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Medica AccessAbility Solution® Enhanced (HMO D-SNP)

Special Needs BasicCare (SNBC) with Medicare

  • Eligibility

  • Applicant

  • Other Coverage

  • Enroll Reasons

  • Verification

  • Signature

  • Confirmation

Enroll

Eligibility Information

Fields marked with an asterisk * are required.

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What is the ZIP Code and county you live in?

Medical Assistance Information

Fill in your Medicare and Minnesota Health Care Program (MHCP) information below. You can find Medicare information on your red, white, and blue Medicare card or in a letter from Social Security or the Railroad Retirement Board. Also, please put your Minnesota Health Care Program (MHCP) Member Number as it appears on the front of your card. This is also known as your Medical Assistance Member Number.

Medicare Card Sample

Last updated: 10/2023

H9952_1011228_C