2022 HealthPartners Journey Dash (PPO)

HealthPartners Journey Dash (PPO) H4882-006 is a 2022 Medicare Advantage Plan or Part-C by HealthPartners available to residents in Minnesota. This plan includes additional prescription drug (Part-D) coverage. The HealthPartners Journey Dash (PPO) has a monthly premium of $89.00 and has an in-network maximum out-of-pocket limit of $3,200 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $3,200 out-of-pocket. This can be a extremely nice safety net.

HealthPartners Journey Dash (PPO) is a Local PPO. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

HealthPartners works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for HealthPartners Journey Dash (PPO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from HealthPartners and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from HealthPartners except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.

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2022 HealthPartners Medicare Advantage Plan Costs

HealthPartners Journey Dash (PPO) Part-C Premium

HealthPartners charges a $36.90 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

H4882-006 Part-D Deductible and Premium

HealthPartners Journey Dash (PPO) has a monthly drug premium of $52.10 and a $300.00 drug deductible. This HealthPartners plan offers a $52.10 Part-D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by HealthPartners above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $52.10 . The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lowered due to negative basic or supplemental premiums.

HealthPartners Gap Coverage

In 2022 once you and your plan provider have spent $4430 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This HealthPartners plan does not offer additional coverage through the gap.

Premium Assistance

The Low Income Subsidy (LIS) helps people with Medicare pay for prescription drugs, and lowers the costs of Medicare prescription drug coverage. Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The HealthPartners Journey Dash (PPO) medicare insurance offers a $13.20 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $22.90 for 75% low income subsidy $32.70 for 50% and $42.40 for 25%.

H4882-006 Formulary or Drug Coverage

HealthPartners Journey Dash (PPO) formulary is divided into Tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers. By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price. You can see complete 2022 HealthPartners Journey Dash (PPO) H4882-006 Formulary here.

Drug Tier	Copay Preferred Pharmacy	Copay Nonpreferred Pharmacy
Tier 1	NA	$0
Tier 2	NA	$10
Tier 3	NA	$47
Tier 4	NA	40%
Tier 5	NA	27%

*Initial Coverage Phase and 30 day supply

2021 HealthPartners Journey Dash (PPO) Summary of Benefits

*This will be updated with 2022 data when available.

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Additional Benefits

No

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Comprehensive Dental

Diagnostic services	50-75% coinsurance (Out-of-Network)
Diagnostic services	$0 copay
Endodontics	50-75% coinsurance (Out-of-Network)
Endodontics	20-50% coinsurance
Extractions	20-75% coinsurance
Extractions	50-75% coinsurance (Out-of-Network)
Non-routine services	50-75% coinsurance (Out-of-Network)
Non-routine services	0-50% coinsurance
Periodontics	0-75% coinsurance
Periodontics	50-75% coinsurance (Out-of-Network)
Prosthodontics, other oral/maxillofacial surgery, other services	50-75% coinsurance (Out-of-Network)
Prosthodontics, other oral/maxillofacial surgery, other services	50-75% coinsurance
Restorative services	0-75% coinsurance
Restorative services	50-75% coinsurance (Out-of-Network)

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Deductible

$0

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Diagnostic Tests and Procedures

Diagnostic radiology services (e.g., MRI)	20% coinsurance
Diagnostic radiology services (e.g., MRI)	20% coinsurance (Out-of-Network)
Diagnostic tests and procedures	20% coinsurance (Out-of-Network)
Diagnostic tests and procedures	10% coinsurance
Lab services	$0 copay
Lab services	20% coinsurance (Out-of-Network)
Outpatient x-rays	10% coinsurance
Outpatient x-rays	20% coinsurance (Out-of-Network)

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Doctor Visits

Primary	$5 copay per visit
Primary	$25-50 copay per visit (Out-of-Network)
Specialist	$25-50 copay per visit (Out-of-Network)
Specialist	$30 copay per visit

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Emergency care/Urgent Care

Emergency	$85 copay per visit (always covered)
Urgent care	$30 copay per visit (always covered)

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Foot Care (podiatry services)

Foot exams and treatment	$30 copay
Foot exams and treatment	$25-50 copay (Out-of-Network)
Routine foot care	Not covered

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Ground Ambulance

$225 copay (Out-of-Network)
$225 copay

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Hearing

Fitting/evaluation	20% coinsurance (Out-of-Network)
Fitting/evaluation	$0 copay
Hearing aids	$0-899 copay (Out-of-Network)
Hearing aids	$599-899 copay
Hearing exam	$30 copay
Hearing exam	20% coinsurance (Out-of-Network)

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Inpatient Hospital Coverage

20% per stay (Out-of-Network)
$250 per day for days 1 through 5 $0 per day for days 6 through 90

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Medical Equipment/Supplies

Diabetes supplies	20% coinsurance per item
Diabetes supplies	20% coinsurance per item (Out-of-Network)
Durable medical equipment (e.g., wheelchairs, oxygen)	20% coinsurance per item
Durable medical equipment (e.g., wheelchairs, oxygen)	20% coinsurance per item (Out-of-Network)
Prosthetics (e.g., braces, artificial limbs)	20% coinsurance per item
Prosthetics (e.g., braces, artificial limbs)	20% coinsurance per item (Out-of-Network)

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Medicare Part B Drugs

Chemotherapy	20% coinsurance (Out-of-Network)
Chemotherapy	20% coinsurance
Other Part B drugs	20% coinsurance
Other Part B drugs	20% coinsurance (Out-of-Network)

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Mental Health Services

Inpatient hospital - psychiatric	20% per stay (Out-of-Network)
Inpatient hospital - psychiatric	$250 per day for days 1 through 5 $0 per day for days 6 through 90
Outpatient group therapy visit	$25-50 copay (Out-of-Network)
Outpatient group therapy visit	$15 copay
Outpatient group therapy visit with a psychiatrist	$15 copay
Outpatient group therapy visit with a psychiatrist	$25-50 copay (Out-of-Network)
Outpatient individual therapy visit	$25-50 copay (Out-of-Network)
Outpatient individual therapy visit	$30 copay
Outpatient individual therapy visit with a psychiatrist	$30 copay
Outpatient individual therapy visit with a psychiatrist	$25-50 copay (Out-of-Network)

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MOOP

$6,000 In and Out-of-network $3,600 In-network

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Option

No

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Optional supplemental benefits

No

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Outpatient Hospital Coverage

20% coinsurance per visit (Out-of-Network)
$300 copay per visit

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Preventive Care

0-20% coinsurance (Out-of-Network)
$0 copay

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Preventive Dental

Cleaning	$0 copay
Cleaning	50-75% coinsurance (Out-of-Network)
Dental x-ray(s)	50-75% coinsurance (Out-of-Network)
Dental x-ray(s)	$0 copay
Fluoride treatment	$0 copay
Fluoride treatment	50-75% coinsurance (Out-of-Network)
Oral exam	$0 copay
Oral exam	50-75% coinsurance (Out-of-Network)

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Rehabilitation Services

Occupational therapy visit	$25-50 copay (Out-of-Network)
Occupational therapy visit	$30 copay
Physical therapy and speech and language therapy visit	$30 copay
Physical therapy and speech and language therapy visit	$25-50 copay (Out-of-Network)

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Skilled Nursing Facility

$0 per day for days 1 through 20 $150 per day for days 21 through 100
20% per stay (Out-of-Network)

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Transportation

Not covered

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Vision

Contact lenses	$0 copay (Out-of-Network)
Contact lenses	$0 copay
Eyeglass frames	$0 copay
Eyeglass frames	$0 copay (Out-of-Network)
Eyeglass lenses	$0 copay
Eyeglass lenses	$0 copay (Out-of-Network)
Eyeglasses (frames and lenses)	$0 copay (Out-of-Network)
Eyeglasses (frames and lenses)	$0 copay
Other	Not covered
Routine eye exam	$0 copay
Routine eye exam	20% coinsurance (Out-of-Network)
Upgrades	$0 copay
Upgrades	$0 copay (Out-of-Network)

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Wellness Programs (e.g. fitness nursing hotline)

Covered

CMS Star Ratings for HealthPartners Journey Dash (PPO) H4882

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in HealthPartners Journey Dash (PPO) Plans Performance

Health Plan Customer Service Rating for HealthPartners Journey Dash (PPO)

HealthPartners Journey Dash (PPO) Drug Plan Customer Service Ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST

Coverage Area for HealthPartners Journey Dash (PPO)

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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit. Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.