Members

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.

Minnesota Plans

Document	Care Type
Summary of Benefits and Coverage (SBC)	Platinum Plan E (PDF)
Policy of Coverage	Platinum Plan E (PDF)

Document	Care Type
Summary of Benefits and Coverage (SBC)	Platinum Plan F (PDF)	Gold Plan F (PDF)	Silver Plan F (PDF)	Bronze Plan F (PDF)
Policy of Coverage	Platinum Plan F (PDF)	Gold Plan F (PDF)	Silver Plan F (PDF)	Bronze Plan F (PDF)

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bookletHow to Get the Care You Need