Inspiration Health by HealthEast with Medica

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Inspiration Health by HealthEast with Medica

Accountable Care Organization network

HealthEast and Medica are working together to offer this unique network that delivers quality care, patient satisfaction and lower costs. Inspiration Health by HealthEast provides easy access to the largest health care provider in the Twin Cities' East Metro area, including more than 14 primary care clinics and multiple specialty care locations, home care and hospice care. And if you travel out of Medica’s service area (Minnesota, North Dakota, South Dakota and western Wisconsin) and you need care, you have access to more than 715,000 physicians and care professionals and 5,400 hospitals in Medica’s nationwide network.

HealthEast believes the relationship between a patient and a caregiver begins and grows in the primary care setting. It's the core to patient care and the key to living a healthier life. The hospitals in the HealthEast system – Bethesda Hospital, St. John's Hospital, St. Joseph's Hospital and the Woodwinds Health Campus – were ranked among the safest in Minnesota, according to Consumer Reports.

Plan Highlights

  • Free advanced wellness assessment with a nutrition and fitness specialist and a certified health and wellness coach (a $200 value)
  • Ways to Wellness discounts on in-person and virtual sessions for nutrition consults, personal training, wellness coaching, group fitness and more
  • Care Connection, a 24/7 care concierge providing nurse triage and appointment scheduling
  • Personalized care transition support after a hospital stay or emergency room visit
  • HealthEast MyChart, a secure online tool to track your health information and stay connected to your provider

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You can compare this plan side-by-side with up to two other plans to see the differences between their benefits.

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Benefit Summary for Inspiration Health by HealthEast with Medica

Network Information
Network Type Accountable Care Organization network
Network Area Twin Cities east metro area
Special Features Free advanced wellness assessment ($200 value); discounts on nutrition consults, personal training, wellness coaching, group fitness and more; 24/7 care concierge providing nurse triage and appointment scheduling.
Referrals Needed No referrals needed if you see an Inspiration Health network provider.

How it Works

Inspiration Health by HealthEast with Medica is an accountable care organization (ACO). In an ACO, groups of doctors, nurses and other health care providers work together with your health plan to provide coordinated care. You don’t need a referral when you see a provider in the Inspiration Health network.

» Find a physician or facility in the Inspiration Health network.
» See a map of provider locations in the Inspiration Health network.



Sample Certificate of Coverage

You can view a sample 2017 coverage document (called a Certificate of Coverage), which shows examples of what an Inspiration Health by HealthEast plan may cover for fully insured members. To view this sample, choose the state your employer is based in, then choose “Small groups” if your company has 50 or fewer employees, or “Large groups” if your employer has 51 or more employees.

MN:
• Small groups (2018 sample certificate coming soon)
• Large groups (2018 sample certificate coming soon)

ND:
• Large groups (2018 sample certificate coming soon)

WI:
• Large groups (2018 sample certificate coming soon)

NOTE: This is not your actual certificate of coverage. This is only an example of what services may be covered. For information about specific benefits or levels of coverage (such as copay, coinsurance or deductible amounts), please contact your employer.

Information Sharing

One of the unique features of an ACO plan is how Medica works with your provider to coordinate your health care. By sharing member information with each other, Medica and your ACO can help you get the care you need and deliver programs and services to help you get and stay healthy. If you or your dependents don’t want Medica and the ACO to share your information with each other:

» Complete this form
» Or call Customer Service at 952-945-8000 or 800-952-3455

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