Medica Prime Solution Core (Cost)

Medicare Plan Details (2023 Plan)

Monthly Premium

by Medica

Additional Coverage

HearingVisionDental

Overall Government Star Rating

4.5

out of 5 stars

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

Monthly Premium

$76

Health Portion of Premium

$76

Drug Portion of Premium

Health Plan Deductible

Health Plan Max Out-of-Pocket

$4,000 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

http://medica.com/Members

Plan Link

http://medica.com

Doctor Services

Primary doctor visit

$0 copay

Specialist visit

$15 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures

$0-15 copay

Lab services

$0 copay

Diagnostic radiology services (like MRI)

$30-150 copay

Outpatient x-rays

$10 copay

Emergency care

$50 copay per visit (always covered)

Urgent care

$0-20 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

$300 per stay

Outpatient hospital coverage

$150 copay per visit

Skilled nursing facility

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

Preventive services

$0 copay

Ambulance

Ground ambulance

$50 copay

Therapy services

Occupational therapy visit

$15 copay

Physical therapy & speech & language therapy visit

$15 copay

Mental health services

Outpatient group therapy with a psychiatrist

$15 copay

Outpatient individual therapy with a psychiatrist

$15 copay

Outpatient group therapy visit

$0 copay

Outpatient individual therapy visit

$0 copay

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

20% coinsurance per item

Prosthetics (like braces, artificial limbs)

20% coinsurance per item

Diabetes supplies

$0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Chemotherapy drugs

20% coinsurance

Other Part B drugs

20% coinsurance

Hearing

Hearing exam

$0-15 copay

Fitting/evaluation

$0 copay

Hearing aids - All types

$0 copay

Preventive Dental

Oral exam

$0 copay

Cleaning

$0 copay

Fluoride treatment

$0 copay

Dental x-rays

$0 copay

Comprehensive dental

Non-routine services

$0 copay

Diagnostic services

$0 copay

Restorative services

$0 copay

Endodontics

$0 copay

Periodontics

$0 copay

Extractions

$0 copay

Prosthodontics, other oral/maxillofacial surgery, other services

$0 copay

Vision

Routine eye exam

$0 copay

Contact lenses

$0 copay

Eyeglasses (frames & lenses)

$0 copay

Eyeglass frames (only)

$0 copay

Eyeglass lenses (only)

$0 copay

Upgrades

$0 copay

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Limited coverage

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Not covered

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Summary rating of health plan quality

4.5

Staying healthy: screenings, tests, & vaccines

Managing chronic (long term) conditions

Member experience with health plan

Member complaints & changes in the health plan's performance

Health plan customer service

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

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Medicare Health Plans

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Speak with a Licensed Insurance Agent

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! Plan availability depends on your location. Licensed agents may not be able to provide assistance for all plans shown on this site.

Health Plan Radar

In this article we rank Nebraska Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Health Plan Radar

The Medicare landscape in Nebraska is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Nebraska.

Medica Prime Solution Core (Cost)

Medicare Plan Details (2023 Plan)

Monthly Premium

by Medica

Additional Coverage

Overall Government Star Rating

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

Plan Details

Medical Benefits

Doctor Services

Tests, labs, & imaging

Hospital Services

Skilled nursing facility

Preventive services

Ambulance

Therapy services

Mental health services

Opioid treatment services

Other services

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Extra Benefits

Hearing

Preventive Dental

Comprehensive dental

Vision

Other benefits

Health Plan Star Ratings

(government star ratings are out of 5 stars)

When Can I Sign Up for Medicare?

Ready to Enroll Online?

Medicare Health Plans

Get Advice & Sign Up Help

Best Nebraska Medicare Advantage Health Insurance Companies for 2023

New Nebraska Medicare Advantage Health Insurance Companies for 2023