Order a Medica Member Identification Card

For Minnesota Health Care Programs Members

To request replacement a card for your current plan year, fill out the form below and we’ll send you one card by mail.

Subscriber first name

Subscriber last name

Date of birth

Plan type

Medica identification number or PMI OPTIONAL

Where do I find this?

Group number OPTIONAL

Where do I find this?

Street address

City

State

ZIP Code

Phone number

May we leave a voicemail at this number?

Yes

Your ID card will be mailed to the address we have on file for you. If you need to have an ID card sent elsewhere, call Medica Member Services to have it sent to an alternate address.

I understand I am requesting to have an ID card sent to my address on file.

Last Updated: December 2019

H2458_56313 Approved
Y0088_56313

Order a Medica Member Identification Card

For Minnesota Health Care Programs Members

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