MinnesotaCare
3.2.3.1 Health Care Coverage Barriers
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.
Access means the person can get the coverage but is not currently enrolled.
Enrollment means the person has the coverage.
|
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