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Major Medical Documents

Forms

Enrollment Form (PDF)

Summary of Benefits and Coverage - Choice Passport Network

$1,500 CoPay Summary and Coverage - Choice Passport Network

$3,300 HSA Summary and Coverage - Choice Passport Network

$4,500 HSA Summary and Coverage - Choice Passport Network

$6,350 HSA Summary and Coverage - Choice Passport Network

Summary of Benefits and Coverage - Park Nicollet/Health Partners Network (Minnesota Residents Only*)

$1,500 CoPay Summary and Coverage - Park Nicollet/Health Partners

$3,300 HSA Summary and Coverage - Park Nicollet/Health Partners

$4,500 HSA Summary and Coverage - Park Nicollet/Health Partners

$6,350 HSA Summary and Coverage - Park Nicollet/Health Partners

*Minnesota Residents choose between networks at the time they choose their plan.  To learn more about the networks, visit our Network Page

Medica Insurance Company

Phone: 855-727-5178

www.medica.com

 

Additional Resources

Emotional Wellbeing Solutions (EAP)

Medica CallLink

My Health Rewards Guide

Omada for Prevention

Ovia Membership

Self Care by AbleTo Mental Health App

Virtual Care for Members

How to Find a Network Provider

Your Pharmacy Benefits Member Flier

Medica Member Account Flier

 

Disclosures

Premium Assistance (CHIP) Disclosure

 

Certificate of Coverage Book - Choice Passport Network

$1,500 CoPay Certificate of Coverage Book - Choice Passport Network

$3,300 HSA Certificate of Coverage Book - Choice Passport Network

$4,500 HSA Certificate of Coverage Book - Choice Passport Network

$6,350 HSA Certificate of Coverage Book - Choice Passport Network

 

Certificate of Coverage Book - Park Nicollet/Health Partners Network (Minnesota Residents Only*)

$1,500 CoPay Certificate of Coverage Book - Park Nicollet/Health Partners

$3,300 HSA Certificate of Coverage Book - Park Nicollet/Health Partners

$4,500 HSA Certificate of Coverage Book - Park Nicollet/Health Partners

$6,350 HSA Certificate of Coverage Book - Park Nicollet/Health Partners

*Minnesota Residents choose between networks at the time they choose their plan.  To learn more about the networks, visit our Network Page

Major Medical

Documents

Find a Doctor

FAQ

Major Medical Benefits

  • Major Medical Insurance
  • Frequently Asked Questions (Major Medical)
  • Major Medical Documents
  • Health Savings Account (HSA)

Dental, Vision, Disability, Life, Critical Illness and Accident

  • Documents and Forms
  • FAQs
  • Guardian Contact Information

Enhanced MEC Plan

  • Find a Doctor
  • Enroll Now!
  • Telemedicine – Teledoc
  • Frequently Asked Questions
  • HealthEZ Contact Information
  • Documents and Forms

Dependent Care FSA

  • Frequently Asked Questions (FSA)
  • FSA Documents
  • HealthEquity Contact Information
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