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For Medica Prime Solution (Cost) Members

Member plan documents

Find your state and then your plan name (Care Type on your ID card) below to see your legal plan documents.

The Pharmacy Directory and the over-the-counter catalog are the same for all Medica Prime Solution (Cost) members and available at the top of this page.

Pharmacy Directory for all Medica Prime Solution (Cost) members

Search for pharmacy providers online

2022 View or print Prime Solution pharmacy directory (PDF)

2023 View or print Prime Solution pharmacy directory (PDF)

Over-the-counter (OTC) catalog for all Individual Medica Prime Solution (Cost) members with an OTC allowance

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

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

Iowa

Medica Prime Solution Premier (Cost)

(2022 $125.00 monthly premium)
(2023 $130.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Medica Prime Solution Core (Cost)

(2022 $69.00 monthly premium)
(2023 $76.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Kansas

Medica Prime Solution Premier (Cost)

Premier
(2022 $125.00 monthly premium)
(2023 $130.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Medica Prime Solution Core (Cost)

(2022 $69.00 monthly premium)
(2023 $76.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

Minnesota

Medica Prime Solution Enhanced (Cost), Medica Prime Solution Enhanced w/Rx (Cost), Medica Prime Solution Enhanced w/Rx2

Medica Prime Solution Enhanced with Rx (Cost)
(2022 $215.90 monthly premium)
Available for 2023 is the Enhanced with Rx2 with $242.30 monthly premium

Medica Prime Solution Enhanced with Rx2 (Cost)
(2022 $229.30 monthly premium)
(2023 $242.30 monthly premium)

Medica Prime Solution Enhanced with no Rx (Cost)
(2022 $157.00 monthly premium)
(2023 $166.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

2022 Evidence of coverage with Rx2 (PDF)

2023 Evidence of coverage with Rx2 (PDF) updated 11/17/2022

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

2023 Annual Notice of Changes with Rx transition to Rx2 (PDF) updated 11/17/2022

2022 Annual notice of changes with Rx2 (PDF)

2023 Annual notice of changes with Rx2 (PDF) updated 11/17/2022

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Basic (Cost), Medica Prime Solution Basic w/Rx (Cost), Medica Prime Solution Basic w/Rx2 (Cost)

Medica Prime Solution Basic with Rx (Cost)
(2022 $118.50 monthly premium)
(2023 $131.80 monthly premium)

Medica Prime Solution Basic with Rx2 (Cost)
(2022 $155.50 monthly premium)
(2023 $169.60 monthly premium)

Medica Prime Solution Basic with no Rx (Cost)
(2022 $79.00 monthly premium)
(2023 $86.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with Rx2 (PDF)

2023 Evidence of coverage with Rx2 (PDF) updated 11/17/2022

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

2023 Annual notice of changes with Rx (PDF)

2022 Annual notice of changes with Rx2 (PDF)

2023 Annual notice of changes with Rx2 (PDF)

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF)

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)

Medica Prime Solution Thrift with Rx (Cost)
(2022 $78.40 monthly premium)
(2023 $90.30 monthly premium)

Medica Prime Solution Thrift with no Rx (Cost)
(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Standard (Cost), Medica Prime Solution Standard w/Rx (Cost)

Medica Prime Solution Standard with Rx (Cost)
(2022 $42.00 monthly premium)
(2023 $49.40 monthly premium)

Medica Prime Solution Standard with no Rx (Cost)
(2022 $0 monthly premium)
(2023 $0 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or Print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of Coverage with no Rx (PDF)

2023 Evidence of Coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

2022 Annual notice of changes w/Rx (PDF)

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

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Missouri

Medica Prime Solution Premier (Cost)

(2022 $125.00 monthly premium)
(2023 $130.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Core (Cost)

(2022 $69.00 monthly premium)
(2023 $76.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Nebraska

Medica Prime Solution Standard (Cost)

(2022 $0.00 monthly premium)
(2023 $0.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF) 

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Core (Cost)

(2022 $69.00 monthly premium)
(2023 $76.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF) 

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

Medica Prime Solution Premier (Cost)

(2022 $125.00 monthly premium)
(2023 $130.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF) 

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS NE OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

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

North Dakota & South Dakota

Medica Prime Solution Premier (Cost), Medica Prime Solution Premier w/Rx (Cost)

Medica Prime Solution Premier with Rx (Cost)
(2022 $253.80 monthly premium)
(2023 $266.20 monthly premium)

Medica Prime Solution Premier with no Rx (Cost)
(2022 $189.00 monthly premium)
(2023 $195.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Core (Cost), Medica Prime Solution Core w/Rx (Cost)

Medica Prime Solution Core with Rx (Cost)
(2022 $139.70 monthly premium)
(2023 $149.10 monthly premium)

Medica Prime Solution Core with no Rx (Cost)
(2022 $79.00 monthly premium)
(2023 $86.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)

Medica Prime Solution Thrift with Rx (Cost)
(2022 $78.40 monthly premium)
(2023 $90.30 monthly premium)

Medica Prime Solution Thrift with no Rx (Cost)
(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Standard (Cost)

(2022 $0 monthly premium)
(2023 $0 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF)

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Medica Prime Solution Standard w/Rx (Cost) - South Dakota Only

(2022 $42.00 monthly premium)
(2023 $49.40 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF)

Evidence of coverage documents

2022 Evidence of coverage with Rx (PDF)

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

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Oklahoma

Medica Prime Solution Premier (Cost)

(2022 $125.00 monthly premium)
(2023 $130.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Core (Cost)

(2022 $69.00 monthly premium)
(2023 $76.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)

2022 Evidence of coverage (PDF)

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

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

Wisconsin

Medica Prime Solution Standard (Cost)

(2022 $0.00 monthly premium)
(2023 $0.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA, MN, WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

2022 Evidence of coverage (PDF)

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

2022 Wisconsin Addendum to the Evidence of Coverage (PDF)

2023 Wisconsin Addendum to the Evidence of Coverage (PDF)

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

Medica Prime Solution Focus (Cost), Medica Prime Solution Focus w/Rx (Cost)

Medica Prime Solution Focus with Rx (Cost)
(2022 $131.90 monthly premium)
(2023 $140.70 monthly premium)

Medica Prime Solution Focus with no Rx (Cost)
(2022 $79.00 monthly premium)
(2023 $87.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

2022 Wisconsin Addendum to the Evidence of Coverage (PDF)

2023 Wisconsin Addendum to the Evidence of Coverage (PDF)

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Total (Cost), Medica Prime Solution Total w/Rx (Cost)

Medica Prime Solution Total with Rx (Cost)
(2022 $249.80 monthly premium)
(2023 $258.70 monthly premium)

Medica Prime Solution Total with no Rx (Cost)
(2022 $185.00 monthly premium)
(2023 $194.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

2022 Wisconsin Addendum to the Evidence of Coverage (PDF)

2023 Wisconsin Addendum to the Evidence of Coverage (PDF)

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Evidence of coverage Wisconsin Rider

2022 Evidence of coverage – Wisconsin Rider Total with Rx (PDF)

2023 Evidence of coverage – Wisconsin Rider Total with Rx (PDF)

2022 Evidence of coverage – Wisconsin Rider Total with no Rx (PDF)

2023 Evidence of coverage – Wisconsin Rider Total with no Rx (PDF)

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)

Medica Prime Solution Thrift with Rx (Cost)
(2022 $78.40 monthly premium)
(2023 $90.30 monthly premium)

Medica Prime Solution Thrift with no Rx (Cost)
(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory IA MN WI (PDF)

2023 View or print Prime Solution provider directory MN, WI (PDF)

Evidence of Coverage documents

2022 Evidence of coverage with Rx (PDF)

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

2022 Evidence of coverage with no Rx (PDF)

2023 Evidence of coverage with no Rx (PDF) updated 11/17/2022

2022 Wisconsin Addendum to the Evidence of Coverage (PDF)

2023 Wisconsin Addendum to the Evidence of Coverage (PDF)

Annual Notice of Changes documents

2022 Annual notice of changes with Rx (PDF)

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

2022 Annual notice of changes with no Rx (PDF)

2023 Annual notice of changes with no Rx (PDF) updated 11/17/2022

Formulary (Drug List)

2022 Formulary (PDF)

2023 Formulary (PDF)

Wyoming

Medica Prime Solution Premier (Cost)

(2022 $189.00 monthly premium)
(2023 $195.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD WY (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF) 

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Core (Cost)

(2022 $79.00 monthly premium)
(2023 $86.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD WY (PDF)

2023 View or print Prime Solution provider directory ND, SD, WY (PDF) 

2022 Evidence of coverage (PDF)

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

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

Medica Prime Solution Thrift (Cost)

(2022 $34.00 monthly premium)
(2023 $40.00 monthly premium) 

Search for 2023 providers online

2022 View or print Prime Solution provider directory ND SD WY (PDF)

2023 View or print Prime Solution provider directory ND SD WY (PDF) 

2022 Evidence of coverage (PDF)

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

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

Group Prime Solution Documents

Medica Group Prime Solution (Cost)

Provider Directories 

Search for 2023 providers online

2022 View or print Prime Solution provider directory for KS, MO, NE, OK (PDF)

2023 View or print Prime Solution provider directory for IA, KS, MO, NE, OK (PDF)

2022 View or print Prime Solution provider directory for MN, WI, IA (PDF)

2023 View or print Prime Solution provider directory for MN, WI (PDF)

2022 View or print Prime Solution provider directory for ND, SD, WY (PDF)

2023 View or print Prime Solution provider directory for ND, SD, WY (PDF)

Evidence of Coverage (EOC)

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

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Last Updated: January 2023