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HealthPartners Journey Pace (PPO)

H4882 - 009 - 2
4 out of 5 stars (4 / 5)

HealthPartners Journey Pace (PPO) is a Medicare Advantage Plan by HealthPartners.

This page features plan details for 2025 HealthPartners Journey Pace (PPO) H4882 – 009 – 2 available in Metro, Central, and Greater MN Counties.

Locations

HealthPartners Journey Pace (PPO) is offered in the following locations.

Aitkin County, Minnesota
Becker County, Minnesota
Beltrami County, Minnesota

Click to see more locations

Plan Overview

HealthPartners Journey Pace (PPO) offers the following coverage and cost-sharing.

Insurer:HealthPartners
Health Plan Deductible:$0
MOOP:$8,950 In and Out-of-network
$6,000 In-network
Drugs Covered:Yes

Ready to sign up for HealthPartners Journey Pace (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

HealthPartners Journey Pace (PPO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $0.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

HealthPartners Journey Pace (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $300.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$0.00$0.00

Initial Coverage Phase

After you pay your $300.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

HealthPartners Journey Pace (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Periodontics
    • In-Network: 0-50 Coins – No Co pay
    • Out-of-Network: 50% Coins – No Copay
  • Restorative Services
    • In-Network: No Coins – No Co pay (Limits Apply)
    • Out-of-Network: 50% Coins – No Copay (Limits Apply)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Fluoride Treatment
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Oral Exams
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Other Diagnostic Dental Services
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Other Preventive Dental Services
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay
    • Out-of-Network: 50% Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic tests and procedures
    • Out-of-Network: 30% coinsurance (Authorization Required)
    • In-Network: $50 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $25 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $250 copay (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: 30% coinsurance (Authorization Required)

Doctor visits

  • Primary
    • In-Network: $0 copay
    • Out-of-Network: 30% coinsurance per visit
  • Specialist
    • In-Network: $40 copay per visit
    • Out-of-Network: 30% coinsurance per visit

Emergency care/Urgent care

  • Urgent care
    • $50 copay per visit (always covered)
    • $40 copay per visit (always covered)
  • Emergency
    • $125 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $40 copay
    • Out-of-Network: 30% coinsurance
  • Routine foot care
    • Not covered

Ground ambulance

    • In-Network: $350 copay
    • Out-of-Network: $300 copay
    • In-Network: $300 copay
    • Out-of-Network: $350 copay

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • Out-of-Network: $0 copay
  • Hearing aids
    • In-Network: $499-999 copay (Limits Apply)
  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • In-Network: $40 copay
    • Out-of-Network: 30% coinsurance
  • Hearing aids
    • Out-of-Network: $499-999 copay (Limits Apply)
  • Fitting/evaluation
    • In-Network: $0 copay

Inpatient hospital coverage

    • In-Network: $400 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
    • Out-of-Network: 30% per stay (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $8,950 In and Out-of-network
      $6,000 In-network
    • $8,950 In and Out-of-network
      $5,200 In-network

Medical equipment/supplies

  • Diabetes supplies
    • In-Network: $0 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 20% coinsurance per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Chemotherapy
    • Out-of-Network: 30% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $20 copay
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: 30% coinsurance
  • Outpatient group therapy visit
    • Out-of-Network: 30% coinsurance
  • Outpatient individual therapy visit
    • Out-of-Network: 30% coinsurance
  • Inpatient hospital – psychiatric
    • In-Network: $400 per day for days 1 through 5
      $0 per day for days 6 through 90
    • Out-of-Network: 30% per stay
  • Outpatient group therapy visit
    • In-Network: $20 copay
  • Outpatient individual therapy visit
    • In-Network: $40 copay
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $40 copay
  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: 30% coinsurance

Optional supplemental benefits

    • Yes

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • Out-of-Network: 30% coinsurance per visit (Authorization Required)
    • In-Network: $425 copay per visit (Authorization Required)
    • In-Network: $450 copay per visit (Authorization Required)

Preventive care

    • Out-of-Network: 0-30% coinsurance
    • In-Network: $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $40 copay
    • Out-of-Network: 30% coinsurance
  • Occupational therapy visit
    • In-Network: $40 copay
    • Out-of-Network: 30% coinsurance

Skilled Nursing Facility

    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 80
      $0 per day for days 81 through 100
    • Out-of-Network: 30% per stay

Transportation

    • Not covered

Vision

  • Eyeglass frames
    • In-Network: $0 copay
  • Eyeglass lenses
    • Out-of-Network: $0 copay
  • Eyeglasses (frames and lenses)
    • Out-of-Network: $0 copay
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply)
  • Upgrades
    • Out-of-Network: $0 copay
  • Contact lenses
    • Out-of-Network: $0 copay
  • Eyeglasses (frames and lenses)
    • In-Network: $0 copay
  • Contact lenses
    • In-Network: $0 copay
  • Upgrades
    • In-Network: $0 copay
  • Eyeglass frames
    • Out-of-Network: $0 copay
  • Eyeglass lenses
    • In-Network: $0 copay
  • Other
    • Not covered
  • Routine eye exam
    • Out-of-Network: 30% coinsurance (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Journey Comprehensive Dental Benefit

Comprehensive Dental

  • Restorative Services, Endodontics, Periodontics, Prosthodontics, removable, Implant Services, Prosthodontics, fixed, Oral and Maxillofacial Surgery, Adjunctive General Services
    • Monthly Premium: $36.10
    • Max Coverage: $1500.00
    • Coverage Periodicity: Every year
    • Deductible Services: 16c1: Restorative Services, 16c2: Endodontics, 16c3: Periodontics, 16c4: Prosthodontics, removable, 16c6: Implant Services, 16c7: Prosthodontics, fixed, 16c8: Oral and Maxillofacial Surgery, 16c10: Adjunctive General Services
    • Deductible: $50.00

Diagnostic and Preventive Dental

  • Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Fluoride Treatment, Other Preventive Dental Services
    • Monthly Premium: $36.10
    • Max Coverage: $1500.00
    • Coverage Periodicity: Every year

Ready to sign up for HealthPartners Journey Pace (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on HealthPartners Journey Pace (PPO)? See 2025 HealthPartners Journey Pace (PPO) at MedicareAdvantageRX.com.

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Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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