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2018 MEDICA PLAN DETAILS

Medica Prime Solution (Cost)
MINNESOTA

Medica Prime Solution® has four plan options available. Plan features include:

  • Large network of doctors, clinics and hospitals
  • Travel and "snowbird" coverage
  • Optional Part D drug coverage with access to 64,000 pharmacies nationwide

Prime Solution is available to residents of all Minnesota counties.
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2018 Medical + Part D Coverage

Monthly Premium
Enhanced with Rx: $192.70
Enhanced with Rx2: $210.70

    Key Features
  • $0 to low copays for most medical services
  • $0 for primary care visits and $10 for specialist visits
  • Maximum medical out-of-pocket limit of $3,000
  • Worldwide emergency care
  • 5 tier formulary with more than 3,200 drugs
    • "With Rx" includes $2 copays for Tier 1 drugs and $6 copays for Tier 2 drugs with a $215 deductible
    • "With Rx2" includes $2 copays for Tier 1 drugs and $8 copays for Tier 2 drugs with no deductible

Request a Prime Solution kit

Monthly Premium
Basic with Rx: $108.30
Basic with Rx2: $131.70

    Key Features
  • $0 to low copays for most medical services
  • $0 for primary care visits and $20 for specialist visits
  • Maximum medical out-of-pocket limit of $3,400
  • Worldwide emergency care
  • 5 tier formulary with more than 3,200 drugs
    • "With Rx" includes $2 copays for Tier 1 drugs and $6 copays for Tier 2 drugs with a $260 deductible
    • "With Rx2" includes $2 copays for Tier 1 drugs and $8 copays for Tier 2 drugs with no deductible

Request a Prime Solution kit

Monthly Premium
Value with Rx: $94.40
Value with Rx2: $118.60

    Key Features
  • Affordable copays for most medical services
  • $10 for primary care visits and $30 for specialist visits
  • Maximum medical out-of-pocket limit of $4,000
  • Worldwide emergency care
  • 5 tier formulary with more than 3,200 drugs
    • "With Rx" includes $2 copays for Tier 1 drugs and $6 copays for Tier 2 drugs with a $260 deductible
    • "With Rx2" includes $2 copays for Tier 1 drugs and $8 copays for Tier 2 drugs with no deductible

Request a Prime Solution kit

Monthly Premium
Thrift with Rx: $77.40

    Key Features
  • Reasonable coinsurance for most medical services
  • 20% for primary care visits and specialist visits
  • Maximum medical out-of-pocket limit of $6,700
  • 5 tier formulary with more than 3,200 drugs
    • "With Rx" includes $2 copays for Tier 1 drugs and $6 copays for Tier 2 drugs with a $260 deductible

Request a Prime Solution kit

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

 

2018 Medical-only Coverage

Monthly Premium
Enhanced: $157.00

    Key Features
  • $0 to low copays for most medical services
  • $0 for primary care visits and $10 for specialist visits
  • Maximum medical out-of-pocket limit of $3,000
  • Worldwide emergency care

Request a Prime Solution kit

Monthly Premium
Basic: $79.00

    Key Features
  • $0 to low copays for most medical services
  • $0 for primary care visits and $20 for specialist visits
  • Maximum medical out-of-pocket limit of $3,400
  • Worldwide emergency care

Request a Prime Solution kit

Monthly Premium
Value: $67.00

    Key Features
  • Affordable copays for most medical services
  • $10 for primary care visits and $30 for specialist visits
  • Maximum medical out-of-pocket limit of $4,000
  • Worldwide emergency care

Request a Prime Solution kit

Monthly Premium
Thrift: $49.00

    Key Features
  • Reasonable coinsurance for most medical services
  • 20% for primary care visits and specialist visits
  • Maximum medical out-of-pocket limit of $6,700

Request a Prime Solution kit

2018 Prime 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
Look up drug costs
Find a network pharmacy

2018 Prime Solution Plan Documents

View the list of plan documents

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 the 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 13,000 fitness locations nationwide. Enroll at multiple locations any time. For a complete list of locations and options, visit SilverSneakers.com
(Not available with Prime Solution Thrift.)

HealthAdvocate Personal Support Service

HealthAdvocate™ 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.

Coverage Area Minnesota Prime Solution

Need Help?

1-877-704-7864 
(TTY: 711)
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Are You Covered?

Every plan is different, find the right plan for you. Quickly search our resources to see if a plan includes your doctor and drugs. 

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Help Me Choose

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

Medica Has the Plan for You

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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.

How to Enroll

Enroll online  |  Contact a Medica consultant

 

Medica is a Cost plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

 

Y0088_4953 CMS Approved
Last Updated: October 2017