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Care Wise: M Health Fairview & North Memorial (HMO-POS)
Minnesota Medicare Advantage Plan (2024 Plan)
Monthly Premium
Your Cost
$0
by UCare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
3.5
out of 5 stars
Ready to Enroll Online?
Plan Overview
Plan Name
Care Wise: M Health Fairview & North Memorial (HMO-POS)
Insurance Carrier
UCare
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type
HMO
Care Wise: M Health Fairview & North Memorial (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Minnesota and offered by the health insurance company UCare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$5,800
Primary doctor visit
$0 copay
Specialist visit
$45 copay per visit
ER visit
$100 copay per visit (always covered)
Ambulance
$300 copay
Care Wise: M Health Fairview & North Memorial (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $5,800 In-network
$10,000 Out-of-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Care Wise: M Health Fairview & North Memorial (HMO-POS) are defined below.
Additional Benefits and Coverage
Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing
Care Wise: M Health Fairview & North Memorial (HMO-POS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Care Wise: M Health Fairview & North Memorial (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Care Wise: M Health Fairview & North Memorial (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage
Comparing the Quality Score of Care Wise: M Health Fairview & North Memorial (HMO-POS) to Other Plans in Minnesota
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Care Wise: M Health Fairview & North Memorial (HMO-POS) received an overall government quality rating of 3.5 stars out of 5 stars.
Care Wise: M Health Fairview & North Memorial (HMO-POS) performed worse than Minnesota’s State average overall quality score of 4.2 stars.
This Plan’s 5-star Gov’t Quality Score
Minnesota State Average Score
Overall Government 5 Star Quality Rating
3.5
4.2
Summary rating of health plan quality
3.5
4.0
Staying healthy: screenings, tests, & vaccines
5
4.0
Managing chronic (long term) conditions
No Rating (new plan)
3.3
Member experience with health plan
3
4.1
Member complaints & changes in the health plan's performance
No Rating (new plan)
4.0
Health plan customer service
No Rating (new plan)
4.5
Summary rating of drug plan quality
3.5
4.3
Drug plan customer service
4
4.2
Member complaints & changes in the drug plan's performance
No Rating (new plan)
4.4
Member experience with the drug plan
2
3.6
Drug safety & accuracy of drug pricing
4
4.0
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Care Wise: M Health Fairview & North Memorial (HMO-POS) received 3.5 stars for its health plan quality score which is worse than the Minnesota State average health plan quality score of 4.0 stars.
Care Wise: M Health Fairview & North Memorial (HMO-POS) received 3.5 stars for its drug plan quality score which is worse than the Minnesota State average drug plan quality score of 4.3 stars.
In this article we rank Minnesota Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Minnesota is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Minnesota.