HealthPartners Freedom Crest (Cost)

North Dakota Medicare Advantage Plan (2024 Plan)


Monthly Premium

Your Cost
$190
by HealthPartners

Additional Coverage

HearingVisionDental

Overall Government Star Rating

No Rating (new plan)

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Plan Name
HealthPartners Freedom Crest (Cost)
Insurance Carrier
HealthPartners
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Network Type
COST

HealthPartners Freedom Crest (Cost) is a Medicare Advantage Plan Without Prescription Drugs, which is available in North Dakota and offered by the health insurance company HealthPartners. This plan’s network type is COST which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$190
Annual Deductible
$0
Max Out-of-Pocket
$3,000
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
$75 copay per visit (always covered)
Ambulance
$0 copay

HealthPartners Freedom Crest (Cost) has a monthly premium cost of $190 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,000 In-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 HealthPartners Freedom Crest (Cost) are defined below.

No
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

HealthPartners Freedom Crest (Cost) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. HealthPartners Freedom Crest (Cost) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. HealthPartners Freedom Crest (Cost) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Not covered
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

Monthly Premium
$190
Health Portion of Premium
$190
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$3,000 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes

Doctor Services

Primary doctor visit
$0 copay
Specialist visit
$0 copay

Tests, labs, & imaging

Diagnostic tests & procedures
$0 copay
Lab services
$0 copay
Diagnostic radiology services (like MRI)
$0 copay
Outpatient x-rays
$0 copay
Emergency care
$75 copay per visit (always covered)
Urgent care
$0 copay

Hospital Services

Inpatient hospital coverage
$100 per stay
Outpatient hospital coverage
$50 copay per visit

Skilled nursing facility

Skilled nursing facility
$0 copay

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
$0 copay

Therapy services

Occupational therapy visit
$0 copay
Physical therapy & speech & language therapy visit
$0 copay

Mental health services

Outpatient group therapy with a psychiatrist
$0 copay
Outpatient individual therapy with a psychiatrist
$0 copay
Outpatient group therapy visit
$0 copay
Outpatient individual therapy visit
$0 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
0-10% coinsurance per item
Prosthetics (like braces, artificial limbs)
10% coinsurance per item
Diabetes supplies
$0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Chemotherapy drugs
0-20% coinsurance
Other Part B drugs
0-20% coinsurance

Hearing

Hearing exam
$0 copay
Fitting/evaluation
$0 copay
Hearing aids - All types
$499-999 copay

Preventive Dental

Oral exam
$0 copay
Cleaning
$0 copay
Fluoride treatment
$0 copay
Dental x-rays
$0 copay

Comprehensive dental

Non-routine services
0-20% coinsurance
Diagnostic services
$0 copay
Restorative services
20% coinsurance
Endodontics
20% coinsurance
Periodontics
0-50% coinsurance
Extractions
20-50% coinsurance
Prosthodontics, other oral/maxillofacial surgery, other services
50% coinsurance

Vision

Routine eye exam
$0 copay
Contact lenses
$0 copay
Eyeglasses (frames & lenses)
$0 copay
Eyeglass frames (only)
$0 copay
Eyeglass lenses (only)
$0 copay
Upgrades
$0 copay

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