Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

Getting Care During a Disaster

If the Minnesota Governor, U.S. Secretary of Health and Human Services, or President of the United States declares a state of disaster or emergency in your geographic area, you are still entitled to care. During a declared disaster, South Country Health Alliance will allow you to get care from out-of-network providers at no cost to you. We will cover your Medicare Parts A and B services and supplemental Part C benefits by an out-of-network provider and your cost-sharing requirements will not change. We will waive requirements for referrals where applicable. South Country Health Alliance can make changes that benefit the member without the 30-day notification.

If you cannot use a network pharmacy during a declared disaster, you will be able to fill your prescription drugs at an out-of-network pharmacy. See your Member Handbook for more information.

These special terms will be effective until the Minnesota Governor, U.S. Secretary of Health and Human Services, President of the United States, or the Centers for Medicare and Medicaid declare an end to the public health emergency or state of disaster or after 30 days have elapsed since the initial declaration.

SeniorCare Complete Member Materials
2025 MaterialsLast Updated
Enrollment FormPDF2/25/25
Member HandbookPDF English
PDF Español
PDF Soomaali		10/10/24
Annual Notice of ChangesPDF English
PDF Español
PDF Soomaali		10/10/24
Summary of BenefitsPDF English
PDF Español
PDF Soomaali		10/10/24
Pre-enrollment ChecklistPDF10/10/24
List of Covered Drugs (Formulary)PDF English
PDF Español
PDF Soomaali		3/1/25
Formulary UpdatesPDF3/1/25
Provider and Pharmacy DirectoryInternal linkSee link
LIS Premium Summary ChartPDF10/10/24
Medicare Star RatingsPDF English
PDF Español
CMS Best Available Evidence CoverageExternal linkN/A
Covered Diabetic Testing SuppliesPDF10/31/24

H2419_5772 Accepted 8/9/21

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.

Last Updated on 10/05/2021 by Chris Gartner

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