X
We use cookies to ensure you get the best experience on our website. Cookie Policy 
OK

Medica AccessAbility Solution® Enhanced (HMO D-SNP)

Special Needs BasicCare with Medicare

Plan Details

This easy-to-use plan combines your Medical Assistance and Medicare benefits. And gives you extra benefits like:

  • Personal Care Coordinator
  • $0 gym memberships + rides to the gym
  • $0 Fitness tracker
  • $0 Dental crown + $0 electric toothbrush
  • and much more

See Programs + Services below for more information.

SPP_ISNBC_Web Map_2022.png

Ready to enroll?

The easiest way to enroll in Medica AccessAbility Solution Enhanced is online.

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 of these helpful programs.

SilverSneakers.svg

$0 Gym and Fitness Program

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

  • Access to 20,000+ gyms
  • On-demand and live-streaming fitness classes
  • At-home fitness kit
  • $0 rides to and from the gym

View a complete list of facilities and options

No-Cost Rides-blue.svg

$0 Rides

Get a no-cost ride to and from medical, dental, mental health, substance use disorder and gym visits.

ReemoSmartwatch.svg

New in 2023: $0 Samsung activity tracker and watch

We give you a no-cost Samsung activity tracker and watch to keep track of your steps and heartrate.  You can then view the information online from your personal dashboard. 
Illustration-Hand.svg

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.svg

Dental Care

Keep smiling with preventive and comprehensive dental care. Dentists are part of the expansive Minnesota Select Dental network through Delta Dental. 

Benefits for this plan include a dental crown, periodontal care, oral health education, oral exam, and full mouth X-ray. You will also get a $0 electric toothbrush when you complete Delta Dental's oral health education.

Online Health Program Illustration_Merigold.svg

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
  • Finding a doctor, clinic, or other provider
  • Scheduling appointments
  • Taking care of health insurance issues
Pharmacy.svg

Prescription Drug Coverage

Services through Express Scripts® and in the broadest Medica Part D-covered list of medications filled nationwide.

Vision.svg

Vision and Eyewear

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

  • A new pair of glasses when medically necessary
  • Anti-glare coating on your glasses once every 24 months
Health pregnancy support.svg

Pregnancy Program

Ovia Health™ apps for health, fertility, pregnancy and parenting support for women 18-46; also 1:1 coaching and guidance.
Stetho.svg

Lots of doctors and health care professionals to choose from

You choose your own doctor from our large network of health care providers.

Wellness.svg

$0 FOODRx Program

$0 medically and culturally tailored food, nutrition education, and food resource referrals for members who qualify. *

$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 AccessAbility Solution Enhanced, 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 part of a 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 Evidence of Coverage.

Medica AccessAbility Solution Enhanced is an HMO D-SNP that contracts with both Medicare and Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica AccessAbility Solution Enhanced 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 elders 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

Y0088_1004247_M