Current Insurance Information
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Mon - Thu: 8:00 AM - 5:30 PM
Fri: 9:00 AM - 4:30 PM
Insurance Plans Accepted
*For information on 2026 Medicare enrollment, visit our information page.
Providers with M Health Fairview are in-network on many insurance plans. Whether you’re thinking about changing doctors or seeking care from a specialist, we know it’s important to find a healthcare provider who understands your needs – and one who is covered under your health insurance plan.
Insurance companies may make changes to the services and providers included in your plan throughout the year. Before scheduling an appointment, we strongly recommend you contact your insurer to verify that the location or provider you plan to visit is included in your network. Your insurer will also be able to inform you of any co-payments, deductibles, or other out-of-pocket costs that will be your responsibility.
Medicare-Advantage
Researching Medicare plans?
No matter what Medicare coverage you choose, we recommend you start your health plan search by reviewing the resources at medicare.gov. This is the most comprehensive resource for all things Medicare-related. You’ll learn about the requirements for signing up for Medicare coverage, the different kinds of Medicare plans, and be able to search for all the plans available to you.
M Health Fairview recognizes that Medicare enrollment and renewal can be challenging for many of our patients. We believe healthcare should be simple. That’s why M Health Fairview partnered with Chapter, a team of licensed independent Medicare advisors, to offer personalized, one-on-one counseling at no cost to our patients. Chapter’s trusted advisors can help answer questions and ensure you get enrolled in the best plan for you. Call (855) 797-3811 to speak with a Chapter advisor today, or schedule an appointment here.
Minnesota Aging Pathways also provides guidance on Medicare options. Call 1-800-333-2433 for free and unbiased information provided by the Minnesota Board on Aging.
Medicare Advantage plans that include our doctors and facilities
Many of our patients say they like Medicare Advantage plans. Medicare Advantage plans generally offer more comprehensive coverage than Original Medicare alone, and can include vision, hearing, dental, prescription drug, and other popular benefits.
Our health system participates in the Medicare Advantage plans for the insurers listed below. This includes the M Health Fairview providers and facilities in the Twin Cities metro area, Fairview Range in Hibbing, and Grand Itasca Clinic and Hospital in Grand Rapids.
Once you find the health plan options available to you, make sure that your M Health Fairview care team is in the health plan network before you enroll. If your doctors and their clinics and hospitals aren’t in the plan’s network, you may pay more for your care.
Our providers or facilities may also be in the network of other Medicare plans you might be considering, such as Original Medicare, Medicare Cost Plans, Medicare Supplemental Plans or Medicare plans offered through an employer. Refer to the resources at the top of this page for more information.
Find the complete list of insurance plans that M Health Fairview accepts here.
To find out if your health insurance is accepted by independent physicians who care for patients at M Health Fairview hospitals and clinics, please check with your insurance provider.
Insurance Prep Before Your Visit or Admission
Your insurance provider is a key partner in ensuring a good healthcare experience. Call your insurer prior to your visit to find out whether:
- Your insurance coverage is active
- The provider you are seeing, the facility you are visiting, and the service you need are all covered and in your network
- You need a referral or prior authorization for your upcoming visit, or if they have already been secured for you
- Pre-payment is required for your care. If pre-payment is needed, we will collect it (co-payments, co-insurance, unmet deductibles, and other charges that insurance won’t cover) upon registration
- Your insurer can issue a cost-of-care estimate for you. Cost estimates from insurance companies are more likely closer to your true financial liability because insurers are able to speak to their terms and conditions, and have access to the latest information about your coverage, including your deductible and out-of-pocket maximums.
Third-Party-Liability-Coverage
For Personal Injury, Workers’ Compensation, Motor Vehicle, etc.
It may seem like there is extra complexity when dealing with medical bills that should be covered by a third party, but we’re here to assist you. Having the necessary information when billing for these types of visits is critical. We recommend:
Reviewing your insurance policy or contacting the third party involved to understand the coverage details and what is, and isn’t, covered. Call the payor to ensure that your understanding of the terms is accurate.
When obtaining information from the third-party payor, ask about or verify the following:
- The claim number or ID that our health system should use when billing for services
- Whether any pre-certification or prior authorization from them is required prior to seeking care or scheduling a visit
- If there is a cut-off date or coverage period that all services need to be completed within
Denied Claims & Appeals
If you have a claim denied by your insurance provider, there are a few steps you can take:
- Review any documentation related to the denial that your insurer sends you. These often include important details about why the claim was not approved, next steps required, or a contact number to reach out to for more information.
- If a phone number is provided on the denial documentation, call to speak to an insurance representative who should be able to outline your insurance plan’s appeal process and timeline. If there are documents that we can provide, please reach out to our Customer Service Team.
- If an appeal is denied, it’s possible that you may have further options for escalation, such as requesting an external review or engaging a healthcare advocate.
- If you have exhausted your appeal options, you can pay your balance. See our Out-of-Pocket/Self-Pay page for more information. We also have Financial Assistance for those that qualify.
Need more help?
Need help decoding unfamiliar terms on your bills or statements?
Find definitions and commonly used financial acronyms below in our Glossary. For answers to billing related topics, check out our FAQ.