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Medica preparing for 2021 Individual Market launch

Minnesota | Iowa | KansasMissouri | Oklahoma | Nebraska | North Dakota | Wisconsin

Minnesota

New Minnesota 2021 Product & Plan Offerings
  • Twin Cities Metro: 
    • Introducing a new Care System Provider Network option featuring M Health Fairview. 
    • Bold by M Health Fairview and Medica will be available to residents in Anoka, Dakota, Carver, Hennepin, Ramsey and Washington counties. 
Continued Minnesota 2021 Plan Offerings
  • Minnesota: 
    • Continue to offer Medica Applause (Broad Provider Network plans), Altru Prime by Medica, Engage By Medica, North Memorial Acclaim by Medica and Ridgeview Distinct by Medica (Care System Provider Network plans).
    • Redwood County will be removed from the Engage by Medica service area.
    • No change in service area availability for all other products.

Iowa

New Iowa 2021 Product & Plan Offerings
  • Iowa City, Iowa:  
    • Introducing a new Care System Provider network option featuring the University of Iowa Hospitals and Clinics.  
    • Empower by Medica will be available to residents in Johnson County, Iowa. 
  • Council Bluffs, Iowa:  
    • Expanding the Elevate by Medica (Methodist and Nebraska Medicine) service area by adding two counties - Cass & Montgomery.  
Continued Iowa 2021 Plan Offerings
  • Iowa: 
    • Continue to offer Elevate by Medica, Inspire by Medica, and Medica with CHI Health (Care System Provider Network plans) and Medica Insure (Broad Tiered Provider Network plans). 
    • No change in service area for Inspire by Medica or Medica Insure. 

Kansas

New Kansas 2021 Product & Plan Offerings
  • Wichita Metro: 
    • Expanding the Medica with Healthier You, (Ascension Via Christi Health) service area by adding one county - Harvey. 
  • Kanas City, KS Metro: 
    • Expanding the Select by Medica (Saint Luke’s, Stormont Vail and Children’s Mercy) service area by adding three counties - Allen, Anderson and Franklin. 
Continued Kansas 2021 Plan Offerings
  • Kansas: 
    • Continue to offer Medica with Healthier You, Select by Medica (Care System Provider Network plans) and Medica Connect (Broad Provider Network plans). 
    • No change in service area for Medica Connect.

Missouri

New Missouri 2021 Product & Plan Offerings
  • Kanas City, MO Metro: 
    • Expanding the Select by Medica (Saint Luke’s, Stormont Vail and Children’s Mercy) service area by adding three counties - Carroll, Linn and Mercer. 
  • Columbia, Missouri: 
    • Introducing a new Care System Provider network option featuring the University of Missouri.
    • Medica with MU Health Care will be available to residents in Boone, Callaway, Camden, Cole, Cooper, Howard, Miller, Moniteau, Morgan, and Osage counties. 
  • Springfield, Missouri:  
    • Introducing a new Care System Provider network option featuring Mercy Health System. 
    • Balance by Medica, delivered by Mercy, will be available to residents in Barry, Cedar, Christian, Dade, Dallas, Vernon, Jasper, Newton, McDonald, Saint Clair, Lawrence, Hickory, Polk, Greene, Stone, Webster, Laclede, Wright, Texas, Howell counties. 
Continued Missouri 2021 Plan Offerings
  • Missouri: 
    • Continue to offer Select by Medica (Care System Provider Network plans).

Oklahoma

New Oklahoma 2021 Product & Plan Offerings
  • Oklahoma City, Oklahoma: 
    • Introducing a new Care System Provider network option featuring Mercy Health System. 
    • Balance by Medica, delivered by Mercy, will be available to residents in Canadian, Logan, and Oklahoma counties. 
    • Expanding the Harmony by Medica service area by adding one county - Pottawattamie.
Continued Oklahoma 2021 Plan Offerings
  • Oklahoma: 
    • Continue to offer Harmony by Medica (Care System Provider Network plans) and Medica Quest (Broad Provider Network plans).
    • No change in service area for Medica Quest.  

Nebraska

Continued Nebraska 2021 Plan Offerings
  • Nebraska: 
    • Continue to offer Medica Insure (Broad Provider Network plans), Elevate by Medica and Medica with CHI Health (Care System Provider Network plans).
    • Adding Hamilton and Kearney counties to the Medica with CHI Health service area. 
    • No change in service area for Medica Insure or Elevate by Medica.

North Dakota

Continued North Dakota 2021 Plan Offerings
  • North Dakota: 
    • Continue to offer Medica Individual Choice (Broad Provider Network plans) and Altru Prime by Medica (Care System Provider Network plans).
    • No changes in service area for Altru Prime by Medica.
    • Changing the Medica Individual Choice service area by removing two counties - Burleigh and Morton.

Wisconsin

Continued Wisconsin 2021 Plan Offerings
  • Wisconsin: 
    • Continue to offer Medica Individual Choice (Broad Provider Network plans) and Engage by Medica (Care System Provider Network plans).
    • No change in county service area for Medica Individual Choice or Engage by Medica.
Other Program Changes for 2021
  • Our $25 Insulin Copay Program will be available with products in all states. 
  • Off-Marketplace plans will be available through the Broker Portal in most states.  
  • We’re enhancing our behavioral health network access and member support by moving to the Optum Behavioral Health national solution.   
  • A national travel network will no longer be available. Coverage will continue for emergency care outside a member’s product network, and medically necessary care when authorized in advance by Medica.
Many more details will be provided at one of our Broker Forums. Be sure to register if you have not already via our Medica Broker Portal > Training + Events.

Quoting Available Oct. 1 
You can begin quoting our 2021 portfolio on the Medica Broker Portal starting the beginning of October. We’ll accept enrollments Nov. 1 when the Open Enrollment Period begins. 

Enrollment Options 
Consumers can enroll in a plan through their state Health Insurance Marketplace or directly through Medica (off-Marketplace).*

*Off-Marketplace plans will be available through the Broker Portal in all states except in Oklahoma where off-Marketplace plans will be available through a paper application process only. 

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