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

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.

» View the Summary of Benefits and Coverage for Inspiration Health. 

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

 

 

Benefit Summary for Inspiration Health by HealthEast with Medica

Network Benefits
Overall deductible [insert benefit]
Out-of-pocket limit [insert benefit]
If you visit a health care provider's office or clinic
Primary care visit [insert benefit]
Chiropractic visit
Convenience care visit
Specialist visit [insert benefit]
Preventive care/screening/immunization No charge.
If you have a test
Diagnostic test - lab [insert benefit]
Diagnostic test - x-ray
Imaging (CT/PET scans, MRI) [insert benefit]
If you need drugs to treat your illness or condition
Generic drugs [insert benefit]
Preferred brand drugs [insert benefit]
Non-preferred brand drugs [insert benefit]
If you have outpatient surgery
Facility fee (e.g., ambulatory surgery center) [insert benefit]
Physician/surgeon fees
If you need immediate medical attention
Emergency room care [insert benefit]
Emergency medical transportation
Urgent care [insert benefit]
If you have a hospital stay
Facility fee (e.g., hospital room) [insert benefit]
Physician/surgeon fees
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.

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