Home Page Log in health plans search network health & wellness plan resources 2022 Plan Documents and Information To find your member documents, select your plan below. To request a hard copy mailed to you, send us a message through your account in the Member Account or call Customer Service. Use this form to notify UCare of your gender if it is different than the sex you were assigned at birth. This will help process your health care claims appropriately. Get Engaged - Learn about our ambassador, advocacy and feedback programs for members. Member Newsletters - Catch up on the latest information and tips to help you stay healthy. 2021 Plan Documents Jump to your 2022 plans: UCare Medicare EssentiaCare UCare Medicare with M Health Fairview & North Memorial UCare Advocate UCare Medicare Group Medicaid + Medicare Minnesota Health Care Programs UCare Individual & Family Plans UCare Individual & Family Plans with M Health Fairview UCare Medicare Provider and Pharmacy Directory (PDF) Formulary Service Area Map (PDF) Welcome Booklet (PDF) Travel Benefit (PDF) TruHearing Hearing Aid Benefit UCare Dental Overview (PDF) Dental Enrollment Form (PDF) Plan Rating Information (PDF) Prior Authorization Information (PDF) Member Release of Information Form (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Enrollment Forms 2022 Medicare Enrollment Form - Metro (PDF) 2022 Medicare Enrollment Form - South (PDF) 2022 Medicare Enrollment Form - North (PDF) 2022 Dental Enrollment Form (external link) 2022 UCare Medicare Enrollment Change Form (external link) Prime Value Value Plus Standard Essentials Rx Complete Classic Aware EssentiaCare Provider and Pharmacy Directory (PDF) Formulary Service Area Map (PDF) Welcome Booklet (PDF) Travel Benefit (PDF) Plan Rating Information (PDF) Prior Authorization Information (PDF) Member Release of Information Form (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Enrollment Forms 2022 EssentiaCare Enrollment Form (PDF) 2022 EssentiaCare Enrollment Change Form (external link) Secure Grand Access UCare Medicare with M Health Fairview & North Memorial Provider and Pharmacy Directory (PDF) Formulary Service Area Map (PDF) Travel Benefit (PDF) TruHearing Hearing Aid Benefit Medicare Advantage Member Programs (PDF) Plan Rating Information (PDF) Prior Authorization Information (PDF) Member Release of Information Form (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Enrollment Forms 2022 Medicare Enrollment Form - Metro (PDF) 2022 Medicare Enrollment Change Form (external link) Care Core with M Health Fairview & North Memorial Care Wise with M Health Fairview & North Memorial UCare Advocate Plans Provider and Pharmacy Directory (PDF) Formulary Service Area Map (PDF) Prior Authorization Information (PDF) Member Release of Information Form (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Enrollment Forms 2022 Medicare Enrollment Form (PDF) 2022 Medicare Online Enrollment Form (external link) UCare Advocate Choice UCare Advocate Plus UCare Medicare Group Plans Note: Summary of Benefits and Evidence of Coverage are determined per group. Provider and Pharmacy Directory (PDF) Formulary TruHearing Hearing Aid Benefit Information Plan Rating Information (PDF) Prior Authorization Information (PDF) Member Release of Information Form (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Automatic Payment Form (PDF) Medicaid + Medicare Member Release of Information Form (PDF) Prior Authorization Information (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Statement of Representative Form (PDF) Medicare Coverage Updates MSHO UCare Connect + Medicare Minnesota Health Care Programs Formulary (Coming soon) Member Release of Information Form (PDF) Prior Authorization Information (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) UCare Connect Prepaid Medical Assistance Program Minnesota Senior Care Plus (MSC+) MinnesotaCare (MnCare) UCare Individual & Family Plans New Member Guide (PDF) Member Release of Information Form (PDF) Prior Authorization Information (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Member Contract Amendment Letter (PDF) Formulary Provider and Pharmacy Directory (PDF) Network Adequacy Waiver (PDF) Service Area Map (PDF) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Prescription Drug Reimbursement Form (PDF) UCare Core UCare Bronze and UCare Bronze HSA UCare Silver and UCare Silver HSA UCare Gold UCare Individual & Family Plans with M Health Fairview New Member Guide (PDF) Member Release of Information Form (PDF) Prior Authorization Information (PDF) Statement of Representative Form (PDF) Power of Attorney short form Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov) Member Contract Amendment Letter (PDF) Formulary Provider and Pharmacy Directories (PDF) Network Adequacy Waiver (PDF) Service Area Map (PDF) Automatic Payment Form (PDF) Claim Reimbursement Form (PDF) Prescription Drug Reimbursement Form (PDF) UCare M Health Fairview Core UCare M Health Fairview Bronze and UCare M Health Fairview Bronze HSA UCare M Health Fairview Silver and UCare M Health Fairview Silver HSA UCare M Health Fairview Gold contact us customer service sales other links non-discrimination notice privacy notice legal notice about us careers about UCare counties brokers media providers languages español lus hmoob af-soomaali Facebook Twitter LinkedIn minneapolis 500 Stinson Boulevard NE Minneapolis, MN 55413 hermantown 4310 Menard Dr, Suite 600 Hermantown, MN 55811 Due to COVID-19, our offices are currently closed to visitors. UCare is a registered service mark of UCare Minnesota | ©2021 UCare Minnesota. All Rights Reserved.