In the process of picking your 2019 Medicare plan? HealthPartners UnityPoint Health offers two Medicare Advantage plans for people living in Iowa and Illinois. Compare our HealthPartners UnityPoint Health Align (PPO) plan and our HealthPartners UnityPoint Health Symmetry (PPO) plan. If you need help, just give us a call at 888-360-0796 (TTY 711) or contact us online. We’d love to talk with you.
See more plan details
See a complete list of plan details in the 2019 Summary of Benefits for the Align and Symmetry plans.
Find a doctor or specialist
See doctors and clinics in the HealthPartners UnityPoint Health network.
Find care in the networkView drug list (formulary)
Search the HealthPartners UnityPoint Health drug list (formulary) and find in-network pharmacies.
Illinois and Iowa Medicare plans at a glance
HealthPartners UnityPoint Health Align (PPO)
Monthly premium
$0 (including Part D)
Doctor visits (primary care)
$5 copay
Annual max out-of-pocket
In network:
$4,100
Combined in and out-of-network:
$10,000
Preventive care
$0 copay (100 percent covered)
Specialist visits
$35 copay
Inpatient hospital
Days 1-4: $400 copay/day
Days 5+: $0 copay (unlimited days)
Outpatient hospital
$35 copay (Non-surgical)
$250 copay (Surgical)
Emergency care
$90 copay
Urgent care
$55 copay
Dental
Annual exam and cleaning: $0
X-rays every two years: $0
Hearing services
Annual exam: $0 copay
Diagnostic exam: $35 copay
Out-of-network
40% for most services
Part D prescription drug coverage
Deductible
$200 (applies to Tiers 3, 4 and 5)
Initial coverage costs
Tier 1: $2
Tier 2: $9
Tier 3: $47
Tier 4: $100
Tier 5: 29%
Coverage gap
Generics: 37%
Brands: 25%
Catastrophic
Generics: $3.40
Brands: $8.50 or 5%, whichever is greater
Cost sharing in the chart is for in-network services
HealthPartners UnityPoint Health Symmetry (PPO)
Monthly premium
$39 (including Part D)
Doctor visits (primary care)
$5 copay
Annual max out-of-pocket
In network:
$3,500
Combined in and out-of-network:
$8,000
Preventive care
$0 copay (100 percent covered)
Specialist visits
$20 copay
Inpatient hospital
Days 1-4: $350 copay/day
Days 5+: $0 copay (unlimited days)
Outpatient hospital
$20 copay (Non-surgical)
$200 copay (Surgical)
Emergency care
$90 copay
Urgent care
$20 copay
Dental
Annual exam and cleaning: $0
X-rays every two years: $0
Hearing services
Annual exam: $0 copay
Diagnostic exam: $20 copay
Out-of-network
30% for most services
Part D prescription drug coverage
Deductible
$100 (applies to Tiers 3, 4 and 5)
Initial coverage costs
Tier 1: $2
Tier 2: $9
Tier 3: $47
Tier 4: $100
Tier 5: 31%
Coverage gap
Tier 1: $2
Tier 2: $9
All other Generics: 37%
All other Brands: 25%
Catastrophic
Generics: $3.40
Brands: $8.50 or 5%, whichever is greater
Cost sharing in the chart is for in-network services
Medicare Advantage plan perks and benefits
There are many benefits to choosing HealthPartners UnityPoint Health for your Medicare plan. You’ll be able to choose from a network of doctors you already know and trust with your care. And you’ll get services that help you get healthy and stay that way. Your plan comes with a list of perks and benefits, like:
Fitness club memberships and at-home workout kits
Preventive dental care, including cleanings and check-ups
Travel coverage for care away from home
How do I pick the right plan?
Picking the right plan starts with learning a little bit about Medicare, and then thinking about your needs and preferences. At HealthPartners UnityPoint Health, we’ve got great information about picking the right plan and can help guide you through the process.
Ready to enroll?
Ready to enroll in a plan? There are a few ways to get started. You can get plan recommendations and enroll online with our easy-to-use online tool. If you’re not quite ready to enroll, you can also attend a community meeting, call the Sales team at 888-360-0796 (TTY 711) or send us an email.
Medicare plan service areas
We offer plans in these Iowa counties:
- Benton
- Black Hawk
- Boone
- Bremer
- Buchanan
- Butler
- Cedar
- Clayton
- Dallas
- Delaware
- Fayette
- Greene
- Grundy
- Hamilton
- Hardin
- Jones
- Linn
- Marshall
- Muscatine
- Polk
- Scott
- Story
- Tama
- Warren
- Webster
- Wright
We offer plans in these Illinois counties:
- Fulton
- Jo Daviess
- Peoria
- Rock Island
- Tazewell
Attend a meeting
You might have Medicare questions and want to talk to someone in person. Find a location and time that works best for you to meet with a sales representative.
Request a Medicare packet
Want more info? We’ll send you a packet of information on HealthPartners UnityPoint Health Medicare plans.
From Oct. 1 through March 31, we take calls from 8 a.m. to 8 p.m. CT, seven days a week. You’ll speak with a representative. From April 1 to Sept. 30, call us 8 a.m. to 8 p.m. CT, Monday through Friday to speak with a representative. On Saturdays, Sundays and Federal holidays, you can leave a message and we’ll get back to you within one business day.
This information is not a complete description of benefits. Call Medicare Sales for more information.
HealthPartners UnityPoint Health is a PPO plan with a Medicare contract. Enrollment in HealthPartners UnityPoint Health depends on contract renewal.
Last updated January 2019
H3416_115697 Accepted