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2020 MEDICA PLAN DETAILS

Medica Prime Solution® (Cost)

WISCONSIN

Medica Prime Solution® has three 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 65,000 pharmacies nationwide and copay savings at preferred pharmacies 

Prime Solution is available to residents of select counties in western Wisconsin.
View enrollment area

Medical + Part D Drug Coverage

Monthly Premium
Total with Rx: $226.90

  • $0 to low copays for most medical services
  • $0 for primary care visits and $10 for specialist visits
  • $0 eVisits through virtuwell®
  • No medical deductible 
  • Maximum medical out-of-pocket limit of $3,000
  • Worldwide emergency care
  • Dental coverage
  • Annual benefit allowance for prescription eyewear and for hearing aids
  • 5 tier formulary with more than 3,600 drugs
    • $0 to low copays for Tier 1 and 2 drugs with a $380 deductible 

Request a Prime Solution kit

Monthly Premium
Focus with Rx: $116.30

  • Low copays for most medical services
  • $10 for primary care visits and $20 for specialist visits
  • $0 eVisits through virtuwell®
  • No medical deductible 
  • Maximum medical out-of-pocket limit of $4,000
  • Worldwide emergency care
  • Dental coverage
  • Annual benefit allowance for prescription eyewear and for hearing aids
  • 5 tier formulary with more than 3,600 drugs
    • Low copays for Tier 1 and 2 drugs with a $370 deductible 

Request a Prime Solution kit

Monthly Premium
Thrift with Rx: $88.70

  • Coinsurance for most medical services with a $50 annual deductible
  • 20% for primary care visits and specialist visits
  • $25 copay for urgent care
  • Maximum medical out-of-pocket limit of $6,700
  • 5 tier formulary with more than 3,600 drugs
    • Low copays for Tier 1 and 2 drugs with a $300 deductible 

Request a Prime 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

Medical-only Coverage

Monthly Premium
Total: $185.00

    Key Features
  • $0 to low copays for most medical services
  • $0 for primary care visits and $10 for specialist visits
  • $0 eVisits through virtuwell®
  • No medical deductible 
  • Maximum medical out-of-pocket limit of $3,000
  • Worldwide emergency care
  • Dental coverage
  • Annual benefit allowance for prescription eyewear and for hearing aids

Request a Prime Solution kit

Monthly Premium
Focus: $89.00

    Key Features
  • Low copays for most medical services
  • $10 for primary care visits and $20 for specialist visits
  • $0 eVisits through virtuwell®
  • No medical deductible 
  • Maximum medical out-of-pocket limit of $4,000
  • Worldwide emergency care
  • Dental coverage
  • Annual benefit allowance for prescription eyewear and for hearing aids

Request a Prime Solution kit

Monthly Premium
Thrift: $49.00

  • Coinsurance for most medical services with a $50 annual deductible
  • 20% for primary care visits and specialist visits
  • $25 copay for urgent care
  • Maximum medical out-of-pocket limit of $6,700

Request a Prime Solution kit

2020 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 (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