Health Plan Choices by County for Minnesota Senior Health Options (MSHO)

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1 Health Plan Choices by County for Minnesota Senior Health Options (MSHO) Effective January 1, 2019 DHS-4840A-ENG Kittson Roseau Marshall Polk Norman Clay Wilkin Traverse Big Stone Pennington Red Grant Otter Tail Stevens Lac Qui Parle Mahnomen Becker Swift Beltrami Clearwater Douglas Pope of the Woods Hubbard Wadena Todd Stearns Cass Koochiching Itasca Crow Wing Morrison Meeker IMC Wright Carver Scott Redwood Nicollet Wabasha Rice Brown Pipestone Murray Waseca Steele Dodge Winona Cottonwood Watonwan Blue Earth Olmsted Aitkin Mille Lacs Benton Sherburne Isanti St. Louis Carlton McLeod Hennepin Chippewa Yellow Medicine Lincoln Lyon Renville Kandiyohi Sibley Le Sueur Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Kanabec Anoka Ramsey Dakota Pine Washington Chisago Goodhue Houston Cook 1 plan choice 2 plan choices 3 plan choices 4 plan choices = Blue Plus = HealthPartners IMC = Itasca Medical Care = Medica = PrimeWest Health = South Country Health Alliance = are

2 DHS-4840 This map shows the health plans available to MSHO enrollees. Health plans vary depending on county of residence. Aitkin County, 3 choices, Blue Plus, Medica, are. Anoka County, 4 choices, Blue Plus, HealthPartners, Medica, are. Becker County, 3 choices, Blue Plus, Medica, are. Beltrami County, 1 choice, PrimeWest Health. Benton County, 4 choices, Blue Plus, HealthPartners, Medica, are. Big Stone County, 1 choice, PrimeWest Health. Blue Earth County, 2 choices, Medica, are. Brown County, 1 choice, South Country Health Alliance. Carlton County, 3 choices, Blue Plus, Medica, are. Carver County, 4 choices, Blue Plus, HealthPartners, Medica, are. Cass County, 3 choices, Blue Plus, Medica, are. Chippewa County, 2 choices, Blue Plus, are. Chisago County, 4 choices, Blue Plus, HealthPartners, Medica, are. Clay County, 3 choices, Blue Plus, Medica, are. Clearwater County, 1 choice, PrimeWest Health. Cook County, 2 choices, Blue Plus, are. Cottonwood County, 2 choices, Blue Plus, are. Crow Wing County, 3 choices, Blue Plus, Medica, are. Dakota County, 4 choices, Blue Plus, HealthPartners, Medica, are. Dodge County, 2 choices, South Country Health Alliance, are. Douglas County, 1 choice, PrimeWest Health. Faribault County, 3 choices, Blue Plus, Medica, are. Fillmore County, 3 choices, Blue Plus, Medica, are. Freeborn County, 2 choices, South Country Health Alliance, are. Goodhue County, 1 choice, South Country Health Alliance. Grant County, 1 choice, PrimeWest Health. Hennepin County, 3 choices, HealthPartners, Medica, are. Houston County, 3 choices, Blue Plus, Medica, are. Hubbard County, 1 choice, PrimeWest Health. Isanti County, 3 choices, Blue Plus, Medica, are. Itasca County, 1 choice, Itasca Medical Care. Jackson County, 2 choices, Blue Plus, are. Kanabec County, 1 choice, South Country Health Alliance. Kandiyohi County, 2 choices, Blue Plus, are. Kittson County, 3 choices, Blue Plus, Medica, are. Koochiching County, 3 choices, Blue Plus, Medica, are. LacQuiParle County, 3 choices, Blue Plus, Medica, are. County, 3 choices, Blue Plus, Medica, are. of the Woods County, 3 choice, Blue Plus, Medica, are. LeSueur County, 3 choices, Blue Plus, Medica, are. Lincoln County, 2 choices, Blue Plus, are. Lyon County, 2 choices, Blue Plus, are. McLeod County, 1 choice, PrimeWest Health. Mahnomen County, 3 choices, Blue Plus, Medica, are. Marshall County, 3 choices, Blue Plus, Medica, are. Martin County, 2 choices, Blue Plus, are. Meeker County, 1 choice, PrimeWest Health. Mille Lacs County, 3 choices, Blue Plus, Medica, are. Morrison County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Mower County, 3 choices, Blue Plus, Medica, are. Murray County, 2 choices, Blue Plus, are. Nicollet County, 3 choices, Blue Plus, Medica, are. Nobles County, 2 choices, Blue Plus, are. Norman County, 3 choices, Blue Plus, Medica, are. Olmsted County, 3 choices, Blue Plus, Medica, are. Otter Tail County, 3 choices, Blue Plus, Medica, are. Pennington County, 3 choices, Blue Plus, Medica, are. Pine County, 3 choices, Blue Plus, Medica, are. Pipestone County, 1 choice, PrimeWest Health. Polk County, 3 choices, Blue Plus, Medica, are. Pope County, 1 choice, PrimeWest Health. Ramsey County, 4 choices, Blue Plus, HealthPartners, Medica, are. Red County, 3 choices, Blue Plus, Medica, are. Redwood County, 2 choices, Blue Plus, are. Renville County, 1 choice, PrimeWest Health. Rice County, 3 choices, Blue Plus, Medica, are. Rock County, 2 choices, Blue Plus, are. Roseau County, 3 choices, Blue Plus, Medica, are. St. Louis County, 3 choices, Blue Plus, Medica, are. Scott County, 4 choices, Blue Plus, HealthPartners, Medica, are. Sherburne County, 4 choices, Blue Plus, HealthPartners, Medica, are. Sibley County, 1 choice, South Country Health Alliance. Stearns County, 4 choices, Blue Plus, HealthPartners, Medica, are. Steele County, 1 choice, South Country Health Alliance. Stevens County, 1 choice, PrimeWest Health. Swift County, 2 choices, Blue Plus, are. Todd County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Traverse County, 1 choice, PrimeWest Health. Wabasha County, 2 choices, South Country Health Alliance, are. Wadena County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Waseca County, 1 choice, South Country Health Alliance. Washington County, 4 choices, Blue Plus, HealthPartners, Medica, are. Watonwan County, 3 choices, Blue Plus, Medica, are. Wilkin County, 2 choices, Blue Plus, Medica. Winona County, 3 choices, Blue Plus, Medica, are. Wright County, 4 choices, Blue Plus, HealthPartners, Medica, are. Yellow Medicine County, 2 choices, Blue Plus, are. For accessible formats of this publication or additional equal access to human services, write to DHS.Info@state.mn.us, call , or use your preferred relay service. (ADA1 [9-15])

3 Attention. If you need free help interpreting this document, call the above number. ያስተውሉ ካለምንም ክፍያ ይህንን ዶኩመንት የሚተረጉምሎ አስተርጓሚ ከፈለጉ ከላይ ወደተጻፈው የስልክ ቁጥር ይደውሉ مالحظة: إذا أردت مساعدة مجانية لترجمة هذه الوثيقة اتصل على الرقم أعاله. သတ ဤစ ရ က စ တမ အ အခမ ဘ သ ပန ပ ခင အက အည လ အပ ပ က အထက ပ ဖ န န ပ တ က ခၚဆ ပ or kmnt smkal. ebig~k tuvkarcmnyyk~ gkarbke bäksarenheday²tkit«fâ sumehaturs&bítamelxxageli. 請注意, 如果您需要免費協助傳譯這份文件, 請撥打上面的電話號碼 Attention. Si vous avez besoin d une aide gratuite pour interpréter le présent document, veuillez appeler au numéro ci-dessus. Thov ua twb zoo nyeem. Yog hais tias koj xav tau kev pab txhais lus rau tsab ntaub ntawv no pub dawb, ces hu rau tus najnpawb xov tooj saum toj no. ymol.ymo;b.wuh>i zjerh>vd.b.w>rrpxruvdvxw>uusd;xh0j'.vhm wdvhmrdwcgthrm.< ud;b.vdwjpded>*h>vxx;thrm.wuh>i 알려드립니다. 이문서에대한이해를돕기위해무료로제공되는도움을받으시려면위의전화번호로연락하십시오. ໂປຣດຊາບ. ຖ າຫາກ ທ ານຕ ອງການການຊ ວຍເຫ ອໃນການແປເອກະສານນ ຟຣ, ຈ ງໂທຣໄປທ ໝາຍເລກຂ າງເທ ງນ. Hubachiisa. Dokumentiin kun tola akka siif hiikamu gargaarsa hoo feete, lakkoobsa gubbatti kenname bilbili. Внимание: если вам нужна бесплатная помощь в устном переводе данного документа, позвоните по указанному выше телефону. Digniin. Haddii aad u baahantahay caawimaad lacag-la aan ah ee tarjumaadda qoraalkan, lambarka kore wac. Atención. Si desea recibir asistencia gratuita para interpretar este documento, llame al número indicado arriba. Chú ý. Nếu quý vị cần được giúp đỡ dịch tài liệu này miễn phí, xin gọi số bên trên. LB2 (8-16)

4 Health Plan Choices by County for Minnesota Senior Health Options (MSHO) Effective January 1, 2018 DHS-4840A-ENG Kittson Roseau Marshall Polk Norman Clay Wilkin Traverse Big Stone Pennington Red Grant Otter Tail Stevens Lac Qui Parle Mahnomen Becker Swift Beltrami Clearwater Douglas Pope of the Woods Hubbard Wadena Todd Stearns Cass Koochiching Itasca Crow Wing Morrison Meeker IMC Wright Carver Scott Redwood Nicollet Wabasha Rice Brown Pipestone Murray Waseca Steele Dodge Winona Cottonwood Watonwan Blue Earth Olmsted Aitkin Mille Lacs Benton Sherburne Isanti St. Louis Carlton McLeod Hennepin Chippewa Yellow Medicine Lincoln Lyon Renville Kandiyohi Sibley Le Sueur Rock Nobles Jackson Martin Faribault Freeborn Mower Fillmore Kanabec Anoka Ramsey Dakota Pine Washington Chisago Goodhue Houston Cook 1 plan choice 2 plan choices 3 plan choices 4 plan choices = Blue Plus = HealthPartners IMC = Itasca Medical Care = Medica = PrimeWest Health = South Country Health Alliance = are

5 DHS-4840 This map shows the health plans available to MSHO enrollees. Health plans vary depending on county of residence. Aitkin County, 3 choices, Blue Plus, Medica, are. Anoka County, 4 choices, Blue Plus, HealthPartners, Medica, are. Becker County, 3 choices, Blue Plus, Medica, are. Beltrami County, 1 choice, PrimeWest Health. Benton County, 4 choices, Blue Plus, HealthPartners, Medica, are. Big Stone County, 1 choice, PrimeWest Health. Blue Earth County, 2 choices, Medica, are. Brown County, 1 choice, South Country Health Alliance. Carlton County, 3 choices, Blue Plus, Medica, are. Carver County, 4 choices, Blue Plus, HealthPartners, Medica, are. Cass County, 3 choices, Blue Plus, Medica, are. Chippewa County, 2 choices, Blue Plus, are. Chisago County, 4 choices, Blue Plus, HealthPartners, Medica, are. Clay County, 3 choices, Blue Plus, Medica, are. Clearwater County, 1 choice, PrimeWest Health. Cook County, 2 choices, Blue Plus, are. Cottonwood County, 2 choices, Blue Plus, are. Crow Wing County, 3 choices, Blue Plus, Medica, are. Dakota County, 4 choices, Blue Plus, HealthPartners, Medica, are. Dodge County, 2 choices, South Country Health Alliance, are. Douglas County, 1 choice, PrimeWest Health. Faribault County, 3 choices, Blue Plus, Medica, are. Fillmore County, 3 choices, Blue Plus, Medica, are. Freeborn County, 2 choices, South Country Health Alliance, are. Goodhue County, 1 choice, South Country Health Alliance. Grant County, 1 choice, PrimeWest Health. Hennepin County, 3 choices, HealthPartners, Medica, are. Houston County, 3 choices, Blue Plus, Medica, are. Hubbard County, 1 choice, PrimeWest Health. Isanti County, 3 choices, Blue Plus, Medica, are. Itasca County, 1 choice, Itasca Medical Care. Jackson County, 2 choices, Blue Plus, are. Kanabec County, 1 choice, South Country Health Alliance. Kandiyohi County, 2 choices, Blue Plus, are. Kittson County, 3 choices, Blue Plus, Medica, are. Koochiching County, 3 choices, Blue Plus, Medica, are. LacQuiParle County, 3 choices, Blue Plus, Medica, are. County, 3 choices, Blue Plus, Medica, are. of the Woods County, 3 choice, Blue Plus, Medica, are. LeSueur County, 3 choices, Blue Plus, Medica, are. Lincoln County, 2 choices, Blue Plus, are. Lyon County, 2 choices, Blue Plus, are. McLeod County, 1 choice, PrimeWest Health. Mahnomen County, 3 choices, Blue Plus, Medica, are. Marshall County, 3 choices, Blue Plus, Medica, are. Martin County, 2 choices, Blue Plus, are. Meeker County, 1 choice, PrimeWest Health. Mille Lacs County, 3 choices, Blue Plus, Medica, are. Morrison County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Mower County, 3 choices, Blue Plus, Medica, are. Murray County, 2 choices, Blue Plus, are. Nicollet County, 3 choices, Blue Plus, Medica, are. Nobles County, 2 choices, Blue Plus, are. Norman County, 3 choices, Blue Plus, Medica, are. Olmsted County, 3 choices, Blue Plus, Medica, are. Otter Tail County, 3 choices, Blue Plus, Medica, are. Pennington County, 3 choices, Blue Plus, Medica, are. Pine County, 3 choices, Blue Plus, Medica, are. Pipestone County, 1 choice, PrimeWest Health. Polk County, 3 choices, Blue Plus, Medica, are. Pope County, 1 choice, PrimeWest Health. Ramsey County, 4 choices, Blue Plus, HealthPartners, Medica, are. Red County, 3 choices, Blue Plus, Medica, are. Redwood County, 2 choices, Blue Plus, are. Renville County, 1 choice, PrimeWest Health. Rice County, 3 choices, Blue Plus, Medica, are. Rock County, 2 choices, Blue Plus, are. Roseau County, 3 choices, Blue Plus, Medica, are. St. Louis County, 3 choices, Blue Plus, Medica, are. Scott County, 4 choices, Blue Plus, HealthPartners, Medica, are. Sherburne County, 4 choices, Blue Plus, HealthPartners, Medica, are. Sibley County, 1 choice, South Country Health Alliance. Stearns County, 4 choices, Blue Plus, HealthPartners, Medica, are. Steele County, 1 choice, South Country Health Alliance. Stevens County, 1 choice, PrimeWest Health. Swift County, 2 choices, Blue Plus, are. Todd County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Traverse County, 1 choice, PrimeWest Health. Wabasha County, 2 choices, South Country Health Alliance, are. Wadena County, 4 choices, Blue Plus, Medica, South Country Health Alliance, are. Waseca County, 1 choice, South Country Health Alliance. Washington County, 4 choices, Blue Plus, HealthPartners, Medica, are. Watonwan County, 3 choices, Blue Plus, Medica, are. Wilkin County, 2 choices, Blue Plus, Medica. Winona County, 3 choices, Blue Plus, Medica, are. Wright County, 4 choices, Blue Plus, HealthPartners, Medica, are. Yellow Medicine County, 2 choices, Blue Plus, are. For accessible formats of this publication or additional equal access to human services, write to DHS.Info@state.mn.us, call , or use your preferred relay service. (ADA1 [9-15])

6 Attention. If you need free help interpreting this document, call the above number. ያስተውሉ ካለምንም ክፍያ ይህንን ዶኩመንት የሚተረጉምሎ አስተርጓሚ ከፈለጉ ከላይ ወደተጻፈው የስልክ ቁጥር ይደውሉ مالحظة: إذا أردت مساعدة مجانية لترجمة هذه الوثيقة اتصل على الرقم أعاله. သတ ဤစ ရ က စ တမ အ အခမ ဘ သ ပန ပ ခင အက အည လ အပ ပ က အထက ပ ဖ န န ပ တ က ခၚဆ ပ or kmnt smkal. ebig~k tuvkarcmnyyk~ gkarbke bäksarenheday²tkit«fâ sumehaturs&bítamelxxageli. 請注意, 如果您需要免費協助傳譯這份文件, 請撥打上面的電話號碼 Attention. Si vous avez besoin d une aide gratuite pour interpréter le présent document, veuillez appeler au numéro ci-dessus. Thov ua twb zoo nyeem. Yog hais tias koj xav tau kev pab txhais lus rau tsab ntaub ntawv no pub dawb, ces hu rau tus najnpawb xov tooj saum toj no. ymol.ymo;b.wuh>i zjerh>vd.b.w>rrpxruvdvxw>uusd;xh0j'.vhm wdvhmrdwcgthrm.< ud;b.vdwjpded>*h>vxx;thrm.wuh>i 알려드립니다. 이문서에대한이해를돕기위해무료로제공되는도움을받으시려면위의전화번호로연락하십시오. ໂປຣດຊາບ. ຖ າຫາກ ທ ານຕ ອງການການຊ ວຍເຫ ອໃນການແປເອກະສານນ ຟຣ, ຈ ງໂທຣໄປທ ໝາຍເລກຂ າງເທ ງນ. Hubachiisa. Dokumentiin kun tola akka siif hiikamu gargaarsa hoo feete, lakkoobsa gubbatti kenname bilbili. Внимание: если вам нужна бесплатная помощь в устном переводе данного документа, позвоните по указанному выше телефону. Digniin. Haddii aad u baahantahay caawimaad lacag-la aan ah ee tarjumaadda qoraalkan, lambarka kore wac. Atención. Si desea recibir asistencia gratuita para interpretar este documento, llame al número indicado arriba. Chú ý. Nếu quý vị cần được giúp đỡ dịch tài liệu này miễn phí, xin gọi số bên trên. LB2 (8-16)

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