Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.
Note: documents in Word format (DOC) require Microsoft Viewer, download word.
Note: documents in Excel format (XLS) require Microsoft Viewer, download excel.
Note: documents in Powerpoint format (PPT) require Microsoft Viewer, download powerpoint.
Note: documents in Quicktime Movie format [MOV] require Apple Quicktime, download quicktime.
Search here »
Medica offers several health improvement programs to help members manage and improve their health, focusing primarily on members who have chronic health conditions or behavioral issues. These clinical programs are designed to provide education and resources that help support members' ability to better manage their health.
To find out if Medica members are eligible for any of the programs listed below, direct them to the member section on medica.com.
We offer an integrated medical-behavioral program that supports members with depression, anxiety, stress, and other mood disorders. The liveandworkwell website offers many member resources including mental health tips, a clinician search, claim management and more.
Visit liveandworkwell.com »
Medica provides support to members with chronic conditions. Programs offer telephonic or online support and include resources to help them better manage their health. Members of Minnesota Health Care programs (MHCP) and most Commercial plans are eligible.
Providers can inquire about the Health Support program by email.
View the Medica Health Support℠ condition management FAQ »
Individual and Family Health Plan members with one or more chronic conditions may continue to receive support through other no cost condition management services. A registered nurse is available to work with the member to complete an assessment, develop personal health goals and to provide support and follow up. Members are identified to participate in this voluntary program using claims data and referrals from their providers.
For further information about these services and how to use them, providers may contact 1-855-235-0511.
Involves outreach to members who want to address certain lifestyle areas: managing weight, managing stress, eating healthy and being physically active. The program offers support and tools for making healthy behavior changes so that members can take charge of their health.
Providers or members can inquire about this program by phone at 1-866-905-7430.
Learn more about our health and wellness coaching program »
View health coaching provider FAQs »
We offer online resources, a list of recommended services and detailed pregnancy information to members who are pregnant. Members identified as needing a little extra support during their pregnancy may have access to our Healthy Pregnancy Program. In this program, members can work one on one with a nurse to receive additional guidance and information. Learn about Medica’s resources for members who are pregnant.
View Healthy Pregnancy resources available to Commercial (group plan) members »
View Healthy Pregnancy resources available to Minnesota Health Care Program members »
Notify Medica of low birth weights »
Our tobacco cessation program provides ongoing coaching to help members quit using tobacco. We offer personalized coaching support from a specially trained health coach for members who are ready to quit using tobacco. Members receive personal coaching support along with the option to receive nicotine replacement therapy (patch, gum, and lozenge) at no cost to qualifying participants. Members choose the level of support they want to make the program work for them.
Learn more about the Tobacco Cessation program »
Our guidelines for organ and bone marrow/stem cell transplants are designed to help members get the care needed in the most effective setting, with the best possible outcome. We require prior authorization for all transplant services, including pre-transplant evaluations. We offer benefit coordination and readiness coaching. You or your patient can request these services by calling 1-888-906-0958 (toll free) between 8:00 am and 5:00 pm, Monday through Friday. We also provide information about facilities ranked as Centers of Excellence for transplant procedures.
View the transplant prior authorization and notification form »
View the transplant program provider guidelines and FAQ »
Provider Service Center
Monday – Thursday, 8:30 a.m. – 5 p.m.
Friday, 9 a.m. – 5 p.m.
View other points of contact »
Claims tools and forms
Provider administrative manuals
Fraud and Abuse