Medica Group Prime Solution
|Plan||Medica Plan 1||Medica Plan 2|
|Type of Network:||Open Access||Open Access.|
|Must Designate Clinic:||No||No|
|Referrals Required:||No, when using most network providers||No, when using most network providers|
|Plan Manages Paperwork:||Yes||Yes|
|Can Live Outside of Plan's Service Area:||No||No|
|Travel/Extended Absence:||Up to 9 consecutive months||Up to 9 consecutive months|
Medica is a local company that has been providing non-profit health coverage in the Midwest for decades. Medica values its members and works hard to give them outstanding customer service and coverage.
As a member, you have access to a large network of doctors,clinics, and hospitals. You can still use your Medicare benefits if you choose to go outside of the Prime Solution provider network for services while in the Medica service area. Medica Prime Solution also has nationwide coverage when you travel or spend extended time in another part of the country.
- U of M Plan 1 — With low copay and coinsurance amounts to help limit out-of-pocket expenses but has a higher monthly premium.
- U of M Plan 2 — Sonewhat higher copay and coinsurance amounts but offers a lower monthly premium.
Both Medica plans have the same network of providers and service area. For more details on coverage for both plans, see the Medical Plan Comparison charts (pdf).
Medicare Part D
Both Medica Prime Solution plans include Medicare Part D with the premium included in your medical plan premium.