Skip to Main Content
Members

« Return to previous page

2021 Medica Solo 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 Plan A (PDF)
 Silver Plan A (PDF) Bronze Plan A (PDF)
Policy of Coverage
Gold Plan A (PDF)
Silver Plan A (PDF) Bronze Plan A (PDF)
Date: 3/25/2023 6:45:52 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01