Medica Health Plans
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Useful Information About Medica Health Plans
Medica, which was founded in 1975, is a non-profit, taxable corporation which includes a large family of healthcare providers. It is headquartered in Minnetonka, Minnesota.
The National Committee for Quality Assurance (NCQA) has given Medica the highest accreditation status, Excellent, for its commercial health plans in North Dakota and Minnesota and its Minnesota Medicaid HMO plans. The NCQA has also awarded Medica with the Quality Plus Distinction for Physician and Hospital Quality accreditation.
Medica Health Plans provides health insurance coverage to over 1.4 million subscribers. Medica offers this coverage to employers, individuals, government programs and third-party administrators in Minnesota and specific counties in North Dakota, South Dakota, and Wisconsin.
Medica’s largest provider network consists of more than 27,000 physicians and medical technicians and over 4,000 treatment centers, medical offices, and hospitals in Minnesota, North Dakota, South Dakota, and Wisconsin. This network includes nearly 96% of all Minnesota healthcare providers. Members also have access to a large nationwide network that includes nearly 500,000 medical providers and 5,000 hospitals.
For nearly 35 years, Medica has been an industry leader in the area of healthcare reform. It is continually seeking innovative solutions to the numerous and complex problems and issues facing the health insurance sector today.
Medica is proud to offer its customers a variety of health insurance packages tailored to meet the needs and circumstances of individuals, families, and groups alike. It also provides efficient and courteous customer service to its members.
Medica encourages its policyholders to be active participants in their own healthcare management by promoting healthy lifestyle choices and educating its members about nutrition, fitness and other healthy-living options.
In 2008, Medica had $3.2 billion in annual operating revenues.
An Overview of Medica Health Plans
Following are three of the most popular Medica Health Plans offered to consumers.
The MedicaDirect HSA plan offers consumers the opportunity to establish a tax-advantaged Health Savings Account (HSA) which is combined with a high deductible medical plan. Members contribute to this HSA and use the funds to pay for qualified medical services and procedures throughout the year.
The MedicaDirect HSA plan offers lower monthly premiums and also provides coverage for preventive care, prescription drug savings, and major medical coverage. Annual deductibles range from $1,400 to $3,500 for individuals and $2,800 to $7,000 for families. Customers have the choice of either 80% or 100% coinsurance.
Another plan offered by Medica to consumers is the MedicaDirect Value plan. This is a traditional plan which offers protection against major medical expenses and includes prescription drug coverage as well as preventive care benefits. Members have access to a vast network of nearly 27,000 healthcare providers and 4,000 treatment facilities.
The MedicaDirect Value plan is affordable and contains a wide range of coverage, cost, and deductibles. It can be tailored to meet the specific needs of both individuals and families.
The MedicaEncore plan is another popular plan which is offered only to individuals. It is designed especially for consumers between the ages of 50 and 64, but it can be used by anyone from age 3 months to 64. This plan provides immediate coverage for preventive care but also carries a high range of annual deductibles. These can vary between $4,000 and $9,000 with 100% coinsurance once the deductible has been satisfied.
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