MNsure Provider Networks FAQs - Minnesota Dept. of Health

MNsure Provider Networks FAQs

What is MNsure?
MNsure is a new central health insurance marketplace for Minnesotans.

Who is eligible to participate in MNsure?
Initially, individuals and families who are not covered under an employer’s plan and small businesses with up to 50 employees can use MNsure. Large employers may be allowed to participate in 2017.

How does the Minnesota Department of Health tie into MNsure?
The health plans offered by MNsure are required to meet multiple certification standards. MDH is responsible for certifying provider networks including physicians, specialists, clinics, hospitals, and other providers. In addition, MDH must review and approve the benefits and prescription drug formularies being sold by HMOs on MNsure.

What is a network?
A network is a collection of hospitals, clinics and individual providers that have signed contracts with a health insurer to provide covered services to enrollees. Enrollees often receive the most coverage at the lowest cost when they use a provider in their network.

Where can I go for information about premiums associated with these networks?
Information about rates is available on the Department of Commerce website.

Updated Wednesday, December 23, 2015 at 09:29AM