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Medicare Cost Plan · Cost · Plan ID H2450-036

Medica Prime Solution Premier (Cost)

Offered by Medica (Medica Holding Company) · available in 88 counties in ND, SD

Monthly premium$227health coverage only
Yearly out-of-pocket max$3,900in network
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive dental (cleanings, exams, x-rays)
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$50 every 6 months allowance
FitnessFitness benefit (gym membership or program)

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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