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