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HealthPartners Journey Stride (PPO)

H4882 - 011 - 1
4 out of 5 stars (4 / 5)

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

This page features plan details for 2025 HealthPartners Journey Stride (PPO) H4882 – 011 – 1 available in Metro, Central, and Greater MN Counties.

Locations

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

Anoka County, Minnesota
Benton County, Minnesota
Carver County, Minnesota

Click to see more locations

Plan Overview

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

Insurer:HealthPartners
Health Plan Deductible:$0
MOOP:$6,000 In and Out-of-network
$4,200 In-network
Drugs Covered:Yes

Ready to sign up for HealthPartners Journey Stride (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 Stride (PPO) has a monthly premium of $41.00. 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 $41.00 $ $
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 Stride (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
$41.00$12.70

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 Stride (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: 50 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

  • Lab services
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Outpatient x-rays
    • In-Network: $25 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $50 copay (Authorization Required)
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $225 copay (Authorization Required)
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: 20% coinsurance (Authorization Required)

Doctor visits

  • Primary
    • In-Network: $0 copay
  • Specialist
    • In-Network: $40 copay per visit
    • In-Network: $45 copay per visit
  • Primary
    • Out-of-Network: $60 copay per visit
  • Specialist
    • Out-of-Network: $60 copay per visit

Emergency care/Urgent care

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

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $40 copay
    • In-Network: $45 copay
  • Routine foot care
    • Not covered
  • Foot exams and treatment
    • Out-of-Network: $60 copay

Ground ambulance

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

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • Out-of-Network: $0 copay
    • In-Network: $0 copay
  • Hearing aids
    • In-Network: $499-999 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $40 copay
    • Out-of-Network: 20% coinsurance
  • Hearing aids OTC
    • Not covered
  • Hearing aids
    • Out-of-Network: $499-999 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $45 copay

Inpatient hospital coverage

    • Out-of-Network: 20% per stay (Authorization Required)
    • In-Network: $250 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
    • In-Network: $375 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)

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

    • $6,000 In and Out-of-network
      $4,200 In-network
    • $6,000 In and Out-of-network
      $5,000 In-network

Medical equipment/supplies

  • Diabetes supplies
    • 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)
    • In-Network: 20% coinsurance per item (Authorization Required)
    • Out-of-Network: 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • Out-of-Network: 20% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • Out-of-Network: 20% coinsurance per item (Authorization Required)

Medicare Part B drugs

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

Mental health services

  • Inpatient hospital – psychiatric
    • In-Network: $250 per day for days 1 through 5
      $0 per day for days 6 through 90
    • In-Network: $375 per day for days 1 through 5
      $0 per day for days 6 through 90
  • Outpatient group therapy visit
    • In-Network: $20 copay
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $20 copay
  • Outpatient individual therapy visit
    • In-Network: $45 copay
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: $30-60 copay
  • Inpatient hospital – psychiatric
    • Out-of-Network: 20% per stay
  • Outpatient group therapy visit
    • In-Network: $22.50 copay
    • Out-of-Network: $30-60 copay
  • Outpatient individual therapy visit
    • In-Network: $40 copay
    • Out-of-Network: $30-60 copay
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $40 copay
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $22.50 copay
    • Out-of-Network: $30-60 copay
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $45 copay

Optional supplemental benefits

    • Yes

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $350 copay per visit (Authorization Required)
    • Out-of-Network: 20% coinsurance per visit (Authorization Required)

Preventive care

    • Out-of-Network: 0-20% coinsurance
    • In-Network: $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $40 copay
  • Occupational therapy visit
    • Out-of-Network: $60 copay
    • In-Network: $40 copay
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: $60 copay

Skilled Nursing Facility

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

Transportation

    • Not covered

Vision

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

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: $36.60
    • 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: $36.60
    • Max Coverage: $1500.00
    • Coverage Periodicity: Every year

Ready to sign up for HealthPartners Journey Stride (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 Stride (PPO)? See 2025 HealthPartners Journey Stride (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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