HealthPartners Insurance Review & Complaints: Health Insurance (2024)
HealthPartners Insurance Company offers a range of PPO plans at all levels including the HealthPartners Peak and HealthPartners Atlas networks. Our HealthPartners insurance quote for a 30-year-old Minnesota male brought back HealthPartners insurance rates starting at $250.36/mo for the Bronze plan.
Free Health Insurance Comparison
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
Eric Stauffer
Founder & Former Insurance Agent
Eric Stauffer is an insurance agent and banker-turned-consumer advocate. His priority is educating individuals and families about the different types of insurance coverage. He is passionate about helping consumers find the best coverage for their budgets and personal needs. In addition to founding Expert Insurance Reviews, Eric is the CEO of C Street Media, a full-service marketing firm and the...
Founder & Former Insurance Agent
UPDATED: Nov 27, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Nov 27, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
Minnesota-based HealthPartners is a not-for-profit health insurance plan and complete health care system. HealthPartners is the largest consumer-governed nonprofit health care organization in the country, according to their website, with 1.8 million members.
About HealthPartners
HealthPartners started out as Group Health in 1957, formed with a board of directors made up of members and patients as a cooperative health system. In 1992, Group Health’s merger with MedCenters Health Plan resulted in the official creation of HealthPartners.
The group further expanded in 2013 when they again merged, this time with Park Nicollet Health Services. The resulting health system runs a multi-specialty group of clinics and hospitals with more than 1,800 physicians. HealthPartners headquarters is located in Bloomington, Minnesota.
The HealthPartners health plan features a regional network across Minnesota, Wisconsin, and the Dakotas. They partner with major insurer Cigna to provide a nationwide network of approximately 950,000 doctors. HealthPartners also offers a dental health plan with a limited regional network in the HealthPartners Dental Group.
Health plans include individual, group, and Medicare. Currently, individual health plans are only offered in Minnesota and Wisconsin, and plans can be purchased directly or through the healthcare exchange. Other plans, available through the Cigna partnership, are not listed on the website and are under the Cigna umbrella. Read our Cigna insurance review for more information.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
What are the HealthPartners Plans?
HealthPartners offers a range of PPO plans at all levels. Plan availability varies by state; Minnesota plans feature the Peak network, while in Wisconsin the Atlas network is offered. All plans include out-of-network care options. Outside of these states, HealthPartners plans are offered through Cigna – these plans offer a broader network of care.
A review of the Peak and Atlas plans found they offer the same coverage and the same choices are available in both states. The only difference is the network of care, which is localized.
Individual Plans (Peak and Atlas)
These plans are offered at Catastrophic, Bronze, Silver, and Gold levels, with an HSA option available as well at the Bronze and Silver levels.
The Peak Catastrophic plan has a $7,350 individual deductible and $14,3000 family deductible, both of which are also the out of pocket limit. The plan allows three primary care office visits per year, with a $30 copay for a regular office visit and $15 copay for convenience care (described as visits to quick clinics such as those found in pharmacies). After these three visits, the deductible applies, and when the deductible is paid in full all services are then fully covered, in-network, including prescriptions.
The Peak Bronze plan is offered with or without an HSA. The HSA plan has a $6,600 individual deductible (family is doubled), after which all in-network services are covered in full, including prescriptions.
The non-HSA plan has a $6,000 individual deductible, doubled for a family. Three office visits are covered per year with the same copays and rules as the catastrophic plan. After the deductible is met, services are covered with a 20% coinsurance. Prescriptions start with a $5 copay for Tier 1.
There are three Silver plan options, one of which is the Health Savings Account (HSA) plan. That plan has a $3,000 individual and $6,000 family deductible, with higher out of pocket limits. After the deductible is met, services are covered with a 15% coinsurance amount, including prescriptions.
The other two Silver plans are similar but have different deductible and coinsurance amounts. Both plans have $30 primary care copays, $15 for convenience care, and $30 for urgent care for the first three visits. The $2,300 individual deductible plan then has a 25% coinsurance, while the $3,500 individual deductible plan has 15% coinsurance. On both plans, prescription drugs start at $12 for Tier 1.
There is one Gold plan, which has a $1,000 individual and $2,000 family deductible. Primary care visits are unlimited with a $10 copay, as are specialist visits with a $30 copay. Convenience care has a $5 copay. Prescription drug coverage starts at $5 for Tier 1 drugs.
Dental Plans
HealthPartners Dental Group offers a selection of dental plans to choose from. Plans can include only the Dental Group network, or the wider Open Access network.
There are three levels. Maintenance covers preventative care and basic services but does not offer coverage for things like surgery. Major covers a variety of services including some coverage for surgery and other major restorative work but has no preventative care coverage. Comprehensive is a combination of both of these plans.
Medicare Advantage
HealthPartners has Medicare Advantage plans available throughout Minnesota and in specific counties in the Dakotas, Wisconsin, Iowa, and Illinois. For the purpose of this review, we looked at the Minnesota plans to help identify the best overall Medicare company.
The Minnesota Freedom plan is available throughout the state and is offered at five levels. Basic has a 20% coinsurance and does not include Part D coverage. The rest offer the option to add Part D coverage to the plan.
The Vital plan has a $15 copay for primary care visits and specialists have a $40 copay. Medicare Part D coverage can be added with a $195 deductible and copays starting at $6.
The Freedom Active plan has a $20 copay for both primary care and specialist visits. Part D can be added with a $180 deductible and prescriptions starting at $6.
Freedom Balance has a $15 copay for both primary care and specialist visits. Again, Part D is an option, with a $175 deductible, and prescription copays starting at $5.
Finally, the Freedom Ultimate plan offers $0 copays for either primary care or specialist visits in return for the highest monthly cost. Part D coverage can be added with a $115 deductible and prescriptions starting at a $5 copay.
There is one other plan available, the Journey Stride, which has a limited regional network. This plan has a $15 copay for primary care and a $40 copay for specialist visits. Part D can be added with the same deductible and coverage as the Vital plan.
How to Get Rates
We ran a rate quote for a 30-year-old male living in the Twin Cities area of Minnesota. The results did not return an option for the Catastrophic plan; the least expensive plan offered is the Bronze HSA at $250.36 per month. At $365.53, the Gold plan was the most expensive plan listed.
These rates are well in line with what we have seen elsewhere for this type of coverage, even on the low side given that these are PPO plans and not HMO. The Gold plan was surprisingly lower in price than some plans we have seen with higher deductibles and higher copays. Of course, these plans are for a specific regional area, which makes it difficult to provide a nationwide comparison.
The Medicare plans start at $32.90 per month – on top of the regular Medicare premium, and go up to $164.80 for the Ultimate Plan. The addition of Part D brings that rate up to $232.90, or $375.90 for their Part D enhanced coverage.
Overall, the Medicare rates are in line with other Advantage providers, although it is worth noting that none of the base rates include Part D. Surprisingly, HealthPartners does not offer a $0 added premium Advantage option, which most major insurance companies do.
HealthPartners Insurance Claims Process
Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)
HealthPartners Insurance provides multiple options for filing claims, ensuring convenience for their policyholders. You can file a claim online through their website or utilize their mobile app for a seamless digital experience. Additionally, traditional phone-based claim filing is available for those who prefer direct communication.
Average Claim Processing Time
The article does not provide specific information regarding the average claim processing time for HealthPartners Insurance. Policyholders are encouraged to contact the insurance company directly or refer to their policy documents for details on claim processing times.
Customer Feedback on Claim Resolutions and Payouts
While the article mentions that HealthPartners Insurance has a good reputation, it does not provide specific customer feedback on claim resolutions and payouts. Policyholders looking for feedback on these aspects may want to explore online reviews and consult with current or former policyholders to gain insights into their experiences.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Digital and Technological Features of HealthPartners Insurance
Mobile App Features and Functionality
HealthPartners Insurance offers a mobile app that provides policyholders with convenient access to various features and functionalities. However, the article does not specify the details of these features. To learn more about the mobile app’s capabilities, users can download and explore the app directly from their respective app stores.
Online Account Management Capabilities
The article does not elaborate on the specific online account management capabilities offered by HealthPartners Insurance. Policyholders interested in managing their accounts online should visit the insurer’s website or contact their customer service for detailed information on available online services.
Digital Tools and Resources
The article briefly mentions online health tools and resources but does not provide specific details. Policyholders seeking information on HealthPartners Insurance’s digital tools and resources should visit the insurer’s website for a comprehensive overview of available digital resources to support their healthcare and insurance needs.
What are the Ratings and Consumer Reviews?
HealthPartners’ Better Business Bureau (BBB) page appears under the original name, Group Health, and they currently have an A+ rating. There are 21 complaints on file in the past three years, seven of which have been closed in the past 12 months.
The National Committee for Quality Assurance ranks HealthPartners at an overall 4.5, out of 5, which places it among the top health plans in the nation, and at the top of the rankings for the state of Minnesota. They have held high rankings here for many years.
Many of the reviews we found focused not on the health plan, but on specific services from providers or clinics, which is not unusual with a health system whose plan has the same name as their clinics. Pissed Consumer, for example, has 47 reviews, but few of them focus on issues related to the health plan or coverage. There are a few complaints regarding billing and services that were not covered.
Overall, HealthPartners appears to have a good reputation.
What’s the Bottom Line?
HealthPartners has a good selection of health insurance coverage plans and reasonable rates for PPO coverage as well as for Medicare Advantage plans. They are well worth considering for those who live in the coverage area and like the idea of a comprehensive health care system that offers the option of an extended coverage network.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Frequently Asked Questions
What types of insurance plans does HealthPartners offer?
HealthPartners offers a variety of insurance plans, including individual and family plans, employer-sponsored group plans, Medicare plans, and Medicaid plans.
Are prescription drugs covered under HealthPartners insurance?
Yes, HealthPartners insurance plans typically include coverage for prescription drugs, helping you afford the medications prescribed by your healthcare provider.
Does HealthPartners insurance provide coverage for preventive care?
Yes, HealthPartners insurance covers a range of preventive services, such as annual check-ups, vaccinations, screenings, and certain preventive medications, with no or low out-of-pocket costs.
Are there any wellness programs or resources offered by HealthPartners?
Yes, HealthPartners provides various wellness programs and resources, including fitness discounts, online health tools, health coaching, and educational materials to support your overall well-being.
Can I access virtual care services with HealthPartners insurance?
Yes, HealthPartners offers virtual care services, allowing you to connect with healthcare providers remotely through video visits or telehealth platforms for certain non-emergency medical needs.
Does HealthPartners insurance offer any extra benefits or discounts?
Yes, HealthPartners offers additional benefits and discounts, such as gym membership reimbursements, discounts on alternative therapies, and programs to support healthy lifestyles.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Eric Stauffer
Founder & Former Insurance Agent
Eric Stauffer is an insurance agent and banker-turned-consumer advocate. His priority is educating individuals and families about the different types of insurance coverage. He is passionate about helping consumers find the best coverage for their budgets and personal needs. In addition to founding Expert Insurance Reviews, Eric is the CEO of C Street Media, a full-service marketing firm and the...
Founder & Former Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.