HealthPartners Freedom Base (Cost)
H2462 - 022 - 0
(0 / 5)
HealthPartners Freedom Base (Cost) is a Medicare Advantage (Part C) Plan by HealthPartners.
This page features plan details for 2024 HealthPartners Freedom Base (Cost) H2462 – 022 – 0 available in Select Counties in ND and SD.
IMPORTANT: This page has been updated with plan and premium data for 2024.
Locations
HealthPartners Freedom Base (Cost) is offered in the following locations.
Plan Overview
HealthPartners Freedom Base (Cost) offers the following coverage and cost-sharing.
| Insurer: | HealthPartners |
| Health Plan Deductible: | $0.00 |
| MOOP: | Not Applicable |
| Drugs Covered: | No |
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Premium Breakdown
HealthPartners Freedom Base (Cost) has a monthly premium of $35.70. This amount includes your Part C premium but does not include your Part B premium.| Part B | Part C | Part B Give Back | Total |
|---|---|---|---|
| $174.70 | $35.70 | $0.00 | $210.40 |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
HealthPartners Freedom Base (Cost) also provides the following benefits.
| $0 |
| In-network | No |
| Not Applicable |
| No |
| In-network | No |
| 20% coinsurance per visit (Authorization is required.) (Referral is not required.) |
| Primary | 20% coinsurance per visit (Not applicable.) (Not applicable.) |
| Specialist | 20% coinsurance per visit (Authorization is not required.) (Referral is not required.) |
| $0 copay (Authorization is not required.) (Referral is not required.) |
| Emergency | $100 copay per visit (always covered) (Not applicable.) (Not applicable.) |
| Urgent care | 20% coinsurance per visit (always covered) (Not applicable.) (Not applicable.) |
| Diagnostic tests and procedures | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Lab services | $0 copay (Authorization is not required.) (Referral is not required.) |
| Diagnostic radiology services (e.g., MRI) | 20% coinsurance (Authorization is required.) (Referral is not required.) |
| Outpatient x-rays | 20% coinsurance (Authorization is required.) (Referral is not required.) |
| Hearing exam | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Fitting/evaluation | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Hearing aids – inner ear | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Hearing aids – outer ear | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Hearing aids – over the ear | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Oral exam | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Cleaning | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Fluoride treatment | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Dental x-ray(s) | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Non-routine services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Diagnostic services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Restorative services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Endodontics | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Periodontics | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Extractions | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Prosthodontics, other oral/maxillofacial surgery, other services | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Routine eye exam | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Other | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Contact lenses | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Eyeglasses (frames and lenses) | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Eyeglass frames | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Eyeglass lenses | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Upgrades | Not covered (Not applicable.) (Not applicable.) |
| Occupational therapy visit | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Physical therapy and speech and language therapy visit | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| 20% coinsurance (Not applicable.) (Not applicable.) |
| Not covered (Not applicable.) (Not applicable.) |
| Foot exams and treatment | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Routine foot care | Not covered (Not applicable.) (Not applicable.) |
| Durable medical equipment (e.g., wheelchairs, oxygen) | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
| Prosthetics (e.g., braces, artificial limbs) | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
| Diabetes supplies | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
| Covered (Authorization is not required.) (Referral is not required.) |
| Chemotherapy | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| Other Part B drugs | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| Part B Insulin drugs | 0-20% coinsurance (up to $35) (Authorization is required.) (Not applicable.) |
| $600 per stay (Authorization is required.) (Referral is not required.) |
| Inpatient hospital – psychiatric | $600 per stay (Authorization is not required.) (Referral is not required.) |
| Outpatient group therapy visit with a psychiatrist | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Outpatient individual therapy visit with a psychiatrist | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Outpatient group therapy visit | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| Outpatient individual therapy visit | 20% coinsurance (Authorization is not required.) (Referral is not required.) |
| $0 per day for days 1 through 20 $196 per day for days 21 through 100 (Authorization is not required.) (Referral is not required.) |
Ready to sign up for HealthPartners Freedom Base (Cost) ?
Table of Contents
SMID: MULTIPLAN_HCIHNDOGMED01_M
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