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2020 MEDICA PLAN DETAILS

Medica Advantage Solution ® PartnerCare (HMO I-SNP)

MINNESOTA

Medica Advantage Solution® PartnerCare offers plan options in Minnesota.

Medica Advantage Solution PartnerCare is different than most Medicare plans. It's designed to meet the unique health care needs of adults living in a skilled nursing facility, memory care unit or assisted living. Plan features include:

  • Affordable premiums for combined medical and Part D drug coverage
  • Large network of doctors, clinics and hospitals
  • Large network of local and national pharmacies

View Greater Twin Cities enrollment area

Eligibility Guidelines

Medica Advantage Solution PartnerCare is designed for adults who:

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1-877-704-7864 
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Greater Twin Cities Medical + Part D Coverage

Monthly Premium
$154

  • Primary care delivered on-site by the Genevive Primary Care Team
  • Maximum medical out of pocket limit of $5,000 (in network)
  • $0 deductible in network care
  • $0 copay for primary care visits and 20% coinsurance for specialist visits
  • Mental Health Services: $0 copay for outpatient group or individual therapy delivered in living setting, 20% coinsurance outside living setting
  • Podiatry Services: $0 copay in living setting, 20% coinsurance outside living setting
  • Office Visits with Other Health Care Professionals: $0 copay in living setting, 20% coinsurance outside living setting
  • 0 day hospital stay required prior to skilled nursing facility admission:
    • $0 copay days 1-20
    • $170 copay days 21-100
  • Inpatient Hospital Stays:
    • $0 copay for days 1-6
    • $500 copay for days 7-10
  • 5 tier formulary with more than 3,600 drugs
  • Includes $5 copays for Tier 1 drug and $12 copays for Tier 2 drugs
  • $435 Part D deductible

Monthly Premium
$68.40

  • Primary care delivered on-site by the Genvive Primary Care Team
  • Maximum medical out of pocket limit of $5,000 (in network)
  • $0 deductible in network care
  • $0 copay for primary care visits and 20% coinsurance for specialist visits
  • Mental Health Services: $0 copay for outpatient group or individual therapy delivered in living setting, 20% coinsurance outside living setting
  • Podiatry Services: $0 copay in living setting, 20% coinsurance outside living setting
  • Office Visits with Other Health Care Professionals:
    • $0 copay in living setting, 20% coinsurance outside living setting
  • 0 day hospital stay required prior to skilled nursing facility admission:
    • $0 copay days 1-20
    • $170 copay days 21-100
  • Inpatient Hospital Stays:
    • $0 copay for days 1-6
    • $500 copay for days 7-10
  • 5 tier formulary with more than 3,600 drugs
  • Includes $5 copays for Tier 1 drug and $13 copays for Tier 2 drugs
  • $435 Part D deductible

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 

Did you know?
If you receive extra help with your Part D drug coverage, you may qualify for Medical Assistance (Medicaid). If so, Medica DUAL Solution could be a better option for you.
See if you're eligible for Medica DUAL Solution

2020 Advantage Solution PartnerCare 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

2020 Provider Directory (PDF)

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 formularies 
View drug costs
Search for network pharmacies
Pharmacy directory (PDF)

Weve Got You Covered

A specially designed, high-touch approach to your care, known as the model of care, created just for this plan.

This signature Medica Model of Care includes a collaborative assessment process, evaluation, care planning and advocacy for options and services. Our Model of Care helps us meet your comprehensive medical, behavioral and psychosocial needs. It also:

  • Overcomes fragmentation in care often experienced by vulnerable adults
  • Emphasizes assessment, early intervention, chronic disease management and purposeful living
  • Uses a person-centered approach that ensures services reflect strengths, goals, preferences and assessed needs
  • Taps Medica and Genevive’s years of specialized experience managing complex care needs
Care Coordination

Care Coordination is an important piece of Medica Advantage Solution PartnerCare. The Care Coordinator:

  • Is a consistent point of contact for you and your family
  • Provides a holistic approach to wellness and purposeful living
  • Ensures the your goals stay at the forefront navigating the health care system
  • Enhances communication with extended care providers, assists with transitions of care and provides referrals for identified needs

Extras to Make Your Plan Even Better

A great health plan is only one piece of the puzzle when it comes to your health. Here are some added benefits for our PartnerCare members.

Enhanced Transportation

You pay a $0 copay for up to eight one-way trip per plan year.

Enhanced Hearing

Benefits include:

  • $0 routine hearing exam once every two years
  • $0 hearing aid fitting/evaluation once every two years
  • $250 reimbursement for hearing aids
Enhanced Dental

This plan includes a $500 reimbursement per year for denture repair or replacement

Enhanced Vision

Benefits include:

  • $0 annual eye exam
  • $225 reimbursement for lenses, frames and contacts
Ready to enroll or need help choosing?

It's fast and easy to enroll in Medica Advantage Solution PartnerCare. Or, if you need more information, let us help.

Contact a Medica consultant