2025 UCare Advocate Plan Documents and Forms

UCare Advocate Plans

Formulary (list of covered drugs)
Provider and Pharmacy Directory (PDF)
 
Plan Rating Information (PDF)
Plan Rating Information - Spanish (PDF) 

Member Release of Information Form (PDF)
Statement of Representative Form (PDF)
Power of Attorney short form
Deceased Member: Affidavit for the Collection of Personal Property (mncourts.gov)
Automatic Payment Form (PDF)
Online Automatic Payment Form
Claim Reimbursement Form (PDF)
Advance Directives (PDF)

Enrollment Forms

Fillable PDF
2025 Medicare Enrollment Form (PDF)

DocuSign online form
2025 Online Enrollment Form