Medica

401 Carlson Parkway,
Minnetonka, MN 55305
Customer Service #: (800) 952-3455
Fax:

Since 1976, Medica has been in operation as a health insurance provider for the upper-Midwest region and adjoining counties of Wisconsin, North Dakota, and South Dakota. In Medica's home state of Minnesota, the company is the largest Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO) provider, as well as the leading non-profit and independent provider of health plans. Medica's Medicaid HMO and Medica commercial plans currently have the highest accreditation status of "Excellent" from The National Committee of Quality Assurance (NCQA).

Medica Plans

With 27,000 providers throughout its network, Medica provides a wide variety of health insurance products to more than 1.25 million members, including businesses, government employees, labor unions, and individuals throughout the Upper Midwestern Region. Medica's broad product portfolio includes the following fully insured products:

  • Medica Choice
  • Medica Elect
  • Medica Premier
  • Medica SelectCare
  • Medica Dental Choice.

Medica health plans are available to 98 percent of Minnesota residents. The list below highlights just a few popular Medica programs:

  • Medica Choice - These plans for employers features open access networks and value-added services such as health club discounts and disease management services. Medica Choice covers emergency and global emergency care, preventive check-ups, and prescriptions. There are no claim forms to fill out. Members may choose their own hospital or doctor, with referral-free access to in-network care.

  • Medica Prime Solution - This is the company's most popular Medicare supplement, featuring basic and enhanced plans. The basic plan features low monthly premiums and copays, while the enhanced plan features a higher monthly premium with first dollar coverage. With all Medica Prime Solution plans, there are no fees for visits to most network specialists. Potential members with pre-existing conditions will not be refused coverage. In addition to all Medicare benefits, the plan offers coverage for visual exams, annual hearing exams and routine physicals. Other benefits include coverage for inpatient, outpatient, and preventive care.

  • Medica Direct HSA for Individuals - This affordable and flexible Health Savings Account (HSA) plan has a variety of coverage options, costs, and deductible amounts. The plan features open access networks, and the option to choose a high deductible, which reduces premium costs. Cost savings are deposited into the policy holder's HSA account, and members have access to online account management tools. Other highlights include a lifetime maximum per person; coverage for office visits for physicals, sickness, and injury; x-ray and lab services; and emergency room care. The plan offers up to $25,000 per year for home health care, as well as coverage for prenatal care and formulary prescription drugs.

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