Medica Advantage Solution®(PPO)

Care Options

See the doctors, specialists, facilities, and other programs and services covered by this plan.
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Providers and facilities

Find the right caregiver for you. It’s easy to pick from top-notch providers and facilities in your area.
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Coverage for out-of-network providers

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Convenience Care

Find in-network health clinics in retail pharmacies and stores.

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24/7 NurseLine

Talk with a registered nurse any time of day or night. You can ask questions, get advice, and find the right care for your concerns.
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Behavioral health

Get personalized help for mental health concerns that may be keeping you from your best life.
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Virtual care

Reliable care, no matter where you are. Get 24/7 treatment online or over the phone.
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Equipment and supplies

Make sure you’re set up for better health. Search for a supplier to meet your needs.

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Pharmacy locator and benefits

Keep yourself in the best possible health with access to medications from a wide range of pharmacies. If you purchased drug coverage as part of your plan, see your pharmacy benefits.

Additional care information

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Skilled Nursing Facilities

Skilled nursing facilities If you need skilled nursing facility care after a hospital stay, there are a few things to keep in mind:
  • A prior hospitalization is not required.
  • Your skilled nursing facility charges are covered for up to 100 days each benefit period.
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Transplant

Whether it's a bone marrow/stem cell or organ transplant, our goal is always for you to have the best possible outcome. We'll make sure you fully understand your diagnosis and care plan so you can make the decisions that are right for you. We can also help you find a Centers of Excellence transplant facility.

Wellness programs

Manage your health in a way that works for you. Choose the programs and services that give you the right mix of support.

  • Preventive care
  • Savings on healthy foods for those who qualify for Healthy Savings® Program
  • Dental reimbursement
  • No-cost fitness programs
  • Over-the-counter (OTC) drugs and supplies
  • Health care information and decision-making tools
  • Discounts on a range of health and wellness items
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Sign in to your member account

You’ll find everything you need online.

  • View all your benefits
  • Find providers in your network
  • Download your ID card
  • Get quick answers to your questions and more

Plan documents

Additional information about this plan, including the Annual Notice of Changes (ANOC), Evidence of Coverage (EOC), and Provider Directory, can be found on the Medica Advantage Solution® plan documents page.

Get more personalized help

Sign in to your member account for plan benefits and resources. 

Still have questions?
We're here to answer them.

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.

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Last Updated: December 2021

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