Members 2021 and 2022 documents 

Plan Documents

For Minnesota Health Care Programs (MHCP) Members

Medica AccessAbility Solution (SNBC)
2021 Member Handbook (PDF)
2022 Member Handbook (PDF)
Member Resource Guide (PDF)
2021 List of Covered Drugs (PDF)
2022 List of Covered Drugs (PDF)
Enrollment form (PDF)

2021 Provider and Pharmacy Directory

Directory volume 1 (PDF)
Directory volume 2 (PDF)

2022 Provider and Pharmacy Directory

Directory volume 1 (PDF)
Directory volume 2 (PDF)

Medica AccessAbility Solution Enhanced (HMO D-SNP) (SNBC SNP)
2021 Pre-enrollment checklist (PDF)
2022 Pre-enrollment checklist (PDF)
2021 Provider and pharmacy directory (PDF)
2022 Provider and pharmacy directory (PDF)
2021 Service area map (PDF)
2022 Service area map
2021 Summary of Benefits (PDF)
2022 Summary of Benefits (PDF)
2022 Star Ratings (PDF)
2022 Enrollment form (PDF)
2021 Annual Notice of Changes (PDF)
2022 Annual Notice of Changes (PDF)
2021 Evidence of Coverage (PDF)
2022 Evidence of Coverage (PDF)
2021 List of Covered Drugs (PDF)
2022 List of Covered Drugs (PDF)
2021 Enrollment form (PDF)
2022 Enrollment form
2021 Member Resource Guide (PDF)
2022 Member Resource Guide (PDF)

Medica Choice Care MSC+
2021 Member Handbook (PDF)
2022 Member Handbook (PDF)
Member Resource Guide (PDF)
2021 List of Covered Drugs (PDF)
2022 List of Covered Drugs (PDF)
Service area map (PDF)

2021 Provider and Pharmacy Directory

Directory volume 1 (PDF)
Directory volume 2 (PDF)

2022 Provider and Pharmacy Directory

Directory volume 1 (PDF)
Directory volume 2 (PDF)

Medica DUAL Solution (HMO D-SNP) (MSHO)
2021 Annual notice of changes (PDF)
2022 Annual notice of changes (PDF)
2021 Enrollment form (PDF)
2022 Enrollment form
2021 List of Covered Drugs (PDF)
2022 List of Covered Drugs (PDF)
2021 Member Handbook (PDF)
2022 Member Handbook
2021 Member Resource Guide (PDF)
2022 Member Resource Guide (PDF)
2022 Star Ratings (PDF)
2022 Service area map (PDF)
2021 Pre-enrollment checklist (PDF)
2022 Pre-enrollment checklist (PDF)
2021 Provider and pharmacy directory (PDF)
2022 Provider and pharmacy directory Vol 1 (PDF)
2022 Provider and pharmacy directory Vol 2 (PDF)
2021 Service area map (PDF)
2022 Service area map (PDF)
2021 Summary of Benefits (PDF)
2022 Summary of Benefits

Medica ChoiceCare PMAP (Prepaid Medical Assistance Program)
2022 Service area map (PDF)
2022 Member Handbook (PDF)
2022 List of Covered Drugs (PDF)
2022 Provider and Pharmacy Directory
Directory volume 1 (PDF)
Directory volume 2 (PDF)

Medica MinnesotaCare
2022 Service area map (PDF)
2022 Member Handbook (PDF)
2022 List of Covered Drugs (PDF)
2022 Provider and Pharmacy Directory
Directory volume 1 (PDF)
Directory volume 2 (PDF)

Contact Us

Toll-free 1-888-347-3630 (TTY: 711)

8 a.m. - 8 p.m. CT, daily

 

If you are a PMAP or MinnesotaCare member, call 1-800-373-8335 (TTY: 711), CT, 8a.m. - 6p.m., Monday - Friday

Resources

Limited English Proficiency (LEP) plan
How to Get the Care You Need (PDF)

Last updated August 2021

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