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2019 Medica Applause Official Documents

To see your summary of benefits and coverage (SBC) and policy of coverage documents, select your state and plan below.

Looking for the 2018 official documents?

Minnesota Plans

Document Care Type
Summary of Benefits and Coverage (SBC) Gold Copay (PDF) Silver Copay (PDF) Bronze Copay (PDF)
Policy of Coverage Gold Copay (PDF) Silver Copay (PDF) Bronze Copay (PDF)
Document Care Type  
Summary of Benefits and Coverage (SBC)
Silver HSA (PDF) Bronze HSA (PDF)
Policy of Coverage
Silver HSA (PDF) Bronze HSA (PDF)
Document Care Type
Summary of Benefits and Coverage (SBC) Silver Share (PDF)
Policy of Coverage
Silver Share (PDF)
Date: 8/18/2019 2:47:26 PM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB01