Understanding SeniorCare Complete
SeniorCare Complete Coverage and Eligibility
SeniorCare Complete is a Minnesota Senior Health Options (MSHO) program. SeniorCare Complete is designed to help seniors access the health care, medications, and support services they need.
To be eligible for SeniorCare Complete, you must:
- Be at least 65 at the time of enrollment;
- Be eligible for Medical Assistance;
- Have Medicare Parts A and B;
- Live in our service area (see service area map).
SeniorCare Complete eligibility is determined by a financial worker in your county.
SeniorCare Complete provides Medicare Part A (hospital), Part B (medical), Part D (prescription drug), and Medical Assistance coverage.
You do not pay a separate monthly plan premium for SeniorCare Complete. You must continue to pay your Medicare Part B premium (unless your Part B premium is paid for you by Medical Assistance (Medicaid) or another third party).
SeniorCare Complete Features:
- A large network of providers where members can receive care without referrals
- A large pharmacy network where members can get prescriptions
- A Community Care Connector located in the county who helps members get the services and supports they need
- Nurse24 nurse advice line and online support, available 24/7
- Care Coordination services
- Additional services to help members stay in their home (Elderly Waiver), if eligible
Did you know that annual screening for Human Immunodeficiency Virus (HIV) is a covered benefit for South Country Health Alliance members? Call Member Services for specific benefit information. If you are at risk, be safe and get tested!
Not a Member Yet?
There are many more benefits to being a SeniorCare Complete member, and the best part is, there is no extra cost to you! See How to Enroll for more information. Or, if you wish to speak with someone about your enrollment questions, please call the number below. We are happy to help!
Enrollment Questions and Assistance
You may end your membership in our plan at any time. Ending your membership in our plan may be voluntary (your own choice) or involuntary (not your own choice). For more information, see Chapter 10 in the Member Handbook (under Member Materials to the right).
Member Rights and Responsibilities
For Member Rights and Responsibilities, see Chapter 8 in the Member Handbook (under Member Materials to the right).
|SeniorCare Complete Member Materials|
|2022 Materials||Last Updated||2023 Materials|
|Enrollment Form||12/27/21||Coming Soon|
|Annual Notice of Changes||10/13/21|
|Summary of Benefits||10/13/21|
|List of Covered Drugs (Formulary)||11/01/22|
|Formulary Updates||11/01/22||Coming Soon|
|Provider and Pharmacy Directory||Web Page (internal link)||See link||Web Page (internal link)|
|LIS Premium Summary Chart||12/29/21|
|Medicare Star Ratings||PDF (English)|
|CMS Best Available Evidence Coverage||Web Page (external link)||Web Page (external link)|
|Covered Diabetic Testing Supplies||10/5/21|
SeniorCare Complete and AbilityCare are health plans that contract with both Medicare and the Minnesota Medical Assistance Program (Medicaid) to provide benefits of both programs to enrollees. Enrollment in either plan depends on contract renewal.