Employee Benefits
Group Health Care Plans
Medica is a leader in the health care industry and provides an array of health care plan designs and wellness and disease management tools designed to fit the needs of small, medium and large groups. For a no-obligation consultation with a Medica representative, contact Minnesota Chamber staff member Mary Bethke at mbethke@mnchamber.com or 651-292-4672.
Medica is the fastest growing health plan in the Midwest, serving approximately 1.3 million members and over 12,000 employer groups. That’s because we offer:
- A plan right for any group. Whether you’re looking for a traditional open access plan with maximum flexibility or a consumer-directed or tiered network, we have a plan to meet your needs.
- Tremendous access. Over 96% of Minnesota physicians participate in our network.
- Terrific service. We’ll never take you for granted. We pride ourselves on not only being responsive to your needs, but anticipating them.
- Innovative programs to help employees stay fit and healthy. . Healthy employees not only feel better, but they’re less costly to insure. Medica will partner with you to help your employees maximize their health.
Representatives from the Minnesota Chamber of Commerce and Medica will work with you to determine the fully or self-insured plan that best meets your needs—whether you have 5 employees or 50,000.
A snapshot of the Medica plans
Medica FocusSM
Our newest product, Medica Focus provides an exciting opportunity for Twin Cities’ employers to offer comprehensive benefits at a more affordable price. Medica Focus is an open access plan that features premiums that are 20% lower than similar plans with broader access. Medica Focus achieves its savings through a specially designed network of providers with a proven track record of providing efficient care, plus a benefit design that promotes prevention, rewards network care, and manages drug costs and other high cost medical treatments.
Medica Choice®
Our popular open access plan favored by employers who want to offer maximum flexibility and broad access. Medica Choice products take advantage of Medica’s largest open access network, including nearly 27,000 providers and 165 hospitals in Minnesota, western Wisconsin, North Dakota and South Dakota.
Passport from Medica SM
Our fastest growing plan featuring national network access. Multi-state employers need an effective, convenient network solution for their employees who are located in more than one state. Offering multiple plans is a cumbersome and often expensive way to address this issue. Passport from Medica offers extensive network access throughout the region and across the nation. Members located within Medica’s service area—Minnesota, western Wisconsin, North Dakota and South Dakota—have access to the Medica Choice network—one the region’s largest networks. Those located outside of our service area may access UnitedHealthcare’s national network—one of the nation’s largest with 535,000 providers and 4,700 hospitals.
Whether you need coverage in two states or coast-to-coast, Medica makes it seamless: One contract, one bill, one enrollment process, one ID card and consistent benefits for all employees, regardless of where they live. All employees have the same access to such value-adds as wellness and disease management programs, nurse line, and a helpful member web site.
Consumer-Directed Health Plans
Our consumer-directed plans that help employers provide an affordable, quality health plan for their employees. Our consumer-directed plans reward employees who make thoughtful, cost-conscious decisions about the care they receive through lower out-of-pocket costs. Through the use of online decision support tools, they can become better informed about their healthcare options, allowing them to become better healthcare consumers.
Health savings accounts, health reimbursement accounts, or flexible spending accounts options are available, depending upon group size. Your Medica Sales Representative will help you choose the plan right for your group.
Patient Choice Insights SM by Medica
Our innovative tiered network plan. Patient Choice Insights by Medica tiers providers, care systems and hospitals based on cost, efficiency and quality measures. Providers compete for patients based on these cost and quality measures. Providers who have a lower total cost of providing care and meet standard quality measures, have a higher value and, generally, lower copayments and coinsurance.
Medica Elect®/Medica Essential SM
A cost-effective care system model. Medica Elect and Medica Essential members select a care system and a primary care physician who coordinates their care. Members may opt to see a provider outside of the network but receive a lower benefit level. Urgent care/emergency care is open access, anywhere, anytime. Employers choose Medica Elect or Medica Essential based on the care system most appropriate for their employees. Employers realize a significant cost savings when offering these plans alone or pairing then with a Medica Choice or Passport product.
Medica’s Value-added services
- My Health Manager from MedicaSM: Healthy employees not only feel better, but they’re less expensive to insure which means lower premiums for everyone. That’s why we offer My Health Manager from Medica, a state-of-the-art online health management center. My Health Manager helps employees make the most of their health. It’s a fun, incentive-based program, featuring quarterly activities, health challenges, and online seminars.
- Disease management programs and programs that promote smoking cessation, healthy pregnancies and more.
- myMedica.com: Choose a provider, view claims and payment information, verify your coverage, get valuable health information, and so much more. Just register at myMedica.com to get started!
- Travel program: On vacation? Away at college? Now Medica members who are traveling outside of the service area are covered. Simply see a provider within the UnitedHealthcare national network for chronic, urgent, or emergent care needs and receive in-network benefits.
- Employee assistance program: When employees are dealing with personal problems, help is just a phone call away. Day or night, your employees can obtain assistance from counselors for personal or job-related issues.
- 24/7 nurse line: Employees may speak to an experienced registered nurse day or night about their health concerns.
- Discounted health club memberships.
- Online resources that allow employers to easily put together worksite wellness programs.
Need more information or like a quote?
Ask your Chamber Representative or contact Medica Sales at (952) 992-3055 or (800) 371-1613. And be sure to visit us online at www.medica.com. We look forward to talking with you.
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