Coverage for out-of-network services

For Medica Advantage Solution® (HMO-POS) members

Point-of-Service (POS) Benefit

You will pay your plans coinsurance when you visit an out-of-network provider for non-emergency care. You may use any provider that accepts Medicare.

Most Medicare-covered services are covered. Out-of-network/non-contracted providers are under no obligation to treat Medica Advantage Solution members, except in emergency situations, but most do.

Please call Medica Customer Service at the number on your ID card. Or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Contact Us

Daily 8 a.m. to 8 p.m. CT

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

 

Y0088_1000973
Last Updated: December 2021

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