Medica Health Insurance
Important Information about Medica Health Insurance
Medica Health Insurance was founded in 1975 by a group of physicians as a non-profit corporation. It has a membership of 1.3 million people and a network of 500,000 participating providers and 5,000 hospitals. 98% of people living in Minnesota have Medica Health Insurance available to them and the company is expanding to include many adjoining counties in North and South Dakota and Wisconsin. Medica commercial and Medicaid HMO plans have both earned the highest rating of “Excellent” from the National Committee for Quality Assurance.
For over 30 years, Medica Health Insurance has been at the forefront in the area of health care reform, innovation and improvement. They pride themselves on offering freedom of choice to their members, providing exceptional customer service, offering innovative Patient Choice tiered network options, and allowing easy access to care and wellness programs. They seek to promote wellness, not just manage sickness, and their goal is to improve the health of every community which they serve.
Competing Carriers
PacificarePacific Source Health Plans
A Description of Medica Health Plans
Medica Health Insurance offers a variety of Medica Health plans, but these three are the most popular.
The MedicaDirect HSA plan offers high deductible coverage along with a Health Savings Account which lets you save money in a tax-free account with these funds to be used to pay for qualified medical expenses. The member pays lower monthly premiums and enjoys some tax benefits while still receiving prescription savings, preventative care coverage and major medical coverage. Deductibles vary from $1400 to $3500 for individuals and $2800 to $7000 for families. Members may choose either an 80% or 100% coinsurance option.
Another of Medica Health plans is the Medica Direct Value plan. This is a traditional plan which offers many different deductible options that range from $150 to $5000 for individuals and up to three times those amounts for families. Subscribers to this plan have access to the Medica Health Insurance network which features nearly 27,000 providers and nearly 4,000 offices, clinics, and hospitals. Deductibles vary from $150 to $5000 with an 80% coinsurance.
Medica Encore is a plan which is available only to individuals. It is specially designed for those members 50-64 years of age, but it can be used for anyone from 3 months to age 64. This is a high deductible plan which gives immediate coverage for preventative care. The deductibles can range from $4000 to $9000 with 100% coinsurance once the deductible has been met.
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