Medica Customer Service, Claims, and Bill Pay Contacts

Contact directory

Medica phone numbers and official links

Start with the table below. Each row shows a phone number or official link we found on Medica's own website, plus what it's for. Tap a number to call from your phone.

Common reasons to contact Medica

• Check whether a doctor or hospital is in network
• Ask about a claim, bill, or explanation of benefits
• Order a new ID card
• Make a premium payment or set up autopay
• Ask about prior authorization or drug coverage
• Update your address or dependents

Tips for a faster call

Have your Medica policy number and the named insured's details ready before you call. Write down the date, the name of the person you speak with, and any reference or claim number they give you. If you're calling about a claim, ask what the next step is, how long it usually takes, and how you'll get updates. If you're calling about a bill, ask for the amount due, the due date, and whether your last payment has posted.

If you'd rather not wait on hold, check whether Medica offers the same service online or in an app. Many policy changes, ID card requests, and payments can be handled without a call.

Claims

How to file and track a Medica claim

Medica's homepage says members can sign in to their account to track claims and get a quick overview of health care claims and costs. In most cases, in-network providers submit claims to Medica for you, so start by checking your account after a visit.

If you have a question about a claim or an explanation of benefits, call the customer service number on the back of your Medica member ID card. The table above lists the member line for each plan type, such as 1-866-810-5238 for Individual + Family plans or 1-866-839-4013 for Medicare plans.

Medica also offers an online contact form and says it aims to respond within one business day, though replies can take longer during busy times of year. You can attach a supporting document, such as a bill or letter, to the form.

Before you report a claim

• Show your ID card at every visit. In-network providers usually file claims for you.
• Review your explanation of benefits (EOB). It shows what was billed, what the plan paid, and what you owe.
• File your own claim when needed. For out-of-network or overseas care, ask for an itemized bill and a claim form.
• Keep receipts and records. Save itemized bills, proof of payment, and any referral or authorization numbers.
• Call before big expenses. Ask whether a service needs prior approval and how it will be covered.

What happens after you file

After a claim is submitted, Medica reviews it against your plan's benefits and sends an explanation of benefits. If something looks wrong, call the member services number on your ID card and ask for a review.

If Medica denies a claim, you usually have the right to an internal appeal and, for many plans, an external review. Ask for the denial reason in writing and the appeal deadline. Your state insurance department can also help with questions about your rights.

Billing

How to pay your Medica bill

Medica says members can sign in to their account to make a premium payment. The website footer also includes a Make a payment link under Resources.

If you have questions about a premium bill, call the member line for your plan type. Employer-provided plan members should also check with their employer, since premiums for those plans are usually handled through payroll.

Whichever method you choose, save your billing statements and payment confirmations until the policy term ends. If you change banks or cards, update your payment details with Medica before the next draft date so a payment doesn't fail.

Tips for paying safely

• Use official channels only. Pay through Medica's website, app, or the number on your statement, or through your agent.
• Check the web address before you enter card or bank details, and be wary of payment links sent by text or email.
• Keep your confirmation number for every payment.
• Ask about autopay or paid-in-full options. Some companies offer them.
• Act quickly on a late notice. Grace periods vary by company and state, and a missed payment can lead to cancellation.

Company background

About Medica

Medica describes itself as a nonprofit health organization based in Minnesota that works closely with providers across medical, behavioral, and pharmacy needs. Its mailing address is 401 Carlson Parkway, Minnetonka, MN 55305.

Medica offers Individual + Family plans, Medicare plans, employer-provided plans, and Medicaid plans. Its homepage also mentions a transition for Minnesota UCare members, with separate resources for UCare members, providers, and brokers.

Your agent

How Blake Insurance Group can help Medica customers

As an independent agency, we can help you reach the right Medica department, understand your benefits, and follow up if a claim or billing issue stalls. Medica decides claims, but we can help you ask the right questions.

We can also compare plans at renewal or open enrollment. Learn more about health insurance, dental insurance, and Medicare Advantage.

Take the next step

Need help reaching Medica?

Call us and have this ready so we can help quickly.

• Your Medica policy number.
• Your claim number, if you've already reported the claim.
• The date and a short description of what happened.
• Your most recent billing statement, if the question is about a payment.
• The best phone number and time to reach you.

Shopping for coverage or want a second opinion? Our licensed agents compare options from multiple companies. Office hours are Monday to Friday, 9:00 to 5:00.

Common questions

Frequently asked questions

Keep researching

Related guides and official sources

These Blake Insurance Group pages can help with related questions.

We checked the contact details on this page against Medica's websites and these consumer sources in September 2026:

• Medica: Contact us (external site)
• Medica: Official website (external site)
• HealthCare.gov: Appealing a health plan decision (external site)
• NAIC: Insurance fraud (external site)
• NAIC: Consumer resources and state insurance departments (external site)

Contact information disclosure: Blake Insurance Group LLC is an independent insurance agency. We are not Medica, and this page is not operated by or affiliated with Medica. We gathered the phone numbers and links on this page from Medica's own public websites in September 2026 so policyholders can reach the company quickly. Numbers, hours, and options can change and can differ by state, product, and policy, so confirm them on your policy documents. Claims decisions, payments, and billing are handled by the insurance company under your policy. Company names are used for identification only, and links to other websites are provided for convenience. Your policy documents control your coverage.

Medicare disclosure: We do not offer every plan available in your area. Currently, we represent organizations that offer products in select areas. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) for information on all of your options. Blake Insurance Group is not connected with or endorsed by the U.S. government or the federal Medicare program. Medicare Advantage plans are offered by private insurance companies approved by Medicare. Enrollment in a plan depends on contract renewal.