Medicare Part D: The Medicare prescription drug benefit program. We call this program “Part D” for short. Medicare Part D covers outpatient prescription drugs, vaccines, and some supplies not covered by Medicare Part A or Medicare Part B or Medical Assistance. Our plan includes Medicare Part D.Medicare Part A: The Medicare program that covers most medically necessary hospital, skilled nursing facility, home health, and hospice care.
Medicare Part B: The Medicare program that covers services (such as lab tests, surgeries, and doctor visits) and supplies (such as wheelchairs and walkers) that are medically necessary to treat a disease or condition. Medicare Part B also covers many preventive and screening services.Medical Assistance: This is the name of Minnesota’s Medicaid program. Medical Assistance is run by the state and is paid for by the state and the federal government. It helps people with limited incomes and resources pay for long-term services and supports and medical costs.
It covers extra services and some drugs not covered by Medicare. Medicaid programs vary from state to state, but most health care costs are covered if you qualify for both Medicare and Medicaid.

Providers

Credentialing

The South Country process of establishing the qualifications of licensed medical professionals and assessing their background and legitimacy.
Read more >>

Provider COVID-19 Resources & Info

Read more >>

Provider News & Updates

Get the latest South Country news and updates from the Provider Network Department.
Read more >>

Provider Training Resources

Read more >>

Forms

Browse our library for forms, instructions and other resources you need.
Read more >>

Provider Manual

Check the provider manual for up-to-date information and reference material.
Read more >>

Other Resources

Claims
Pharmacy
Quick Reference
Access and Availability (pdf)
Copay Reference Chart (pdf)
Read more >>

Provider Portal & Authorizations

Log in to the portal and access information, tools and forms you need to serve members.
Read more >>

Coverage Criteria

South Country Medical policy  for authorization decisions.
Read more >>

Non-Contracted Providers

For out-of-network providers who see South Country members.
Read more >>

Cultural Competency Supporting Health Equity

Learn more about how cultural competency is important to serving South Country members better.
Read more >>

Translate »
Accessibility by WAH