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Medica Advantage SolutionSM Standard and Choice
Medicare Advantage Private Fee-for-Service Plans
2010 Rates and Information

2010 Advantage SolutionSM Standard and Choice Plan Options

Monthly Premium*

Annual Premium

Medica Advantage Solution Standard Private Fee-for-Service

Summary of Benefits
Application

Evidence of Coverage

$9.00

$108.00

Medica Advantage Solution Standard Private Fee-for-Service with Rx 

Summary of Benefits
Application
Evidence of Coverage

$0.00**

$0.00

Medica Advantage Solution Choice

Summary of Benefits
Application

Evidence of Coverage

$14.70

$176.40


*You must continue to pay your Part B premium

Do you need extra help with Medicare Part D?
You may qualify for extra help to pay for your prescription drug premiums and costs.
To find out more, view Medica Advantage Solution LIS Premium Summary Table.

You may also contact:
  • 1-800-MEDICARE (1-800-633-4227) 24 hours a day, seven days a week. TTY/TDD users should call 1-877-486-2048;
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m, Monday through Friday. TTY/TDD users should call 1-800-325-0778; or
  • Your State Medicaid office.

If you have any questions, please call Medica Center for Healthy Aging at 952-992-2345 or 1-800-906-5432. TTY users may call the National Relay Service at 1-800-855-2880 and ask to be transferred to 1-800-906-5432. Hours of operation are 8 am - 8 pm (CST), seven days a week. Please note that access to a representative may be limited evenings and weekends during certain times of the year.

H7526_2286 (12-2009)

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