HealthPartners Freedom Base (Cost)

South Dakota Medicare Advantage Plan (2024 Plan)


Monthly Premium

Your Cost
$36
by HealthPartners

Additional Coverage

Hearing

Overall Government Star Rating

No Rating (new plan)

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

HealthPartners Freedom Base (Cost) is a Medicare Advantage Plan Without Prescription Drugs, which is available in South 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
$36
Annual Deductible
$0
Max Out-of-Pocket
Not Applicable
Primary doctor visit
20% coinsurance per visit
Specialist visit
20% coinsurance per visit
ER visit
$100 copay per visit (always covered)
Ambulance
20% coinsurance

HealthPartners Freedom Base (Cost) has a monthly premium cost of $36 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of Not Applicable. 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 Base (Cost) are defined below.

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

HealthPartners Freedom Base (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 Base (Cost) includes coverage for hearing.

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

Other benefits

Fitness benefit
Not covered
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
Not covered
Telehealth
Limited coverage

Monthly Premium
$36
Health Portion of Premium
$36
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
Not Applicable
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
No
Dental Coverage included
No

Doctor Services

Primary doctor visit
20% coinsurance per visit
Specialist visit
20% coinsurance per visit

Tests, labs, & imaging

Diagnostic tests & procedures
20% coinsurance
Lab services
$0 copay
Diagnostic radiology services (like MRI)
20% coinsurance
Outpatient x-rays
20% coinsurance
Emergency care
$100 copay per visit (always covered)
Urgent care
20% coinsurance per visit (always covered)

Hospital Services

Inpatient hospital coverage
$600 per stay
Outpatient hospital coverage
20% coinsurance per visit

Skilled nursing facility

Skilled nursing facility
$0 per day for days 1 through 20
$196 per day for days 21 through 100

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
20% coinsurance

Therapy services

Occupational therapy visit
20% coinsurance
Physical therapy & speech & language therapy visit
20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist
20% coinsurance
Outpatient individual therapy with a psychiatrist
20% coinsurance
Outpatient group therapy visit
20% coinsurance
Outpatient individual therapy visit
20% coinsurance

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
20% coinsurance per item
Prosthetics (like braces, artificial limbs)
20% coinsurance per item
Diabetes supplies
20% coinsurance per item

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
20% coinsurance
Fitting/evaluation
Not covered
Hearing aids - Inner ear
Not covered
Hearing aids - Outer ear
Not covered
Hearing aids - Over the ear
Not covered

Preventive Dental

Oral exam
Not covered
Cleaning
Not covered
Fluoride treatment
Not covered
Dental x-rays
Not covered

Comprehensive dental

Non-routine services
Not covered
Diagnostic services
Not covered
Restorative services
Not covered
Endodontics
Not covered
Periodontics
Not covered
Extractions
Not covered
Prosthodontics, other oral/maxillofacial surgery, other services
Not covered

Vision

Routine eye exam
Not covered
Contact lenses
Not covered
Eyeglasses (frames & lenses)
Not covered
Eyeglass frames (only)
Not covered
Eyeglass lenses (only)
Not covered
Upgrades
Not covered

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