Medica Prime Solution Core (Cost)

H2450 - 046 - 0
4 out of 5 stars (4 / 5)

medica medicare provider logo

Medica Prime Solution Core (Cost) is a Medicare Advantage Plan by Medica.

This page features plan details for 2025 Medica Prime Solution Core (Cost) H2450 – 046 – 0 available in Select counties in NE, KS, IA.

Locations

Medica Prime Solution Core (Cost) is offered in the following locations.

Plan Overview

Medica Prime Solution Core (Cost) offers the following coverage and cost-sharing.

Insurer:Medica
Health Plan Deductible:$0
MOOP:$4,000 In-network
Drugs Covered:No

Ready to sign up for Medica Prime Solution Core (Cost) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

Medica Prime Solution Core (Cost) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$185.00 $99.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Medica Prime Solution Core (Cost) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Endodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Implant Services
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Maxillofacial Prosthetics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Orthodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Periodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Prosthodontics, fixed
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Prosthodontics, removable
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Restorative Services
    • In-Network: No Coins – No Co pay (Limits Apply)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – No Copay (Limits Apply)
  • Fluoride Treatment
    • In-Network: No Coins – No Copay (Limits Apply)
  • Oral Exams
    • In-Network: No Coins – No Copay (Limits Apply)
  • Other Diagnostic Dental Services
    • In-Network: No Coins – No Copay (Limits Apply)
  • Other Preventive Dental Services
    • In-Network: No Coins – No Copay (Limits Apply)
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay (Limits Apply)

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • $30-150 copay
  • Outpatient x-rays
    • $10 copay
  • Diagnostic tests and procedures
    • $10-25 copay
  • Lab services
    • $0 copay

Doctor visits

  • Primary
    • $10 copay per visit
  • Specialist
    • $25 copay per visit

Emergency care/Urgent care

  • Emergency
    • $125 copay per visit (always covered)
  • Urgent care
    • $10-25 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • $25 copay
  • Routine foot care
    • Not covered

Ground ambulance

    • $50 copay

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • $0 copay
  • Hearing aids
    • $0 copay (Limits Apply)
  • Hearing aids OTC
    • $0 copay
  • Medicare-Covered Hearing Exam
    • $10-25 copay

Inpatient hospital coverage

    • $400 per stay

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $4,000 In-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • 20% coinsurance per item
  • Diabetes supplies
    • 0-20% coinsurance per item
  • Prosthetics (e.g., braces, artificial limbs)
    • 20% coinsurance per item

Medicare Part B drugs

  • Other Part B drugs
    • 0-20% coinsurance
  • Chemotherapy
    • 0-20% coinsurance

Mental health services

  • Outpatient group therapy visit with a psychiatrist
    • $25 copay
  • Inpatient hospital – psychiatric
    • $400 per stay
  • Outpatient group therapy visit
    • $10 copay
  • Outpatient individual therapy visit
    • $10 copay
  • Outpatient individual therapy visit with a psychiatrist
    • $25 copay

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • $150 copay per visit

Preventive care

    • $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • $25 copay
  • Occupational therapy visit
    • $25 copay

Skilled Nursing Facility

    • $0 per day for days 1 through 20
      $50 per day for days 21 through 100

Transportation

    • Not covered

Vision

  • Other
    • $0 copay (Limits Apply)
  • Contact lenses
    • $0 copay (Limits Apply)
  • Eyeglass frames
    • $0 copay (Limits Apply)
  • Routine eye exam
    • $0 copay (Limits Apply)
  • Eyeglass lenses
    • $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • $0 copay (Limits Apply)
  • Upgrades
    • $0 copay (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Medica Prime Solution Core (Cost) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on Medica Prime Solution Core (Cost)? See 2025 Medica Prime Solution Core (Cost) at MedicareAdvantageRX.com.

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