Tip Sheets

These tip sheets can help you get the most value from your health plan. Find answers to your questions, learn more about your health care accounts, and learn how to get care.

How Your Plan Works

• Understanding Your Explanation of Benefits (EOB) – (PDF)
  Find out how your plan covered your care.
   (Note: Your actual EOB may look different than the sample.)
• Summary of Benefits & Coverage (SBC) Document (PDF)
  FAQs about your health plan’s benefits and coverage.
• Deductibles, Copayments and Coinsurance (PDF)
  Learn more about these terms and how they determine your out-of-pocket costs.
• Out-of-Network Care (PDF) 
  See what it costs to visit providers outside of your plan’s network.
• Referrals (PDF)
  Elect members only
  FAQs about referrals, how they work, and when you need one.

Health Care Accounts

• Flexible Spending Accounts (FSA) – (PDF)
  Learn about FSAs, how they work and how they compare to Health Savings Accounts and Health Reimbursement Accounts.
• Health Savings Accounts (HSA) – (PDF)
  Learn about HSAs, how they work and how they compare to Flexible Spending Accounts and Health Reimbursement Accounts.
• Health Reimbursement Accounts (HRA) – (PDF)
  Learn about HRAs, how they work and how they compare to Flexible Spending Accounts and Health Savings Accounts.

Getting Care

• Behavioral Health Resources (PDF) (for members with Employee Assistance Program (EAP) only)
• Behavioral Health Resources (PDF) (for members without EAP)
  Learn about a variety of behavioral health resources and how to access them when you need help.
• Understanding Your Medica ID Card (PDF)
  Your ID card is a must-have when you need care. Remember to carry it with you at all times.
• When & Where to Get Care (PDF)
  Explore your options for getting care and find out which types of illnesses each facility treats.
• Preventive Care (PDF)
  Learn more about how to be proactive with your health.
  • Preventive care information
  • You can also visit HealthCare.gov to see what preventive care services are covered under the Affordable Care Act.
    Preventive services on HealthCare.gov 
• Pregnancy Care (PDF)
  Find out how to get the most out of your benefits during your pregnancy and delivery.
• Virtual Care (PDF)
  Discover how to save time and connect with a provider online from your computer or mobile device.

Tools, Programs & Resources

• How to Find a Network Provider (PDF)
  Learn how to use the online search tool to find a network provider, so you can get the most out of your health care benefits.
• Mymedica.com Secure Member Site (PDF)
  Find out more about your one-stop resource for information to help you manage your benefits and improve your health.
  • You can also learn how to register for your secure member site below.
    Register for Mymedica.com (PDF)
• Premium Designation (PDF)
  Explore how you can make informed decisions and find a doctor that's right for you.
• Travel Program (PDF)
  Learn how to get network benefits when traveling outside your plan's service area.
  Does not apply to Passport members.