Park Nicollet First with Medica

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Park Nicollet First with Medica

Accountable Care Organization network

Park Nicollet First is an innovative collaboration between Park Nicollet and Medica that is pioneering new ways of delivering care to provide you with a better experience. When you choose Park Nicollet First, you have easy access to care for all your day-to-day health care needs. 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.

Park Nicollet First with Medica is built on the strength of one of the nation's largest multispecialty clinics. Park Nicollet's integrated health care system includes more than 20 neighborhood clinics, and features primary care, urgent care and more than 55 medical specialties. Members have direct access to Park Nicollet Methodist Hospital and Park Nicollet’s specialty centers, including Bariatric Surgery Center, Frauenshuh Cancer Center, Heart and Vascular Center, International Diabetes Center, Jane Brattain Breast Center, Melrose Center (for eating disorders), Struthers Parkinson’s Center, Child & Family Behavioral Health (formerly Alexander Center), Joint Replacement Institute, Family Birth Center, Women’s Center and TRIA Orthopaedic Center.

Whether you want to stay healthy for the people you love or the things you love to do, Park Nicollet provides the care you need to live your healthiest and happiest life. Park Nicollet First with Medica provides coordinated care throughout the Park Nicollet provider network, so you can see a specialist without a referral. Our 20 neighborhood clinics are the heart of our integrated health care system and offer convenient same-day appointments, plus evening and weekend hours. And when you need expert care fast, Park Nicollet’s eight Urgent Care locations are open late, seven days a week. You’ll find wait times for Urgent Care locations and Methodist Hospital Emergency Center on parknicollet.com.

Plan Highlights

  • Access to any Park Nicollet primary or specialty care provider without a referral
  • Urgent care locations open seven days a week 
  • 24/7 nurse line
  • 24/7 online diagnosis and treatment for 60 common medical conditions with virtuwell™ 
  • SmartCare offers care on your terms — at the clinic, on your phone or online
  • CareWire™ text messaging for clinic appointments

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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 Park Nicollet First with Medica

Network Information
Network Type Accountable Care Organization network
Network Area Twin Cities metro area
Special Features Direct access to Park Nicollet's specialty centers; 24/7 online diagnosis and treatment with virtuwell; CareWire text messaging for clinic appointments.
Referrals Needed No referrals needed if you see a Park Nicollet First network provider.

How it Works

Park Nicollet First 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 Park Nicollet First network.

» Find a physician or facility in Park Nicollet First with Medica.
» See a map of provider locations in Park Nicollet First with Medica.



Sample Certificate of Coverage

You can view a sample 2017 coverage document (called a Certificate of Coverage), which shows examples of what a Park Nicollet First 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 sample certificate coming soon)
Large groups (2018 sample certificate coming soon)

ND:
• Large groups (2018 sample certificate coming soon)

WI:
Large groups (2018 sample certificate coming soon)

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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