Ucare Provider and Pharmacy Directory

EssentiaCare PPO Plan Provider and Pharmacy Directory 2019 This directory is current as of 11/21/2019. This directory provides a list of EssentiaCare current network providers. This directory is for the EssentiaCare service area that includes these Minnesota counties: Aitkin, Becker, Carlton, Cass, Clay, Crow Wing, Hubbard, Itasca, Lake and St. Louis. This directory also includes these Wisconsin counties: Bayfield, Douglas and Washburn. To access the EssentiaCare online Provider and Pharmacy Directory, you can search ucare.org. For any questions about the information contained in this directory (hardcopy or online), please call our Customer Service Department at 218-722-4915 or 1-855-432-7025 toll free, 8 am to 8 pm, seven days a week. TTY users should call 612-676-6810 or 1-800-688-2534 toll free. Upon request, we can also give you information in Braille, in large print, or other alternate formats if you need it. Y0120_8783_6532_11212019_C Notice of Nondiscrimination UCare 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 differently because of race, color, national origin, age, disability or sex. We provide aids and services at no charge to people with disabilities to communicate effectively with us, such as TTY line, or written information in other formats, such as large print. If 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). We provide language services at no charge to people whose primary language is not English, such as qualified interpreters or information written in other languages. If you need these services, contact us at the number on the back of your membership card or 612-676-3200 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 the basis of race, color, national origin, age, disability or sex, you can file an oral or written grievance. Oral grievance If you are a current UCare member, please call the number on the back of your membership card. Otherwise please call 612-676-3200 or toll free at 1-800-203-7225 (voice); 612-676-6810 or toll free at 1-800-688-2534 (TTY). You can also use these numbers if you need assistance filing a grievance. Written grievance Mailing Address UCare Attn: Appeals and Grievances PO Box 52 Minneapolis, MN 55440-0052 Email: [email protected] Fax: 612-884-2021 You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 1-800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Table of Contents Chapter Section 1 - Introduction .......................................................................... 7 What is the service area for EssentiaCare? ................................................... 8 How do you find EssentiaCare providers in your area? .............................. 8 EssentiaCare Network Pharmacies ................................................................ 9 Online Care and E-visits ................................................................................... 9 Are you ready to enroll in EssentiaCare? ....................................................... 10 Section 2 - List of Network Providers ................................................... 11 Primary Care Clinics ......................................................................................... 13 Behavioral Health ............................................................................................. 49 Chiropractic Care .............................................................................................. 53 Convenience Care ............................................................................................ 179 Dental Care ....................................................................................................... 181 Hospitals ............................................................................................................ 225 Nursing Homes ................................................................................................. 227 Retail Pharmacy ................................................................................................ 229 Mail Order Pharmacy ....................................................................................... 335 Home Infusion Pharmacy ................................................................................ 337 Long-Term Care Pharmacy ............................................................................. 339 Indian Health Service/Tribal/Urban Indian Health Program Pharmacy .... 363 Urgent Care Clinics ........................................................................................... 367 Specialists .......................................................................................................... 369 Allergy/Immunology ................................................................................... 369 Dermatology ............................................................................................... 370 Durable Medical Equipment ..................................................................... 372 Gastroenterology ....................................................................................... 374 General Surgery .......................................................................................... 375 Hematology ................................................................................................. 376 Internal Medicine ....................................................................................... 377 Neurology .................................................................................................... 380 Obstetrics and Gynecology ....................................................................... 381 Occupational Therapy ............................................................................... 382 Oncology ..................................................................................................... 383 Ophthalmology ........................................................................................... 384 Orthopedic Surgery .................................................................................... 385 Orthopedics ................................................................................................ 386 Pain Management ...................................................................................... 387 Pharmacist (MTM) ...................................................................................... 388 Physical Medicine and Rehab ................................................................... 389 Physical Therapy ......................................................................................... 390 Plastic and Reconstructive Surgery .......................................................... 391 Pulmonary Medicine .................................................................................. 392 Radiation Oncology .................................................................................... 393 Radiology ..................................................................................................... 394 Speech Therapy .......................................................................................... 395 Section 1 - Introduction This directory provides a list of EssentiaCare As a member of our plan, you can choose to receive network providers. To get detailed information care from out-of-network Medicare providers. Our about your health care coverage, please see your plan will cover services from either network or Evidence of Coverage. out-of-network providers, as long as the services are covered benefits and are medically necessary. You will have to choose one of our network providers listed in this directory to be your Primary However, if you use an out-of-network provider, Care Clinic (PCC). The term “PCC” will be used your share of the costs for your covered services may throughout this directory. Generally, you must get be higher. Here are other important things to know your health care services from your PCC. You can about using out-of-network providers: see any Primary Care Physician (PCP) at your clinic. l You can get your care from an out-of-network The network providers listed in this directory have provider, however, in most cases that provider agreed to provide you with your health care services. must be eligible to participate in Medicare. You may go to any of our network providers listed in Except for emergency care, we cannot pay a this directory. You can get all covered services on provider who is not eligible to participate in your own, without a referral. If your Essentia Health Medicare. If you receive care from a provider physician decides you need an even higher level of who is not eligible to participate in Medicare, you specialized care for rare or complex health issues, will be responsible for the full cost of the services your physician

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