Minnesota Health Care Programs

Eligibility Information

Fields marked with an asterisk * are required.

The following errors occurred:

What is the ZIP Code and county you live in?

ZIP Code*

County*

We are sorry but we do not offer coverage for this plan in your zip codecounty. Please call 1-800-266-2157 and a Medica consultant will help you choose a better option for your situation. Please remind our consultant that you were considering this plan Medica AccessAbility Solution^®, but did not have coverage.

Take me back to Medica's plan options

Birthdate*

You are applying for Medica's Medica AccessAbility Solution^® plan and you have indicated that your birthdate is . We are sorry but based on your birthdate, you will not qualify for this plan. If the date is incorrect, please change and continue.

Your Options

We would appreciate the opportunity to contact you to review other plan options relevant to your situation. Please provide your name and either your contact number, email address or both.

I'll choose a different plan myself

Or

Full name*

Contact number*

Email*

You'll call us at 1-800-266-2157. Just let us know you were trying to sign up for Medica AccessAbility Solution^®.

Medical Assistance Information

Please enter your Medical Assistance ID number (PMI) exactly as it appears on your Minnesota Health Care Program (MHCP) ID card.

Medical Assistance ID number (PMI) *

Medicare Information

Do you have Medicare coverage?*

Yes

We are sorry but participating in Medicare is required for this plan. Please call 1-800-266-2157 and a Medica Consultant will help you choose a better option for your situation. Please remind our consultant that you were considering this plan Medica AccessAbility Solution^® but did not qualify.

I'll choose a different plan myself

Please enter your information exactly as it appears on your red, white and blue Medicare card or the Letter of Verification for Medicare eligibility from Social Security or the Railroad Retirement Board.

Medicare number* Do not include hyphens or spaces

Hospital insurance (Part A) effective date*

Medical insurance (Part B) effective date*

Last updated: 10/2023

Medica AccessAbility Solution^®

Special Needs BasicCare (SNBC)