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

Where do I find this?

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.

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, as well as legal and regulatory notices.

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.

Medica DUAL Solution and Medica AccessAbility Solution Enhanced are health plans that contract with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica DUAL Solution and Medica AccessAbility Solution Enhanced depends on contract renewal.

American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Y0088_5304 CMS Approved
Y0088_ISNBC_0076_C
Last Updated: January 2019

Order Plan Materials by Mail

For Minnesota Health Care Programs Members

Member Information

Plan Materials

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