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Medica DUAL Solution® (HMO D-SNP) (MSHO)

Up to $1,200 per year for over-the-counter items and much more 

Plan Details

This easy-to-use, high-quality plan combines your Medical Assistance (Medicaid) and Medicare benefits. 

  • Up to $1,200 a year for over-the-counter items
  • 2 dental crowns per year
  • $0 gym membership
  • Lots of extras for members who qualify
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Ready to Enroll?

The easiest way to enroll in Medica DUAL Solution is online.

Enroll online now

 

Looking for other ways to enroll?

You have two other options:

Programs + Services

Our members enjoy many health and wellness benefits. Here's a few helpful programs. 

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New in 2023: Up to $1,200 per year for over-the-counter items 

$300 every three months (up to $1,200 per year) for over-the-counter items that are not covered under Medical Assistance. Order by mail, phone or online, and get your over-the-counter items shipped to your home.

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$0 gym and fitness benefit

$0 annual fee for our One Pass™ fitness program. Includes:

  • Access to more than 800 gyms in Minnesota and more than 20,000 nationwide
  • On-demand and live-streaming fitness classes
  • At-home fitness kit
  • New in 2023: $0 daily rides to and from the gym
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$0 Transportation

Get a ride to and from your medical, dental, mental health, and substance use disorder appointments.
New in 2023: You also get $0 rides daily to your in-network gym.

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Extra benefits for members who qualify

  • $0 PapaPals companionship program - get help with daily tasks through Papa Pals
  • $0 medically and culturally tailored food, nutrition education, and food resource referrals through our FoodRx program

New in 2023:

  • $150 monthly allowance for fresh fruits and vegetables and other healthy foods like milk, eggs and bread at grocery stores in the Healthy Savings network..
  • $100 monthly allowance to pay utility bills
  • $0 one roundtrip ride per day to grocery stores in the Healthy Savings network
  • $0 smartwatch with blood pressure cuff and weight scale that transmits data weekly to Medica so we can help you manage your health
  • $0 online life skills training such as practical math and safe online browsing

Most members are eligible for these additional benefits.*

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Personal Care Coordinator

Your personal Care Coordinator is a nurse, social worker or highly trained professional who will work one-on-one with you to find and organize resources, identify and schedule appointments, and help you maintain a healthy and independent lifestyle. 

Dental 

Dentists are part of the expansive Minnesota Select Dental network through Delta Dental.


Find a 2022 dentist
Find a 2023 dentist

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Vision and eyewear

See better with regular vision care. When medically necessary, this plan covers:

  • A new pair of glasses every two years
  • Anti-glare coating on your glasses
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$0 Reemo™ Smartwatch

We give you a ready-to-use smartwatch to track your activity and monitor your health. An emergency response system included for those who qualify*.

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Personalized health education

You and a community health worker focus on your health condition(s), skill development, and circumstances that affect your health, life and well-being.

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Memory fitness program

Train your brain and improve your memory by playing games on your phone, tablet, or computer. Scientifically proven, online brain training measures cognitive abilities and teaches you the skills that can help you remain sharp. Get unlimited access to memory training app CogniFit® or web-based memory fitness tools at Medica.com/Brain.

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24/7 Nurse Line and Personal Health Advocacy

Talk to a registered nurse any time day or night to get answers to your questions and provide guidance about your care options. 

You can also use this phone support to help you with:

  • Questions about your health care
  • Find a doctor, clinic, or other provider
  • Schedule appointments
  • To resolve health insurance issues
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Hospital Readmission Prevention Program

Smooth your transition home after a hospital stay with visits by a community companion. They can help you be successful on your path to recovery. You'll also receive a member care kit with several helpful items to help meet your post-hospital needs. You may also qualify for home-delivered meals.

$0 Plan Premium

Lots of benefits

$0 Medical Premiums

Your Part B Medicare premium is $0 if you qualify for Medicare and Medicaid. This means you pay $0 for your Medica plan premium, $0 deductibles, $0 copays, and $0 coinsurance for medical care.

Part D Premiums

If you qualify for Medica DUAL Solution, you automatically qualify for help paying for your prescription drug (Part D) premiums through the Low-Income Subsidy (LIS) program Extra Help**. Depending on your situation. Extra Help might pay for some or all of your prescription deductibles and copays. 

Talk to your county worker to determine what level of Extra Help you qualify for. See the chart below for details on the cost-sharing for each level of Extra Help. 

Level of Extra Help

Level

3

Your monthly plan premium is

$0*

Your yearly deductible is

$0

Your cost-sharing amount for generic/preferred multi-source drugs is no more than

$0
(each prescription)

Your cost-sharing amount for all other drugs is no more than

$0
(each prescription)

Level

2

Your monthly plan premium is

$0*

Your yearly deductible is

$0

Your cost-sharing amount for generic/preferred multi-source drugs is no more than

$1.45
(each prescription)

Your cost-sharing amount for all other drugs is no more than

$4.30
(each prescription)

Level

1

Your monthly plan premium is

$0*

Your yearly deductible is

$0

Your cost-sharing amount for generic/preferred multi-source drugs is no more than

$4.15
(each prescription)

Your cost-sharing amount for all other drugs is no more than

$10.35
(each prescription)

These amounts are effective January 1, 2023.

Once the amount both you and Medicare pay (as the Extra Help) reaches $7,400 in a year, your copayment amount(s) will go down to $0 per prescription.

Contact us

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


*The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.

**As a member of our plan, you will get the same coverage as someone who is not getting Extra Help. Your membership in our plan will not be affected by Extra Help. This also means that you must follow all the rules and procedures in the Member Handbook.

Medica DUAL Solution is an HMO D-SNP that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica DUAL Solution depends on contract renewal.

American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For enrollees age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Last Updated: August 2022

H2458_1004245 Accepted