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2021 Medica Value 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)
Platinum Plan E (PDF)
Policy of Coverage
Platinum Plan E (PDF)
Date: 3/25/2023 5:57:26 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01