Altru & You with Medica

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Altru & You with Medica

Accountable Care Organization network

Altru & You promises to provide an excellent health care experience. Our friendly, compassionate and professional staff deliver care in more than 30 communities in northeastern North Dakota and northwestern Minnesota, plus provide access to several specialties via telemedicine. Our philosophy is that individuals deserve to receive high-quality care as close to home as possible. When you choose Altru & You, you have a partner in keeping you and your family healthy.

If you’re away from home and get sick or hurt, we’ve got you covered! When you travel outside the Medica service area (Minnesota, North Dakota, South Dakota and western Wisconsin) you can get network coverage by visiting a provider in the Travel Program Network. This nationwide network is one of the largest in the country. If you have children attending college outside the service area, they can use this network, too.

Plan Highlights

  • Direct access to specialists. See any primary or specialty care provider in the Altru network without a referral.
  • Online care right from your home or hometown. Use your computer or mobile device to connect with an Altru provider for an e-visit to treat a non-urgent problem. Or, go to your hometown health facility for a video visit with an Altru specialist at another location.
  • Discounts on wellness programs and unique ways to earn rewards:
         - 50% off sessions with an Altru certified health and wellness coach. Get
           the tools, motivation and support you need to set and achieve goals
           related to nutrition, fitness, stress, sleep and more.
         - 50% off Altru’s Weight Management Program. A team of medical
           providers, dietitians and exercise specialists help you on your weight loss
           journey. The program includes assessments, group or one-on-one
           lifestyle change sessions, and online nutrition and fitness monitoring.
        - Ways to earn rewards for healthy habits. Complete activities personalized
           just for you and earn points along the way, which you can redeem for gift
           cards. Altru & You members have extra ways to earn points, including
           participating in Altru’s Health Coaching or Weight Management Program
           and other activities.
  • Comprehensive, personalized care for your bones, joints and more at Altru Advanced Orthopedics. Specialized programs include joint replacement, cartilage restoration, specialized hand and shoulder surgery, and concussion management.
  • MyHealth online patient portal, a secure online tool for communicating with your provider, accessing your health information and more.
  • Free body composition analysis and biometric screenings (one per year per member).
  • 10% off retail products at Sanny & Jerry Ryan Center for Prevention & Genetics.

Compare Plans

You can compare this plan side-by-side with up to two other plans to see the differences between their benefits.

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Benefit Summary for Altru & You with Medica

Network Information
Network Type Accountable Care Organization network
Network Area Northeastern North Dakota and northwestern Minnesota
Special Features Discounted sessions with a certified health and wellness coach; access to a team of medical providers, dietitians and exercise specialists to help you lose weight, at a discount; online care from your home or hometown.
Referrals Needed No referrals needed if you see an Altru & You network provider.

How it Works

Altru & You is an accountable care organization (ACO). In an ACO, groups of doctors, nurses and other health care providers work together with your health plan to provide coordinated care. You don’t need a referral when you see a provider in the Altru & You network.

» Find a physician or facility in the Altru & You network.
» See a map of provider locations in the Altru & You network.

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Sample Certificate of Coverage

You can view a sample 2018 coverage document (called a Certificate of Coverage), which shows examples of what an Altru & You with Medica plan may cover for fully insured members. To view this sample, choose the state your employer is based in, then choose “Small groups” if your company has 50 or fewer employees, or “Large groups” if your employer has 51 or more employees.

MN: 
• Small groups: 2018 
• Large groups: 2018 

ND:
• Small groups: 2018 
• Large groups: 2018 


NOTE: This is not your actual certificate of coverage. This is only an example of what services may be covered. For information about specific benefits or levels of coverage (such as copay, coinsurance or deductible amounts), please contact your employer.

Information Sharing

One of the unique features of an ACO plan is how Medica works with your provider to coordinate your health care. By sharing member information with each other, Medica and your ACO can help you get the care you need and deliver programs and services to help you get and stay healthy. If you or your dependents don’t want Medica and the ACO to share your information with each other:

» Complete this form
» Or call Customer Service at 952-945-8000 or 800-952-3455

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