Enroll in UCare Connect

You have three options for enrollment:
 

Online Enrollment Form

  • You'll need your Medical Assistance identification (ID) number and an email address to get a validation code
  • If you need more time to complete, you can save your progress and finish the application later. Access your in-progress application through a link in the original validation email

online enrollment form

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.

Download enrollment form

 

Call for Assistance

Call a licensed UCare Agent for assistance.

612-676-3554 or 1-800-707-1711,
8 am - 5 pm, Monday - Friday.

 

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

This information is available in alternate formats or languages. Please call 1-800-707-1711 (TTY: 1-800-688-2534) to request this information in other formats or languages.


H5937_3976_032021
U3976 04/2021