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Home [member.ucare.org]

UCare is an independent, nonprofit health plan providing health care and administrative services to more than 175,000 members in Minnesota and western Wisconsin enrolled in government programs.

https://member.ucare.org/pages/login.aspx


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UCare® - Providers

Temporary Suspension of Medicare Claim Processing Edits. Effective for Medicare claims with 2020 dates of service, processed after July 21, 2020, UCare is temporarily suspending certain claims processing edits for claims submitted on behalf of members in the following products: UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, and EssentiaCare.

https://www.ucare.org/providers/


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UCare® - UCare Health Plans

Minnesota Health Care Programs. UCare's Minnesota Health Care Programs plans offer several Medical Assistance, MinnesotaCare and combined Medical Assistance & Medicare coverage options.

https://home.ucare.org/en-us/health-plans/


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UCare | Login

UCare is an independent, nonprofit health plan providing health care and administrative services to more than 175,000 members in Minnesota and western Wisconsin enrolled in government programs.

https://provider.ucare.org/pages/login.aspx


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ucare provider search

Search for the name of a specific health care provider such as, a doctor, dentist or specialist. Enter the first few letters of a first or last name of a provider if you are unsure of the spelling.

https://search.ucare.org/


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Ucare Provider and Pharmacy Directory

UCare Medicare Plans HMO-POS Plan Provider and Pharmacy Directory 2021 This directory is current as of 09/18/2020. This directory provides a list of UCare Medicare

https://docs.ucare.org/filer_public/files/u4950_ucaremedicare_directory_2021.pdf


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Welcome to UCare Medicare Plans 2021

Welcome to UCare! Our goal is to help you live well every day. We’re the can-doers. A team of go-getters working hard to make sure you get the care and coverage

https://docs.ucare.org/filer_public/files/u6980_ucaremedicare_welcomebook_2021.pdf


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UCare Broker Portal - Login

Welcome Brokers. Thank you for partnering with UCare and Aspirus Health to deliver great coverage to Medicare-eligible individuals throughout Minnesota and Wisconsin.

https://broker.ucare.org/


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2020 Summary of UCare Dental Benefits

U5031 (12/2019) For UCare’s MSHO Members In addition to Medicare- and Medicaid-covered dental benefits, UCare’s MSHO members have additional dental coverage for preventive

https://docs.ucare.org/filer_public/files/u5031_dentalreference_2020.pdf


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2020 UCare Member ID Cards

Information for Providers 9 GROUP NUMBERS BY UCARE PLAN Please Note: The group numbers by plan for 2020 may have changed since 2019. EssentiaCare – NEW FOR 2020: U00003_001, U00003_002 MinnesotaCare: MNNOMN, MNSOMN, MN62MN, MNMETR, MNHENN

https://docs.ucare.org/filer_public/files/tipsheet_2020_id_cards_u7352.pdf


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Provider Claim Reconsideration Form*

Provider Claim Reconsideration Request Form* Adjustment Request Recoupment Request Appeal Request Secondary Appeal Request

https://docs.ucare.org/filer_public/71/a9/71a95f5b-959f-4fd3-bbee-87be6f8d533d/adjustment_appeal_request_form.pdf


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UCare® - MN Medicare, Medicaid, & IFP Health Plans

Discover UCare®'s health plans in Minnesota and western Wisconsin. UCare offers Medicare, Medicaid, and Individual & Family health plans. Compare plans today.

https://home.ucare.org/en-us/


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Advance Directives - UCare

Why Don’t People Have Advance Directives • Only 18-32% complete the form. –Low health literacy rates. –Language barriers. –Healthy people don’t see the need.

https://docs.ucare.org/filer_public/files/cctraining_advancedirective_slides.pdf


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UCARE Health Plans

UCARE Health Plans ... Ucare

https://plans.ucare.org/


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UCare® - Medicare 2021

People power for your Medicare journey. UCare has a Medicare plan for every lifestyle and budget. Our Medicare plans offer: Broad Medicare coverage in one simple plan

https://home.ucare.org/en-us/lp/medicare/metro/


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UCare® - For Members

To find your member documents, select your plan below. To request a hard copy mailed to you, send us a message through your account in the Member Account or call Customer Services.. Use this form to notify UCare of your gender preference if it is different than the sex you were assigned at birth. This will help process your health care claims appropriately.

https://home.ucare.org/en-us/health-plans/for-members/


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UCare® - Care Managers

October 2020 issue of the Clinical Services Program Update Read about the Q4 training schedule, Matrix Medical Network to provide Telehealth Visits, UCare Mobile Dental Clinic, DHS Bulletin #20-56-10, LTSS policy amendments, Home-Delivered Meals Providers in Minnesotahelp.info and more.

https://www.ucare.org/providers/Care-Coordinators/Pages/CareCoordinators.aspx


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UCare® - Healthy Savings

Eligible members who join Healthy Savings®, sponsored by UCare, can save on pre-qualified healthy foods including milk, whole-grain bread, lean meat, eggs, yogurt, fruits, vegetables and more.

https://home.ucare.org/en-us/health-wellness/nutrition/healthy-savings/


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UCare® - UCare Medicare Quiz

Original Medicare will only cover about 50% of your health care expenses. You’ll need to pay for all costs and services Original Medicare doesn’t cover.

https://home.ucare.org/en-us/health-plans/medicare/medicare-quiz/


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UCare®

Search the 2021 list of covered drugs (formulary) Pick your plan . Search

https://home.ucare.org/en-us/search-network/formulary/


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UCare® - Dental Options

Dental Benefits. At UCare, we know that a bright smile is an important part of good overall health. That's why we offer a wide range of dental benefits to our members.

https://home.ucare.org/en-us/health-plans/dental/


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UCare® - Get ready for flu season – get a flu shot

Thursday, October 15 2:00 pm – 5:00 pm Native American Community Clinic 1213 E Franklin Ave Minneapolis, MN 55404

https://home.ucare.org/en-us/health-wellness/health-management/topics/flu-shots/


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UCare® - Health Ride

How do I set up transportation with UCare Health Ride? Call 1-800-864-2157 to request a bus pass or schedule a ride. Health Ride is open 7 am – 8 pm, Monday – Friday.

https://home.ucare.org/en-us/health-wellness/health-ride/


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General Prior Authorization Request Form

General Prior Authorization Request Form . General Prior Authorization Request Form U7634 . Page 1 of 2. FYI Review our provider manual criteria references.

https://docs.ucare.org/filer_public/22/30/22305abf-694e-4a92-a6ee-c065e97d44ab/paform_general_u7634.pdf


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UCare® - Minnesota Medicare Plans - Shop and Compare Options

As a member, you'll love... Easy access to the doctor you want 96% of all providers in Minnesota are in network. Coverage while you travel Travel in the U.S. and get care from any provider that accepts Medicare, plus emergency coverage worldwide

https://home.ucare.org/en-us/health-plans/medicare/


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UCare®

Tier What you pay when using in-network pharmacy; Tier 1 Preferred generic drugs: 0% coinsurance after deductible: Tier 2 Non-preferred generics: 0% coinsurance after deductible

https://home.ucare.org/en-us/search-network/formulary/2020-formularies/ifp/core-formulary/


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PCA Provider Notification/Change Request

PCA Provider Notification / Change Request Page 1 of 2 PCA Provider Notification/Change Request FYI Incomplete, illegible or inaccurate forms will be returned to sender.Please complete the entire form. This form is used to select or change PCA providers.

https://docs.ucare.org/filer_public/files/pcaproviderchangerequestform.pdf


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Earn a $25 - UCare

Earn a $25 gift card If you have questions, call Customer Service at the number on the back of your UCare identification (ID) card. Child & Teen Checkups for Ages 12 – 21

https://docs.ucare.org/filer_public/files/u7390_adolescentctc_voucher_2020.pdf


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Housing Stabilization Services - UCare

Information for Care Coordinators (07/20) Housing Stabilization Services What is housing stabilization services? • Housing Stabilization Services is a new Minnesota Medical Assistance benefit to help people with

https://docs.ucare.org/filer_public/files/housingstabilization_tipsheet.pdf


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2020 Evidence of Coverage UCare Classic (HMO-POS) – Metro

2020 Evidence of Coverage for UCare Classic Metro 1 Table of Contents . 2020 Evidence of Coverage Table of Contents . This list of chapters and page numbers is your starting point.

https://docs.ucare.org/filer_public/files/u7968_ucaremedicare-classic-metro_eoc_2020.pdf


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Prior Authorization PCA Services Form - UCare

Prior Authorization PCA Services Form . Prior Authorization U7544 . PCA Services Form Page 1 of 2. FYI . Incomplete, illegible or inaccurate forms will be returned to sender.

https://docs.ucare.org/filer_public/files/paform_pcaservices_u7544.pdf


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Earn a $25 - UCare

Earn a $25 gift card If you have questions, call Customer Service at the number on the back of your UCare identification (ID) card. Child & Teen Checkups for ages 3 – 6

https://docs.ucare.org/filer_public/files/u7392_childctc_voucher_2020.pdf


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Search Center - Search - UCare

Health and Wellness: Find a Doctor: About Us

https://www.ucare.org/search


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Earn a $50 - UCare

Earn a $50 gift card If you have questions, call Customer Service at the number on the back of your UCare identification (ID) card. Newborn – 15 months checkups

https://docs.ucare.org/filer_public/files/u7394_infantctc_voucher_2020.pdf


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UCare® - Medicare Dental Plans & Add On Coverage Options

*You will get the best benefit by using a network dentist in the Delta Dental Medicare Advantage Network. Find a list of network providers using the Search Network tool. Unlike most other dental plans, you may also use an out-of-network licensed dentist (who has not opted out or been excluded from Medicare) within the United States and its territories.

https://home.ucare.org/en-us/health-plans/medicare/ucare-medicare/ma-dental/


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DHS-4461-ENG (Nursing Facility (NF) Communication Form)

Title: DHS-4461-ENG (Nursing Facility (NF) Communication Form) Author: State of Minnesota Subject: Form is used by the health plans and nursing facilities when a person enters a nursing facility or transfers from another nursing facility.

https://docs.ucare.org/filer_public/files/dhs-4461-eng.pdf


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Intensive Residential Treatment Services (IRTS)

PAYMENT POLICY Page 1 of 16 Intensive Residential Treatment Services (IRTS) Policy Number: SC14P0025A5 Effective Date: May 1, 2018 Last Updated: August 30, 2019

https://docs.ucare.org/filer_public/files/pp_irts_sc14p0025a5.pdf


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UCare Complete (HMO-POS) offered by UCare Minnesota

OMB Approval 0938-1051 (Expires: December 31, 2021) UCare Complete (HMO-POS) offered by UCare Minnesota. Annual Notice of Changes for 2020 . You are currently enrolled as a member of UCare Complete.

https://docs.ucare.org/filer_public/files/u7975_ucaremedicare-complete-greater_minnesota_anoc_2020.pdf


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Utilization Review Policy 213A - UCare

Utilization Review Policy 213A This document is confidential and proprietary to UCare. Unauthorized use and distribution are prohibited. POLICY: Biosimilars - Neulasta • Neulasta® (pegfilgrastim injection for subcutaneous use − Amgen) • Neulasta Onpro® (pegfilgrastim injection for subcutaneous use − Amgen) EFFECTIVE DATE: 5/1/2020 COVERAGE CRITERIA FOR: UCare Medicaid and Exchange ...

https://docs.ucare.org/filer_public/files/213a-biosimilars-neulasta.pdf