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2021 Medica Direct HSA Plan Documents

To see your summary of benefits and coverage (SBC) and policy of coverage documents, select your state and plan below.

Looking for the 2020 documents?

Minnesota Plans

Document Care Type  
Summary of Benefits and Coverage (SBC)
Gold H (PDF)
Silver H (PDF)
Policy of Coverage
Gold H (PDF)
Silver H (PDF)
Date: 3/25/2023 6:22:44 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01