Ucare Provider and Pharmacy Directory

1 Ucare Medicare Plans HMO-POS PlanProvider and Pharmacy Directory 2021 This Directory is current as of 07/15 Directory provides a list of Ucare MedicarePlans' current network Directory is for the Ucare Medicare Plans'service area that includes all Minnesota access Ucare Medicare Plans' online Providerand Pharmacy Directory , you can For any questions aboutthe information contained in this Directory , pleasecall our Customer Service Department at612-676-3600 or 1-877-523-1515 toll free, 8 am 8 pm, seven days a week. TTY users should call612-676-6810 or 1-800-688-2534 toll request, we can also give you information inbraille, in large print, or other alternate formats ifyou need of NondiscriminationUCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race,color, national origin, age, disability or sex. Ucare does not exclude people or treat them differentlybecause of race, color, national origin, age, disability or provide aids and services at no charge to people with disabilities to communicate effectively withus, such as TTY line, or written information in other formats, such as large you need these services, contact us at 612-676-3200 (voice) or toll free at 1-800-203-7225 (voice),612-676-6810 (TTY), or 1-800-688-2534 (TTY).

2 We provide language services at no charge to people whose primary language is not English, such asqualified interpreters or information written in other you need these services, contact us at the number on the back of your membership card or612-676-3200 or toll free at 1-800-203-7225 (voice); 612-676-6810 or toll free at 1-800-688-2534(TTY).If you believe that Ucare has failed to provide these services or discriminated in another way on thebasis of race, color, national origin, age, disability or sex, you can file an oral or written grievanceIf you are a current Ucare member, please call the number on the back of your membership please call 612-676-3200 or toll free at 1-800-203-7225 (voice); 612-676-6810 or toll free at1-800-688-2534 (TTY). You can also use these numbers if you need assistance filing a grievanceMailing AddressUCareAttn: Appeals and GrievancesPO Box 52 Minneapolis, MN 55440-0052 Email: 612-884-2021 You can also file a civil rights complaint with the Department of Health and Human Services,Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available , or by mail or phone at: Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, 20201 1-800-368-1019, 1-800-537-7697 (TDD)Complaint forms are available at 1 - Introduction.

3 7 What is the service area for Ucare Medicare Plans? ..8 How do you find Ucare Medicare Plans providers that serve your area? ..8 Ucare Medicare Plans Network Pharmacies ..8 Section 2 - List of Network Providers ..11 Primary Care Clinics ..13 Behavioral Health ..209 Chiropractic Care ..289 Convenience Care ..363 Dental Care ..367 Hospitals ..407 Nursing Homes ..417 Retail Pharmacies ..437 Mail Order Pharmacies ..533 Home Infusion Pharmacies ..535 Long-Term Care Pharmacies ..537 Indian Health Service/Tribal/Urban Indian Health Program Pharmacies .563 Urgent Care Clinics ..567 Visiting Clinics ..571 Specialists ..575 Allergy/Immunology ..575 Audiology ..577 Cardiology ..584 Cardiovascular Disease ..591 Cardiovascular/Thoracic Surgery ..595 Colon and Rectal Surgery ..598 Dermatology ..599 Durable Medical Equipment ..605 Endocrinology ..639 Family Medicine ..640 Family Planning ..643 Gastroenterology.

4 645 General Practice ..648 General Surgery ..649 Hematology ..656 Infectious Disease ..657 Internal Medicine ..658 Laboratory ..691 Mental Health ..692 Neonatology ..693 Nephrology ..694 Neurological Surgery ..696 Neurology ..698 Table of ContentsChapterObstetrics and Gynecology ..703 Occupational Medicine ..709 Occupational Therapy ..711 Oncology ..713 Ophthalmology ..720 oral and Maxillofacial Surgery ..730 Orthopedic Surgery ..733 Orthopedics ..741 Otolaryngology (ENT) ..752 Pain Management ..756 Perinatology ..761 Pharmacist (MTM) ..762 Physical Medicine and Rehab ..763 Physical Therapy ..766 Plastic and Reconstructive Surgery ..768 Podiatry ..770 Pulmonary Medicine ..776 Radiation Oncology ..781 Radiology ..783 Rehabilitation Medicine ..787 Reproductive Endocrinology ..789 Rheumatology ..790 Sleep Disorder ..792 Speech Therapy ..794 Sports Medicine ..795 Telehealth ..796 Urology ..797 Table of ContentsSection 1 - IntroductionThis Directory provides a list of Ucare MedicarePlans network providers.

5 To get detailed informationabout your health care coverage, please see yourEvidence of Coverage (EOC).You will have to choose one of our networkproviders listed in this Directory to be your PrimaryCare Clinic (PCC). The term PCC will be usedthroughout this Directory . Generally, you must getyour health care services from your PCC. You cansee any Primary Care Physician (PCP) at your network providers listed in this Directory haveagreed to provide you with your health care may go to any of our network providers listed inthis Directory . You can get all covered services onyour own, without a referral. If you have been goingto one network Provider , you are not required tocontinue going to that same , even network doctors are not aware thatthey should send you to a network hospital forinpatient care. If you need to go to a hospital, workclosely with your doctor to choose the mostappropriate facility for your needs from the hospitalsin the Ucare Medicare Plans some cases, you may get covered services fromout-of-network providers.

6 The Point-of-Service(POS) benefit provides access to non-contracted,out-of-network Medicare providers. You do not needa referral from your PCC to use the POS benefit. Fordetails about POS refer to your Evidence of Coverage(EOC) for the exception of emergencies, or urgent care,or out-of-service-area renal dialysis, or some otherservices, it may cost more to get care fromout-of-network must use network providers except inemergency or urgent care situations or forout-of-area renal dialysis or other services. If youobtain routine care from out-of-network providers,neither Medicare nor Ucare Medicare Plans will beresponsible for the you receive needed care from a Provider whois not part of the plan network, you are onlyresponsible for paying your share of the cost, not forthe entire you pay the entire amount yourself at the timeyou receive care, you need to ask us to pay youback for our share of the cost.

7 Send us the bill,along with documentation of any payments youhave times you may get a bill from a Provider askingfor payment that you think you do not owe. Sendus this bill, along with documentation of anypayments you have already made. If the Provider is owed anything, we will paythe Provider directly. If you have already paid more than your shareof the cost of the service, we will determinehow much you owed and pay you back forour share of the your request for payment together with anybills or receipts to us at this address: Ucare Medicare PlansAttn: DMR Box 52 Minneapolis, MN 55440-0052 Emergency and Urgently NeededCare/Renal DialysisPlease note: Emergency care, urgently need care,and out-of-service-area renal (kidney) dialysis arerequired under the Medicare program to be coveredat in-network cost sharing for both plan andnon-plan care can always be obtained in or out ofthe service area from the nearest available in the service area, you must use planproviders for urgent care.

8 When you are out of theservice area and cannot get care from a networkprovider, we will cover urgently needed care that7you get from any Provider . In addition, when out ofthe service area you can obtain dialysis treatmentfrom any qualified dialysis Provider . If you obtainroutine care, except for the Point-of-Servicecoverage described on the previous page, fromout-of-network providers, neither Medicare norUCare Medicare Plans will be responsible for Medicare Plans provide worldwideemergency and urgently needed care coverage is the service area for Ucare Medicare Plans?The counties in our service area are listed 87 counties in do you find Ucare Medicare Plans providers that serve your area?In the Primary Care section, the plan providers arelisted in alphabetical order first by state, then county,and then city. See the Table of Contents on page uses a network of mental health andsubstance use disorder providers in yourcommunity.

9 You can get current information aboutthose providers by using the Search Network featureon or calling the MentalHealth & Substance Use Disorder Triage Line at612-676-6533 or 1-833-276-1185 toll free. Hours ofservice are 8 am 5 pm, Monday - Friday. If you arehearing impaired, please call our TTY line at612-676-6810 or 1-800-688-2534 toll free. After hoursand on weekends, member calls will be answered bythe Ucare 24/7 nurse you have questions about Ucare Medicare Plans orrequire assistance in selecting a PCC, please call ourCustomer Service Department at 612-676-3600 or1-877-523-1515 toll free, 8 am 8 pm, seven days aweek. TTY users should call 612-676-6810 or1-800-688-2534 toll free. Or, visit Medicare Plans Network PharmaciesWe call the pharmacies on this list our networkpharmacies because we have made arrangementswith them to provide prescription drugs to Planmembers. In most cases, your prescriptions arecovered under Ucare Medicare Plans only if they arefilled at a network Pharmacy or through our mailorder Pharmacy service.

10 Once you go to onepharmacy, you are not required to continue going tothe same Pharmacy to fill your prescription but canswitch to any other of our network pharmacies. Wewill fill prescriptions at non-network pharmaciesunder certain circumstances as described in yourEvidence of network pharmacies may not be listed in thisdirectory. Pharmacies may have been added orremoved from the list after this Directory wasprinted. This means the pharmacies listed here mayno longer be in our network, or there may be newerpharmacies in our network that are not listed. Thislist is current as of 07/15/2021. For the most currentlist, please contact us. Our contact informationappears on the front and back cover can go to all the pharmacies on this list, but yourcosts for some drugs may be less at pharmacies onthis list that offer preferred cost sharing. We havemarked these pharmacies with a to distinguish8them from other pharmacies in our network thatoffer standard cost can get prescription drugs shipped to your homethrough our network mail order delivery program,which is called Express Scripts.