Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

What is AbilityCare?

AbilityCare (HMO D-SNP) is a Medicare Advantage Special Needs BasicCare (SNBC) program for people with disabilities who qualify for Medical Assistance and Medicare, and live in our service area. AbilityCare is designed to help people with disabilities access the health care, medications and support services they need. There are no additional costs to join AbilityCare.

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Advantages of this plan

You will get all your covered Medicare and Medical Assistance services from our plan, including prescription drugs. You do not pay extra to join this health plan. We help make your Medicare and Medical Assistance benefits work better together and work better for you.

Some of the advantages include:

  • You can work with us for most of your health care needs.
  • You have a care team that you help put together. Your care team may include yourself, your caregiver, doctors, nurses, counselors, or other health professionals.

AbilityCare is 3 plans in 1

AbilityCare combines your Medical Assistance, Medicare and Medicare Part D prescription drug benefits into one coverage plan. Members get the advantage of having 1 combined plan and 1 member services number for questions about their covered health care services or prescription drugs.
Your combined coverage includes doctors, hospitals, pharmacies, providers of long-term services and supports, long-term care, behavioral health, dental, vision, transportation and many other services. We also have care coordinators and care teams to help you manage your providers and services. They all work together to provide the care you need. See other pages on this site for more information on features and benefits of AbilityCare.

When you have questions about your coverage benefits, help is only one phone call away. Member Services can help you enroll, help you when you have problems, answer questions about covered benefits, help you find a provider, and send you a new ID card or other plan materials.

What is Medicare Part C? Medicare Part C is also called Medicare Advantage. Medicare Advantage plans are a form of private health insurance that provide the same coverage as Medicare Parts A & B (Original Medicare) and can include more benefits that Original Medicare doesn't cover. AbilityCare is a Medicare Advantage plan.

What's NEW for AbilityCare?

More Information

SeniorCare Complete and AbilityCare are health plans that contract with both Medicare and the Minnesota Medical Assistance Program to provide benefits of both programs to enrollees. Enrollment in either plan depends on contract renewal.

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