This is an archived document and does not contain the most current information for this topic. Use this document for reference only.
Appendix C
Types of Other Health Care Coverage (Archive)
Other health coverage may be a barrier to MinnesotaCare eligibility.
Access to some types of health coverage is always a barrier, even if the person is not enrolled.
Some types of health care coverage are a barrier to MinnesotaCare only if the person is enrolled in the coverage.
Some types of health care coverage are never a barrier to MinnesotaCare.
Applicants who are currently ineligible for MinnesotaCare may disenroll from other health coverage when only enrollment is a barrier to MinnesotaCare.
The following table lists types of health care coverage and whether or not it is a barrier to MinnesotaCare.
Other Health Care Coverage and MinnesotaCare |
|
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 |
Emergency Medical Assistance (EMA) |
Not a barrier to MinnesotaCare |
Employer Sponsored COBRA |
Enrollment is a barrier to MinnesotaCare |
Employer sponsored health insurance (ESI) that does not meet both affordability and minimum value standards. |
Enrollment is a barrier to MinnesotaCare |
Employer sponsored health insurance (ESI) that meets both affordability and minimum value standards. |
Access or enrollment is always a barrier to MinnesotaCare |
Employer Sponsored Retiree Health Coverage |
Enrollment is a barrier to MinnesotaCare |
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 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 |
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 |
Hospital indemnity or fixed indemnity insurance |
Not a barrier to MinnesotaCare |
Hospital only |
Not a barrier to MinnesotaCare |
Indian Health Services |
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 |
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, if the applicant or enrollee does not have access to Medicare part A without a premium |
Not a barrier to MinnesotaCare |
Medicare supplement, unless the individual also has access to or is enrolled in Medicare A |
Not a barrier to MinnesotaCare |
Non-appropriated Fund Health Benefits Program (NAF) of the Department of Defense |
Enrollment is 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 |
TRICARE Continued Health Care Benefit 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 |
Tuberculosis-only coverage |
Not 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 |
Vision only |
Not a barrier to MinnesotaCare |
Worker’s Compensation |
Not a barrier to MinnesotaCare |
Legal Citations
Code of Federal Regulations, title 26, section 1.36B-2
Code of Federal Regulations, title 26, section 1.5000A-2
Code of Federal Regulations, title 26, section 1.5000A-3
Code of Federal Regulations, title 45, section 155 Subpart D
Patient Protection and Affordable Care Act, Public Law 111-148, section 1401
Patient Protection and Affordable Care Act, Public Law 111-148, section 5000A