Benefits Administration

Public Service Center
250 4th Street S., Room 100
Minneapolis, MN 55415
Ph: (612) 673-2282                        Fax: 612-284-7989

 

Medical Insurance

2018 Medical Plan Information

Network Changes for 2018

 
The networks from 2017 (see below) will remain in place in 2018 except the Fairview and North Memorial Vantage with Medica network and the Inspiration Health by HealthEast with Medica network will merge into a single ACO network called VantagePlus with Medica. The expanded network will include the providers from Fairview, HealthEast, North Memorial and many popular independent clinics.
 2018 Medical Rates

2018 Semi-monthly Rates 

The premium amounts shown above will be deducted from each of your first two paychecks per month. 

Enrolling in a Medical Plan

Most regular, full-time employees may enroll for benefits the first of the month following 30 days of employment. Waiting periods and participation start dates can be found in the policy or collective bargaining agreement governing your employment.

Other employees may become eligible to enroll in the medical plan and HRA/VEBA due to provisions of the Affordable Care Act. Plan and enrollment information will be provided to those employees at the time they become eligible.

If you have questions on your eligibility for the medical plan, please contact the Benefits Office.

Plan Design

The City of Minneapolis Medical Plan is insured by Medica. Effective January 1, 1018 the City of Minneapolis Medical Plan will be self-insured.  This means the City will use its own funds to pay for employees' medical expenses and contracts with Medica for administrative services such as plan design, provider network management, claims processing and customer service. 

The City of Minneapolis Medical Plan features one plan design with a choice of provider networks. The plan design provides coverage for a wide range of covered services including physician and hospital services and prescription drugs.

Network Information

When you enroll, you must select one provider network from the available options to provide care for you and all dependents covered by your plan. 

Some of the network options are accountable care organization (ACO) networks. In an ACO, groups of doctors, nurses, and other health care providers work together with your health plan to provide coordinated care. This means you receive enhanced care at a lower cost. When you enroll in an ACO, you can give Medica and your ACO permission to share information with each other. This helps you get the care you need and gives you access to programs and services that can benefit you. See the network descriptions below for details.

Generally speaking, you can't change networks once you are enrolled, so it's important to choose the best network for your needs.

2017 Provider network options:

Medica Choice Passport

Consider selecting Medica Choice Passport if it's important to you to be able to see a wide range of providers without a referral. 

Medica Elect 

Consider selecting the Medica Elect network if you'd prefer to designate a primary care provider to coordinate any specialty care you may need.

Fairview and North Memorial Vantage with Medica (ACO) (Becoming part of the VantagePlus with Medica in 2018)

Consider selecting this ACO network if you already use the providers that participate and would like to receive more personalized care and services at a lower cost.

Park Nicollet First with Medica (ACO)

Consider selecting this ACO network if you already use the providers that participate and would like to receive more personalized care and services at a lower cost.

Ridgeview Community Network powered by Medica (ACO)

Consider selecting this ACO network if you already use the providers that participate and would like to receive more personalized care and services at a lower cost.

Inspiration Health by HealthEast with Medica (ACO) (Becoming part of the VantagePlus with Medica in 2018)

Consider selecting this ACO network if you already use the providers that participate and would like to receive more personalized care and services at a lower cost.

For more information on your plan and network options, review the Health Plan Resource Website.
 

Certificate of Coverage - Medica Elect

Certificate of Coverage - Medica Choice Passport 

Certificate of Coverage - Fairview and North Memorial Vantage with Medica

Certificate of Coverage - Park Nicollet First with Medica

Certificate of Coverage - Ridgeview Community Network powered by Medica

Certificate of Coverage - Inspiration Health by HealthEast with Medica

As part of the Patient Protection and Affordable Care Act (PPACA) employers are required to provide a standard Summary of Benefits and Coverage (SBC) for each plan.  These documents are listed below. 

SBC - 2017 Medica Choice Passport

SBC -2017 Medica Elect

SBC - 2017 Fairview and North Memorial Vantage

SBC - 2017 Park Nicollet

SBC - 2017 Ridgeview Community Network

SBC - 2017 Inspiration Health by HealthEast

SBC - 2018 Medica Choice Passport

SBC - 2018 Medica Elect

SBC - 2018 VantagePlus

SBC - 2018 Ridgeview Community Network

SBC - 2018 Park Nicollet

ACO Form

Last updated Dec 7, 2017

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