-IND-IE807-25 (PDF)

Select plans

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Select $2,700 Silver SBC (PDF) CON-103.11-MN-IND-OMKS-25 (PDF) BCH-103.11-MN-IND-IE176-25 (PDF)
Select $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKS-25 (PDF) BCH-103.11-MN-IND-IE175-25 (PDF)
Select $4,150 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKS-25 (PDF) BCH-103.11-MN-IND-IE177-25 PDF)
Select $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-OMKS-25 (PDF) BCH-103.11-MN-IND-IE178-25 (PDF)
Select $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-OMKMOBS-25 (PDF) BCH-103.11-MN-IND-IE180-25 (PDF)
Select $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-OMKMOBS-25 (PDF) BCH-103.11-MN-IND-IE181-25 (PDF)

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Select $2,700 Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE790-25 (PDF)
Select $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE784-25 (PDF)
Select Zero Cost Share Silver (IE815) SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE785-25 (PDF)
Select $2,900 Plus Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE786-25 (PDF)
Select $50 Plus Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE787-25 (PDF)
Select $700 Plus Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE788-25 (PDF)
Select $2,650 Plus Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE789-25 (PDF)
Select $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE796-25 (PDF)
Select Zero Cost Share Bronze (IE827) SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE797-25 (PDF)
Select Select $6,500 Plus Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE798-25 (PDF)
Select Zero Cost Share Silver (IE821) SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE791-25 (PDF)
Select $2,700 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE792-25 (PDF)
Select $50 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE793-25 (PDF)
Select $850 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE794-25 (PDF)
Select $2,250 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKS-25 (PDF) BCH-103.11-MN-IND-IE795-25 (PDF)
Select $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE799-25 (PDF)
Select Zero Cost Share Silver (IE830) SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE800-25 (PDF)
Select $3,500 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE801-25 (PDF)
Select $150 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE802-25 (PDF)
Select $1,200 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE803-25 (PDF)
Select $2,750 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE804-25 (PDF)
Select $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE805-25 (PDF)
Select Zero Cost Share Bronze (IE836) SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE806-25 (PDF)
Select $8,000 Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBS-25 (PDF) BCH-103.11-MN-IND-IE807-25 (PDF)

Cornerstone plans

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Cornerstone $2,700 Silver SBC (PDF) CON-103.11-MN-IND-OMKC-25 (PDF) BCH-103.11-MN-IND-IE176-25 (PDF)
Cornerstone $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKC-25 (PDF) BCH-103.11-MN-IND-IE175-25 (PDF)
Cornerstone $4,150 Plus Silver SBC (PDF) CON-103.11-MN-IND-OMKC-25 (PDF) BCH-103.11-MN-IND-IE177-25 (PDF)
Cornerstone $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-OMKC-25 (PDF) BCH-103.11-MN-IND-IE178-25 (PDF)
Cornerstone $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-OMKMOBC-25 (PDF) BCH-103.11-MN-IND-IE180-25 (PDF)
Cornerstone $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-OMKMOBC-25 (PDF) BCH-103.11-MN-IND-IE181-25 (PDF)

Plan name

 Summary of Benefits and Coverage Contract Benefit charts
Cornerstone $2,700 Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE790-25 (PDF)
Cornerstone Zero Cost Share Silver (IE881) SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE791-25 (PDF)
Cornerstone $2,700 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE792-25 (PDF)
Cornerstone $2,250 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE795-25 (PDF)
Cornerstone $850 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE794-25 (PDF)
Cornerstone $50 Cost Share Reduction Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE793-25 (PDF)
Cornerstone $2,900 Plus Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE784-25 (PDF)
Cornerstone Zero Cost Share Silver (IE875) SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE785-25 (PDF)
Cornerstone $2,900 Plus Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE786-25 (PDF)
Cornerstone $50 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE787-25 (PDF)
Cornerstone $700 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE788-25 (PDF)
Cornerstone $2,650 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE789-25 (PDF)
Cornerstone $6,500 Plus Bronze SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE796-25 (PDF)
Cornerstone Zero Cost Share Bronze (IE887) SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE797-25 (PDF)
Cornerstone $6,500 Plus Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKC-25 (PDF) BCH-103.11-MN-IND-IE798-25 (PDF)
Cornerstone $3,500 HSA Silver SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE799-25 (PDF)
Cornerstone Zero Cost Share Silver (IE890) SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE800-25 (PDF)
Cornerstone $3,500 Limited Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE801-25 (PDF)
Cornerstone $150 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE802-25 (PDF)
Cornerstone $1,200 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE803-25 (PDF)
Cornerstone $2,750 Cost Share Silver SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE804-25 (PDF)
Cornerstone $8,000 HSA Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE805-25 (PDF)
Cornerstone Zero Cost Share Bronze (IE896) SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE806-25 (PDF)
Cornerstone $8,000 Limited Cost Share Bronze SBC (PDF) CON-103.11-MN-IND-MKMOBC-25 (PDF) BCH-103.11-MN-IND-IE807-25 (PDF)

Legal information

In Minnesota, HealthPartners is required to meet certain state standards for geographic access in each of the counties we offer networks to individuals, families and small employer groups. The plans on this page may have waivers filed with the Minnesota Department of Health in areas where geographic standards have not been completely met for one or more specialties.