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Premium payment FAQs

Get answers to your common questions

You’ll find answers to many of your plan payment questions below. The answers can differ based on which plan you have with us.
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Individual + family

Your payment is due by the first of the month.

If you made changes to your plan after your last bill was created, they won’t appear on that bill. Your bill for the next month will show the change. Sign into your member account to see the updated amount that will appear on your next bill. If you haven’t set up your member account, you can create an account here.

We’re unable to process any medical claims or prescription benefits until your bill is paid in full. That means you may have to pay for the full cost of your health care services or prescriptions.

After you make your first premium payment and your coverage begins, you can set up automatic payments. Sign into your secure member account and go to “Autopay” to set up your payment details. If you haven’t set up your member account, you can create an account here. You can also call the Member Services number on the back of your Medica ID card to set this up.

Sign into your member account and go to “Payment Methods” to change your payment details. You can add, edit, and delete payment methods. If you haven’t set up your member account, you can create an account here. You can also call the Member Services number on the back of your Medica ID card for help with that.

No, all of our Individual + family plan payments are due by the first of the month.

No, the automatic payments are processed on set dates for all Individual + family and Nebraska Farm Bureau plans.

Yes, and this won’t affect your total monthly premium payment.

No, none of our plans offer discounts for early payments.

Your bill includes your current monthly premium and any past-due amount you may owe. You should pay the amount listed under “Total Amount Due.” You’ll find that information in the “Current Month Summary” section of your bill. You can also find your invoices in your member account.

No, you can’t split a single payment across multiple accounts.

It’s unusual, but it’s possible that we have two policies set up for you. Call the Member Services number found on the back of your Medica ID card and we’ll help you sort it out.

Overpayments can happen for many reasons, including changes in subsidies from the government that help lower your monthly health insurance premium.

If you’ve overpaid, you can request a refund for the overpayment amount. Call the Member Services number on the back of your Medica ID card. Refunds may take up to 30 days to process.

If you don’t request a refund, the overpaid amount will automatically be applied to your next bill.

Yes, and please note that there’s no discount when you pay for more than one month at a time. Your total monthly premium payment will remain the same.
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Medicare

Medica Advantage Solution (HMO, HMO-POS, PPO) plans: Your payment is due by the first day of the month of coverage. 

Medica Prime Solution (Cost) plans: Your payment is due by the seventh day of the month of coverage. 

Payment amounts can change for many reasons, including:

  • Low income subsidy (reduces the premium amount)
  • Late enrollment penalty (increases the premium amount)
  • Annual premium change (occurs in January – may reduce or increase the premium amount)

Call the customer service number on the back of your Medica ID card if you have questions about a change in your payment amount.

Yes, you can pay the premium for yourself and your spouse with one payment. Please be sure to include the payment slips from both premium bills with your payment.

Yes, and please note that there’s no discount when you pay for more than one month at a time. Your total monthly premium payment will remain the same.

Yes. Please be sure to include the payment slips from both premium bills with your payment.

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

Medica Advantage Solution with CHI Health (HMO)
1-866-398-7374 (TTY: 711)
8 a.m. - 6 p.m. CT, Monday-Friday

Medica Advantage Solution H3632-001 (PPO)
1-866-398-7374 (TTY: 711)
7 a.m. - 9 p.m. CT, Monday-Friday

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Last Updated: November 2022