Medical Assistance Programs for individuals

Our Minnesota Health Care Programs representatives can answer questions you may have about features of these plans.
Call us at 612-676-3200 or 1-800-203-7225 (TTY: 612-676-6810 or 1-800-688-2534), 8 am - 5 pm, Monday - Friday.

Current Members - Important 2020 Information

Search the Minnesota Health Care Programs List of Covered Drugs (Formulary) (coming 1/1/2020)
2020 Minnesota Health Care Programs Provider and Pharmacy Directory (PDF)
Question and Answers about Health Care Directives (PDF)

Current Members - Important 2019 Information

Search the 2019 Minnesota Health Care Programs List of Covered Drugs (Formulary)
2019 Minnesota Health Care Programs Provider and Pharmacy Directory (PDF)
Question and Answers about Health Care Directives (PDF)

2019 Families and Children (PMAP) Member Handbook (PDF)
2019 MnCare Member Handbook (PDF)

Get the care you need

The state of Minnesota offers two health care programs for people age 21-64 who need financial assistance to afford health insurance: Medical Assistance or MinnesotaCare (MnCare).

Which of the two state-funded programs you qualify for depends on your income. The best way to be sure what you’re eligible for is to apply through MNsure.org

Medical Assistance

Medical Assistance (MA), is Minnesota’s Medicaid program. This program is for people who have income that is less than 135% of the federal poverty level, or about $16,000 annually. The program pays for most of your covered healthcare costs for eligible people in your household.

Most people are responsible for small copays for covered office visits and prescriptions. Medical Assistance health plans like UCare waive the monthly Medicaid Assistance deductible (the amount you must pay before your plan kicks in) which saves you money.

Most people get their Medical Assistance benefits through a health plan like UCare.

UCare offers a Prepaid Medical Assistance Program (PMAP) plan to people eligible  for Medical Assistance who live in our 38-county service area. See the map (PDF) for the counties in the service area.

Anoka
Blue Earth
Carver
Chippewa
Cottonwood
Dakota
Faribault
Fillmore
Freeborn
Hennepin
Houston
Isanti
Jackson
Kandiyohi
Lac qui Parle
Lake of the Woods
LeSueur
Lincoln
Lyon
Martin
Morrison
Mower
Murray
Nicollet
Nobles
Olmsted
Ramsey
Redwood
Rice
Rock
St. Louis
Scott
Sibley
Swift
Todd
Wadena
Washington
Watonwan
Winona
Wright
Yellow Medicine

To enroll in a UCare plan, you will need to apply for Medical Assistance first through MNsure. Then, when you qualify and receive your plan choice letter from the Department of Human Services, you can choose the UCare PMAP plan.

MinnesotaCare

MinnesotaCare is for people who make less than 200% of the federal poverty guideline, which is about $24,000 annually for a household of one. Most MinnesotaCare members receive their coverage from a health plan like UCare. People 21 and older who are not pregnant will pay a monthly premium and copays for covered health care benefits. Premiums are $0 to $80 depending on your income.

Examples of 2020 MinnesotaCare copay amounts include:

  • $7 for generic prescription drugs ($25 for brand)
  • $75 copay for ER visit
  • $25 copay for an office visit that is not for preventive care
  • $250 for inpatient hospital stay
  • $25 copay for eyeglasses

UCare offers MinnesotaCare coverage to eligible people who live in our 55-county service area. See the map (PDF) for the counties in the service area.

Anoka
Big Stone
Blue Earth
Carver
Chippewa
Cottonwood
Dakota
Douglas
Faribault
Fillmore
Freeborn
Goodhue
Grant
Hennepin
Houston
Isanti
Jackson
Kanabec
Kandiyohi
Lac qui Parle
Lake of the Woods
LeSueur
Lincoln
Lyon
McLeod
Martin
Meeker
Morrison
Mower
Murray
Nicollet
Nobles
Olmsted
Pipestone
Pope
Ramsey
Redwood
Renville
Rice
Rock
St. Louis
Scott
Sibley
Steele
Stevens
Swift
Todd
Traverse
Wadena
Waseca
Washington
Watonwan
Winona
Wright
Yellow Medicine

To enroll in a UCare plan, you will need to apply for MinnesotaCare first through MNsure. Then, when  you qualify and receive your plan choice letter from the Department of Human Services, you can choose UCare’s MinnesotaCare plan.

 

 

Application and enrollment resources

This stuff is complicated. Get the details on applying and enrolling for individuals before you head over to MNsure.

Learn about enrollment for individuals

Mother and daughter in grocery store

More about UCare Medical Assistance and MinnesotaCare plans

In addition to the healthcare services covered by Medical Assistance and MinnesotaCare, UCare plans offer additional incentives and service to help you take charge of your health.

  • Up to $20 back on your monthly fitness club fees for adults age 19 and older if you attend frequently* (Children age 18 and younger get a fitness kit)
  • Transportation for eligible members
  • Access to the UCare Dental Connection, which provides assistance with scheduling dental appointments and coordinating dental services
  • Free car seats for eligible children up to age 8
  • A large network of health care providers
  • Rewards for parents and children who stay up-to-date on check-ups, screening, and shots
  • Disease management programs for members with chronic conditions
  • A free quit smoking program
  • Save up to $200 a month at participating grocery stores with Healthy Savings. Shop and save when you buy select healthy foods including milk, whole-grain bread, lean meat, eggs, yogurt, fruits, vegetables and more.
  • Discounts on health and wellness services and alternative medicine practitioners through WholeHealth Living™.
  • Up to $15 off most community education classes.
  • Access to our other great health and wellness programs and tools

*At participating fitness clubs.

Minnesota Health Care Programs

Minnesota also offers health care assistance programs for:


October 2019