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Plan Details

Medica AccessAbility Solution Enhanced (Special Needs BasicCare with Medicare – HMO D-SNP)

This easy-to-use plan combines your Medical Assistance and Medicare benefits. We also offer care coordination and many other benefits to support your health and well-being. See Programs and Services below for more information. 

2021 Sales kit brochure (PDF) 

2021 Service area map (PDF)

Ready to enroll?

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The easiest way to enroll in Medica AccessAbility Solution Enhanced is online.

Enroll online now >

Other ways to enroll

Or if you would like to learn more first, read about plan features and premiums below.

 


Programs and Services

Our members enjoy many health and wellness benefits. Here’s a look at several of these helpful programs.

 

 

phoneCare Coordinator Services

This plan offers a Care Coordinator. These are nurses, social workers or highly trained professionals who become trusted partners in your health. Your Care Coordinator will work one-to-one with you. They will find and organize resources and providers to meet your health care needs and help you maintain a healthy, independent lifestyle.

 


phoneDental Care

Keep smiling with preventive and comprehensive dental care. Dentists are part of the expansive Minnesota Select Dental network through Delta Dental. 

The 2021 benefit for this plan includes a dental crown, periodontal care, oral health education and many extra preventive benefits; e.g., additional oral exam, full mouth X-ray, root scaling and planing, root canal, root canal retreatment.



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SilverSneakers® Fitness Program

Your SilverSneakers membership gives you a variety of fitness options at no cost, including:

  • More than 16,000 participating fitness locations nationwide
  • Access to classes, exercise equipment and other amenities
  • Enrollment at multiple locations any time
  • Access to online resources to help you track your fitness progress and find useful health information
  • No-cost rides to and from your SilverSneakers sites

View a complete list of facilities and options on SilverSneakers.com



Broker Agent

Health AdvocateSM Personal Health Advocates 

This service has informed advocates to help you resolve health care and insurance-related issues.

 


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No-Cost Rides

Get a ride to and from health care appointments — including medical, dental, mental health and substance use disorder visits — at no cost to you.



Prescriptions

Prescription Drug Coverage

Services through Express Scripts® and in the broadest Medica Part D-covered list of medications filled nationwide.

 


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Vision and Eyewear

See better with regular vision care. This 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®.



Healthy Pregnancy Program

Ovia HealthTM apps for health, fertility, pregnancy and parenting support for women 18-46; also 1:1 coaching and guidance; home-delivered vitamins and supplements.

 

 


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24/7 Nurse Line

Talk to a registered nurse any time of day or night with NurseLine™ by HealthAdvocate™. The nurses can answer your questions and provide guidance about your care options.



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FOODRx Program

For eligible members, providing medically tailored and culturally relevant staple foods, nutrition education and food referrals for chronic conditions.

 


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Large Provider Network

You choose your own doctor from our large network of health care providers.

 


No Plan Premiums

$0 Premiums

Medical Premiums

The Part B premium is covered for full-dual members. That means you don't pay a monthly premium for Medica AccessAbility Solution Enhanced, nor are there any deductibles, copays or coinsurance for medical care. If you have Medicare, you must get most of your prescription drugs through a Medicare Part D prescription drug plan. You may have a Part D plan premium. You may also have a copay with no monthly limit for some of these services.

Part D Premiums

If you qualify for a Medicare Advantage (HMO-SNP) plan like Medica AccessAbility Solution Enhanced, you automatically qualify for Extra Help with your Part D prescription drug costs. Those who qualify for Medica AccessAbility Solution Enhanced are Low-Income Subsidy (LIS) eligible. You may have deductibles and copays for Part D drugs.



Medica AccessAbility Solution Enhanced is a health plan that contracts with both Medicare and 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 September 2020

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