Jeffrey Wade
Medica is an independent, nonprofit company that offers health insurance plans to individuals of all ages and life stages. It is one of the largest health insurers in the Upper Midwest, with 1.4 million members across Minnesota, Wisconsin, North Dakota, South Dakota, and other states. Medica provides a wide range of health coverage options, including plans for Medicare and Medicaid beneficiaries. The company has achieved the highest accreditation status, Excellent, from the National Committee for Quality Assurance (NCQA) for its Minnesota Medicaid HMO plans and commercial fully-insured health plans in several states. Members can renew their Medica Medicaid health plan each year through a process called redetermination.
| Characteristics | Values |
|---|---|
| Medica | An independent and nonprofit company |
| One of the largest health insurers in the Upper Midwest | |
| Offers health insurance choices to individuals of all ages and life stages | |
| Provides a broad range of health coverage options to employers and to Medicare and Medicaid beneficiaries | |
| Has the highest accreditation status, Excellent, from the National Committee for Quality Assurance (NCQA) for its Minnesota Medicaid HMO plans | |
| Has achieved Quality Plus Distinction for Physician and Hospital Quality from the NCQA | |
| Has one of the region's largest networks, with more than 200 hospitals, thousands of clinics, and nearly 27,000 healthcare providers | |
| Offers access to one of the largest national networks | |
| Medica Medicaid Plan | Needs to be renewed each year |
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What You'll Learn
- Medica health insurance plans are available in Minnesota, Wisconsin, North Dakota, and South Dakota
- The company offers a broad range of health coverage options to individuals of all ages
- Medica has the highest accreditation status, Excellent, from the NCQA for its Medicaid plans
- The Medica Choice network includes more than 200 hospitals and thousands of clinics
- To renew your Medica Medicaid plan, you must update and confirm eligibility annually
Medica health insurance plans are available in Minnesota, Wisconsin, North Dakota, and South Dakota
Medica offers health insurance plans in Minnesota, Wisconsin, North Dakota, and South Dakota. In Minnesota, Medica offers a range of plans, including the Medica ACO Plan, an Accountable Care Organization (ACO) with a network of doctors, nurses, and healthcare providers who coordinate to provide healthcare, information, and support to members. The ACO plan has low rates, low copays, and high member satisfaction. To be eligible for this plan, individuals must live or work in specific counties in Minnesota, including Kittson, Marshall, Pennington, Polk, Red Lake, or Roseau.
Medica also offers the Choice National plan in Minnesota, which includes travel benefits and access to a wide range of healthcare providers both within and outside the state. The Choice Regional plan is available in Greater Minnesota, including Morris, Crookston, and Rochester, and provides access to a statewide network of over 13,000 physicians and more than 200 hospitals. Additionally, Medica offers individual and family plans in select counties in North Dakota for those without Medicare. These plans offer affordable options with potential financial assistance and preferred insulin rates.
In South Dakota, Medica works with the Department of Social Services to provide Medicaid coverage for low-income families, including regular check-ups, dental and vision care, and full coverage for pregnant women who meet income and resource limits. The CHOICES waiver is another program offered by Medica in South Dakota, which provides services for children and adults with intellectual and developmental disabilities. This program assists individuals in accessing services, residential support, and health and safety needs.
Medica also has a presence in Wisconsin, where they collaborate with WisCovered.com to help residents find affordable health insurance options, including Medicaid and federal Marketplace plans. WisCovered.com provides free access to trained insurance experts who can guide individuals in finding the right coverage and exploring financial assistance options.
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The company offers a broad range of health coverage options to individuals of all ages
Medica is an independent, nonprofit company that provides health insurance to individuals of all ages and life stages. It is one of the largest health insurers in the Upper Midwest, with 1.4 million members in Minnesota, Wisconsin, North Dakota, South Dakota, and other states.
Medica offers a broad range of health coverage options, including employer-provided health plans and individual/family plans. The Medica Choice network is one of the region's largest, with more than 200 hospitals, thousands of clinics, and nearly 27,000 healthcare providers. The company also provides access to a vast national network, including nearly 5,000 hospitals, hundreds of thousands of pharmacies and clinics, and 500,000 healthcare professionals across the country.
Medica's plans include a travel benefit that covers healthcare as in-network when individuals are traveling outside of their plan's service area. This benefit also applies to dependents who are college students living outside of the plan's service area. Medica also offers a range of tools, support, and teamwork to help businesses manage the health of their employees and find the right coverage for their clients.
Medica has achieved the highest accreditation status, "Excellent," from the National Committee for Quality Assurance (NCQA) for its Minnesota Medicaid HMO plans and commercial fully-insured health plans in several states. The company has also received awards for its health plan leadership, disease management programs, and breast cancer screening initiatives.
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Medica has the highest accreditation status, Excellent, from the NCQA for its Medicaid plans
Medica is a health insurance company that has been accredited by the National Committee for Quality Assurance (NCQA) since 1994. The NCQA is a private, non-profit organisation that evaluates and accredits health care organisations. It assesses how well a health plan manages quality throughout its delivery system, providing information to consumers, purchasers, health care providers, and researchers.
Medica has achieved the highest accreditation status, 'Excellent', from the NCQA for its Medicaid plans. This status is reserved for the best health plans in the nation, recognising those that meet or exceed rigorous requirements for consumer protection and quality improvement.
Medica's Minnesota Medicaid HMO was ranked highest in the state and fourteenth in the United States by the NCQA in 2012. The ranking recognised Medica's ability to work with members and physicians to improve the quality of care and highlighted the critical partnerships between the health plan, members, and providers.
Glenn Andis, Medica's senior vice president of government programs, expressed honour at the ranking, stating that it "demonstrates our ability to work with our members and their physicians to improve the quality of care." NCQA President Margaret O'Kane emphasised the exclusivity of the Excellent Accreditation status, stating that it is only awarded to health plans delivering excellent clinical care.
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The Medica Choice network includes more than 200 hospitals and thousands of clinics
Medica is an independent, nonprofit company that offers health insurance plans to individuals of all ages and life stages. It is one of the largest health insurers in the Upper Midwest, with 1.4 million members in Minnesota, Wisconsin, North Dakota, South Dakota, and other states.
The Medica Choice network is one of the largest in the region, with a wide range of healthcare providers. It includes more than 200 hospitals, thousands of clinics, and nearly 27,000 healthcare providers. This includes the Medica Choice Passport, which gives employees access to a national network of providers, and the Medica CompleteHealth plan, which provides access to more than 20 hospitals and 60 clinics in southern Minnesota and western Wisconsin.
The Medica Choice network also includes the Essentia Choice Care plan, which offers access to 14 hospitals, over 78 clinics, and more than 2,200 physicians and advanced practitioners in northeastern and western Minnesota, North Dakota, and northwestern Wisconsin. In addition, the VantagePlus plan includes more than 4,800 providers, 650 clinics, and 11 hospitals in the Twin Cities metro area and surrounding counties.
Medica Choice also provides access to one of the largest national networks, with nearly 5,000 hospitals, hundreds of thousands of pharmacies and clinics, and 500,000 healthcare professionals across the country. The Choice National plan, for example, offers statewide coverage with more than 13,000 physicians and more than 200 hospitals, as well as national coverage with more than 659,000 healthcare providers through the United Healthcare Options PPO network.
Medica offers a broad range of health coverage options, including plans for individuals, families, and employers, as well as Medicare and
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To renew your Medica Medicaid plan, you must update and confirm eligibility annually
Medica is an independent and nonprofit company that offers health insurance choices to individuals of all ages and life stages. It provides a broad range of health coverage options to employers, Medicare, and Medicaid beneficiaries.
Medicaid beneficiaries must renew their coverage annually. This is called an annual renewal. If your local department of social services (DSS) has all the information to complete your renewal, it will be reviewed automatically. You will receive a letter in the mail informing you if your coverage will continue for another year. If your renewal cannot be completed automatically, you will receive a paper renewal form in the mail. This means you must take action to renew your health coverage. If you do not complete your renewal, you will lose your Medicaid health coverage.
To renew your Medica Medicaid plan, you must update and confirm your eligibility annually. You can renew your coverage by phone, mail, or in person. By phone, call Cover Virginia at 1-855-242-8282 (TTY: 1-888-221-1590). This call is free. By mail or in person, fill out the paper renewal form and return it to your local DSS.
To confirm your eligibility, you may need to provide the following information:
- Full legal name, date of birth, Social Security number, and citizenship or immigration status for you and anyone in your household who is renewing
- Most recent federal tax filing information (if available)
- Job and income information for members of your household for the month prior to the current month, including recent pay stubs or W-2s
- Information about other taxable income for members of your household
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Frequently asked questions
Medica is an independent, nonprofit company and one of the largest health insurers in the Upper Midwest. It offers a broad range of health coverage options to individuals of all ages and life stages, as well as employers and Medicare and Medicaid beneficiaries.
Yes, Medica offers Medicaid plans.
You can check the front of your Medica insurance ID card to find your Care Type.
You need to renew your Medica Medicaid plan each year. This is called redetermination. You will need to update and confirm your Medical Assistance or MinnesotaCare eligibility.
The Medica Choice network includes more than 200 hospitals, thousands of clinics, and nearly 27,000 healthcare providers in the region. It also offers access to a large national network with nearly 5,000 hospitals, hundreds of thousands of pharmacies and clinics, and 500,000 healthcare professionals across the country.
