2024 UCare's Minnesota Senior Health Options D-SNP: H2456-002-0 for Wabasha County, MN
What is Plan H2456-002-0 by UCare's MSHO?
UCare's Minnesota Senior Health Options is a D-SNP Medicare Advantage plan, by UCare's MSHO, for 2024. It has a HMO provider network. Delivery of healthcare services and costs are significantly different than in Original Medicare, and the plan offers additional benefits that are not included with Medicare Part A and Part B.
You must meet all qualification requirements to join this D-SNP plan.
Plan Basics | |
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Plan ID: | H2456-002-0 |
Plan Type: | HMO |
Plan Year: | 2024 |
Premium: | $35.00/mo Plus your Part B premium. |
Health Plan Deductible: | $0.00 |
Out-of-Pocket Maximum: | /yr |
Part B Reduction: | $0.00/mo |
Drug Plan Benefit: | Basic $545.00 deductible |
Rx Gap Coverage: | {gap} |
Supplemental Benefits: | Dental |
Availability: | Wabasha County, MN |
Insured By: | UCare's MSHO |
Summary of Benefits |
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Health Plan Costs & Benefits
UCare's Minnesota Senior Health Options is a Health Maintenance Organization (HMO) plan. HMO plan members usually receive health care services through the plan’s local network of providers. Referrals are almost always required to see a specialist and other providers. However, UCare's Minnesota Senior Health Options does allow out-of-network care for emergencies and out-of-area dialysis.
The following table is a summary of the most common out-of-pocket costs you will incur if you join this UCare's MSHO plan:
Healthcare Service | Member Cost |
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Doctor Visits (In-Network) | |
Primary: | 0% Coinsurance |
Specialist: | 0% Coinsurance |
Wellness programs (e.g., fitness, nursing hotline): | |
Preventive care: | 0% Coinsurance |
Foot Care (In-Network) | |
Foot exams and treatment (Medicare-covered): | 0% Coinsurance |
Routine foot care: | 0% Coinsurance |
Chiropractic Care (In-Network) | |
Medicare-covered chiropractic care: | 0% Coinsurance |
Routine chiropractic care: | 0% Coinsurance |
Emergency Care / Urgent Care | |
Emergency room care: | 0% Coinsurance |
Urgent care: | 0% Coinsurance |
Ground ambulance: | 0% Coinsurance |
Inpatient hospital coverage: | |
Outpatient hospital coverage: | 0% Coinsurance |
Skilled Nursing Facility: | |
Optional supplemental benefits: | Not Covered |
Mental Health Services (In-Network) | |
Outpatient individual therapy visit with a psychiatrist: | 0% Coinsurance |
Outpatient group therapy visit with a psychiatrist: | 0% Coinsurance |
Inpatient hospital - psychiatric: | |
Outpatient group therapy visit: | 0% Coinsurance |
Outpatient individual therapy visit: | 0% Coinsurance |
Rehabilitation Services (In-Network) | |
Physical therapy and speech and language therapy visit: | 0% Coinsurance |
Occupational therapy visit: | 0% Coinsurance |
Medical Equipment / Supplies (In-Network) | |
Diabetes supplies: | 0% Coinsurance |
Durable medical equipment (e.g., wheelchairs, oxygen): | 0% Coinsurance |
Prosthetics (e.g., braces, artificial limbs): | 0% Coinsurance |
Diagnostic Procedures / Lab Services / Imaging (In-Network) | |
Diagnostic radiology services (e.g., MRI): | 0% Coinsurance |
Lab services: | 0% Coinsurance |
Outpatient x-rays: | 0% Coinsurance |
Diagnostic tests and procedures: | 0% Coinsurance |
Medicare Part B Drugs (In-Network) | |
Chemotherapy: | 0% Coinsurance |
Other Part B drugs (Medicare-covered) | 0% Coinsurance |
Feel free to download our UCare's Minnesota Senior Health Options Summary of Benefits information.
Supplemental Health Plan Benefits (H2456-002-0)
The following is a summary of the supplemental benefits UCare's MSHO includes with this plan:
Supplemental Healthcare Service | Member Cost |
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Preventive Dental | Maximum dental benefit: | Non Specified |
Oral exam (In-Network) | Covered |
Fluoride treatment (In-Network) | Covered |
Dental x-ray(s) (In-Network) | Covered |
Cleaning (In-Network) | Not Covered |
Comprehensive Dental | |
Periodontics (In-Network) | Covered |
Non-routine services (In-Network) | Not Covered |
Diagnostic services (In-Network) | Covered |
Extractions (In-Network) | Not Covered |
Endodontics (In-Network) | Covered |
Restorative services (In-Network) | Covered |
Prosthodontics, other oral/maxillofacial surgery, other services (In-Network) | Not Covered |
Hearing | |
Fitting/evaluation (In-Network) | Not Covered |
Hearing aids (In-Network) | Not Covered |
Hearing exam (In-Network) | Not Covered |
Vision | |
Eyeglasses (frames and lenses) (In-Network) | Not Covered |
Routine eye exam (In-Network) | Not Covered |
Contact lenses (In-Network) | Not Covered |
Additional Supplemental Benefits
None specified.
Prescription Drug Plan Costs & Benefits
UCare's Minnesota Senior Health Options includes an basic benefit Medicare Part D plan (PDP). This simply means that the plan covers the minimum amount required by the Centers for Medicare & Medicaid Services, whereas enhanced benefit plans cover more.
Prescription Drug Plan Premium
Although the prescription drug plan (Part D) premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the prescription drug plan premium details of this plan.
Basic Part D Premium: | $35.00 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $35.00 |
Part D Premium with Full LIS Assistance: | $0.00 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $545.00. This is the amount you must pay at the pharmacy before UCare's MSHO begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, UCare's Minnesota Senior Health Options has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.
Drug Tier | Preferred | Standard |
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$0 copay on all covered generic and brand-name prescriptions. |
CMS 5-Star Rating Marks
Each year CMS rates Medicare Special Needs Plans in nine broad categories based on a 5-star system. The table below shows the quality ratings for this UCare's MSHO plan.
CMS Measure | Star Rating |
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2024 Overall Rating | |
Staying Healthy: Screenings, Tests, Vaccines | |
Managing Chronic (Long Term) Conditions | |
Member Experience with Health Plan | |
Complaints and Changes in Plans Performance | |
Health Plan Customer Service | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
How to Qualify to Enroll in
UCare's Minnesota Senior Health Options
To qualify for enrollment in UCare's Minnesota Senior Health Options in Wabasha County, you must be eligible for both Medicare and Medicaid. To be eligible for Medicare, you must be age 65 or older, or have Social Security Disability Insurance for 24 months. To be eligible for Medicaid, your income and assets must be at or below Minnesota's state thresholds.
Before enrolling in UCare's Minnesota Senior Health Options, or any other dual-eligible SNP, be sure to ask the following questions:
- What costs should I expect to pay out-of-pocket (premiums, deductibles, copayments)?
- Will I be able to use my doctors? Are they in the plan's network?
- Are the plan's in-network providers and facilities in convenient locations?
- Does the plan provide coverage for services I receive from out-of-network providers?
- Do I need a referral to see a specialist?
- Are my medications on the Part D plan's formulary? What if I can't afford my medications?
- What special accommodations does the plan make for persons with disabilities?
- Does the plan offer free meal delivery after a stay in the hospital?
- What help is offered for caregivers? Is adult day care covered?
- Does the plan offer a prepaid card for over the counter medications and covered groceries?
Additional D-SNP Plan Options
Here are some additional Medicare SNP plans that might be worth reviewing:
Contact UCare's MSHO
Plan Website: | https://home.ucare.org |
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Formulay Information: | https://home.ucare.org |
Pharmacy Information: | UCare's MSHO Pharmacy Page |
Prospective Members: | (877)671-1065 |
TTY Users: | (800)688-2534 |
If you qualify for Medicare benefits but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- UCare's MSHO, https://home.ucare.org, Last Accessed October 13, 2023
- Medicaid.gov, "Medicaid & CHIP in Minnesota", Last Accessed January 4, 2024
- CMS.gov, "Dual Eligible Special Needs Plans (D-SNPs)", Last Accessed January 20, 2023
- CMS.gov, Landscape Source Files, Last Accessed January 2, 2024
- CMS.gov, Medicare Part C & D Performance, Last Accessed January 2, 2024
- CMS.gov, Plan Benefits Package, Last Accessed January 3, 2024