Healthpartners Keysm Plans
Total Page:16
File Type:pdf, Size:1020Kb
HealthPartners Key SM plans 2016 KEY OPEN ACCESS PROVIDER DIRECTORY This directory provides a list of HealthPartners® KeySM network providers. For pharmacy information refer to your Pharmacy directory. This directory is for all Minnesota counties except Blue Earth, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, LeSueur, Martin, Mower, Nicollet, Olmsted, Rice, Steele, Wabasha, Waseca, Watonwan and Winona. This directory is current as of Jan. 1, 2016. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each network provider is still accepting new members. To get the most up-to-date information about HealthPartners network providers in your area, you can visit healthpartners.com/individual, or call Member Services at 952-883-5900 or 855-813-3887 or log on to your myHealthPartners account. Table of contents This directory is divided into sections to make it easy for you to find what you’re looking for. There are lots of ways for you to find providers and clinics that are right for you. Page Directory overview ..........................................4-6 Network providers ......................................... 7-301 Other health care services Hospitals & outpatient surgery centers ............302 Urgent care & Convenience Clinics ................306 Other important information .............................315 This directory is effective Jan. 1, 2016 ©2015 HealthPartners 3 The information you need when you need it As a HealthPartners member, you have personal support when you need it. Contact us when you have questions about your coverage or your health – we’re here to help. If you have questions about... Call Go Online • Your coverage, claims or account Member Services Log on to healthpartners.com balances Available Monday through Friday, • Finding a doctor, dentist or specialist 7 a.m. to 7 p.m., CST • Health plan services Call the Member Services phone number listed on the back of your Member ID card. Or call 952-967-7540, or 866-232-1166. Español: 952-883-7050 o 866-398-9119 Interpreters are available if you need one. • Whether you should see a doctor CareLineSM Service Visit healthpartners.com/healthlibrary • Home treatment options Available 24/7, 365 days a year • A medicine you are taking Call 612-339-3663, or 800-551-0859. • Understanding your health care and HealthPartners® Nurse NavigatorSM Visit benefits Program healthpartners.com/decisionsupport • How to choose a treatment option Available Monday through Friday, 7 a.m. to 7 p.m., CST Call 952-967-7540, or 866-232-1166. • Your pregnancy BabyLine Phone Service Visit healthpartners.com/healthlibrary • The contractions you are having Available 24/7, 365 days a year • Your new baby Call 612-333-2229 or 800-845-9297. • Finding a mental or chemical health care Behavioral Health Personalized Log on to healthpartners.com professional in your network Assistance Line (PAL) • Your behavioral health benefits Available Monday through Friday, 7:30 a.m. to 5 p.m., CST Call 952-883-5811 or 888-638-8787. 4 How your health plan works Care within the network National network With the HealthPartners Key Open Access Plan, Members of the HealthPartners family of you may see any provider listed in this directory Individual plans have access to our broad national without a referral each time you need care. You do network through partnership with CIGNA Health not need to select a primary care clinic. Care, which includes access to 950,000 providers, including specialists, and over 6,000 hospitals The HealthPartners Key Open Access Network is across the nation, unless otherwise specified in among the largest in the area, so you have nearly member materials. 40,000 providers to choose from in Minnesota alone. Enrolling in the HealthPartners Key Open Access Network does not guarantee services by a particular provider on this list. If you wish to be certain of receiving care from a specific doctor listed, you should contact that doctor to ask whether the doctor is still a HealthPartners provider and whether or not the doctor is accepting additional patients. Access to health care services does not guarantee access to a particular type of doctor. Please contact Member Services at 952-967-7540 or 1-866-232-1166 for specific information about access to different kinds of doctors. THIS HEALTH CARE PLAN MAY NOT COVER ALL YOUR HEALTH CARE EXPENSES. READ YOUR MEMBERSHIP CONTRACT TO DETERMINE WHICH EXPENSES ARE COVERED. 5 Getting care Your personal physician Network and out-of-network care A personal relationship with a physician is at the When you receive care from a clinic or provider heart of good care and good health. That’s why we in the HealthPartners Key Open Access Network, encourage you to choose a personal physician who your care is considered network. If you receive care gets to know you and your health history, even from a provider not in the HealthPartners Key Open though you can go to a different provider each time. Access Network (except in urgent or emergency This physician can provide most of your care and situations), your care may be considered out-of- work with specialists if you need special care. network and may not be covered or may be covered at a lower level. Specialty care To learn about your specific benefits, consult your Summary of Benefits or, if you’re a member, view In the HealthPartners Key Open Access Network, your benefits online at healthpartners.com. you can go directly to any specialist in this directory without a referral. Information about the specialists in this network is listed in the Network Providers section of this directory. 6 Open Access network providers In the Key Open Access Network you may use the health care professionals, facilities and services listed in this directory without a referral from a primary care physician. Anytime you or a member in your family needs care, you may choose to see any provider in this network. With limited exceptions, if you seek care from a provider who is not listed in this directory, your care is considered out-of-network and may not be covered. Consult your Membership Contract for benefits available to you. Target Optical IOWA 3400 Edgewood Rd SW Davenport, IA Dyersville, IA Orange City, IA Cedar Rapids, IA 52404 OPTOMETRY OPTOMETRY MENTAL / CHEMICAL HEALTH (319) 396-5005 CARE Ames, IA This clinic is available for routine Target Optical Woodland Eye Clinic, PC eye exams only. OPTOMETRY 5225 Elmore Ave 1129 11th St SE Ste B Bethesda Christian Counseling Molly K. Camerer, OD Davenport, IA 52807 Dyersville, IA 52040 Midwest, Inc Pearle Vision Jason S. Pfeifer, OD (563) 355-5731 (563) 875-0006 209 1st St NE 2634 Stange Rd This clinic is available for routine Joshua A. Woodland, OD Orange City, IA 51041 Ames, IA 50010 Coralville, IA eye exams only. (712) 737-2635 (515) 232-5627 Susan D. Nixon, OD Estherville, IA This clinic is available for routine OPTOMETRY Sheldon, IA eye exams only. OBSTETRICS & GYNECOLOGY Decorah, IA Curtis A. Broek, OD Pearle Vision OPTOMETRY Dennis A. Haugland, OD 1451 Coral Ridge Ave Ste 518 MENTAL / CHEMICAL HEALTH Avera Holy Family Health Melissa K. Kyler, OD Coralville, IA 52241 926 N 8th St CARE Jones Eye Clinic (319) 466-1252 Estherville, IA 51334 310 N 2nd Ave This clinic is available for routine (712) 362-6501 Sheldon, IA 51201 Ankeny, IA Amal V. Salama, DO eye exams only. Winneshiek Medical Center (712) 324-4528 901 Montgomery St Annette L. Siewert, MD OPTOMETRY Wing C. Hsieh, OD Tracy M. Bildstein, OD Decorah, IA 52101 Jacob A. Woldt, OD Molly K. Camerer, OD (563) 382-2911 OPTOMETRY Target Optical Martin R. Copeland, OD Larry D. Ellingson, OD Sioux Center, IA 2135 Se Delaware Ave Eyecare Centre Ankeny, IA 50021 Jenna J. Henrich, OD Des Moines, IA 121 Central Ave (515) 964-0444 Daniel R. Wolfe, OD OBSTETRICS & GYNECOLOGY OPTOMETRY Estherville, IA 51334 This clinic is available for routine (712) 362-5868 eye exams only. Council Bluffs, IA Merle C. Baker, OD Avera Women’s Specialty Clinics Sears Optical Dawn M. Webb, OD - Sioux Center, IA Outreach Lucas J. Bell, OD OPTOMETRY Merle Hay Mall 605 S Main Ave Craig K. Carson, OD 4000 Merle Hay Rd Sioux Center, IA 51250 Lisa G. Domino, OD ORTHOPAEDICS Des Moines, IA 50310 (712) 722-8164 Jenny B. Ferguson, OD Pearle Vision (515) 278-7342 Jodi L. Scott, MD 1851 Madison Ave Ste 714 This clinic is available for routine Center for Specialty Care Council Bluffs, IA 51503 1820 Central Ave Cedar Rapids, IA (712) 322-2333 eye exams only. Estherville, IA 51334 Sioux City, IA This clinic is available for routine (507) 238-4949 OPTOMETRY OPTOMETRY eye exams only. Dubuque, IA Andrea J. Carda, OD PODIATRY Target Optical Jones Eye Clinic 1030 Blairs Ferry Rd NE Julie L. Jochum, OD OPTOMETRY 4405 Hamilton Blvd Cedar Rapids, IA 52402 Ryan P. Lempp, OD Center for Specialty Care Sioux City, IA 51104 (319) 393-4459 1820 Central Ave Shopko Optical # 4164 (712) 239-3937 255 John F Kennedy Rd Estherville, IA 51334 This clinic is available for routine (507) 238-4949 Wing C. Hsieh, OD Dubuque, IA 52002 Jacob A. Woldt, OD eye exams only. (563) 583-5895 Richard D. Erbes, DPM Tracy M. Bildstein, OD Robert L. Simmons, OD Molly K. Camerer, OD Martin R. Copeland, OD Jenna J. Henrich, OD To get the most up-to-date information, log on as a member at healthpartners.com 7 NETWORK PROVIDERS PODIATRIC SURGERY Pearle Vision Spirit Lake, IA Target Optical CHIROPRACTIC Southern Hills Mall 1501 E San Marnan Dr Jared S. Aelony, DPM 4400 Sargent Rd DIALYSIS Waterloo, IA 50702 Sioux City, IA 51106 (319) 226-6555 Ada Chiropractic Clinic (712) 274-1123 406 E Main St SURGERY This clinic is available for routine Ada, MN 56510 This clinic is available for routine Warner Dialysis Unit 3150 18th St eye exams only.