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Medica Elect

With Medica Elect, you enroll in a primary care clinic (PCC), which is affiliated with a care system. To see a provider outside your care system, you'll need a referral first.

Care options

See the doctors, specialists, facilities, and other programs and services covered by this plan.
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Providers + facilities

Find the right caregiver for you. It's easy to pick from top-notch providers and facilities in your area.


Find a provider or facility

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Virtual care

Reliable care from the comfort of your home. Get 24/7 treatment online or over the phone. Check with your clinic about getting virtual care for common conditions.


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Behavioral health

Get help for mental health concerns that may be keeping you from your best life.


Start here

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Pharmacy locator

Keep yourself in the best possible health with access to medications from a wide range of pharmacies. See your pharmacy benefits.


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Durable medical equipment

Make sure you're set up for better health. Search for a supplier to meet your needs.


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Transplant

Whether it's a bone marrow/stem cell or organ transplant, our goal is always for you to have the best possible outcome. We'll make sure you fully understand your diagnosis and care plan so you can make the decisions that are right for you. We can also help you find a Centers of Excellence transplant facility.
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Complex Care Management Support

Are you or your family members living with a serious or chronic health condition? You’re not alone. Case managers can partner with you and your providers to help manage health conditions and create a personalized care plan based on your health goals. Then your case manager will provide ongoing coordination and support as you’re working toward your health goals.

 

To get started, call 1-866-905-7430

Before you receive care

  • Getting a referral when you need one will ensure you receive your highest level of benefits. Here's what you need to know about referrals:

    • When you see a specialist within your care system, you don't need a referral.
    • If you need to see a doctor who's in the Medica Elect network but isn't in your care system, you'll need a referral from your primary care clinic.
    • If you need to see a provider outside the Medica Elect network, you'll need a referral from your primary care clinic and pre-approval (called "prior authorization") from Medica.

    Learn more in the referrals tip sheet

  • With Medica Elect, you enroll in a primary care clinic (PCC). This clinic coordinates your overall care and will help you find a specialist when you need one. Whenever you need care (unless it's an emergency), always start at your primary care clinic.

    Each family member on your plan can choose their own primary care clinic. For example, your child's PCC may be a pediatric clinic, while yours may be a family practice clinic.

    To search for a PCC:

    1. Select the "Menu," or click on the location displayed in the upper right corner and set your location area, then choose either the "Facilities by type" or "Facilities by name" tile.
    2. Select the search spyglass icon but do not enter anything in the search bar.
    3. From the results, select "More filters" and choose "Eligible Primary Care Clinic (PCC)" from the options.
    4. View the PCC number and care system affiliation for that provider. Use the “More filters” option from your search results or the "Care System" tile on the dashboard to search for providers in your care system.
    5. When you enroll, you will need to provide the PCC number for your selected primary care clinic. If no PCC Number is displayed, you can't choose the clinic as a primary care clinic.

    Want to change clinics?

    You can change your primary care clinic as often as once a month. Just submit our change form.

    Primary care clinic change request form

  • Minnesota Twin Cities Metro


    All Metro:
    • Allina Medical Clinics
    • Children's Health Network
    • Hennepin Healthcare

    North Metro:

    RiverWay/North Suburban Clinics


    East Metro:

    Lakeview Medical Care System


    West Metro:

    Park Nicollet Health Services


    Greater Metro:

    Minnesota Healthcare Network

    Greater Minnesota


    Northern Minnesota:

    Integrity Health Network


    Duluth:

    St. Luke's Care System

    Wisconsin


    Northwestern Wisconsin:
    • Integrity Health Network
    • St. Luke's Care System
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Sign in to your account

You’ll find everything you need online.

  • See all your benefits
  • Find a provider in your network
  • Download your ID card
  • Get quick answers about your coverage and more

Additional plan benefits

Information to help you

Get answers to common questions about your plan.

Care while traveling

Care when you're unwell and away from home.

Plan information

You can find additional information about this plan below.
  • In Minnesota, we are required to ensure you have access to primary care providers within 30 miles or minutes of your home, and access to specialists within 60 miles or minutes. Given availability of providers in certain areas, this is not always possible. When that's the case, we apply for a Network Adequacy Waiver from the Minnesota Department of Health.

    View the 2024 Minnesota Department of Health Network Adequacy Waiver for Medica Elect (PDF)

  • Not sure what kind of plan you have? Check the back of your Medica ID card. A self-insured plan will state: This plan is administered by Medica Self-Insured. If you don't see this note, you have a fully insured plan.


Sign in to your account

See specific coverage and details

Member services

  • 7 a.m. – 8 p.m. CT, Monday – Friday
  • Closed 8 a.m. – 9 a.m. CT, Thursday
  • 9 a.m. – 3 p.m. CT, Saturday

*Amwell
Have a virtual care visit with a board-certified doctor using the web or mobile app for common medical conditions. Sign up for Amwell, select a doctor and start your visit. With Amwell, you can also access therapy or psychiatry services for behavioral health concerns such as anxiety, depression and stress (covered under your plan as a behavioral health office visit). Amwell offers other online services, but is not an in-network provider for those services with your plan. You can use the additional services, but you will pay the full cost of the service.