Fairview and North Memorial Vantage with Medica


Fairview and North Memorial Vantage with Medica

Accountable Care Organization network

Fairview, North Memorial and Medica have teamed up to create Fairview and North Memorial Vantage with Medica. The result is a simpler, better-coordinated health care experience at a greater value.  With Fairview and North Memorial Vantage, you have access to more than 2,500 primary and specialty care physicians, and eight hospitals, including North Memorial Health Hospital, University of Minnesota Masonic Children's Hospital and University of Minnesota Medical Center.

When you become a member, the customer care team will welcome you by phone and answer any questions. From there, just one phone number connects you to all of your coverage and care needs – from answering benefits questions to scheduling appointments. You also have access to a care team made up of physicians, nurses, care navigators, health coaches and others, that works together to make sure you get the care and support you need.

And if you travel out of Medica’s service area (Minnesota, North Dakota, South Dakota and western Wisconsin) and you need care, you have access to more than 715,000 physicians and care professionals and 5,400 hospitals in Medica’s nationwide network.

Plan Highlights

  • Personal welcome call for new members 
  • One phone number of all coverage and care resource
  • No referrals needed when you see a network provider
  • Same-day primary care appointments. Many clinics also offer walk-in care, with no appointment necessary
  • 24/7 nurse line
  • Online care from anywhere with OnCare
  • A team approach to keep you healthier and help with ongoing health issues

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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 Fairview and North Memorial Vantage with Medica

Network Information
Network Type Accountable Care Organization network
Network Area Twin Cities metro area
Special Features Same-day primary care appointments; online care through OnCare; a team approach to keep you healthier.
Referrals Needed No referrals needed if you see a Vantage network provider.

How it Works

Fairview and North Memorial Vantage with Medica 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 Fairview and North Memorial network. While you have access to all University of Minnesota Physicians specialists, the University of Minnesota primary care clinics are not in the Fairview and North Memorial network.

» Find a physician or facility in the Fairview and North Memorial network.
» See a map of provider locations in the Fairview and North Memorial network.

Sample Certificate of Coverage

You can view a sample 2017 coverage document (called a Certificate of Coverage), which shows examples of what a Fairview and North Memorial Vantage 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.

Small groups 
Large groups 

• Large groups 

• Large groups

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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