|
Your Level of Extra Help |
Medica Modified Standard Rx
for Prime Solution
Basic MN members |
Monthly Premium * Medica Modified
Standard Rx for Prime Solution
Enhanced MN members
Monthly Premium * |
|
100% |
$1.00 |
$1.20 |
|
75% |
$7.83 |
$8.00 |
|
50% |
$14.65 |
$14.80 |
|
25% |
$21.48 |
$21.60 |
*This does not include any Medicare Part B premium you may have to pay.
If your current Medicare eligibility information is incorrect, Medicare requires health plans to verify your eligibility by other means. If you believe you are eligible for the Low Income Subsidy, but your current information does not reflect that eligibility, please use the resources on the following Web site to help you qualify:
Visit the Centers for Medicare and Medicaid Services Web site.
You may also call:
- 1-800-Medicare of TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
If you have any questions, please call Medica Customer Service at 952-992-2345 or 1-800-906-5432, (TTY/TDD: 952-992-3650 or 1-800-234-8819) from 8 a.m. – 8 p.m., CST, 7 days a week.
Medicare ResourcesCommunity MeetingsDiscount ProgramsHow to Contact Us CMS File #H2409, H2450, H2458, H7526_2021 (12/2008)
Content pending CMS approval