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HealthPartners Freedom Basic WI (Cost)

HealthPartners
by HealthPartners
2026 Medicare Advantage plan available in Wisconsin
Plan ID H2462-026-0
Additional coverage:
(none)
Medicare Advantage COST
Monthly plan premium $50 / mo
Annual deductible $0 / yr
Max out-of-pocket · in-network Not Applicable / yr

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Plan Overview

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

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

Cost Summary

HealthPartners Freedom Basic WI (Cost) has a monthly premium cost of $50 per month, with an annual deductible of $0 and a maximum out-of-pocket cost sharing of Not Applicable. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $50 / mo
Annual Deductible $0 / yr
Max Out-of-Pocket · in-network Not Applicable / yr
Primary doctor visit 20% coinsurance
Specialist visit 20% coinsurance
ER visit $100 copay
Ambulance 20% coinsurance

Additional Benefits and Coverage

HealthPartners Freedom Basic WI (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 Basic WI (Cost) includes coverage for .

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

Other benefits

Fitness benefit Not covered
Over-the-counter drug benefits Not covered
In-home support services Not covered
Home & bathroom safety devices Not covered
Meals for short duration Not covered
Annual physical exams Not covered
Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Specialist visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Tests, labs & imaging

Diagnostic tests & procedures In-network: $0 copay
Out-of-network: $0 copay
Lab services In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI) In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Emergency care $100 copay
Urgent care 20% coinsurance

Hospital Services

Inpatient hospital coverage Tier 1
$600 per stay
Outpatient hospital coverage In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Skilled nursing facility

Skilled nursing facility
$0 copay

Preventive services

Preventive services In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Physical therapy & speech & language therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy with a psychiatrist In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient group therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diabetes supplies In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Extra Benefits

Hearing

Hearing exam Not covered
Fitting/evaluation Not covered
Hearing aids - prescription Not covered
Hearing aids - over the counter Not covered

Preventive dental

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

Comprehensive dental

Restorative services Not covered
Endodontics Not covered
Periodontics Not covered
Prosthodontics, removable Not covered
Prosthodontics, fixed Not covered
Maxillofacial prosthetics Not covered
Implant services Not covered
Oral and maxillofacial surgery Not covered
Orthodontics Not covered
Adjunctive general 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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