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Your Plan Benefits

For Hennepin County Group Medicare Members

Looking for a quick overview of your plan benefits?

For a complete record of your plan benefits and any plan notices please refer to your Evidence of Coverage (EOC) or contact your benefits representative. You can also contact Medica Member Services.

 

Plan Documents

Evidence of Coverage

2024

Medica Group Advantage Solution Plan Evidence of Coverage (EOC) – Plan 5 (PDF)

Medica Group Advantage Solution Plan Evidence of Coverage (EOC) – Plan 8 (PDF)

 

Medica Group Prime Solution Plan Evidence of Coverage (EOC) – Plan 5 (PDF)

Medica Group Prime Solution Plan Evidence of Coverage (EOC) – Plan 8 (PDF)

 

2023

Medica Group Advantage Solution Plan Evidence of Coverage (EOC) – Plan 5 (PDF) Updated 2/20/2023

Medica Group Advantage Solution Plan Evidence of Coverage (EOC) – Plan 8 (PDF) Updated 2/20/2023

 

Medica Group Prime Solution Plan Evidence of Coverage (EOC) – Plan 5 (PDF) Updated 2/20/2023

Medica Group Prime Solution Plan Evidence of Coverage (EOC) – Plan 8 (PDF) Updated 2/20/2023

 

Summary of Benefits

2024

Medica Advantage Solution Plan summary of benefits –Plan 5 (PDF)   

Medica Advantage Solution Plan summary of benefits – Plan 8 (PDF)

 

Medica Group Prime Solution Plan summary of benefits – Plan 5 (PDF)

Medica Group Prime Solution Plan summary of benefits –Plan 8 (PDF)

 

2023

Medica Advantage Solution Plan summary of benefits –Plan 5 (PDF)   Updated 2/20/2023

Medica Advantage Solution Plan summary of benefits – Plan 8 (PDF) Updated 2/20/2023

 

Medica Group Prime Solution Plan summary of benefits – Plan 5 (PDF) Updated 2/20/2023

Medica Group Prime Solution Plan summary of benefits –Plan 8 (PDF) Updated 2/20/2023

 
 

Plan Documents

2023 Plan Information for Hennepin County (PDF)

2024 Plan Information for Hennepin County (PDF)

 

Visiting a Medicare Participating Provider (PDF)

2024 Hennepin County PowerPoint presentation recording

 

Plan Features

One PassTM

Your plan includes a fitness benefit through One Pass with unlimited access to a national network of more than 20,000 fitness clubs, in-person, on-demand and live streaming fitness classes. It also includes a personalized, online brain training program to help improve memory, attention, focus and brain speed.  For more information visit medica.com/Fitness or call 1-877- 504-6830 (TTY: 711), available Monday-Friday, 8 a.m.-9 p.m. (Central).

Health Advocacy and Nurse LineHealth Advocate

You and your family have a place to turn for trusted advice and information when you need it most. Through one simple call, you can consult with a nurse to get support for non-urgent illnesses or receive guidance on treatment options. You can also work with a personal health advocate who can help you with a variety of health and insurance-related issues. For more information, visit HealthAdvocate.com/MedicaMedicare or call 1-866-668-6548 (TTY: 711), available 24 hours a day, 7 days a week (Central) .

 

Preventive Care

Many preventive care services and screenings are covered at no cost to you when received from in-network providers. This includes immunizations such as flu and pneumonia shots.

About preventive care

Prescription Eyewear, Hearing Aid Allowances, Dental Benefits and Acupuncture for Plan 8

You can receive yearly reimbursements for these services in amounts up to:

See your Evidence of Coverage for full details.

Prescription Eyewear and Dental Benefits for Plan 5 (starting 1/1/2024)

 You can receive yearly reimbursements for these services in amounts up to: 

-$200 for eyewear

- Use your Health+ by Medica Visa Card

-$1,000 for dental reimbursement to any licensed dentist

- Use your Health+ by Medica Visa Card

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Last updated: December 2023

Medica Group Advantage Solution(PPO) 
Medica Group Prime Solution w/Rx(Cost)

 
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