Medical and Prescription Coverage for Snowbirds & Travelers
Taking an extended vacation? Heading south for the winter? The Extended Absence Option is a great way to take your Medica Prime Solution medical and prescription drug coverage with you when you are away from the Medica service area for up to nine consecutive months. It allows you to use your benefits for non-emergency services with physicians and hospitals that are not part of the Medica Prime Solution network. This option can only be used for travel within the United States.
View Medica Prime Solution plan information.
Whenever you are away from home, remember to take your Medicare and Medica Prime Solution ID cards with you. If you plan to be away for less than 90 days, your coverage continues and you do not need to activate the Extended Absence Option. But, if your vacation outside Medica's service area will be longer than 90 days, call Medica and tell us when you plan to be out of the service area and for how long. In doing so, your benefits will be covered exactly as if you received care at home.
Extended Absence Coverage Includes:
- Emergency care anywhere in the world
- Urgent Care (non-emergency) anywhere in the U.S.
- Annual physical or other covered medical appointments anywhere in the U.S.
- Prescription fills or refills (if you have Prime Solution Part D coverage) anywhere in the U.S.
Other Extended Absence Option Details:
- This coverage option is available to you for nine consecutive months at a time
- You must call Medica Center for Healthy Aging to activate when you travel out of Medica's service area more that 90 days
- If you forget to activate the option prior to your departure, call as soon as you remember
- Dental benefits are not portable, so Medica Senior Dental services are not available outside the service area
The Medica Prime Solution Extended Absence Option is a great way to take your coverage with you. All you have to do is activate it before you leave. It allows you to use your benefits when you are temporarily absent from the Medica Prime Solution service area for less than nine months. You have the freedom to use your Medicare and Medica Prime Solution benefits for non-emergency services with physicians and hospitals that are not part of the Medica Prime Solution network. This option can only be used outside the Medica Prime Solution service area and within the United States.
Commonly asked questions about the Extended Absence Option:
Q. How do I activate the Extended Absence Option?
A. Just call Medica's Center for Healthy AgingSM and tell us the dates you will be gone.
Q. Can I start my Extended Absence Option after I leave town?
A. Yes, call Medica Customer Service as soon as possible to activate.
Q. What do I do if I need Emergency or Urgent Care?
A. You are covered for Emergency Care anywhere in the world and Urgent Care when outside the Medica Prime Solution service area and within the U.S.
Q. What if I want to have my annual physical while I'm traveling?
A. As long as you have activated your Extended Absence Option it is covered under your Medica Prime Solution plan.
Q. Can I have my teeth cleaned while I am out of the service area?
A. No. Only medical benefits are portable, not dental benefits. If you have dental benefits, see the Dental Evidence of Coverage (policy). Or contact Medica's Center for Healthy Aging.
Q. What do I do if I need my prescription filled while I am out of the service area?
A. If you have a prescription drug benefit and activate your Extended Absence Option, you will have prescription coverage. The procedure for accessing your prescription coverage will be explained to you when you call Medica to activate your Extended Absence Option.
H2450_3044 CMS Approved (11/17/2011)
Last Updated: October 2011