University of Minnesota
Office of Human Resources
http://www.umn.edu/ohr
612-625-2016

Medical

Contact Info & Provider Directories

Medica
952-992-1814
877-252-5558

Prime Therapeutics
800-727-6181

Fairview Specialty Pharmacy
612-672-5298
877-509-5115

Understanding an Explanation of Benefits

After you've seen a provider for care, you likely will receive a document from Medica called an "Explanation of Benefits" (EOB). The EOB is a record of the services you or another family member received on a certain date.

Understanding an Explanation of Benefits (pdf)
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Your medical plan options provide regular medical care and pharmacy benefits for the diagnosis and treatment of most illnesses and injuries in a number of formats, ranging from plans with limited networks to open access and tiered plans to a high deductible health plan. The medical plans cover in-network preventive care at no cost to you and provide emergency and urgent care on a worldwide basis, subject to modest copayments. An out-of-network benefit gives you more flexibility when selecting a provider.

The medical plans do not have a pre-existing condition clause. This means that you and your eligible dependents will have coverage for any medical condition, including pregnancy, as soon as your coverage becomes effective.

Within each geographic location or zone is a base plan that offers the lowest copayments and rates. You may choose a medical plan that is available where you live or work. For example, if you live in the Greater Minnesota zone but work in the Duluth area zone, you can choose a plan in either zone.

Additional Medical Benefits

Fit Choices
With Fit Choices, UPlan Medical Program members who visit a participating health club at least eight times a month can receive up to a $20 per month reimbursement or credit toward their membership dues.

Walk-in Clinics
The walk-in clinics on the Duluth and Twin Cities campuses provide convenient medical care for you and your family. No appointment is necessary.

Travel Program
When traveling or attending college outside of the plan's service area, you may receive in-network benefits for your medical services if you use a provider in the designated network from Medica.

FrontierMEDEX
Worldwide emergency medical assistance and other travel assistance services are available when you are 100 or more miles away from home. You are automatically covered by the program when you enroll in any of the medical plan options.

Additional Resources

MN Community Measurement
Find accurate, comparative details on the quality of care at Minnesota's provider groups.

Benefits Advisory Committee
The Benefits Advisory Committee (BAC), which is comprised of representatives from all employee groups, advises the University administration on health program benefit offerings.