Enrolling in a Medical Assistance Program
for people with disabilities

Our Special Needs BasicCare Plan representatives can answer questions you may have about features of these plans.
Call us at 612-676-3554 or 1-800-707-1711 toll free (TTY: 612-676-6810 or 1-800-688-2534 toll free), 8 am to 5 pm Monday - Friday.

How to enroll in a Special Needs
BasicCare plan

You have three options for enrollment:

  • Use our online enrollment form tool
  • Fill out and mail in a form
  • Call for assistance

Online Enrollment Form

  • You'll need your Medical Assistance ID number and an email address to get a validation code.
  • Save your progress and finish the application later. Access your in-progress application through a link in the original validation email.
     

online enrollment form tool

Mail-in Form

Download and print the enrollment form (PDF). Fill it out and mail it to:
      UCare
      Attn: UCare Connect
      PO Box 52
      Minneapolis, MN 55440

Or fax it to: 612-884-2122.

 

Call for Assistance

Call a licensed Special Needs BasicCare Plan representative for assistance.

612-676-3554 or 1-800-707-1711 toll free,
8 am to 8pm, seven days a week.

 

You must read this information before you enroll in UCare Connect.

  • UCare Connect is a Special Needs BasicCare (SNBC) program. It is available to individuals who are at least 18 years of age and under 65, have a certified disability, receive Medicaid (Medical Assistance) from the state with or without Medicare Parts A and B, and live in the service area.
  • Eligible beneficiaries can enroll at any time, effective the first of the following month.
  • With UCare, you have access to a large contracted provider network and can choose from many primary care clinics. You must choose a primary care clinic/care system from our network.
  • You can choose any physician, clinic, hospital, pharmacy, or family planning agency to receive some services, called open access services. The services are family planning, diagnosis of infertility, testing and treatment of sexually transmitted diseases, and testing for AIDS and HIV-related conditions.
  • UCare Connect members can see any specialist in the UCare network without a referral. You can get additional information on how to access specialty care by calling UCare's Sales Department, or from the Provider Directory you will receive when you enroll with UCare.
  • Prescriptions must be filled at pharmacies in the UCare network. You will get a list of pharmacies in the member packet you receive when you enroll with UCare. The drug must be on our covered drug list (formulary).
  • People with Medicare must enroll in a Medicare Prescription Drug Program (Medicare Part D) to get most of their drugs.
This information is available in alternate formats or languages. Please call 1-800-707-1711 toll free (TTY: 1-800-688-2534 toll free) to request this information in other formats or languages.

Online Enrollment Form

  • You'll need your Medical Assistance ID number, Medicare number and an email address to get a validation code.
  • Save your progress and finish the application later. Access your in-progress application through a link in the original validation email.
     

online enrollment form tool

Mail-in Form

Download and print the enrollment form (PDF). Fill it out and mail it to:
      UCare
      Attn: UCare Connect + Medicare
      PO Box 52
      Minneapolis, MN 55440

Or fax it to: 612-884-2122.

 

Call for Assistance

Call a licensed Special Needs BasicCare Plan representative for assistance.

612-676-3554 or 1-800-707-1711 toll free,
8 am to 8 pm, seven days a week.

Information about changing plans

When can you end your membership in our plan?
You may end your membership in our plan only during certain times of the year. These are the:

  • Annual Enrollment Period
  • Medicare Advantage Open Enrollment Period

You may also may be able to leave the plan during other times of the year if you meet certain requirements.

You may be able to end your membership because you have Medicare and Medicaid.
Most people with Medicare can end their membership only during certain times of the year. Because you have Medicaid, you may be able to end your membership in our plan or switch to a different plan one time during one of three Special Enrollment Periods. They occur:

  • January to March
  • April to June
  • July to September

If you joined our plan during one of these three periods, you’ll have to wait for the next period to either end your membership or switch to a different plan. You can’t use this Special Enrollment Period to end your membership in our plan between October and December. However, anyone with Medicare can make changes from Oct. 15 – Dec. 7 during the Annual Enrollment Period.

 

You must read this information before you enroll in UCare Connect + Medicare:

  • UCare Connect + Medicare (HMO SNP) is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in UCare Connect + Medicare depends on contract renewal.
  • This plan is available to individuals who are at least age 18 and under age 65, receive Medicaid (Medical Assistance) from the state, have Medicare Parts A and B, and live in the UCare Connect + Medicare service area.
  • You must use network providers except in emergency or urgent care situations, open access services, out-of-network dialysis services, or any other services previously authorized. If you obtain routine care from out-of-network providers, neither Medicare nor UCare will be responsible for the costs.
  • Eligible beneficiaries can enroll at any time, effective the first of the following month.
  • You must pay your Medicare Part B premium unless it is paid for by the state.
  • Limitations, copayments, and restrictions may apply.
  • Because you have Medical Assistance, you qualify for and are getting Extra Help to pay for your prescription drug premiums and costs. If you have questions about Extra Help, call:
    • 1-800-MEDICARE (1-800-633-4227). TTY users should call1-877-486-2048, 24 hours a day/7 days a week;
    • The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778; or
    • Your state Medicaid office.
  • Copays and coinsurance may vary based on the level of Extra Help received. Contact the plan for further details.
  • This information is not a complete description of benefits. Contact the plan for more information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.
  • Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances. Quantity limitations and restrictions may apply.
  • UCare has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area.
  • Find information about Coverage Determinations, Appeals, and Grievances. ​

Minnesota Health Care Programs

Minnesota also offers health care assistance programs for:

SNBC_030619 DHS Approved (03072019)
H5937_030619 DHS Approved (03072019) CMS Accepted (03112019)
March 2019