X
We use cookies to ensure you get the best experience on our website. Cookie Policy 
OK
FOR MEDICA ADVANTAGE SOLUTION® AND MEDICA ADVANTAGE℠ MEMBERS

 Member plan documents

Find your area and then your plan name (Care Type on your ID card) to see your legal plan documents and other plan information.

Over-the-counter catalog for all Individual Medica Advantage Solution and Medica Advantage members

2023 View or print Medicare over-the-counter catalog (PDF)

2024 View or print Medicare over-the-counter catalog (PDF)


Minnesota Metro

Medica Advantage Solution H8889-001 (PPO)

H8889-001 (PPO)
(2023 $85 monthly premium)
(2024 $85 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-003 (PPO)

H8889-003 (PPO)
(2023 $196 monthly premium)
(2024 $195 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-005 (PPO)

H8889-005 (PPO)
(2023 $0 monthly premium)
(2024 $0 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-009 (PPO)

H8889-009 (PPO) Medical only
2023 $0 monthly premium with Part B premium buy-down $30/month
2024 $0 monthly premium with Part B premium buy-down $60/month

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)


Medica Advantage Solution H6154-001 (HMO-POS)

H6154-001 (HMO-POS)
(2023 $0 monthly premium)
(2024 $0 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)


Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


North Minnesota

Medica Advantage Solution H8889-002 (PPO)

H8889-002 (PPO)
(2023 $95 monthly premium)
(2024 $95 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-005 (PPO)

H8889-005 (PPO)
(2023 $0 monthly premium)
(2024 $0 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Advantage Solution PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-009 (PPO)

H8889-009 (PPO) Medical only
2023 $0 monthly premium with Part B premium buy-down $30/month
2024 $0 monthly premium with Part B premium buy-down $60/month

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)


Medica Advantage Solution H6154-001 (HMO-POS)

H6154-001 (HMO-POS)
(2024 $0 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Annual notice of changes (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H6154-002 (HMO-POS)

H6154-002 (HMO-POS)
(2023 $0 monthly premium)

Provider Directories

Search for 2023 providers online

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2023 Annual notice of changes (PDF)

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)


South Minnesota

Medica Advantage Solution H8889-004 (PPO)

H8889-004 (PPO)
(2023 $134 monthly premium)
(2024 $141 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-008 (PPO)

H8889-008 (PPO)
(2023 $19 monthly premium)
(2024 $33 monthly premium)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Formulary (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-009 (PPO)

H8889-009 (PPO) Medical only
(2023 $0 monthly premium with Part B premium buy-down $30/month)
(2024 $0 monthly premium with Part B premium buy-down $60/month)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Minnesota provider directory (PDF)

2024 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

2024 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Plan Documents

2023 Evidence of coverage (PDF) updated 2/20/2023

2024 Evidence of coverage (PDF)

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)


Iowa and Nebraska

Medica Advantage Value (PPO)

H8889-010
(2024 $0 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print Iowa and Nebraska provider directory (PDF)

2024 Provider directory Nebraska Columbus Community Hospital and Surrounding Clinics and Doctors insert (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Formulary (PDF)


Medica Advantage Select (PPO)

H8889-015
(2024 $26 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print Iowa and Nebraska provider directory (PDF)

2024 Provider directory Nebraska Columbus Community Hospital and Surrounding Clinics and Doctors insert (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Formulary (PDF)


Medica Advantage Preferred (PPO)

H8889-011
(2024 $132 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print Iowa and Nebraska provider directory (PDF)

2024 Provider directory Nebraska Columbus Community Hospital and Surrounding Clinics and Doctors insert (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-009 (PPO)

H8889-009 (PPO) Medical only
2024 $0 monthly premium with Part B premium buy-down $60/month

Provider Directories

Search for 2024 providers online

2024 View or print Iowa/Nebraska provider directory (PDF)

2024 Provider directory Nebraska Columbus Community Hospital and Surrounding Clinics and Doctors insert (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)


Medica Advantage Solution with CHI Health (HMO)

H0798-001 (HMO)
(2023 $0 monthly premium)

Provider Directories

Search for 2023 providers online

2023 View or print Iowa/Nebraska provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

2023 View or print Medica Advantage Solution with CHI Health HMO and PPO pharmacy directory (PDF)

Plan Documents

2023 Annual notice of changes (PDF) updated 2/20/2023

2023 Evidence of coverage (PDF) updated 2/20/2023

2023 Formulary (PDF)


Medica Advantage Solution H3632-001 (PPO)

H3632-001 (PPO)
(2023 $16 monthly premium)

Provider Directories

Search for 2023 providers online

2023 View or print H3632-001 provider directory (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

2023 View or print Medica Advantage Solution with CHI Health HMO and PPO pharmacy directory (PDF)

Plan Documents

2023 Annual notice of changes (PDF) updated 2/20/2023

2024 Annual notice of changes (PDF)

2023 Evidence of coverage (PDF) updated 2/20/2023

2023 Formulary (PDF)


North Dakota and South Dakota

Medica Advantage Value (PPO)

H8889-014
(2024 $0 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print North Dakota and South Dakota provider directory (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage {PDF)

2024 Formulary (PDF)


Medica Advantage Select (PPO)

H8889-012
(2024 $66 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print North Dakota and South Dakota provider directory (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Formulary (PDF)


Medica Advantage Preferred (PPO)

H8889-013
(2024 $192 monthly premium)

Provider Directories

Search for 2024 providers online

2024 View or print North Dakota and South Dakota provider directory (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)

2024 Formulary (PDF)


Medica Advantage Solution H8889-009 (PPO)

H8889-009 (PPO) Medical only
(2024 $0 monthly premium with Part B premium buy-down $60/month)

Provider Directories

Search for 2024 providers online

2024 View or print North Dakota and South Dakota provider directory (PDF)

Pharmacy Directories

Search for 2024 pharmacies online

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory (PDF)

2024 View or print Medica Advantage Solution and Medica Advantage pharmacy directory Insert 1 (PDF)

Plan Documents

2024 Evidence of coverage (PDF)


Group Advantage

Medica Group Advantage Solution (PPO)

Provider Directories

Search for 2023 providers online

Search for 2024 providers online

2023 View or print Medica Group Advantage Solution provider directory MN, WI (PDF)

2024 View or print Medica Group Advantage Solution provider directory MN, WI (PDF)

2023 View or print Medica Group Advantage Solution provider directory IA, NE (PDF)

2024 View or print Medica Group Advantage Solution provider directory IA, NE, ND, and SD (PDF)

2024 Provider directory Nebraska Columbus Community Hospital and Surrounding Clinics and Doctors insert (PDF)

Pharmacy Directories

Search for 2023 pharmacies online

Search for 2024 pharmacies online

2023 View or print Medica Group Advantage Solution pharmacy directory (PDF)

2024 View or print Medica Group Advantage Solution pharmacy directory (PDF)

2024 View or print Medica Advantage HMO-POS and PPO pharmacy directory Insert 1 (PDF)

Evidence of Coverage (EOC)

To get a copy of your Evidence of Coverage (EOC) or other plan documents, contact the Medica Member Services phone number on the back of your Medica ID card

Formulary (Drug List)

2023 Formulary (PDF)

2024 Formulary (PDF)

Order Materials by Mail

The easiest way to access your plan materials is to view or download them at the links above. If you prefer, we are able to send materials to you via mail.

Order plan materials by mail

Contact Us

Daily 8 a.m. to 9 p.m. CT


Y0088_1001143_M

Last Updated: October 2023