Fairview and North Memorial Vantage with Medica


Fairview and North Memorial Vantage with Medica

Accountable Care Organization network

Fairview, North Memorial and Medica have teamed up to create Fairview and North Memorial Vantage with Medica. The result is a simpler, better-coordinated health care experience at a greater value.  With Fairview and North Memorial Vantage, you have access to more than 2,500 primary and specialty care physicians, and eight hospitals, including North Memorial Health Hospital, University of Minnesota Masonic Children's Hospital and University of Minnesota Medical Center.

When you become a member, the customer care team will welcome you by phone and answer any questions. From there, just one phone number connects you to all of your coverage and care needs – from answering benefits questions to scheduling appointments. You also have access to a care team made up of physicians, nurses, care navigators, health coaches and others, that works together to make sure you get the care and support you need.

And if you travel out of Medica’s service area (Minnesota, North Dakota, South Dakota and western Wisconsin) and you need care, you have access to more than 715,000 physicians and care professionals and 5,400 hospitals in Medica’s nationwide network.

Plan Highlights

  • Personal welcome call for new members 
  • One phone number of all coverage and care resource
  • No referrals needed when you see a network provider
  • Same-day primary care appointments. Many clinics also offer walk-in care, with no appointment necessary
  • 24/7 nurse line
  • Online care from anywhere with OnCare
  • A team approach to keep you healthier and help with ongoing health issues

How it Works

Fairview and North Memorial Vantage with Medica is an accountable care organization (ACO). In an ACO, groups of doctors, nurses and other health care providers work together with your health plan to provide coordinated care. You don’t need a referral when you see a provider in the Fairview and North Memorial network. While you have access to all University of Minnesota Physicians specialists, the University of Minnesota primary care clinics are not in the Fairview and North Memorial network.

» View the Summary of Benefits and Coverage for Fairview and North Memorial Vantage.

» Find a physician or facility in the Fairview and North Memorial network.
» See a map of provider locations in the Fairview and North Memorial network.

Benefit Summary for Fairview and North Memorial Vantage with Medica

Network Benefits
Overall deductible [insert benefit]
Out-of-pocket limit [insert benefit]
If you visit a health care provider's office or clinic
Primary care visit [insert benefit]
Chiropractic visit
Convenience care visit
Specialist visit [insert benefit]
Preventive care/screening/immunization No charge.
If you have a test
Diagnostic test - lab [insert benefit]
Diagnostic test - x-ray
Imaging (CT/PET scans, MRI) [insert benefit]
If you need drugs to treat your illness or condition
Generic drugs [insert benefit]
Preferred brand drugs [insert benefit]
Non-preferred brand drugs [insert benefit]
If you have outpatient surgery
Facility fee (e.g., ambulatory surgery center) [insert benefit]
Physician/surgeon fees
If you need immediate medical attention
Emergency room care [insert benefit]
Emergency medical transportation
Urgent care [insert benefit]
If you have a hospital stay
Facility fee (e.g., hospital room) [insert benefit]
Physician/surgeon fees
Network information
Network type Accountable Care Organization network
Network area Twin Cities metro area
Special features Same-day primary care appointments; online care from anywhere with Fairview Zipnosis and North eCare; a team approach to keep you healthier.
Referrals needed No referrals needed if you see a Vantage network provider.

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