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Press Release
Medica and CHI Health Bring Medicare Advantage to Omaha-Council Bluffs Market
October 1, 2019
MINNETONKA, Minn. — Medica and CHI Health are building on an established partnership to bring innovative Medicare Advantage plan options to the Omaha – Council Bluffs market. Medica Advantage Solution® with CHI Health (HMO) & (PPO) is available to eligible seniors in an 11-county area that includes Butler, Cass, Dodge, Douglas, Lancaster, Sarpy, Saunders and Washington counties in Nebraska and Harrison, Mills and Pottawattamie counties in Iowa.
For 2020 coverage, Medicare open enrollment will run from October 15 to December 7, 2019 and the effective coverage date is January 1, 2020.
Medica Advantage Solution with CHI Health plans are available in either an HMO or preferred provider organization (PPO) design. Key plan benefits include:
- A $0 premium with the HMO plan
- A provider network that features the CHI Health system of hospitals, primary care clinics, doctors and other affiliated practitioners
- Other providers in the area.
Core benefits feature:
- A $0 copay for in-network primary care visits and Tier I prescription drugs from preferred pharmacies
- No referrals – ever
- Out-of-network coverage with the PPO plan
- An innovative extended travel benefit with the PPO plan that covers members living away from home for an extended period of time
- Coverage for dental, eyewear and hearing aids
- SilverSneakers fitness membership
- An annual reimbursement for over-the-counter health and wellness products
- Transportation service to medical appointments through Medica’s Provide-a-Ride® service,
- A meals delivery program are also available to members who meet certain criteria.
For members who qualify for extra services, Medica Advantage Solution with CHI Health includes Healthy Savings®, a program that provides savings of 50% on fresh fruits and vegetables up to $65 per quarter. Participating retail grocers in the area include Hy-Vee, Bakers, and others.
Medica and CHI Health have been collaborating since 2017 to develop consumer-centric health plans for the Nebraska and southwest Iowa markets. Medica with CHI HealthSM was introduced to provide ACA-compliant coverage for individuals and families in 2018 and currently serves nearly 27,000 members.
"Medica is thrilled to be collaborating once again with CHI Health," said John Naylor, Medica President and CEO. “We’ve blended the expertise of both organizations to design a unique and comprehensive Medicare solution for Nebraska and southwest Iowa. Together, we put the member in the center with benefits and services that support the whole person."
About Medica
Medica is a non-profit health plan headquartered in Minneapolis and active in the Upper Midwest. The non-profit company provides health care coverage in the employer, individual, Medicaid and Medicare markets in Minnesota, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma South Dakota and Wisconsin. Medica also offers national network coverage to employers who have employees outside the Medica regional network.
Medica's vision is to be trusted in the community for our unwavering commitment to high quality, affordable health care. Medica's annual report, which includes the organization's community involvement activities, is available online.
About CHI Health
CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of 14 hospitals, two stand-alone behavioral health facilities, more than 150 employed physician practice locations and more than 12,000 employees in Nebraska and southwestern Iowa.
In fiscal 2018, CHI Health invested more than $179.3 million back into our communities. The majority of those dollars went to caring for the poor and underserved.
CHI Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care. With its national office in Chicago and a team of approximately 150,000 employees and 25,000 physicians and advanced practice clinicians, CommonSpirit Health operates 142 hospitals and more than 700 care sites across 21 states. In FY 2018, Catholic Health Initiatives and Dignity Health had combined revenues of $29.2 billion and provided $4.2 billion in charity care, community benefit, and unreimbursed government programs.
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Media contact:
Medica
Greg Bury
952-992-8437
[email protected]