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Complete an enrollment form and submit it online

  • You'll need your Medicare number and an email address to get a validation code.
  • Save your progress and finish the application later. Access your in-progress application through a link in the original validation email.

Then add comprehensive dental coverage: online dental enrollment form.

online enrollment form

Print and mail in forms

2021 Enrollment Form (PDF)
2021 Dental Enrollment Form (PDF)

 

Download and print the enrollment form.
Fill it out and mail or fax it to:

UCare
Attn: UCare Medicare Group Plans
PO Box 52
Minneapolis, MN 55440
Fax: 612-884-200



Questions?

If you have questions, call
612-676-6900
or 1-877-598-6574 toll free
TTY: 612-676-6810 or 1-800-688-2534 toll free

We are available from 8 am – 8 pm, seven days a week.


You must read this information before you enroll in a UCare Medicare Group plan.

  • UCare Minnesota is an HMO-POS plan with a Medicare contract. Enrollment in UCare Minnesota depends on contract renewal. UCare for Seniors is an HMO-POS plan with a Medicare contract. Enrollment in UCare for Seniors depends on contract renewal.
  • Members must use plan providers for routine care except for emergency care, out-of-area renal dialysis/urgent care, (and in-area urgent care when the UCare Medicare Group Plans or Group UCare for Seniors network is temporarily unavailable), and Point-of-Service benefits.If you obtain care from out-of-network providers neither Medicare or UCare Medicare Group Plans will be responsible for the costs.
  • You must continue to pay your Medicare Part B premium.
  • This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year.

This information is available in alternate formats or languages. Please call 1-855-432-7027 toll free (TTY 1-800-688-2534 toll free) to request this information in other formats or languages