Medica Insure: Understanding Your Health Insurance Options

what is medica insure

Medica is an independent, non-profit health insurance company, providing coverage to approximately 1.5 million members in Minnesota, Wisconsin, North Dakota, South Dakota, and other states. The company offers a wide range of health insurance options to individuals of all ages, including students, recent graduates, people between jobs, and the self-employed. Medica's insurance plans include the Medica Choice network, which provides access to thousands of clinics and nearly 27,000 healthcare providers, as well as a national network of nearly 5,000 hospitals and 500,000 healthcare professionals. The company also offers group health insurance plans for businesses and has achieved high accreditation for its Medicaid and commercial health plans.

Characteristics Values
Company Headquarters Minneapolis-St. Paul
No. of Members 1.4-1.5 million
Member States Minnesota, Wisconsin, North Dakota, South Dakota, Nebraska, and Missouri
Networks Insure Network, Applause, Altru, Inspiration by HealthEast, Acclaim by North Memorial, Medica with Mayo Clinic, Choice National, Choice Regional, etc.
Services Individual/family plans, group health insurance, ACO plans, etc.
Awards Driving Value in Health Care Award, National Business Coalition on Health eValue8 Innovation awards, HealthLeaders magazine Top U.S. Health Plan Leadership Team, Best Disease Management Program, Golden Hera Award for breast cancer screening program, Excellent accreditation status by NCQA

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Medica's vision and values

Medica is an independent, non-profit health insurance company headquartered in Minneapolis, Minnesota, with a presence in Wisconsin, North Dakota, South Dakota, and other states. It has approximately 1.5 million members and is one of the largest health insurers in the Upper Midwest.

Medica's vision is to become the community's health plan of choice, trusted for its integrity, respected for its service, and admired for its commitment to innovation and efficiency. The company aims to provide accessible, high-quality healthcare to individuals of all ages and life stages, including recent graduates, people between jobs, and the self-employed.

To achieve this vision, Medica offers a broad range of health coverage options and related services to individuals, employers, and Medicare and Medicaid beneficiaries. Their network includes thousands of clinics, hospitals, and healthcare professionals, ensuring that their members have access to a wide range of healthcare providers.

Medica also recognises the importance of community partnerships and initiatives to improve the availability, access, and quality of healthcare. The Medica Foundation, a non-profit charitable grant-making foundation, provided $1.4 million in grants in 2014 to fund community-based programs that aim to bring sustainable and measurable improvements in healthcare.

Medica's values revolve around integrity, service, innovation, and efficiency. The company strives to maintain the highest standards of ethics and transparency in its operations, ensuring that its members can trust the quality and reliability of their health coverage. With a focus on service, Medica aims to provide respectful, responsive, and personalised support to its members, ensuring that they feel cared for beyond just being covered by insurance.

Additionally, Medica values innovation and efficiency in its commitment to finding new and better ways to serve its members and improve healthcare outcomes. The company has achieved the highest accreditation status, "Excellent," from the National Committee for Quality Assurance (NCQA) for its Medicaid and commercial health plans, reflecting its commitment to quality and continuous improvement.

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Medica's Choice network

Medica is an independent, non-profit company that provides health insurance plans. It is one of the largest health insurers in the Upper Midwest, with its headquarters in Minneapolis, Minnesota.

Medica's vision is to become the community's trusted health plan of choice, respected for its service and admired for its commitment to innovation and efficiency. The company partners with the communities it serves, including through the Medica Foundation, which provides grants to fund community-based programs and initiatives that improve the availability, access, and quality of healthcare.

Medica offers a range of health insurance choices to individuals of all ages and life stages, including recent graduates, people between jobs, and the self-employed. It also provides health coverage options to local, regional, and national employers, as well as to Medicare and Medicaid beneficiaries.

Medica has achieved the highest accreditation status, "Excellent", from the National Committee for Quality Assurance (NCQA) for its Minnesota Medicaid HMO and commercial fully-insured health plans in multiple states.

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Medica's ACO Plan

Medica is a health services company headquartered in Minneapolis, Minnesota, with approximately 1.5 million members. It provides health care coverage in the employer, individual, Medicaid, Medicare, and Medicare Part D markets in Minnesota and select counties in North Dakota, South Dakota, and Wisconsin.

The Medica ACO Plan allows members to select any primary care provider or specialist in the network without a referral. This plan offers low rates, low copays, and high member satisfaction.

  • Altru & You with Medica: This plan is available in Kittson, Marshall, Pennington, Polk, Red Lake, or Roseau counties in Minnesota, and Benson, Cavalier, Eddy, Grand Forks, Griggs, Nelson, Pembina, Pierce, Ramsey, Rolette, Steele, Towner, Traill, or Walsh counties in North Dakota. It includes a travel benefit that covers healthcare as in-network when traveling outside the plan's service area.
  • Medica CompleteHealth: This plan is offered in partnership with the Mayo Clinic and is available in Blue Earth, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, Le Sueur, Martin, Mower, Nicollet, Olmsted, Rice, Steele, Wabasha, Waseca, Watonwan, or Winona counties in Minnesota, and select counties in Wisconsin.
  • VantagePlus with Medica: This plan is available in the Twin Cities metro area and surrounding counties, including Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Le Sueur, McLeod, Ramsey, Scott, Sibley, Sherburne, Washington, or Wright counties. It includes more than 4,800 providers, 650 clinics, and 11 hospitals.
  • Medica Choice Passport: This plan provides employees with access to a national network and the freedom to see any network provider at any time. Members benefit from network discounts and a user-friendly plan, regardless of their location.

Medica also offers a range of other health insurance options, including individual and family plans, group plans for businesses, and Medicare and Medicaid coverage. To find the best plan for your specific needs, it is recommended to discuss your options with a health insurance advisor or review the available plan descriptions on the Medica website.

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Medica's national coverage

Medica is a health services company that offers health insurance plans to individuals, families, business groups, and seniors. The company is headquartered in Minneapolis and serves approximately 1.5 million members in Minnesota, Wisconsin, North Dakota, and South Dakota.

Medica's health insurance plans provide coverage for doctor's visits, hospital stays, and travel outside of the plan's service area. They also offer access to the Mayo Clinic through the Centers for Excellence program. In addition to its regional network, Medica also provides national network coverage to employers with employees outside the Medica regional service area. This means that employees working remotely or based in different states can still benefit from their employer's Medica health plan.

Medica's individual and family plans are available both on and off the marketplace/state exchanges. The company also provides group health insurance plans for businesses, which can be discussed further by scheduling a call with a Personal Health Insurance Advisor to review the business's current plan benefits and premiums and find the best option for their specific needs.

Medica is committed to becoming the community's health plan of choice by partnering with the communities it serves. The Medica Foundation, a non-profit charitable grant-making foundation, provided $1.4 million in grants in 2014 to fund community-based programs and initiatives aimed at improving the availability, access, and quality of healthcare.

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Medica's health insurance options

Medica is an independent, non-profit company and one of the largest health insurers in the Upper Midwest. It is based in Minneapolis, Minnesota, and has 1.4-1.5 million members in Minnesota, Wisconsin, North Dakota, South Dakota, and other states.

Medica offers a broad range of health coverage options to individuals of all ages and life stages, including recent graduates, people between jobs, and the self-employed. It also provides health coverage to employers, groups, and businesses, as well as Medicare and Medicaid beneficiaries.

Medica has a large network of providers, including more than 200 hospitals, thousands of clinics, and nearly 27,000-500,000 healthcare professionals. The company offers several plan options, including:

  • The Medica Choice network, with more than 13,000 physicians and over 200 hospitals. This plan includes a travel benefit for healthcare services outside the plan's service area.
  • The Medica ACO Plan, an Accountable Care Organization (ACO) with unique networks of providers in specific areas. This plan has low rates, low copays, and high member satisfaction.
  • Choice National, which uses the Medica Choice network and provides access to over 659,000 healthcare providers through the United Healthcare Options PPO network when travelling or working outside of Minnesota.
  • Medica HSA, a high-deductible plan.

Medica also offers national network coverage to employers with employees outside the Medica regional network. The company provides quotes and allows individuals and groups to apply for health insurance plans directly or through state exchanges.

Frequently asked questions

Medica is a health services company that provides health insurance coverage to individuals, employers, and Medicare and Medicaid beneficiaries.

Medica offers a broad range of health coverage options and related services. The company has a large network of hospitals, clinics, and healthcare professionals. It also provides travel benefits and access to the Mayo Clinic through the Centers for Excellence program.

Medica offers health insurance plans for individuals of all ages and life stages, including recent graduates, people between jobs, and the self-employed. You can get a quote and apply for a Medica plan directly on their website or by scheduling a call with a health insurance advisor.

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