It is important that you understand your coverage and know how to find providers that are in your network to ensure you get the best care possible and avoid unnecessary expenses. The tools and resources on this page will help you gain a better understanding of your medical benefit and what services you have available to you.
For personalized benefits information, claims information, and more, log into your MyMedica account.
Tools Offered to You Through Medica
Medica offers these tools to help save your time, money and stress. You can also use some to maintain your health.
If you have diabetes, cardiac issues or asthma, please reach out to Medica’s Adult Case Management. There is both online education to support goal setting, tracking, education, and self-management as well as telephone-based nurse support. For more information, call Member Support at (800) 952-3455.
Adult Case Management Programs
Case managers work with members and caregivers to ensure access to services to allow members to remain in their home for as long as possible.
Healthy Pregnancy Program
Medica’s healthy pregnancy program helps you and your baby achieve optmial health throughout a pregnancy and the first six weeks after delivery.
Transplant Case Mangement
Note: All transplant services, except for corneas, require prior authorization.
Case managers work to make sure that things go smoothly before, during and after an organ transplant.
Mental and Behavioral Healthcare
Find articles, self-care tools, caring providers, and more mental health and substance use disorder resources.
Find information on health conditions, wellness issues, and more in easy-to-read language on MedlinePlus.
Quit Smoking and Earn Rewards
Earn points as you advance through your program to quit smoking.
For questions about coverage, claims or account balances, finding a doctor in your network or health plan services.
CallLink Nurse Line
When you need help making smart decisions about your health, call this toll-free number to speak with an experienced registered nurse, 24/7, 365 days a year.
Personal Health Advocate
Your Personal Health Advocate will help you address your healthcare concerns and will do the legwork to get you to the right providers and the right answers, including resolving healthcare claim issues, finding the right provider/facility, scheduling appointments, help to transfer medical records and more.
Find a mental health provider who practices at all levels of counseling and treatment.
Pharmacist Help Desk
Pharmacy policies and procedures