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Turning 65 Soon?
Staying active, connected and confident feels good.
So does choosing a health care provider that knows your community and your values. EssentiaCare is an innovative Medicare health plan from Essentia Health and UCare—two companies you can trust to provide excellent care at an affordable price.
A Seamless Experience
EssentiaCare is a Medicare Advantage plan, which means all your Medicare benefits (including Original Medicare Part A and Part B, prescription drug coverage and supplemental coverage) are all in one plan. It’s a simple, streamlined approach to Medicare, with virtually no paperwork once you’re enrolled.
Already an Essentia Health Patient?
An EssentiaCare plan offers you a smooth transition to Medicare with providers you know and trust. Choose from one of two plans designed for life in the northland.
Care + Coverage
Health care from Essentia Health.
Health coverage from UCare.
UCare and Essentia Health have teamed up to bring you health care and health coverage in one plan. Claims, benefits, medical records… it’s all integrated. So whether you need to make an appointment, talk with a nurse or check on a claim, there’s just one number to call and one website to visit.
Care Through the Essentia Health Network
Essentia Health is the largest health system serving north-central Minnesota, offering access to more than 1,900 physicians at 18 hospitals and 83 clinics. Whether you need primary or specialty care, our network of expert providers across the health care spectrum is here for you—no referrals needed. You will also have access to the specialists at Mayo Clinic in Rochester for rare or complex conditions.
Coverage from UCare
At UCare, we’ve grown to become a leading provider of Medicare plans in Minnesota by focusing on what matters most: you.
By teaming up, Essentia Health and UCare are able to offer excellent Medicare coverage at some of the most affordable rates you’ll find.
A Plan Designed for You
EssentiaCare plans offer care + coverage that fits your life.
Choose from two different plans with no copays for primary care doctor visits, and excellent coverage that includes dental, vision, hearing, travel, a routine physical and fitness benefits.
Excellent care is at your doorstep, with access to more than 1,900 doctors and advanced practitioners at 18 hospitals and 83 clinics across central and northern Minnesota. You will also have access to the specialists at Mayo Clinic in Rochester for rare or complex conditions.
Whether you’re vacationing, visiting or traveling for business, EssentiaCare plans provide health coverage nationwide and emergency care worldwide.
Enjoy free health club memberships through SilverSneakers® Fitness program, available at over 13,000 health clubs nationwide.
Prescription Drug Coverage
Plans with low deductibles and tiered copays, fillable at more than 68,000 pharmacies nationwide.
2018 Plan Benefit Comparison
|EssentiaCare Secure (PPO)||EssentiaCare Grand (PPO)|
|Primary Care Doctor Office Visits||$0 copay.||$0 copay.|
|Specialist Office Visits||$45 copay.||$35 copay.|
|Inpatient Hospital Care||$300 copay per day (days 1-5), then 100% per inpatient admission.||$500 copay per stay (not per day), then 100% per inpatient admission.|
|Worldwide Emergency Care||$80 copay.||$80 copay.|
|Medicare Part D Prescription Drug Coverage||Included.||Included.|
|Vision Coverage||Routine and diagnostic eye exams.||Routine and diagnostic eye exams.|
|Hearing Coverage||Routine and diagnostic hearing exams.||Routine and diagnostic hearing exams.|
Additional Choice Dental coverage available for $20 per month
|One oral exam, one cleaning, one filling per year. Bitewing X-rays once per year. Fluoride treatments.||One oral exam, one cleaning, one filling per year. Bitewing X-rays once per year. Fluoride treatments.|
|Fitness Benefit||Free health club membership through SilverSneakers® Fitness program.||Free health club membership through SilverSneakers® Fitness program.|
|Routine Physical Exam||$0 copay.||$0 copay.|
* Premiums for Part D coverage are higher for individuals with an annual income more than $85,000 in 2018, and married couples with an annual income more than $170,000 in 2018.
An active senior who loves to travel, Linda wants a Medicare Advantage plan that she knows will cover her for whatever comes her way, and be simple to manage.
Both EssentiaCare plans (Secure and Grand) would provide Linda with excellent coverage that includes travel and fitness benefits—and the ability to manage all of her health care needs in one place, with just one plan.
Gary has chronic heart issues and relies on the expertise of his care providers at Essentia Health to monitor and treat his condition. But he also wants the reassurance of knowing he’s covered for more specialized care, should he need it.
With the EssentiaCare Grand plan, Gary has no or low copays for seeing his doctors, contained costs for hospital visits, and the peace of mind that comes with knowing he and his doctors have access to the specialists at Mayo Clinic in Rochester for rare or complex conditions.
A former elementary teacher and grandmother of three, Diane is recently retired and on a budget. She’s been an Essentia Health patient since 2005 and wants to stay with the care providers she knows and trusts.
An EssentiaCare Secure plan would give Diane all the coverage she needs very affordably, with low copays for unlimited doctor and specialist office visits. This plan even includes an annual dental check-up and cleaning.
Great Care, Close to Home
The EssentiaCare network serves Medicare-eligible people living in 10 Minnesota counties, providing access to more than 1,900 doctors and advanced practitioners at 18 hospitals and 83 clinics. While you do have to be a resident of one of the 10 Minnesota counties to enroll in EssentiaCare, you have access to all Essentia Health hospitals and clinics.
Plans Available in These Counties
Whether you need primary or specialty care, our network of expert providers across the health care spectrum is here for you—no referrals needed. Wondering whether your physician, nurse practitioner or other provider is part of the EssentiaCare network?