Health insurance

Health reform and Allina Health patients

For information on which health insurance exchange plans in Minnesota (MNsure) and Wisconsin (Health Insurance Marketplace) offer in-network and out-of-network coverage at Allina Health regional hospitals for benefit year 2023, visit understanding health reform.

Hospitals

Clinics

  • Allina Health clinics: 612-262-4930 (Each clinic site's patient service representative can also provide a price estimate.)
  • Hospital-based clinics - Refer to clinic for estimate.

Other

  • WestHealth Surgical Center - 612-262-4930
  • Birthing class registration and prices - 866-904-9962

Major health plans and products we accept

Please note that this information is subject to change and may not be reflected until the next update.

Commercial:

  • Allina Health Performance Network – Open Access POS II
  • Allina Health Performance Network – Open Access EPO Plus
  • Allina Health Performance Network – Open Access Managed Plus
  • Performance Go Plus Network – Open Access POS II
  • Performance Go Plus Network – Open Access EPO Plus
  • Performance Go Plus – Open Access Managed Plus
  • Allina Health Broad Network – Open Access POS II (Broad)
  • Allina Health Broad Network – Open Access EPO Plus (Broad)
  • Allina Health Broad Network – Open Access Managed Plus (Broad)
  • Allina Elevate – Alina Health employees and dependents
  • Out of Area Dependent Only – Out of Area PPO Plan

Medicare Advantage:  

  • Allina Health | Aetna Medicare Plus (PPO)
  • Allina Health | Aetna Medicare  Premier (PPO)
  • Allina Health | Aetna Medicare Grand (PPO)
  • Allina Health | Aetna Medicare Elite (PPO)
  • Allina Health | Aetna Medicare (PPO)

If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

Website: allinahealthaetna.com

Commercial, Exchange and Medicaid:

Medicare Product:

Allina Health is an in-network provider for the following Medicare plans, including Metro Region and West Region and South Region Networks:

  • Platinum Blue Core
  • Platinum Blue Choice
  • Platinum Blue Complete
  • Blue Cross Medicare Advantage Core 
  • Blue Cross Medicare Advantage Choice 
  • Blue Cross Medicare Advantage Choice MA Only 
  • Blue Cross Medicare Advantage Complete 
  • SecureBlue    

Website: bluecrossmn.com

For claims and benefit information, please call the number on your member ID card or enrollment materials.

If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

Products

  • Distinctions II and III
  • Empower FSA, HSA and HRA
  • HealthPartners Atlas
  • HealthPartners Peak
    Primary Care: Allina Health's two Buffalo, MN clinics are in-network. All others are not.
    Specialty Care: Contact HealthPartners to determine which specialists are in network.
    Hospitals: Abbott Northwestern Hospital, Buffalo Hospital, Mercy Hospital, Mercy Hospital – Unity Campus, and St. Francis Regional Medical Center are the only in-network Allina Health hospitals. All other hospitals are out-of-network.
  • HP Open Access (including NationalONE)
  • HP Short Term for Individuals and Families
  • HP Traditional for Individuals and Families

Medicare Plans:

  • HealthPartners Journey (Medicare Advantage plan in MN)
    • Allina Health is in-network for Journey in 2020.
  • HealthPartners Freedom (Medicare Cost plan)
  • HealthPartners Robin (Medicare Advantage plan in WI)
    • Allina Health is out-of-network for Robin.

MN Medicaid Plans:

  • HealthPartners Care Prepaid Medical Assistance Program (PMAP)
    • Please contact primary care clinic found on your card.
  • HealthPartners Care MinnesotaCare
    • Please contact primary care clinic found on your card.
  • HealthPartners Minnesota Senior Care Plus.

Website: healthpartners.com

For claims and benefit information, please call the number on your member ID card or enrollment materials.

If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

Products

  • Medica Commercial Products, including:
    • Medica Applause
    • Medica Choice
    • Medica Choice Passport
    • Medica Elect
    • Medica Essential
    • Medica Focus
    • Medica Direct Value
    • Medica Direct HSA
    • Medica CompleteHealth and Engage by Medica: Owatonna Hospital only
  •  Medica Minnesota Health Care Program Products
    • Medica AccessAbility (SNBC)
    • Medica Choice Care (Prepaid Medical Assistance Program or PMAP)
    • Medica Choice Care MSC+
    • Medica MinnesotaCare
  •  Medica Medicare Solutions Products:
    • Medica Prime Solution
    • Medica Advantage Solution (Medicare Advantage Plan)
    • Medica Dual Solution (Minnesota Senior Health Options, or MSHO)
  • Medica Select Solution (Medicare Select Supplement)

Website: medica.com

For claims and benefit information, please call the number on your member ID card or enrollment materials.

If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

Products

  • PreferredOne Preferred Provider Organization (PPO)
  • PreferredOne Community Health Plan (PCHP) Health Maintenance Organization (HMO)
  • PreferredOne Administrative Services (PAS)
  • PreferredOne Insurance Plan (PIP) 

Individual Plans

  • Choice Network – Allina Health DOES NOT participate
  • PreferredHealth Network – Allina Health DOES NOT participate
  • Select Network – Allina Health DOES NOT participate

    Website: preferredone.com

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • UCare Medicare Plans
    • Minnesota Senior Health Options (MSHO)
    • UCare Connect + Medicare and UCare Connect
    • Prepaid Medical Assistance Program (PMAP)
    • MinnesotaCare (MnCare)
    • Minnesota Senior Care Plus (MSC+)
    • UCare Individual Family Plans - Gold, Silver, Bronze

    Allina Health is out-of-network for the following:

    • UCare Individual Family Plans - all Fairview affiliated products 
    • Care Core: UCare Medicare with M Health Fairview & North Memorial
    • Care Advantage: UCare Medicare with M Health Fairview & North Memorial

    Website: ucare.org

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    For product overview government and commercial, visit www.uhc.com.

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Website: uhc.com

    Other health plans and products we accept

    Please note that this information is subject to change and may not be reflected until the next update.

    Allina Health accepts original Medicare and most Medicare Advantage and Private-Fee-For-Service plans.

    Allina Health accepts Medicaid, which is called Medical Assistance in Minnesota. It’s a state and federal program that covers many health services for people, including families and children with low incomes, older adults and people with disabilities.

    Allina Health also accepts MinnesotaCare, a program that provides insurance to Minnesota residents who don’t have access to affordable coverage through an employer but earn too much to qualify for Medicaid.

    Don’t risk a gap in your coverage: If you have Medical Assistance or MinnesotaCare, it’s important to keep your contact information updated so you can be reached each year when it’s time to renew your eligibility for coverage through these programs.

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider. 

    PreferredOne rents their network to Aetna.

    Website: aetna.com

    Please verify with your plan administrator the coverage available to you at an Allina Health facility.

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Allina Health participates with the following America's PPO networks:

    • America's PPO
    • Health EZ
    • America's TPA

    Website: americasppo.com

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    Please verify with your plan administrator the coverage available to you at an Allina Health facility.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Allina Health participates in the First Health network in a limited capacity. Please verify with your plan administrator the coverage available to you at an Allina Health facility. 

    Website: https://providerlocator.firsthealth.com/home/index

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Allina Health participates with the following CIGNA networks:

    • CIGNA Great-West Health PPO
    • CIGNA Behavioral Health
    •  CIGNA International

     Website: cigna.com

     For claims and benefit information, please call the number on your member ID card or enrollment materials.

      Please verify with your plan administrator the coverage available to you at an Allina Health facility.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • Humana Health Plan's PPO (ChoiceCare Network) (River Falls Area Hospital only)
    • HumanaChoice (Medicare Advantage PPO)
    • Humana Honor (Medicare Advantage PPO for Veterans)
    • Humana Gold Choice (Private-Fee-For-Service)

    Website: humana.com

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • Hennepin Health offers three products: Prepaid Medical Assistance Program (PMAP), MinnesotaCare, and Special Needs Basic Care (SNBC). Allina is contracted for all three products.

    Website: hennepinhealth.org

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • Families and Children (Prepaid Medical Assistance Program or PMAP)
    • Prepaid Medical Assistance Program (PMAP)
    • Minnesota Senior Care Plus (MSC+)
    • MinnesotaCare
    • PrimeWest Senior Health Complete (Minnesota Senior Health Options or MSHO)
    • Prime Health Complete (Special Needs Basic Care or SNBC)

    Website: primewest.org

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • AbilityCare (HMO SNP)
    • SingleCare (Special Needs Basic Care or SNBC)
    • SharedCare (Special Needs Basic Care or SNBC)
    • SeniorCare Complete (Minnesota Senior Health Options or MSHO)
    • Minnesota Senior Care Plus
    • Families and Children (Prepaid Medical Assistance Program or PMAP)
    • MinnesotaCare

    Website: mnscha.org

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    MH/CD benefit attached to all Medica and UHC products.

    Website: www.liveandworkwell.com

    For claims and benefit information, please call the number on your member ID card or enrollment materials.

    If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Products

    • Individual Preferred Plan
    • Individual Health Savings Account (HSA)
    • Instant Protection Plan
    • WPS Net
    • WPS Group Preferred Provider Option (PPO) Plan
    • WPS Group Health Savings Account (HSA)
    • WPS Group Health Reimbursement Arrangement (HRA) Plan
    • WPS Consumer Select
    • WPS Medicare Companion Plan

     Website: wpshealth.com

     For claims and benefit information, please call the number on your member ID card or enrollment materials.

     If you do not see your product listed, please contact your health plan to determine if Allina Health is an in-network provider.

    Source: Allina Health, Payer Relations and Contracting
    Reviewed By: Allina Health, Payer Relations and Contracting
    First Published: 12/14/2009
    Last Reviewed: 10/11/2023