HealthPartners Freedom Vital (Cost)
H2462 - 018 - 0
(5 / 5)
HealthPartners Freedom Vital (Cost) is a Medicare Advantage (Part C) Plan by HealthPartners.
This page features plan details for 2022 HealthPartners Freedom Vital (Cost) H2462 – 018 – 0 available in Duluth Area and Select MN Counties.
IMPORTANT: This page features the 2022 version of this plan. See the 2024 version using the link below:
No 2024 version found. You can use the location links below to find 2024 plans in your area.
Locations
HealthPartners Freedom Vital (Cost) is offered in the following locations.
Plan Overview
HealthPartners Freedom Vital (Cost) offers the following coverage and cost-sharing.
| Insurer: | HealthPartners |
| Health Plan Deductible: | $0 |
| MOOP: | $3,400.00 |
| Drugs Covered: | No |
Ready to sign up for HealthPartners Freedom Vital (Cost) ?
Premium Breakdown
HealthPartners Freedom Vital (Cost) has a monthly premium of $. This amount includes your Part C premium but does not include your Part B premium.| Part B | Part C | Part B Give Back | Total |
|---|---|---|---|
| $170.10 | $39.70 | $0.00 | $209.80 |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
HealthPartners Freedom Vital (Cost) also provides the following benefits.
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
| In-Network: No |
Dental (comprehensive)
| Diagnostic services: | Not covered |
| Endodontics: | Not covered |
| Extractions: | Not covered |
| Non-routine services: | Not covered |
| Periodontics: | Not covered |
| Prosthodontics, other oral/maxillofacial surgery, other services: | Not covered |
| Restorative services: | Not covered |
Dental (preventive)
| Cleaning: | Not covered |
| Dental x-ray(s): | Not covered |
| Fluoride treatment: | Not covered |
| Oral exam: | Not covered |
Diagnostic procedures/lab services/imaging
| Diagnostic radiology services (e.g., MRI): | $300 copay |
| Diagnostic tests and procedures: | $0 copay |
| Lab services: | $0 copay |
| Outpatient x-rays: | $10 copay |
Doctor visits
| Primary: | $0 copay |
| Specialist: | $30 copay per visit |
Emergency care/Urgent care
| Emergency: | $90 copay per visit (always covered) |
| Urgent care: | $40 copay per visit (always covered) |
Foot care (podiatry services)
| Foot exams and treatment: | $30 copay |
| Routine foot care: | Not covered |
Ground ambulance
| $200 copay |
Health plan deductible
| $0.00 |
Health plan deductibles (other)
| In-Network: No |
Hearing
| Fitting/evaluation: | $0 copay |
| Hearing aids: | $699-999 copay (limits may apply) |
| Hearing exam: | $30 copay |
Hospital coverage (inpatient)
| $400 per stay (authorization required) |
Hospital coverage (outpatient)
| $150 copay per visit (authorization required) |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| $3,400 In-network |
Medical equipment/supplies
| Diabetes supplies: | 20% coinsurance per item (authorization required) |
| Durable medical equipment (e.g., wheelchairs, oxygen): | 0-20% coinsurance per item (authorization required) |
| Prosthetics (e.g., braces, artificial limbs): | 20% coinsurance per item (authorization required) |
Mental health services
| Inpatient hospital – psychiatric: | $400 per stay |
| Outpatient group therapy visit with a psychiatrist: | $15 copay |
| Outpatient group therapy visit: | $15 copay |
| Outpatient individual therapy visit with a psychiatrist: | $30 copay |
| Outpatient individual therapy visit: | $30 copay |
Optional supplemental benefits
| Yes |
Preventive care
| $0 copay |
Rehabilitation services
| Occupational therapy visit: | $30 copay |
| Physical therapy and speech and language therapy visit: | $30 copay |
Skilled Nursing Facility
| $0 copay |
Transportation
| Not covered |
Vision
| Contact lenses: | $0 copay (limits may apply) |
| Eyeglass frames: | $0 copay (limits may apply) |
| Eyeglass lenses: | $0 copay (limits may apply) |
| Eyeglasses (frames and lenses): | $0 copay (limits may apply) |
| Other: | Not covered |
| Routine eye exam: | $0 copay (limits may apply) |
| Upgrades: | $0 copay (limits may apply) |
Wellness programs (e.g., fitness, nursing hotline)
| Covered |
Optional Benefits
Package #1
| Preventive dental: | Monthly Premium: | $43.10 |
| Preventive dental: | Deductible: | $50.00 |
| Comprehensive dental: | Monthly Premium: | $43.10 |
| Comprehensive dental: | Deductible: | $50.00 |
Ready to sign up for HealthPartners Freedom Vital (Cost) ?