X
We use cookies to ensure you get the best experience on our website. Cookie Policy 
OK

UMN Elect/Essential  

University of Minnesota employees

Care Options

See the doctors, specialists, facilities, and other programs and services covered by this plan.

Providers and facilities

Find the right caregiver for you. It's easy to pick from top-notch providers and facilities in your area.

Find a provider or facility

Virtual care

Reliable care from the comfort of your home with Virtuwell or Amwell*. Get 24/7 treatment online or over the phone. Check with your clinic about getting virtual care for common conditions.


Behavioral health

Get help for mental health concerns that may be keeping you from your best life.


Start here

Pharmacy locator

Keep yourself in the best possible health with access to medications from a wide range of pharmacies. See your pharmacy benefits.


Find a pharmacy

Durable medical equipment

Make sure you're set up for better health. Search for a supplier to meet your needs.


Medication Therapy Management (MTM)

Work with a pharmacist and be more involved in your medication decisions. This program can lead to improved health benefits and savings on medication copays.


Complex Care Management Support

Are you or your family members living with a serious or chronic health condition? You’re not alone. Case managers can partner with you and your providers to help manage health conditions and create a personalized care plan based on your health goals. Then your case manager will provide ongoing coordination and support as you’re working toward your health goals.


To get started, call 1-866-905-7430.

Transplant

Whether it's a bone marrow/stem cell or organ transplant, our goal is always for you to have the best possible outcome. We'll make sure you fully understand your diagnosis and care plan so you can make the decisions that are right for you. We can also help you find a Centers of Excellence transplant facility.

Before you receive care

Getting a referral when you need one will ensure you receive your highest level of benefits. Here's what you need to know about referrals:

  • When you see a specialist within your care system, you don't need a referral.
  • If you need to see a doctor who's in the UMN Elect/Essential network, but isn't in your care system, you'll need a referral from your primary care clinic.
  • If you need to see a provider outside the UMN Elect/Essential network, you'll need a referral from your primary care clinic and pre-approval (called "prior authorization") from Medica.

Learn more in the referrals tip sheet

With UMN Elect/Essential, you enroll in a primary care clinic (PCC). This clinic coordinates your overall care and will help you find a specialist when you need one. Whenever you need care (unless it’s an emergency), always start at your primary care clinic.

Each family member on your plan can choose their own primary care clinic. For example, your child's PCC may be a pediatric clinic, while yours may be a family practice clinic.

To search for a PCC:

  1. Select the "Menu," or click on the location displayed in the upper right corner and set your location area, then choose either the "Facilities by type" or "Facilities by name" tile.
  2. Select the search spyglass icon but do not enter anything in the search bar.
  3. From the results, select "More filters" and choose "Eligible Primary Care Clinic (PCC)" from the options.
  4. View the PCC number and care system affiliation for that provider. Use the “More filters” option from your search results or the "Care System" tile on the dashboard to search for providers in your care system.
  5. When you enroll, you will need to provide the PCC number for your selected primary care clinic. If no PPC Number is displayed, you can't choose the clinic as a primary care clinic.

Want to change clinics?

If you've already enrolled in a PCC and you want to change clinics, call us at 952-992-1814 or 877-252-5558. You can change your primary care clinic as often as once a month.

Minnesota Twin Cities Metro

 

All Metro
  • Allina Health
  • Children's Health Network
  • Fairview Physician Associates
  • HealthPartners Medical Group
  • Hennepin Healthcare
  • M Physicians

East Metro

Lakeview Medical Care System


West Metro

Park Nicollet Health Services


Greater Metro

Minnesota Healthcare Network

Greater
Minnesota

 

Duluth
  • Essentia
  • Health East
  • St. Luke's Care System

Northern Minnesota

Integrity Health Network


Northwestern Minnesota

Essentia Health West

North
Dakota

 

Eastern North Dakota
  • Altru Health System
  • Essentia Health West

Wisconsin

 

Northwestern Wisconsin
  • Integrity Health Network
  • St. Luke's Care System

Western Wisconsin
  • Vibrant Family Health Clinics
  • Western Wisconsin Health (formerly Baldwin Area Medical Center)

Sign in to your account

You’ll find everything you need online.

  • See all your benefits
  • Find a provider in your network
  • Download your ID card
  • Get quick answers about your coverage and more

Additional plan benefits

Information to help you

Get answers to common questions about your plan.

Care while traveling

Care when you're unwell and away from home.

Plan information

You can find additional information about this plan below.

Use our How to Get the Care You Need guide to get information about your health plan, including:

  • Guidance on preventive screenings and immunizations
  • Your rights and responsibilities as a Medica member
  • How to file a coverage complaint or appeal

How to Get the Care You Need guide (PDF)

Sign in to your account

See specific coverage and details

Member services

  • 7 a.m. – 8 p.m. CT, Monday – Friday

  • Closed 8 a.m. – 9 a.m. CT, Thursday

  • 9 a.m. – 3 p.m. CT, Saturday


*Amwell
Have a virtual care visit with a board-certified doctor using the web or mobile app for common medical conditions. Sign up for Amwell, select a doctor and start your visit. With Amwell, you can also access therapy or psychiatry services for behavioral health concerns such as anxiety, depression and stress (covered under your plan as a behavioral health office visit). Amwell offers other online services, but is not an in-network provider for those services with your plan. You can use the additional services, but you will pay the full cost of the service.