Order Plan Materials by Mail

For Minnesota Health Care Programs Members

To request a print copy of your plan materials by mail, select the items you'd like below.

Member Information

First name

Last name

Date of birth

Member ID number or PMI

Street address

City

State

ZIP Code

Phone number

May we leave a voicemail message at this number?

Yes

Select your plan

Plan Materials

If you need materials in any other language, please call Medica Member Services at the number on the back of your Medica ID card.

NOTE: Please be aware that if you are ordering a Provider and Pharmacy Directory, these documents are more than 1,000 pages each and will not fit into a standard mailbox.

What plan year do you need documents for?

2022

2023

Select your materials

Member Handbook / Evidence of Coverage – See what services are covered and how you access those services.

Medica List of Covered Drugs (Formulary) – Learn what medications are covered.

"How to Get the Care You Need" booklet – View info about your rights and responsibilities.

Provider and Pharmacy Directory – See a listing of the health care providers, facilities and pharmacies that are in your network.

Eyewear frame catalog – This catalog displays the selection of frames that are eligible for coverage under your eyewear benefits.

Y0088_1004719_C

H2458_1004719 Approved

Last Updated: December 2022

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Order Plan Materials by Mail

For Minnesota Health Care Programs Members

Member Information

Plan Materials

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Order Plan Materials by Mail

For Minnesota Health Care Programs Members

Member Information

Plan Materials

We're here to help

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