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For Medica Advantage Solution 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 members

2022 View or print Medicare over-the-counter catalog (PDF)

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

Minnesota Metro

Medica Advantage Solution H6154-001 (HMO-POS)

H6154-001 (HMO-POS)
(2022 $0.00 monthly premium)
(2023 $0.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search for pharmacy providers online

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual notice of changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-001 (PPO)

H8889-001 (PPO)
(2022 $85.00 monthly premium)
(2023 $85.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual notice of changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-003 (PPO)

H8889-003 (PPO)
(2022 $196.00 monthly premium)
(2023 $196.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual Notice of Changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-005 (PPO)

H8889-005 (PPO)
(2022 $45.00 monthly premium)
(2023 $0.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual Notice of Changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-009 (PPO)

H8889-009
2022 $0.00 monthly premium with Part B premium buy-down $25/month
2023 $0.00 monthly premium with Part B premium buy-down $30/month

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Annual notice of changes (PDF) updated 11/17/2022

Central Minnesota

Medica Advantage Solution H6154-002 (HMO-POS)

H6154-002 (HMO-POS)
(2022 $0.00 monthly premium)
(2023 $0.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual notice of changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-009 (PPO)

H8889-009
2022 $0.00 monthly premium with Part B premium buy-down $25/month
2023 $0.00 monthly premium with Part B premium buy-down $30/month 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Annual notice of changes (PDF) updated 11/17/2022

North Minnesota

Medica Advantage Solution H8889-002 (PPO)

H8889-002 (PPO)
(2022 $95.00 monthly premium)
(2023 $95.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual Notice of Changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-005 (PPO)

H8889-005 (PPO)
(2023 $0.00 monthly premium)

Provider Directories

Search for 2023 providers online

View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

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

Plan Documents

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Formulary (PDF)

Medica Advantage Solution H8889-009 (PPO)

H8889-009
2022 $0.00 monthly premium with Part B premium buy-down $25/month
2023 $0.00 monthly premium with Part B premium buy-down $30/month 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Annual notice of changes (PDF) updated 11/17/2022

South Minnesota

Medica Advantage Solution H8889-004 (PPO)

H8889-004 (PPO)
(2022 $125.00 monthly premium)
(2023 $134.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Annual Notice of Changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-008 (PPO)

H8889-008
(2022 $39 monthly premium)
(2023 $19 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H8889-009 (PPO)

H8889-009
(2022 $0.00 monthly premium with Part B premium buy-down $25/month)
(2023 $0.00 monthly premium with Part B premium buy-down $30/month)

Provider Directories 

Search for 2023 providers online

2022 View or print Minnesota provider directory (PDF)

2023 View or print Minnesota provider directory (PDF)

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution HMO-POS and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2023 Annual notice of changes (PDF) updated 11/17/2022

Iowa and Nebraska

Medica Advantage Solution with CHI Health (HMO)

H0798-001 (HMO)
(2022 $0.00 monthly premium)
(2023 $0.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Iowa/Nebraska provider directory (PDF)

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

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution with CHI Health HMO and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Annual notice of changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution H3632-001 (PPO)

H3632-001 (PPO)
(2022 $16.00 monthly premium)
(2023 $16.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or Print H3632-001 provider directory (PDF)

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

Pharmacy Directories

Search online pharmacy directory

2022 View or print Medica Advantage Solution with CHI Health HMO and PPO pharmacy directory (PDF)

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

Plan Documents

2022 Annual Notice of Changes (PDF)

2023 Annual notice of changes (PDF) updated 11/17/2022

2022 Evidence of Coverage (PDF)

2023 Evidence of coverage (PDF) updated 11/17/2022

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Advantage Solution HMO I-SNP

Minnesota

Medica Advantage Solution PartnerCare Premier H6154-003 (HMO I-SNP)

H6154-003 (HMO I-SNP)
(2022 $66.00 monthly premium)

Provider Directories 

2022 View or print Medica Advantage Solution PartnerCare provider directory (PDF)

Pharmacy Directories

Search online 2022 pharmacy directory

2022 View or print Medica Advantage Solution PartnerCare pharmacy directory (PDF)

Plan Documents

2022 Annual Notice of Changes (PDF)

2022 Evidence of Coverage (PDF)

2022 Formulary (PDF)

Medica Advantage Solution PartnerCare Focus H6154-004 (HMO I-SNP)

H6154-004 (HMO I-SNP)
(2022 $0.00 monthly premium)

Provider Directories 

2022 View or print Medica Advantage Solution PartnerCare provider directory (PDF) 

2022 View or print Medica Advantage Solution PartnerCare pharmacy directory (PDF)

Plan Documents

2022 Annual Notice of Changes (PDF)

2022 Evidence of Coverage (PDF)

2022 Formulary (PDF)

Pharmacy Directories

Search online 2022 pharmacy directory

Nebraska

Medica Advantage Solution (HMO I-SNP) H0798-002

H0798-002
2022 $38.90 monthly premium

Provider Directories 

2022 View or print Nebraska provider directory (PDF)

Pharmacy Directories

Search online 2022 pharmacy directory

2022 View or print Medica Advantage Solution HMO-ISNP H0798-002 pharmacy directory (PDF)

Plan Documents

2022 Evidence of Coverage (PDF)

2022 Formulary (PDF)

Group Advantage

Medica Group Advantage Solution (PPO)

Provider Directories 

Search for 2023 providers online

2022 View or print Medica Group Advantage Solution provider directory (PDF)

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

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

Pharmacy Directories

Search online pharmacy directory

2022 View or Print Medica Group Advantage Solution pharmacy directory (PDF)

2023 View or Print Medica Group Advantage Solution pharmacy directory (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)

2022 Formulary (PDF)

2023 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


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Last Updated: January 2023