How to check drug costs
Call us to get information on specific drugs available with your plan.
8 a.m. – 9 p.m. CT, daily
Ways to fill your prescription
Prescription support
Get extra help paying for your prescription (Low-Income Subsidy)
Contact any of the organizations below to see if you qualify for extra help paying for prescription drug premiums and costs. Click on your state Medicaid office for contact information.
Medicare |
Contact information1-800-MEDICARE(1-800-633-4227) TTY: 1-877-486-2048 |
Hours24 hours a day, 7 days a week |
|---|---|---|
Social Security Administration |
Contact information1-800-772-1213TTY: 1-800-325-0778 |
Hours7 a.m. – 7 p.m., Monday – Friday |
State Medicaid Offices |
Contact informationMinnesota |
8 a.m. – 8 p.m. CT, daily |
Best Available Evidence (BAE) policy
If you think you qualify for the Low-Income Subsidy but your current information doesn't reflect that, you can request a change in your status on the Centers for Medicare & Medicaid (CMS) website.
MTM: Give your medications a checkup
If you qualify, our Medication Therapy Management (MTM) program provides one-on-one consultation with a pharmacist to manage your medications.
Pharmacy documents + coverage levels
Part D coverage levels
To see details for your Part D coverage level, choose your plan:
Medica Advantage Solution H8889-001 (PPO)
2023 Medica Advantage Solution H8889-001 (PPO) ($85 monthly premium)
2024 Medica Advantage Solution H8889-001 (PPO) ($85 monthly premium)
Medica Advantage Solution H8889-002 (PPO)
2023 Medica Advantage Solution H8889-002 (PPO) ($95 monthly premium)
2024 Medica Advantage Solution H8889-002 (PPO) ($95 monthly premium)
Medica Advantage Solution H8889-003 (PPO)
2023 Medica Advantage Solution H8889-003 (PPO) ($196 monthly premium)
2024 Medica Advantage Solution H8889-003 (PPO) ($195 monthly premium)
Medica Advantage Solution H8889-004 (PPO)
2023 Medica Advantage Solution H8889-004 (PPO) ($134 monthly premium)
2024 Medica Advantage Solution H8889-004 (PPO) ($141 monthly premium)
Medica Advantage Solution H8889-005 (PPO)
2023 Medica Advantage Solution H8889-005 (PPO) ($0 monthly premium)
2024 Medica Advantage Solution H8889-005 (PPO) ($0 monthly premium)
Medica Advantage Solution H8889-008 (PPO)
2023 Medica Advantage Solution H8889-008 (PPO) ($19 monthly premium)
2024 Medica Advantage Solution H8889-008 (PPO) ($33 monthly premium)
Prescription claim forms
Need reimbursement for covered Part D prescription medications and vaccinations not submitted to your Part D coverage? Use the claim instructions and form below to get your prescription processed under your Part D coverage.
Medicare Part D prescription claim form (PDF)
Reimbursement instructions for prescription Part D costs (PDF)
Drug list (formulary)
Part B drugs: Step therapy
We may require step therapy on some drugs covered under Medicare Part B, especially if you’re new to therapy or treatment.
Last Updated: January 2024