| Administrator |
Medica |
| Product |
Patient Choice Insights |
| Member Enrollment |
- Features a network where clinics and other health care facilities are tiered according to cost and quality factors.
- Members can access any provider in the network. They pay a lower cost to visit Tier 1 providers, a middle cost to visit Tier 2 providers, and a higher cost to visit Tier 3 providers.
|
| Tier Levels |
Primary care clinics, specialty care clinics, hospitals and other facilities |
| Claims Information |
Find claims tools and forms on Medica's Web site
Claim address:
Medica
P.O. Box 30990
Salt Lake City, UT 84130 |
| Provider Service Center |
(800) 458-5512 |
| Web Site |
www.medica.com |
| Administrative Manual |
Medica's Provider Administrative Manual |
| Member Rights and Responsibilities |
Medica's Provider Administrative Manual (Chapter 17, Section C) (PDF) |
| ID Card/Logo |
View sample ID card (PDF) |
| Behavioral Health/Substance Abuse Network |
Product uses the Medica Behavioral Health network (United Behavioral Health manages Medica Behavioral Health). Medica Behavioral Health provides managed care, triage and UM.
Claim address:
United Behavioral Health
P.O. Box 30755
Salt Lake City, UT 84130-0755 |
|
| Chiropractic |
Product uses the Health Services Management (HSM) network.
Claim address:
Medica
P.O. Box 30990
Salt Lake City, UT 84130
HSM Provider Services:
(800) 432-3640 or (651) 287-4701 |
| Referrals to Nonparticipating Providers |
No, except for UM-related care availability |
