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2020 MEDICA PLAN DETAILS

Medica Advantage Solution® (HMO-POS & PPO)

MINNESOTA

Medica Advantage Solution offers a portfolio of plan options in three service areas in Minnesota. Plan features include:

  • One affordable premium for combined medical and Part D drug coverage
  • Large network of doctors, clinics and hospitals with out-of-network coverage available for most medical services
  • Access to 65,000 pharmacies nationwide with copay savings when using preferred pharmacies

View enrollment area 

Twin Cities Metro Medical + Part D Drug Coverage

Monthly Premium
$0

  • $20 for primary care visits and $50 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $5,900 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Routine hearing exams and savings on hearing aids
  • Over–the–Counter (OTC) benefit allowance (up to $25 per quarter)
  • 5 tier formulary with more than 3,600 drugs
    • Low copays for Tier 1 and 2 drugs through preferred retail 
    • $0 copay for Tier 1 drugs through mail order 
    • $380 Part D deductible does not apply to Tier 1 drugs

Request an Advantage Solution kit

Monthly Premium
$105

  • $0 for primary care visits and $25 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $3,000 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Vision and hearing including savings on eyewear and hearing aids
  • Over–the–Counter (OTC) benefit allowance (up to $50 per quarter)
  • Special supplemental benefits like free transportation to medical appointments, up to $65 per quarter savings on fresh fruits and vegetables, and free meal delivery. (These benefits are available to members with chronic conditions that meet certain criteria.)
  • 5 tier formulary with more than 3,600 drugs
    • $0 to low copays for Tier 1 and 2 drugs through preferred retail
    • $0 copay for Tier 1 drugs through mail order
    • $275 Part D deductible does not apply to Tier 1 and 2 drugs

Request an Advantage Solution kit

Monthly Premium
$194.50

  • $0 for primary care visits and $10 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $3,000 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Vision and hearing including savings on eyewear and hearing aids
  • Over–the–Counter (OTC) benefit allowance (up to $50 per quarter)
  • Special supplemental benefits like free transportation to medical appointments, up to $65 per quarter savings on fresh fruits and vegetables, and free meal delivery. (These benefits are available to members with chronic conditions that meet certain criteria.)
  • 5 tier formulary with more than 3,600 drugs
    • $0 to low copays for Tier 1 and 2 drugs through preferred retail
    • $0 copay for Tier 1 drugs through mail order
    • $170 Part D deductible does not apply to Tier 1 and 2 drugs

Request an Advantage Solution kit

It's Your Choice.

Compare all plans side by side (PDF)


Need help paying for Part D drug coverage?
You may be able to get extra help paying for your prescription drug premiums and costs. See our Low-Income Subsidy (LIS) Summary Table for potential rates.
View LIS monthly premiums 

Greater Twin Cities Medical + Part D Drug Coverage

Monthly Premium
$68.70

  • $20 for primary care visits and $45 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $6,700 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Routine hearing exams and savings on hearing aids 
  • Over–the–Counter (OTC) benefit allowance (up to $25 per quarter)
  • 5 tier formulary with more than 3,600 drugs
    • Low copays for Tier 1 and 2 drugs through preferred retail 
    • $0 copay for Tier 1 drugs through mail order 
    • $330 Part D deductible does not apply to Tier 1 drugs 

Request an Advantage Solution kit

Monthly Premium
$125

    Key Features
  • $0 for primary care visits and $25 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $3,000 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Vision and hearing including savings on eyewear and hearing aids 
  • Over–the–Counter (OTC) benefit allowance (up to $50 per quarter)
  • 5 tier formulary with more than 3,600 drugs
    • $0 to low copays for Tier 1 drugs through preferred retail 
    • $0 copay for Tier 1 drugs through mail order
    • $325 Part D deductible does not apply to Tier 1 and 2 drugs

Request an Advantage Solution kit

It's Your Choice.

Compare all plans side by side (PDF)


Need help paying for Part D drug coverage?
You may be able to get extra help paying for your prescription drug premiums and costs. See our Low-Income Subsidy (LIS) Summary Table for potential rates.
View LIS monthly premiums 

Southeast Minnesota Medical + Part D Drug Coverage

Monthly Premium
$107.20

    Key Features
  • $0 for primary care visits and $30 for specialist visits
  • $0 for annual physical exam
  • $0 virtuwell® eVisits
  • Maximum medical out of pocket limit of $4,000 (in network)
  • Worldwide emergency care
  • Dental coverage
  • Vision and hearing including savings on eyewear and hearing aids 
  • Over–the–Counter (OTC) benefit allowance (up to $50 per quarter)
  • 5 tier formulary with more than 3,600 drugs
    • Low copays for Tier 1 and 2 drugs through preferred retail 
    • $0 copay for Tier 1 drugs through mail order
    • $275 Part D deductible does not apply to Tier 1 drugs

Request an Advantage Solution kit

View benefit grid (PDF)


Need help paying for Part D drug coverage?
You may be able to get extra help paying for your prescription drug premiums and costs. See our Low-Income Subsidy (LIS) Summary Table for potential rates.
View LIS monthly premiums 

2020 Advantage Solution Plan Resources

Find Your Doctor

Check to see if your doctor, clinic, hospital or other medical provider is included in the plan network

Search for a doctor or care provider

Find Your Drugs

Check to see if your drugs are covered by the plan formulary, what you would pay and which pharmacies are in our network.

View drug formulary (PDF)
View drug costs
Find a network pharmacy

Need Help?

1-877-704-7864
(TTY: 711)

Ready to Enroll?
Enroll now

Extras to Make Your Plan Even Better

A great Medicare plan is only one piece of the puzzle when it comes to maintaining your health. So we provide you with extra resources you need to stay healthy each and every day.

Free Fitness Program Membership

Most of Medica's plans include a SilverSneakers® membership. This program gives members access to over 16,000 fitness locations nationwide. Enroll at multiple locations at the same time. For a complete list of locations and options, visit SilverSneakers.com.

HealthAdvocate Personal Support Service

HealthAdvocateSM has your back if you have questions about your Medica plan coverage or need help navigating the medical system. Our trained Personal Health Advocates can help you tackle health-related questions — from finding the right doctor to resolving claims questions.

NurseLine – Available 24/7

You and your family have a place to turn for trusted advice and information when you need it most. NurseLine has highly-trained nurses available to help answer your questions about symptoms, medications and health conditions, and offer self-care tips for non-urgent concerns.

Help Me Choose a Plan

Choosing your Medicare plan is an important decision. We make it easy by giving you the information and options you need to make the right choice for you.

Help me choose

I’m Ready to Enroll

Now that you have evaluated your options and selected a Medicare plan, it is fast and easy to enroll. You can enroll online or call Medica to enroll over the phone. If you prefer a paper application, just give us a call.

We offer two ways to enroll.

Enroll now
Contact a Medica consultant