i HealthPartners ® Freedom Plan (Cost) Network Plan (Cost) Network 2011 Greater Minnesota/Western Wisconsin Area Directory Wisconsin Greater Minnesota/Western 2011 2011 Greater Minnesota/Western Wisconsin Provider Directory HealthPartners® Freedom Plan (Cost) Network SM 8170 33rd Avenue South P.O. Box 1309 Minneapolis, MN 55440-1309 H2462_Dir Gr MN W WI_142 File & Use 9/6/2010 healthpartners.com/ medicare 410111 10/10 © 2010 HealthPartners SM SM MINNESOTA Turtle River Madison Lake Scanlon Milan Wilton Mankato Thomson Montevideo Aitkin County Mapleton Wrenshall Watson Aitkin Benton County Minnesota Lake Wright Hill City Foley North Mankato Clay County McGrath Gilman Pemberton Cass County Barnesville McGregor Rice Saint Clair Backus Comstock Palisade Ronneby Skyline Bena Dilworth Tamarack Royalton Vernon Center Boy River Felton Saint Cloud Cass Lake Georgetown Becker County Sartell Brown County Chickamaw Beach Glyndon Audubon Sauk Rapids Cobden East Gull Lake Hawley Callaway Comfrey Federal Dam Hitterdal Detroit Lakes Big Stone County Evan Hackensack Moorhead Frazee Barry Hanska Lake Shore Sabin Lake Park Clinton New Ulm Longville Ulen Ogema Correll Sleepy Eye Motley Wolf Lake Graceville Springfield Pillager Clearwater Odessa Pine River County Beltrami County Carlton County Remer Bagley Bemidji Blue Earth Barnum Walker Clearbrook Blackduck County Carlton Gonvick Funkley Amboy Cloquet Chippewa County Leonard Kelliher Eagle Lake Cromwell Clara City Shevlin Solway Good Thunder Kettle River Granite Falls Tenstrike Lake Crystal Moose Lake Maynard Continued on pg. 338 This directory provides a list of HealthPartners® Freedom Plan network providers. This directory is for the Greater Minnesota and Western Wisconsin counties included in our service area, which are: Aitkin, Becker, Beltrami, Benton, Big Stone, Blue Earth, Brown, Carlton, Cass, Chippewa, Clay, Clearwater, Cook, Cottonwood, Crow Wing, Dodge, Douglas, Faribault, Fillmore, Freeborn, Goodhue, Grant, Houston, Hubbard, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, Koochiching, Lac qui Parle, Lake, Lake of the Woods, Le Sueur, Lincoln, Lyon, McLeod, Mahnomen, Marshall, Martin, Meeker, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Red Lake, Redwood, Renville, Rock, Roseau, St. Louis, Sibley, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Watonwan, Wilkin, Winona and Yellow Medicine in Minnesota. And Barron, Burnett, Douglas, Dunn, Pierce, Polk, St. Croix and Washburn in Wisconsin. This directory is current as of July 2010. Some network providers may have been added or removed from the list 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/medicare or call our Member Services department at 952-883-7979 or 1-800-233-9645 between 8 a.m. and 8 p.m., seven days a week. TTY users should call 952-883-6060 or 1-800-443-0156. H2462_Dir Gr MN W WI_142 File & Use 9/6/2010 Table of contents Section 1 - Introduction . .4 Section 2 - List of Network Providers Clinic and network providers . .6 Hospitals and outpatient surgery centers . .220 Skilled nursing facilities . .225 Special networks Dental care . .227 Mental health/chemical health care . .266 Urgent/after-hours care . .280 Walk-in clinics . .282 Other important information . .284 Section 3 - Indexes Clinic by specialty index . .286 Provider index . .290 Additional Special Networks can be found at healthpartners.com/medicare HealthPartners is a health plan with a Medicare contract. This document is available in alternate formats. Please call Member Services for more information. © 2010 HealthPartners H2462_Dir Gr Mn W WI_142 File & Use/2010 410111 10/10 3 Section I - Introduction This directory provides a list of HealthPartners® What should I do if I have bills from non-network Freedom Plan network providers. To get more providers that I think should be paid by detailed information about your health care coverage, HealthPartners? please see your Evidence of Coverage. We cover certain health care services that you get The “network providers” listed in this directory have from non-network providers. These include care for a agreed to provide you with your health care coverage. medical emergency, including hospital care after you You may go to any of our network providers listed in are stable (known as post-stabilization), maintenance this directory; however, some services may require a care, urgently needed care when you are temporarily referral. If you have been going to one network out of the service area, care that has been approved in provider, you are not required to continue going to advance by HealthPartners, any services which were that same provider. In some cases, you may get determined to be covered through an appeals process, covered services from non-network providers. and as covered under the Extended Absence benefit. What if I use non-plan providers to get my If a non-network provider asks you to pay for covered services? covered services you get in these situations, please contact Member Services at 952-883-7979 or "Non-plan providers" are providers that are not part 1-800-233-9645, seven days a week, between of the HealthPartners® Freedom Plan network. You 8 a.m. and 8 p.m. To submit claims, you should may use non-plan providers. However, if you use mail them to: non-plan providers for care that is not emergency care, including maintenance and hospital care after HealthPartners Claims Dept. you are stable (known as post-stabilization care), 8170 33rd Ave. S. urgently needed care, or have not activated your P.O. Box 1289 Extended Absence benefit, you will have to pay the Minneapolis, MN 55440-1289 Original Medicare Plan out-of-pocket costs (such as copayment, coinsurance or deductible). Upon You should never pay any non-network provider more activation, your Extended Absence benefit provides than what the plan is allowed by Medicare. The the same level of coverage when you are outside the provider has a right to get his/her fees, but does not service area and within the United State. The service have a right to get them from you. Ask the non- area for this plan is Minnesota and Western network provider to bill us first. If you have already Wisconsin. paid for the covered services, we will reimburse you for our share of the cost. If you get a bill for the Emergency care can always been obtained in or out services, you can send the bill to us for payment. We of the service area from the nearest available will pay your non-network provider for our share of provider. When in the service area you must use plan the bill and will let you know what, if anything, you providers for urgent care. When out of the service must pay. We may require the non-network provider area urgent care may be obtained from the first to bill Original Medicare for the services you available provider. In addition, when out of the received. We will then pay your Medicare out-of- service area you can obtain dialysis treatment from pocket costs, such as coinsurance and deductibles. any qualified dialysis provider. If you obtain routine You will have to pay your copayments. care from out-of-network providers neither Medicare nor HealthPartners will be responsible for the costs. 4 What is the service area for the HealthPartners® How do you find HealthPartners® Freedom Freedom Plan? network providers in your area? The counties in our service area are listed below. There are several ways to find the information you This directory includes providers in Greater need in this directory. The Table of Contents lists the Minnesota and Western Wisconsin. sections of this directory. The Twin Cities Metro Area counties in our service area Physician are: Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Mille Lacs, Ramsey, Rice, Scott, Sherburne, Washington If you’re looking for a particular physician, begin and Wright. with the Provider Index that begins on page 290. To see providers in the Twin Cities metro area, you Clinic name may request a copy of the HealthPartners® Freedom If you’re looking for a specific clinic by name, begin Plan Metro Provider Directory. with the Clinic by Specialty Index that begins on The Greater Minnesota counties in our service area are: page 286. Aitkin, Becker, Beltrami, Benton, Big Stone, Blue Earth, If you have questions about the HealthPartners® Brown, Carlton, Cass, Chippewa, Clay, Clearwater, Freedom Plan, please call Member Services at Cook, Cottonwood, Crow Wing, Dodge, Douglas, 952-883-7979 or 1-800-233-9645, seven days a week Faribault, Fillmore, Freeborn, Goodhue, Grant, Houston, from 8 a.m. to 8 p.m. TTY users should call Hubbard, Itasca, Jackson, Kanabec, Kandiyohi, Kittson, 952-883-6060 or 1-800-443-0156. Or visit Koochiching, Lac qui Parle, Lake, Lake of the Woods, Le healthpartners.com/medicare. Sueur, Lincoln, Lyon, McLeod, Mahnomen, Marshall, Martin, Meeker, Morrison, Mower, Murray, Nicollet, Nobles, Norman, Olmsted, Otter Tail, Pennington, Pine, Pipestone, Polk, Pope, Red Lake, Redwood, Renville, Rock, Roseau, St. Louis, Sibley, Stearns, Steele, Stevens, Swift, Todd, Traverse, Wabasha, Wadena, Waseca, Watonwan, Wilkin, Winona, and Yellow Medicine.The Western Wisconsin counties in our service area are: Barron, Burnett, Douglas, Dunn, Pierce, Polk, St. Croix, and Washburn. 5 Clinic and network providers ® In the HealthPartners Freedom Plan 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 need 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 Evidence of Coverage for benefits available to you. HealthPartners contracts with 30,648 providers of these types.