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Managed Care Systems

  • MCS Homepage
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  • Health Care Facilities, Providers and Insurance

Managed Care Systems

  • MCS Homepage
  • Arbitration Services
  • Enrollee Complaint and Appeal Options
  • Essential Community Providers
  • HMO Annual Reporting
  • Health Plan Information
  • HMO Licensure
  • Mental Health Parity
  • Provider Network Adequacy
  • Quality, Financial and Enrollment Stats
  • FAQs
  • Contact Us

Related Sites

  • Health Care Facilities, Providers and Insurance
Contact Info
Managed Care Section
651-201-5100
800-657-3916 (toll-free)
health.mcs@state.mn.us

Contact Info

Managed Care Section
651-201-5100
800-657-3916 (toll-free)
health.mcs@state.mn.us

Individual Market Networks

The individual health insurance market is available for Minnesotans and their families who do not have access to employer-based coverage and are not eligible for coverage through public programs such as Medicare, Medicaid (called “Medical Assistance” in Minnesota) and MinnesotaCare. Consumer protections required in these plans include coverage for preexisting conditions and free preventive care, as well as coverage for prescription drugs and substance use disorder and mental health treatment.

Six health plans are approved to sell individual health coverage in 2023. They offer a total of 22 networks. Seventeen of these networks, from 5 different health plans, are offered on MNsure, Minnesota's online health insurance marketplace.

Minnesotans can purchase individual and family health coverage through MNsure, through an insurance agent or broker, or directly from a health plan. MNsure allows individuals and families to shop, compare and choose health insurance coverage that meets their needs and is the only place to apply for financial help to lower the cost of monthly insurance premiums and out-of-pocket costs. MNsure offers free in-person help through their statewide network of certified navigators and brokers.

If you have questions about networks, contact a health plan directly. Please visit the web sites listed below to get the most up to date provider network information from each health plan. The Minnesota Department of Commerce approves rates for individual market products. For information on rates and how rates are determined, visit the Commerce website.

Health insurers offering a health care provider network for individuals, families, and small employers need to meet certain state standards for geographic access. In some situations they may be unable to meet these standards and are required to submit a Provider Network Waiver request. Please see our Provider Network Waivers page to review waivers for approved provider networks.

All of the following networks are offered in the individual health insurance market. Maps show coverage areas in green.

 

Blue Plus

 

Blue Plus website

Metro MN Network
Counties in service area: Anoka, Brown, Carver, Chisago, Dakota, Hennepin, Isanti, Kanabec, McLeod, Nicollet, Ramsey, Scott, Sherburne, Sibley, Washington, Wright

Offered: On MNsure, Off MNsure

Map of Minnesota counties in Metro Network service area

Southeast MN Network
Counties in service area: Blue Earth, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, LeSueur, Martin, Mower, Nicollet, Olmsted, Rice, Steele, Wabasha, Waseca, Watonwan, and Winona

Offered: On MNsure, Off MNsure

Map of Minnesota counties in SouthEast Network service area

Blue Plus Minnesota Value Network
Counties in service area: Aitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dakota, Douglas, Grant, Hennepin, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac qui Parle, Lake of the Woods, Lake, Lincoln, Lyon, Mahnomen, Marshall, McLeod, Meeker, Mille Lacs, Morrison, Murray, Nobles, Norman, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rock, Roseau, Scott, Sherburne, Sibley, St. Louis, Stearns, Stevens, Swift, Todd, Traverse, Wadena, Washington, Wilkin, Wright, Yellow Medicine

Offered: On MNsure, Off MNsure

Blue Plus Minnesota Value Network service area

 

HealthPartners Inc.

 

HealthPartners website

HealthPartners Peak
Counties in service area: Anoka, Benton, Carver, Dakota, Hennepin, Ramsey, Scott, Sherburne, Stearns, Washington, Wright

Offered: On MNsure, Off MNsure

HealthPartners Peak coverage map

 

Select ACO
Counties in service area: Anoka, Dakota, Hennepin, Ramsey, Scott, Washington

 

Offered: On MNsure, Off MNsure

Select ACO map

 

Cornerstone Network  NEW
Counties in service area: Cottonwood, Jackson, Lincoln, Lyon, Murray, Nobles,Pipestone, Rock, Yellow Medicine

 

Offered: On MNsure, Off MNsure

Cornerstone Network map

 

HealthPartners Apex
Counties in service area: Anoka, Becker, Benton, Big Stone, Brown, Carver, Chippewa, Chisago, Clay, Cottonwood, Dakota, Douglas, Faribault, Freeborn, Grant, Hennepin, Isanti, Jackson, Kandiyohi, Lac qui Parle, Lincoln, Lyon, Martin, McLeod, Meeker, Murray, Nobles, Norman, Morrison, Otter Tail, Pipestone, Polk,Pope, Ramsey, Redwood, Renville, Rock, Scott, Sherburne, Sibley, Stearns, Stevens, Swift, Todd, Traverse, Washington, Watonwan, Wilkin, Wright, Yellow Medicine

 

Offered: On MNsure, Off MNsure

Health Partners Apex coverage map

 

Medica Insurance Company

 

Medica website

Altru Prime by Medica
Counties in service area: Kittson, Marshall, Pennington, Polk, Red Lake, and Roseau

Offered: On MNsure, Off MNsure

Altru Prime by Medica coverage map

Medica Applause
Statewide service area.

 

Offered: On MNsure, Off MNsure

 

Medica Applause coverage map

Engage by Medica
Counties in service area: Blue Earth, Brown, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, LeSueur, Martin, Mower, Nicollet, Olmsted, Rice, Steele, Wabasha, Waseca, Watonwan, Winona

Offered: On MNsure, Off MNsure

Essentia ChoiceCare with Medica NEW
Counties in service area: Becker, Carlton, Cass, Clay, Crow Wing, Hubbard, Itasca, Mahnomen, Norman, Pine, Saint Louis, Wilkin

Offered: On MNsure, Off MNsure

Engage by Medica overage map

North Memorial Acclaim by Medica
Counties in service area: Anoka, Hennepin, Ramsey, Sherburne, Wright

Offered: On MNsure, Off MNsure

Medica North Memorial coverage map

Medica Symphony, Encore, Solo, & Direct by Medica
Statewide service area

Offered: Off MNsure

Medica Symphony, Encore, Solo, & Direct by Medica

Ridgeview Distinct by Medica
Counties in service area: Carver, Hennepin, Le Sueur, McLeod, Scott, Sibley, Wright

Offered: On MNsure, Off MNsure

Ridgeview Distinct by Medica

Bold by MHealth Fairview and Medica Counties in service area: Anoka, Carver, Dakota, Hennepin, Ramsey, Washington

Offered: On MNsure, Off MNsure

Bold by MHealth Fairview and Medica

PreferredOne Insurance Company

PreferredOne website

Choice

Statewide service area

Offered: Off MNsure

Preferred One Choice coverage map

PreferredHealth
Counties in service area: Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington

Offered: Off MNsure

Preferred Health coverage map

Select
Counties in service area: Anoka, Dakota, Hennepin, Ramsey, Scott, Sherburne, Washington, Wright

Offered: Off MNsure

Select coverage map

 

 

Quartz Health Plan MN Corporation

 

 

Quartz Health Plan MN Corporation website

Select Network NEW
Counties in service area: Fillmore, Houston, Olmsted, Wabasha, Winona

Offered: Off MNsure

Map of Minnesota counties in Select Network service area

 

 

UCare

 

UCare website

UCare Individual and Family Plans
Counties in service area: Aitkin, Anoka, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carlton, Carver, Cass, Chippewa, Chisago, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dakota, Douglas, Goodhue, Grant, Hennepin, Houston, Hubbard, Isanti, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac qui Parle, Lake, Lake of the Woods, Le Sueur, Lincoln, Lyon, McLeod, Mahnomen, Marshall, Martin, Meeker, Mille Lacs, Morrison, Nicollet, Nobles, Norman, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Ramsey, Red Lake, Redwood, Renville, Rice, Rock, Roseau, St. Louis, Scott, Sherburne, Sibley, Stearns, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Washington, Wilkin, Winona, Wright, Yellow Medicine

Offered: On MNsure, off MNsure

UCare Indivdual and Family Plans

UCare Individual and Family Plans with Fairview
Counties in service area: Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington

Offered: On MNsure, off MNsure

Select coverage map

For more information, email health.managedcare@state.mn.us.

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  • insurance
Last Updated: 01/30/2023

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