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Medicare Cost Plan · Cost · Plan ID H2450-050

Medica Prime Solution Standard (Cost)

Offered by Medica (Medica Holding Company) · available in 16 counties in WI

Monthly premium$30health coverage only
Yearly out-of-pocket max$7,150in network
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

Visionroutine eye exam
Hearingroutine hearing exam; hearing aids
Over-the-counter items$25 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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