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Individual and Family Wellness Programs

Healthy Living with Medica

From online health programs to healthy recipes, Healthy Living with Medica encourages you to improve your health one choice at a time.

This program helps you take control of your health while earning rewards on the app. Just start by taking a health assessment, then access programs on your desktop or smart phone to help keep you on track each and every day.

Learn more about Healthy Living with Medica >

Need Help?

As part of your plan's health and wellness programs, you also have access to dedicated support that can help you make decisions on how to manage your health, provide treatment options, or help you cope with a chronic condition.

 

Your personal health advocate

Health Advocate™ provides you information, assistance, and decision-making tools needed to manage your health and make the most informed health care choices. Your Personal Health Advocate can help you:

  • Resolve health care claim issues
  • Negotiate billing and payment arrangements
  • Find the best doctors, hospitals, dentists 
  • Schedule appointments with providers
  • Estimate costs of specific medical procedures and services
  • Answer your questions about medical test results, treatments or medications recommended by your physician
  • Help you transfer medical records

Call your Personal Health Advocate at 1-866-668-6548


 

Consultant 

24-hour registered nurse guidance

Health Advocate Nurseline™ provides 24-hours a day, seven days a week services over the phone. You can consult with a registered nurse to receive guidance on appropriate self-care treatment options for non-urgent illnesses.

Talk to a nurse at 1-866-668-6548


 

phone 

Complex case management support

Living with a serious or chronic health condition can be stressful and demanding. To help you cope, nurses are available to help you navigate the health care system, and will work with you to:

  • Keep track of medications, appointments and referrals
  • Communicate more effectively with your doctor
  • Help you understand your health conditions
  • Assess your health needs, develop a plan and follow up on your progress

Call our completely confidential and dedicated nurse line at 1-855-235-0511

 

Additional Wellness Topics

Are you pregnant or considering becoming pregnant? We offer online resources, a list of recommended services and details pregnancy information. You can also sign up to receive tips via text message. Our resources can help you and your baby achieve optimal health throughout your pregnancy and during the first six weeks after delivery.

Health pregnancy workbook (PDF) 

Text4Baby Program

If you're pregnant or have a baby under age 1, you can receive text messages on your cell phone from Text4baby® to help during this time. These messages include:

  • How to have a healthy pregnancy
  • Tips on child safety, growth and development

Text4Baby is offered to you at no cost from Medica through partnership with the National Healthy Mothers, Healthy Babies Coalition.

To sign up, text BABY (or BEBE for Spanish) to 511411

For more information on this program, including technical assistance go to text4baby.org.

General Resources

Adoption American Pregnancy Association Breastfeeding
March of Dimes Teen Pregnancy Postpartum Support
Women, Infants, and Children (WIC) Women's Health What to Expect

MedlinePlus brings together authoritative information from the U.S. National Library of Medicine, the National Institutes of Health, and other government agencies and health-related organizations to help answer your health questions. You’ll find extensive information about drugs and supplements, an illustrated medical encyclopedia, interactive tutorials, the latest health news, surgery videos and more.

View MedlinePlus website

When you receive preventive care, you won't be charged for the visit to your doctor. If during the visit you also receive care that is not considered preventive, there may be a charge (or copay). To avoid surprises, it's helpful to know what types of care are considered preventive. Learn which preventive care services are covered under the Affordable Care Act on the U.S. Department of Health & Human Services website. These services are covered 100% when delivered by a network provider.

View list of covered preventive services

When you need an organ or bone marrow/stem cell transplant, our transplant program can help you get the care you need in the most effective setting, with the best possible outcome. We’ll provide the information you need to make informed decisions about your care and help you understand your diagnosis and care plan. We can also help you find a Centers of Excellence transplant facility.

For more information, you or your provider can call 1-888-906-0958, 8 a.m. – 5 p.m., Monday – Friday. (TTY users, please call 711)

Before You Receive Care

Your health care providers must receive prior authorization from Medica before providing transplant-related care (including pre-transplant evaluations). Without prior authorization, these services may not be covered and Medica may not pay your claim.

Prior-authorization is needed for the following transplant types:

  • Bone marrow or stem cell (peripheral or umbilical cord blood)
  • Heart (adult or pediatric)
  • Heart-lung
  • Intestinal
  • Kidney
  • Liver
  • Lung (single or double)
  • Simultaneous pancreas and kidney (SPK)
  • Pancreas after kidney (PAK)
  • Pancreas (pancreas alone)

Request Prior Authorization

To request prior authorization, ask your provider to complete the Transplant Prior Authorization form and fax it to 952-992-3556.

Transplant authorization form (PDF)

Need More Support?

You or your provider can request the help of a case manager. Case managers work on your behalf to manage prior authorization requirements. They will also help you find network facilities for pre- and post-transplant services, such as home health care, home therapy and social service support. To request these services, call 1-888-906-0958.

Questions?
Call us at 1-888-906-0958 (toll free), 8 a.m. – 5 p.m., Monday – Friday, or email us at caresupport@medica.com.
Medica Utilization Management and Clinical Appeals Department
PO Box 9310 CP440
Minneapolis, MN 55440

 


 

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