This is an archived document and does not contain the most current information for this topic.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