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My Coverage

For Medica AccessAbility Solution Enhanced Members

Looking for a quick overview of your plan benefits?

Here's a summary of your plan benefits.

  • 100% coverage of Medical Assistance (MA) copays
  • A large network of health care providers
  • One ID card that consolidates Medicaid and Medicare benefits, eliminating extra paperwork
  • $0 copayment for Medicare-covered preventive services
  • Access to primary or specialty care providers without a referral
  • Support from a personal Care Coordinator to help navigate the health care system

For a complete record of your plan benefits and any plan notices, see your plan documents.

Plan documents


Plan Features

Care Coordination

Broker Agent

Your plan includes support from a personal Care Coordinator to build and maintain an independent, healthy life. Your Medica Care Coordinator is your go-to source for help.

This program gives you:

Control. You get the information and options you need to make decisions about your health care. 

Coordination. We organize and manage your medical providers as well as your support needs to make sure you get what you need when you need it — without hassles. 

Planning. We support your long-term health with preventive and creative care that starts with a complete health assessment. 

Partnership. Health care decisions are important to your long-term health, so we work one-on-one with you to build a strong partnership and make decisions together.

Ease of use. We help you get the resources you need from the state of Minnesota and figure out how everything should work together. 

Longevity. We support you now and in the future by finding, organizing and building your network of health care support. You can focus on your life, not your disability.


Broker Agent

If you don't have access to transportation, we can help. Our Provide-A-RideSM service will give you a ride to and from medical, dental, mental health and substance use disorder appointments.

Call us at least five days before your appointment and we'll be happy to help you schedule a cab or bus ride to your appointment.

1-888-347-3630 (toll-free)
TTY: 711

Learn more about Provide-A-RideSM


Broker Agent

Your plan includes dental coverage, which is managed by Delta Dental® of Minnesota.

Delta Dental can help you:

• Find a dentist
• Understand your dental benefits
• Help with dental claims

AccessAbility Solution Enhanced member benefits include one crown per year and an extra exam. Additional cleanings and dental education are provided, too.

Medica dental benefits and covered services


Broker Agent

Your plan covers a new pair of eyeglasses when medically necessary and anti-glare coating on one new pair of glasses from Medica eyewear vendor Eye-Kraft®. Please see the eye care section of your Evidence of Coverage for more information. Choose your eyewear from the catalog below.

Eyewear frame catalog (PDF)

Hospital Readmission Prevention

After you've been in the hospital, we want to help you recover safely at home and prevent readmission to the hospital. This special service offers individualized support during the first 30 days after you leave the hospital.

Specially-trained Community Companions will check in with you when you are eligible for this service. They’ll offer you resources and answer your questions along the way.

The Community Companion Service is an innovative program of Lutheran Social Service of Minnesota in partnership with Medica.

Language Resources

Broker Agent

Medica will contact an interpreter to provide help over the phone. Medica will also provide interpreters for your medical, dental, pharmacy, mental health or substance use disorder appointments at no cost to you. To request an interpreter, call Medica Member Services.

Transplant Program

When you need an organ, bone marrow or stem cell transplant, our transplant program helps you get the care you need in the most effective setting, with the best possible outcome. We coordinate your benefits and provide readiness coaching. We can also help you find a Centers of Excellence transplant facility.

Before you receive care (including pre-transplant evaluations), your doctor needs to request prior authorization for all transplant services. Without prior authorization, services may not be covered.

Transplant program

Medica AccessAbility Solution Enhanced is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica AccessAbility Solution Enhanced depends on contract renewal.

American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Last Updated: December 2020


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