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Minnesotans have several options for health insurance coverage,
ranging from managed care and "fee for service" providers
to Medicare and special programs from those needing financial assistance.
If you do not receive health care insurance coverage through your
employer, the following are among your options in Minnesota:
Managed Care
Managed care includes Health Maintenance Organizations, Preferred
Provider Organizations, Community Integrated Service Networks, Staff
Models, Network Health Plans, Independent Practice Associations
and Preferred Provider Organizations. (Click here
for more information on these types of health insurance).
Health insurance brokers can show you a variety of available options
based on your needs. You can find them in the yellow pages under
"Health Care Plans." You can also contact HMOs directly:
Government Supported
MinnesotaCare
MinnesotaCare is a subsidized health care program for people who
live in Minnesota and do not have access to health insurance. There
are no health condition barriers, but applicants must meet income
and program guidelines to qualify. Call MinnesotaCare at 1-800-657-3672
(toll-free) or 651-297-3862 (Twin Cities metro) or write to MinnesotaCare,
P.O. Box 64838, St. Paul, MN 55164-0838.
Minnesota Comprehensive Health Association
(MCHA)
MCHA is for Minnesota residents who have been turned down for individual
health insurance or have a pre-existing medical condition. Although
established by the legislature in 1976, MCHA is not a government
agency. Call 1-800-531-6674 or 651-456-5290, or write to MCHA at
P.O. Box 64566, St. Paul, MN 55164
General
Assistance Medical Care (GAMC)
GAMC pays for medical care for some 27,000 low-income Minnesotans
who don't qualify for Medicaid or other state or federal health
care programs primarily low-income adults between the ages
of 21 and 64, who dont have dependent children.
Medical
Assistance (MA) (Medicaid) Program
MA is a joint federal/state-funded program that provides necessary
medical services for low-income families, children, pregnant women
and Minnesotans who are elderly (65 or older) or have disabilities.
Prepaid
Medical Assistance Program (PMAP)
Under this program, the Minnesota Department of Human Services contracts
with and makes capitated payments to HMOs or Community Integrated
Service Networks to deliver health care to eligible MA and GAMC
recipients. Click here
for PMAP Communications Form.
Medicare
If you are receiving Social Security or Railroad Retirement or disability
benefits, you will be automatically enrolled in Medicare Part A
and Part B when you turn 65. For more information on federal Medicare
benefits, including Medicare Part D, visit www.medicare.gov
or call 1-800-MEDICARE (1-800-633-4227).
Fee for Service
Fee for Service health insurance, or "traditional" health
insurance, is the system under which doctors are compensated based
on the amount of care they offer. Check the yellow pages under "insurance"
for more information.
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