Medica customer service number — complete professional guide

Where to find the correct Medica customer service number

Medica is a regional health insurer headquartered in Minnesota; every Medica member receives a unique member ID card that lists the exact customer service phone number to use for benefit questions, claims inquiries, prior authorizations, and provider lookups. Because Medica operates multiple customer-facing lines (members, providers, Medicare, Medicaid, behavioral health), the telephone number printed on your member ID card is the primary definitive source. If you cannot access your card, the official company website, medica.com, lists contact links and the most current, region-specific numbers for members and providers.

Using the number printed on the ID card ensures you reach the right routing (member services versus provider services) and preserves call verification history tied to your plan and group number. If you are calling about an employer-sponsored plan, the group administrator or human resources department often distributes the appropriate plan contact number — keep that number with your benefits paperwork to avoid misroutes or security re-verification delays.

Key Medica phone lines and when to use them

Medica maintains distinct lines for different needs. Typical categories include: member services (benefits and eligibility), claims and billing dispute lines, provider services (credentialing and contracts), prior authorization departments, Medicare/Medicaid enrollment and appeals units, and behavioral health access lines. When you call, the interactive voice response (IVR) usually prompts you to select plan type (commercial, Medicare, Medicaid) and then the reason for the call; this routing reduces handoffs and speeds resolution.

Always verify you are calling the line that corresponds to your product. For example, Medicare Advantage members should select the Medicare-specific option; calling the general commercial line may require additional verification and transfer, increasing hold time. If you are a provider calling about a claim rejection or payment, use the provider services line or the web portal (if available) to retrieve EOB/RA information quickly — many provider issues are resolved in 1–2 business days when calls include the claim number and tax ID.

What to have ready before you call

• Member ID number exactly as printed; group number (for employer plans); the subscriber’s full name and date of birth.
• Specific claim numbers, dates of service (DOS), provider name and NPI (if a claims or provider inquiry), and any Explanation of Benefits (EOB) documentation.
• If calling about medication or prior authorization: prescription name, prescribing physician, NPI, dosage, and pharmacy used; internal authorization or reference numbers if previously assigned.
• Preferred callback number and best hours to reach you; a note of the time you called for your records and the agent’s name and reference number (ask for a call reference or ticket number at the end of the call).

Practical calling tips, expected times, and documentation

Start the call during peak-avoidance windows: early morning (right after lines open) or mid-afternoon are often shorter than noon or early evening. Many insurers’ average on-hold times vary by season (open enrollment or claims surges increase waits) — plan for 10–20 minutes during high-volume periods. Ask for the agent’s name, employee ID, and a reference number for the interaction (call center scripts usually provide a “reference” or “ticket” number you can record).

If the issue is a claims denial or billing dispute, request escalation to a claims specialist and an estimated timeline in business days (e.g., “I will escalate and you can expect a response in 7–10 business days”). Follow up in writing by secure message via the Medica member portal or by certified mail if an appeal deadline is approaching, and keep copies of all correspondence and EOBs. For time-sensitive authorizations, request an expedited review and document the agent’s commitment and timeline.

Escalation, appeals and regulatory complaints

When a frontline agent cannot resolve your issue, request escalation to a supervisor or to the appeals department; standard internal appeal timelines for commercial plans are typically 30 calendar days for a routine appeal and 72 hours for an expedited (urgent) appeal, though specific plan terms vary. If your plan is Medicare Advantage or Medicaid, statutory appeal timelines and grievance procedures are governed by federal and state rules — request the plan’s appeal procedure statement and note the dates provided.

If you exhaust the insurer’s internal appeal process without satisfactory resolution, file a complaint with your state Department of Insurance or, for Medicare Advantage questions, contact Medicare at 1-800-MEDICARE (1-800-633-4227) or cms.gov for beneficiary protection guidance. Keep a chronological log of calls, agent names, ticket numbers, and mailed or uploaded documents; documented timelines materially improve success in external reviews or regulatory investigations.

Alternative contact channels and verifying official sources

Beyond telephone, Medica supports secure member messaging via the Medica member portal and mobile app (linkable from medica.com), where you can submit documents, check claims status, and sometimes receive written responses within 48–72 hours. For providers, the Availity or change healthcare portals (or Medica’s provider portal) may provide faster claim adjudication and downloadable EOBs; use portal transaction receipts as evidence of submission.

Always confirm phone numbers and mailing addresses on medica.com or on your physical ID card before sharing personal data. If you need the official web entry point, start at: https://www.medica.com. For hearing-impaired callers, use your local relay service (711) or request TTY/TTD services through the plan’s listed accessibility options. Keeping a small printed or digital “call checklist” containing your member ID, plan type, and recent claim dates will cut typical call times in half and improve first-call resolution rates.

How do I speak to Medicaid customer service?

★ Department of Health Care Services

1. California State Contacts.
2. Eligibility.
3. Enrollment.
4. ☎ Call the Medi-Cal Helpline: 800-541-5555, or 916-636-1980.

How do I contact Medicare customer service?

Call us at 1-800-MEDICARE (1-800-633-4227).

Is Medica secondary to Medicare?

For in-network Part A services, Medicare is the primary payer and Medica is the secondary payer.

What is the number for 1 800 650 5826?

Or contact a UnitedHealthcare representative at 1-800-650-5826.

Is Medica owned by UnitedHealthcare?

M&A Details. Medica HealthCare Plans was acquired by UnitedHealth Group on Feb 2012 .

What does Medicaid not cover?

Non-Prescription Drugs and Health Supplements
In many states, Medicaid won’t pay for non-prescription drugs, such as painkillers, over-the-counter allergy medicine, and cold remedies. These medicines are available for everyone to buy and aren’t covered under insurance programs.