The University offers five medical plan options; some are designed to save you money and others to give you more flexibility. The options available to you depend on your geographic location.
You have 30 days from your date of employment or your newly benefits-eligible job to enroll in a medical plan. Use the resources included here to help you decide which plan is the best choice for you and your family.
Getting Started With Medical Coverage
Review Your Medical Plan Options
The medical plan options available to you vary by geographic location. You can select your medical plan based on where you live or work. The University defines your work location as where the majority of your work is performed.
A quick overview of the base plans:
- The Elect/Essential and Choice Regional provider networks are available based on where you live or work. These form the provider network for the Base Plans.
- Benefits-eligible employees can choose the University Base Plan, which offers lower biweekly rates and higher out-of-pocket costs when you receive care.
- Starting in 2027, benefits-eligible employees represented by AFSCME, LELS, and Teamsters can also choose the CBA Base Plan, which has higher biweekly rates and lower out-of-pocket costs when you receive care.
A quick overview of your other plan options:
- ACO Plan is a defined network plan available in specific geographic locations.
- Choice National is an open-access network plan with providers available statewide and nationwide.
- HSA Plan is a high-deductible plan with a health savings account and an open-access network available statewide and nationwide.
Visit the Medical Plan Options webpage for full descriptions.
Choosing a Plan
The plans cover the same set of healthcare services, so youāll want to pay attention to differences in provider networks, biweekly rates, and the out-of-pocket amounts that you pay up front, such as copays, deductibles, and coinsurance. Questions to consider as you review your options include:
- Does the plan meet the needs of you and your family? Some plans require everyone in the family to use the same health care network.
- Is your current doctor or clinic within the network?
- Do you want the flexibility to choose any in-network provider? Some plans have more flexibility in choosing providers, while others have specific care systems or primary care requirements.
- Do you want to choose a plan based on where you work or where you live?
- Would an HSA plan work for you? Consider whether youāre comfortable paying more for care before you meet the deductible in exchange for the ability to contribute to an HSA and save pre-tax money for future health care expenses.
Visit the Medica website for more information to help you select a medical plan or call their Customer Service at 952-992-1814 or 877-252-5558; TTY users, please call 711.
Resources to Help You Make Your Decision
- Guide for Benefits Enrollment (PDF) provides an overview of your options.
- Medical Plan Comparison (PDF) gives you a side-by-side look at each plan's coverage for services.
- Medical Summary of Benefits (PDF) has the details on the full range of benefits in your medical plan.
- Member Guide to Medica (PDF) explains some of your health care options and has important information about your rights and responsibilities as a consumer. It also tells where to find more information if you need it.
- Medical Plan biweekly rates are found on the Plan Options page.
Enrolling in Medical Coverage
Take Action During Your First 30 Days
You have 30 days from your date of employment or your newly benefits-eligible job to enroll in a medical plan through MyU. Your medical coverage starts on the first day of the month following your first day in your new job.
If youāre not happy with your first choice, you can choose a different plan if youāre still within the first 30 days, and it will be retroactive to your initial date of coverage. If you choose to not pick a medical plan during your first 30 days, then you will only be able to sign up for medical insurance during open enrollment in November.
Enroll Your Family
If you have a family, you can add your spouse and your dependent children from birth through age 25 (up to 26th birthday) to your coverage. Go to the Dependents and Verifying Their Eligibility section for the full definition of eligible dependents. The University will ask you to verify that your dependents are eligible. Typically, it means sending copies of your marriage certificate, birth certificate, or tax forms.
You have about four weeks to provide proper documentation. If documentation isnāt received by the deadline, your dependents will be removed from benefits coverage.
Learn More
Check the schedule for the Benefits Workshop if you would like a walkthrough of your benefit options.
Using Your Medical Plan
Member ID Card
The medical plan you selected will send member ID cards to your home. The Elect/Essential plan will send one card per family member, and each other plan will send 2 cards with all member names printed on each card. If any dependent(s) in a family unit are over age 15, they will receive their own card. You are automatically enrolled in the Pharmacy Program when you enroll in a medical plan.
Understanding an Explanation of Benefits
After youāve seen a doctor or other care provider, you will receive a document from Medica that shows the amount that Medica paid for those services. This record of the services you received is called an Explanation of Benefits or EOB. For help understanding your EOB document, call Medica Customer Service at 952-992-1814 or 1-877-252-5558.
Questions About Your Plan or Provider Options?
Questions related to your medical plan can be answered with a call to Medica Customer Service or with a visit to their website. Enrollees can securely email Medica by clicking the link located in the lower right portion of the Medica website.
Medica
952-992-1814
877-252-5558
TTY users, please call 711
Additional Benefits With Your Medical Plan
When you choose a medical plan, you get access to a number of benefits designed to make getting care easier for you. All are available at no additional cost.
- Virtual Care
- Convenience Clinics & Retail Health Clinics
- Travel Program for In-Network Coverage
- Emergency Travel Assistance
- Diabetes Prevention & Management
Gender Care Services and Support: If you have a University medical plan, you have access to consolidated resources for gender care. Medica has dedicated Case Managers who specialize in gender care and can work with you to create a personalized care plan. They'll listen to your needs, answer questions, and connect you with community and medical resources.
Health Plan Machine-Readable Files
The Consolidated Appropriations Act, 2021 introduced federal regulations for health care price transparency. As a group health plan sponsor, the University of Minnesota is required to post the machine-readable files to a public website. The intended users of machine-readable files are researchers, regulators, and application developers. Machine-readable files are not intended for member or consumer use.
These files can be located on the Medica website. Once opened, click "Machine Readable Files" in the left navigation menu. This section will contain information such as a fact sheet and a link to the machine readable files.