and Medica Advantage Solution Standard with Rx are Private Fee-for-Service Medicare products that are available to residents of Minnesota and parts of North Dakota. As of 2010, these two plans will no longer be available to Wisconsin residents.
- Nationwide access to any doctor, hospital or health care professional willing to accept Medica's payment terms and conditions
- Optional Medicare Part D coverage. Find out more about our contracted pharmacies and Part D Formulary (Medica Part D Resources)
- Virtually no paperwork
- No underwriting, tobacco screening; you can't be turned down because of a preexisting condition.
- A health club membership with the SilverSneakers® Fitness Program is included at no additional cost *
- Medica CallLink® nurse phone line for 24 / 7 health information*
- Retiree Group Options (Employer Groups)
- Check the Eligibility Requirements to make sure you qualify
Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital can continue to treat you if it agrees to accept our terms and conditions of payment, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan’s terms and conditions on our website at www.medica.com.
If you would like to learn more information on how Private-Fee-for-Service plans work, please review the
CMS Private-Fee-for-Service Plan Leaflet .
Medicare beneficiaries may enroll in Advantage Solution Standard plans through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://www.medicare.gov / Medicare Options Compare (MOC) and Medicare Prescription Drug Finder (MPDPF) / Online Enrollment Center (OEC).
* These services are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these services may be subject to the Medica grievance process.
Medica Advantage Solution
SM is a Medicare Advantage product offered by Medica Health Plans, a health maintenance organization with a Medicare Advantage contract. The contract with CMS is renewed annually, so availability of coverage beyond the current contract year is not guaranteed.
Medicare Resources Community Meetings Coverage Determination (exception), appeal and grievance questions?
How to Contact Us
H2410_2280 (XX-2009)
Content updated 10/01/2009 - pending CMS approval