This is an archived document and does not contain the most current information for this topic. Use this document for reference only.
MinnesotaCare
3.2.3.1 Health Care Coverage Barriers (Archive)
This section provides policy on whether government-sponsored health care coverage and other types of health care coverage are barriers to MinnesotaCare eligibility. For information about employer-sponsored health care coverage, refer to MinnesotaCare Employer-Sponsored Health Care Coverage.
Government-Sponsored Health Care Coverage
This chart provides a list of government-sponsored health care coverage and their impact on MinnesotaCare eligibility.
Type of Coverage |
Impact on MinnesotaCare Eligibility |
Emergency Medical Assistance (EMA) |
Not a barrier to MinnesotaCare |
Health Care for Peace Corp Volunteers |
Enrollment is a barrier to MinnesotaCare |
Health insurance plans offered by AmeriCorps to its volunteers and their dependents, if recognized by CMS as MEC |
Enrollment is a barrier to MinnesotaCare |
Health insurance plans offered by AmeriCorps to its volunteers and their dependents, not recognized by CMS as MEC |
Not a barrier to MinnesotaCare |
Indian Health Services |
Not a barrier to MinnesotaCare |
Medicaid in another state |
Enrollment is a barrier to MinnesotaCare |
Medical Assistance, without a spenddown |
Access or enrollment is always a barrier to MinnesotaCare |
Medical Assistance, with a spenddown |
Not a barrier to MinnesotaCare |
Medicare Part A, if the person is not required to pay a premium |
Access or enrollment is always a barrier to MinnesotaCare |
Medicare Part A, if the person is required to pay a premium |
Enrollment is a barrier to MinnesotaCare |
Medicare Part B |
Enrollment is a barrier to MinnesotaCare |
Medicare Supplement, unless the person also has access to Medicare Part A or is enrolled in Medicare Part A or Part B |
Not a barrier to MinnesotaCare |
Non-Appropriated Fund Health Benefits Program (NAF) of the Department of Defense |
Enrollment is a barrier to MinnesotaCare |
TRICARE Continued Health Care Beneift Program |
Enrollment is a barrier to MinnesotaCare |
TRICARE for Life |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Prime |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Prime Overseas |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Prime Remote |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Reserve Select |
Enrollment is a barrier to MinnesotaCare |
TRICARE Retired Reserve |
Enrollment is a barrier to MinnesotaCare |
TRICARE Standard and Extra |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Standard Overseas |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Transitional Assistance Management Program |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE US Family Health Plan |
Access or enrollment is always a barrier to MinnesotaCare |
TRICARE Young Adult (Prime and Standard) |
Enrollment is a barrier to MinnesotaCare |
Veterans Administration (VA) Civilians Health and Medical Program (CHAMPVA) |
Enrollment is a barrier to MinnesotaCare |
VA Spina bifida health care benefits program |
Enrollment is a barrier to MinnesotaCare |
VA Veterans health care plan |
Enrollment is a barrier to MinnesotaCare |
Other Health Care Coverage
The following chart provides a list of other health care coverage and their impact MinnesotaCare eligibility.
Type of Coverage |
Impact on MinnesotaCare Eligibility |
Accident insurance |
Not a barrier to MinnesotaCare |
Automobile medical payment insurance |
Not a barrier to MinnesotaCare |
Benefits for long-term care, nursing home care, home health or community care |
Not a barrier to MinnesotaCare |
Cancer only |
Not a barrier to MinnesotaCare |
Coverage for on-site medical clinics |
Not a barrier to MinnesotaCare |
Coverage just for specific diseases or illnesses |
Not a barrier to MinnesotaCare |
Coverage only for accident or disability |
Not a barrier to MinnesotaCare |
Credit-only insurance |
Not a barrier to MinnesotaCare |
Employer Sponsored COBRA |
Enrollment is a barrier to MinnesotaCare. Refer to Section 3.2.3.2, MinnesotaCare Employer-Sponsored Coverage, for more information. |
Employer sponsored health insurance (ESI) that does not meet both affordability and minimum value standards. |
Enrollment is a barrier to MinnesotaCare. Refer to Section 3.2.3.2, MinnesotaCare Employer-Sponsored Coverage, for more information. |
Employer sponsored health insurance (ESI) that meets both affordability and minimum value standards. |
Access or enrollment is always a barrier to MinnesotaCare. Refer to Section 3.2.3.2, MinnesotaCare Employer-Sponsored Coverage, for more information. |
Employer Sponsored Retiree Health Coverage |
Enrollment is a barrier to MinnesotaCare. Refer to Section 3.2.3.2, MinnesotaCare Employer-Sponsored Coverage, for more information. |
Family planning-only coverage |
Not a barrier to MinnesotaCare |
Grandfathered employer sponsored health plan that does not meet both affordability and minimum value standards. |
Enrollment is a barrier to MinnesotaCare |
Grandfathered employer sponsored health plan that meets both affordability and minimum value standards. |
Access or enrollment is always a barrier to MinnesotaCare |
Health care coverage offered by foreign governments and organizations, if recognized by CMS as minimum essential coverage (MEC) |
Enrollment is a barrier to MinnesotaCare |
Health care coverage offered by foreign governments and organizations, not recognized by CMS as MEC |
Not a barrier to MinnesotaCare |
Hospital indemnity or fixed indemnity insurance |
Not a barrier to MinnesotaCare |
Hospital only |
Not a barrier to MinnesotaCare |
Liability insurance |
Not a barrier to MinnesotaCare |
Limited scope dental or vision benefits |
Not a barrier to MinnesotaCare |
Long term care insurance |
Not a barrier to MinnesotaCare |
Other similar coverage that is secondary or incidental to other insurance benefits |
Not a barrier to MinnesotaCare |
Pregnancy-only coverage |
Not a barrier to MinnesotaCare |
Prescription drug only |
Not a barrier to MinnesotaCare |
Private health insurance |
Enrollment is a barrier to MinnesotaCare |
Qualified Health Plan – without subsidy |
Enrollment is a barrier to MinnesotaCare |
Self-funded student health insurance plans offered by post-secondary institutions to students and their dependents, if recognized by CMS as MEC |
Enrollment is a barrier to MinnesotaCare |
Self-funded student health insurance plans offered by post-secondary institutions to students and their dependents, not recognized by CMS as MEC |
Not a barrier to MinnesotaCare |
Supplemental coverage with no comprehensive coverage |
Not a barrier to MinnesotaCare |
Supplemental liability insurance coverage |
Not a barrier to MinnesotaCare |
Tuberculosis-only coverage |
Not a barrier to MinnesotaCare |
Vision only |
Not a barrier to MinnesotaCare |
Worker’s Compensation |
Not a barrier to MinnesotaCare |
Legal Citations
Code of Federal Regulations, title 26, section 1.5000A-2
Code of Federal Regulations, title 42, section 600.305