Suitability Discussion And Worksheet - Minnesota printable pdf download

SUITABILITY DISCUSSION AND WORKSHEET

Individual and Family Plans

To help you make an informed decision regarding your health insurance coverage, we ask that you and

your producer discuss the following topics prior to enrolling in a Blue Plus plan. When purchasing a

health insurance plan, you should consider your health care needs now and in the future. You can use the

“Suitability Worksheet” on page 3 to prepare for your discussion.

Eligibility

 I am a permanent resident of the health plan’s service area.

You must be a permanent resident of the plan specific service area and meet residency requirements to

enroll in and remain in one of these plans. A list of counties within the service area is included in the

sales packet, or you can visit > Shop Plans > Individual and Family Plans > Learn

more about Blue Plus plans.

 BlueConnect – Sanford Health Network

 Blue Plus – St. Luke’s

Western Minnesota

Northeastern Minnesota

 BluePrint – Allina Health Network

 Blue Plus – Mayo Clinic

Twin Cites Metro Area

Southeastern Minnesota

Provider Network

 My doctor, clinic or hospital participates in the plan’s focused network.

Blue Plus individual and family plans have focused networks. A focused network is a network made

up of a select group of health care providers. Not all providers are included in a focused network. To

avoid unnecessary out-of-pocket costs, it’s important to make sure your doctor, specialist or facility is

an in-network provider. If you visit a provider or a facility location not in your plan’s network, you

will pay more for your care and those costs will not count toward your in-network cost sharing limits.

In Minnesota - Our plans’ networks are generally not statewide. If you are traveling within

Minnesota or any of the border counties that surround Minnesota and access a provider that is not

in your plan’s network, you may incur higher costs.

Outside of Minnesota - The BlueCard PPO programs included in Blue Plus plans may allow you

to access in-network services when traveling (for instance, on vacation) outside of Minnesota (and

its border counties).

It’s important for you to check the health plan’s network to see if your providers are actually in the

network before you enroll in the plan. To search for a provider go to > Shop Plans >

Individual and Family Plans > Find a doctor in the network. Please use Chart A on the last page to

research whether your doctors, clinics or hospitals are in network.

Suitability Discussion And Worksheet - Minnesota