Your plan at your fingertips

(1)

Your plan at your fingertips

Manage your plan, cut costs and feel

confident when you get care

WELCOME

STATE OF MINNESOTA RETIREES

Your medical plan benefits

6 Health and wellness

8 Tools, resources and

(2)

(3)

*Medicare evaluates plans based on a 5–star rating system. Star Ratings are calculated each year and may change from one year to the next.

Dear State of Minnesota Retiree,

HealthPartners is pleased to offer you Medicare and prescription drug coverage plan options for 2016.

Before you look through this booklet, you might be interested in a few of the great features you can expect from HealthPartners Freedom:

• virtuwell®_{— You’ll get unlimited visits to virtuwell, the 24/7 online clinic that} provides treatment through a nurse practitioner for everyday medical conditions. • Silver&Fit®_{Exercise and Healthy Aging Program — For just $25 a year, you can}

get a membership at a participating fitness center.

• Travel coverage — With up to nine months of travel coverage within the U.S., you

can take your health plan with you wherever you go.

• Award-winning service — Your Medicare Member Services team is just a phone

call away.

You can also easily manage your health care through your personal account at

healthpartners.com/segipmedicare. Log on to get your medical and prescription

drug information 24/7, whenever and wherever it works for you.

I'm very proud to tell you that HealthPartners Freedom is a 5-star plan for 2016!*

You'll learn more about what this means on the next page.

Most of all, please choose HealthPartners in 2016; we would be so happy to be your plan in the year ahead.

Your partner in health,

Mary Brainerd President and CEO

(4)

Quality you deserve

There’s no guessing about what you can expect from Freedom. We deliver on our promise to provide top-notch care and timely service, so you can focus on doing more of what you love.

5 stars—Now that’s something

you can trust

It’s important to choose the right plan for you. Be bold in your next adventure knowing you have a reliable partner in HealthPartners Freedom (Cost) plan. The Centers for Medicare and Medicaid Services awarded us the highest Star Rating* for 2016—making us a top plan in Minnesota. Here are some reasons why:

• We help people get healthy and stay healthy with preventive care.

• We’re there when you need us—for the little things and the big things—with advice, treatment and support.

• Our members get outstanding service from our team of experts.

More assurance you’re teaming up

with a first-class plan

In addition to getting 5 stars, we also received a 5 out of 5 rating from The National Committee for Quality Assurance (NCQA).** In fact,

Freedom is the highest-rated plan in Minnesota. Our rating is based on how we measure against strict quality standards. Think of it as a way to know which plans are doing a bang-up job.

*Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year

and may change from one year to the next. **NCQA Medicare Health Insurance Plan Ratings 2015-2016. The National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. HealthPartners Freedom, a Medicare plan, is also known as Group Health Plan (Cost), Inc. NCQA ranked 376 Medicare health plans on clinical performance, member satisfaction and NCQA accreditation. Statistical data represented by NCQA is not endorsed by CMS nor given by Medicare. To view the plan’s official CMS star rating, visit medicare.gov.

H

EA

LTH

INSURANCE PLAN RA TIN

G

S

MED_{ICARE PLAN}

(5)

5

HealthPartners

®

Freedom Group (Cost)

It’s important to find a plan that supports you and your health goals. We're here for you.

As a member, you'll have the online tools and information you need to make good decisions about your health care and coverage.

Your Freedom network

• Choose from more than 45,000 doctors and other care providers in Minnesota and western Wisconsin.

• See any specialist in the network — with no referrals needed.

• Search the Freedom network by visiting healthpartners.com/segipmedicare.

» Search for doctors by name, clinic name, specialty, language, gender, hours of business, parking and more.

» See cost and quality ratings for doctors.

Sick. Click. Cured.

virtuwell®_{is convenient online care that treats everyday medical}

conditions - such as colds, coughs, ear pain or flu. All from the comfort of your home. Get 24/7 access to nurse practitioners who will give you personalized care and a treatment plan. And, if needed, a prescription sent right to your pharmacy. You'll get unlimited access at no cost. Visit virtuwell.com to learn more.

(6)

Your benefits

Get the care and coverage you deserve so you can do more of what you love.

The HealthPartners Freedom Group plan, offered by the State of Minnesota, is outlined here.

BENEFIT STATE OF MINNESOTA PLAN

Office visits You pay $10

Inpatient hospital You pay $100

Ambulance You pay $0

Emergency room You pay $50

Urgent care You pay $10

DME You pay 10% of the total cost

Mental health You pay $10 for individual sessions and $5 for group sessions

Occupational/physical therapy You pay $0

Speech therapy You pay $10

Preventive care You pay $0

Prescription drug coverage You pay $10 for preferred generic and generic, $30 for preferred brand,

$50 for non-preferred brand and $50 for specialty drugs

Monthly premium $272.10

See plan Summary of Benefits or Evidence of Coverage for more details.

This information is not a complete description of benefits. Contact the plan for more information.

Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.

For more details on your provider network and travel coverage, go to healthpartners.com/segipmedicare.

(7)

7

Travel benefits

Get care anywhere

Travel with peace of mind. You have in-network coverage nine months out of the year when you travel in the U.S. Plus, you get worldwide emergency and urgently needed care.

To use your Extended Absence Benefit, just let Member Services know before you leave.

How does it work?

You can get Medicare-covered health care from any provider in the U.S. that participates in and accepts Medicare. You have the option to use a

non-Medicare provider but you may be required to pay for some or all services up front. If that happens, HealthPartners will reimburse you once your claim has been submitted and processed.

Tools to help you plan your trip

Get travel ready with the help of these tools: • HealthPartners Mail Order Pharmacy: Get up

to a 90-day supply of your prescription and over-the-counter medications so you’ll have plenty with you.

• Travel medicine specialists: Get help with trip-specific health questions or concerns, especially if you’re traveling internationally.

• Health Information Library : Go to

healthpartners.com/healthlibrary for tips

on immunizations, health concerns and injury prevention before or during your travels.

To learn more about this benefit, visit healthpartners.com/segipmedicare.

(8)

Get healthy savings

Save money while doing something great for your health.

When you join the Silver&Fit®_{Exercise & Healthy}

Aging Program, you can get a membership at a participating fitness club for just $25 a year. Visit

silverandfit.com to find a club. Or, if you prefer

to work out at home, choose the Home Fitness Program. Pay $10 a year and get up to two Home Fitness kits.

You’ll also get:

• The Silver Slate®_{, a quarterly newsletter.}

• Healthy Aging materials (online or DVD).

• Silver&Fit Connected!™*, to track your exercise at a facility, or through a wearable fitness device or app and earn rewards. (These rewards may change, and the purchase of the device or app is not included.)

• A toll-free customer service hotline to answer questions about the program.

Signing up for Silver&Fit is easy.

Pay the annual fee directly to the participating fitness facility of your choice. Some exceptions may apply. Visit silverandfit.com or call

Silver&Fit customer service at 877-427-4788

(TTY 877-710-2746) for more information.

To enroll in the Home Fitness program, visit

silverandfit.com or call Silver&Fit Customer

Service to pay your annual fee.

*Your use of Silver&Fit Connected! serves as your consent for American Specialty Health Fitness, Inc. (ASH) Fitness to receive information about your tracked activity and to use that data to process and administer available rewards to you under the program.

The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit, Silver&Fit Connected!, the Silver&Fit logo, and The Silver Slate are federally registered trademarks of ASH and used with permission herein.

Once you’re a HealthPartners member, you’ll learn more about other great discounts available to our members.

(9)

Coverage for your medicines

Is my prescription covered?

You can see if your prescriptions are covered by searching the 2016 Medicare Formulary. This is the list of medicines that are covered by your plan. Searching the list is easy. Just go to

healthpartners.com/medicarerx and search by:

• The name of your medicine (ex. simvastatin) • The type of medicine (drug category) you are

taking (ex. cholesterol)

• The first letter of the medicine you are taking (ex. ‘S’)

How much do I have to pay for my

medicines?

You pay $10 for preferred generic and generic, $30 for preferred brand, $50 for non-preferred brand and $50 for specialty drugs.

You can find more benefit details by looking at your Summary of Benefits.

What if my medicine isn't

on the list?

If your medicine isn't on the list, it's not covered by your plan. In that case, we may suggest alternative drugs that are on the formulary.

If you want to switch to a covered medicine, we can help you see what your options are. Go to

healthpartners.com/medicarerx and scroll to the

Drug Category tab. Then, search for the type of medicine you're taking. A list of covered medicines will come up. Print it out and bring it to your doctor to see if one of those will work for you.

Save time and money

Get your medicines your way with HealthPartners myMailRx. Your prescriptions are delivered right to your door. There's no additional cost and shipping is free. Typically, you can expect to get your medicines within five to eight business days of when the mail order pharmacy receives your order.

Log on to healthpartners.com/mymailrx to sign up. Or, call 612-623-4002 or 800-591-0011.

For help understanding your medicines and saving money on your presctiptions, use "Ask a pharmacist" at

(10)

Questions?

Call us at 952-883-7428 or 866-993-7428.

TTY users should call 952-883-6060 or 800-443-0156.

Or go to healthpartners.com/segipmedicare for everything you

need to know about enrolling!

HealthPartners is a Cost plan with a Medicare contract. Enrollment in HealthPartners depends on contract renewal.

Your plan at your fingertips