FAQs

How do I know if my provider is in-network?

To ensure you receive in-network benefits from an in-network provider, you can contact the Ridgeview Community Network Navigator at 952-442-7860 or email navigator@ridgeviewcommunitynetwork.org, view the network options, or contact Medica customer service at 1-888-592-8202.

Can I go to an out-of-network provider?

Generally, all plans offered include out-of-network benefits with a separate out-of-network deductible.  Keep in mind that the amount you pay for your care will be significantly higher when seeing providers who are not affiliated with Ridgeview Community Network (RCN).  If the services you need are not available within RCN, it is possible to have these charges processed as in-network.  You must discuss this with our Network Navigator before your appointment.  The Network Navigator submits an authorization form directly to your health insurance plan in order for the services to be processed as in-network.  A “referral” from your primary care provider does not take the place of our authorization form.  Contact our Network Navigator for more information at 952-442-7860.

My son or daughter attends school outside the Ridgeview Community Network service area. Can they still receive in-network coverage?

Yes, if your child is outside Medica’s service area of Minnesota, North Dakota, South Dakota and Western Wisconsin) and she/he needs care, she/he can get network coverage by visiting a provider in the Travel Program Network. This nationwide network is one of the largest in the country. You can search the Travel Network here. If your child lives outside Ridgeview’s five-county metro service area but within Medica’s service area (for example, Fargo, N.D., or Mankato, Minn.), out-of-network benefits would apply when seeing a provider. NOTE: All emergency care and urgent care is covered at an in-network level.

What if I’m traveling and I have an emergency? Where should I go for care?

Go to the nearest hospital emergency room or urgent care center. All emergency care and urgent care is covered at the in-network benefit level, regardless of where you are in the country or traveling internationally.

Who do I call if I have a questions about benefits or claims?

A Medica Customer Service team dedicated to assisting Ridgeview Community Network members is available to help answer questions about your benefits and claims. Call 1-888-592-8202 (TTY users call 711), or contact us online. Customer Service is available Monday through Friday, 7 a.m. to 8 p.m. Central (closed 8 to 9 a.m. Thursdays) and Saturday from 9 a.m. to 3 p.m. Or call Ridgeview Community Network Navigator at 952-442-7860. The navigator is available Monday through Friday from 8 a.m. to 5 p.m. or leave a confidential voicemail. You may also email the Network Navigator at navigator@ridgeviewcommunitynetwork.org.