We’re here to make sure you’re in the know when it comes to your plan. When you sign into your account, you’ll find detailed information about:
- Benefits and coverage
- Prescription medications
- Claim history
- Network providers
- And more
Get answers to common questions about employer provided health insurance. Find out about getting care, financial topics, benefits, coverage, and more.
Get personalized information and help
We’re here to make sure you’re in the know when it comes to your plan. When you sign into your account, you’ll find detailed information about:
You can search for the doctors, specialists, and other providers covered by your specific plan.
Check out the programs and services covered by your specific plan.
You’ll have to decide based on how you’re feeling. We can make that choice a little easier.
Every health plan has a network of providers, clinics, pharmacies, and hospitals. When you pick a plan, you’re choosing your network. Your coverage depends on your provider being in your network.
If you're a Medica Elect or Medica Essential member, you may need a referral for some care. A referral is a written recommendation from your primary care clinic to see a specialist outside your care system. It's important to know when you need a referral, this PDF details all you need to know.
We want you to be well-informed about your health care options, rights, and responsibilities. These guides can answer questions about your coverage — and help you find more information when you need it.
View our general wellness offerings or sign in to see which wellness programs your plan offers.
You can expect to receive an Explanation of Benefits (EOB) to explain who, when, and how much you may need to pay for health care services. It’s not a bill, but it does include a summary of services and how your plan covers them.
It offers find important information about your plan’s benefits and coverage.
Your deductible is the amount you pay each year before your insurance starts to pay. A copay is flat fee you pay for some services and prescriptions. Coinsurance is a percentage of the charges for a health care service that you pay.
These are all designed to help you pay for (or pay you back) for medical expenses.
Flexible Spending Accounts (FSA) - (PDF)
Health coverage information is no longer required by the Internal Revenue Service (IRS) to file a federal income tax return. As a result, most fully insured Medica members will no longer automatically receive a paper copy of the 1095-B form. If you'd like a 1095-B form for your records, contact Member Services at the number on the back of your Medica ID, use the Contact Form on Medica.com or email us at AskMedica@Medica.com.
If you live in a state with laws that require coverage reporting (California, Washington, D.C., New Jersey, or Rhode Island), you will continue to receive a paper copy of the 1095-B form for state filing tax purposes.
Here’s how to understand all the parts of your ID card.