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My Coverage

For Medica AccessAbility Solution® Members

Looking for a quick overview of your plan benefits?

Here's a summary of your plan benefits.

  • Large network of health care providers
  • Access to primary or specialty care without a referral
  • 100% coverage of Medical Assistance (Medicaid) copays
  • Care coordination services

For a complete record of your plan benefits and any plan notices, see your plan documents.

Plan Features

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Care Coordination

Your plan includes support from a personal Care Coordinator to build and maintain an independent, healthy life. Your Medica Care Coordinator is your go-to source for help.

This program gives you:

  • Control. You get the information and options you need to make decisions about your health care.
  • Coordination. We organize and manage your medical providers as well as your support needs to make sure you get what you need when you need it — without hassles.
  • Planning. We support your long-term health with preventive and creative care that starts with a complete health assessment.
  • Partnership. Health care decisions are important to your long-term health, so we work one-on-one with you to build a strong partnership and make decisions together.
  • Ease of use. We help you get the resources you need from the state of Minnesota and figure out how everything should work together.
  • Longevity. We support you now and in the future by finding, organizing and building your network of health care support. You can focus on your life, not your disability.

If you have any questions about how to access Care Coordination or who your Care Coordinator is, please call us at

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Transportation

If you don't have access to transportation, we can help. Our Provide-A-Ride℠ service will give you a ride to and from medical, dental, mental health and substance use disorder appointments.

Call us at least five days before your appointment and we'll be happy to help you schedule a cab or bus ride to your appointment.

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Mental Health and Substance Use Disorder Care

Get information and support on many mental health and wellness issues ranging from relationships and parenting to stress and depression. Visit the Live and Work Well website to get helpful tips, use online tools, search for a mental health clinician, view your behavioral/mental health claims and more.
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Dental

Your plan includes dental coverage, which is managed by Delta Dental® of Minnesota.

Delta Dental can help you:

  • Find a dentist
  • Understand your dental benefits
  • Help with dental claims

Dental education is provided, too.

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Eyewear

Your plan covers a new pair of eyeglasses when medically necessary from Medica eyewear vendor Eye-Kraft®. Please see the eye care section of your Member Handbook for more information. Choose your eyewear from the catalog below.

 

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Language Resources

Medica will contact an interpreter to provide help over the phone. Medica will also provide interpreters for your medical, dental, pharmacy, mental health or substance use disorder appointments at no cost to you. To request an interpreter, call Medica Member Services.
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Transplant Program

When you need an organ, bone marrow or stem cell transplant, our transplant program helps you get the care you need in the most effective setting, with the best possible outcome. We coordinate your benefits and provide readiness coaching. We can also help you find a Centers of Excellence transplant facility.

Before you receive care (including pre-transplant evaluations), your doctor needs to request prior authorization for all transplant services. Without prior authorization, services may not be covered.


American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Last Updated: May 2022

SPP1002296-1-01021A