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Accountable Care Organization (ACO) Plan

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Accountable Care Organization (ACO) Plan

Accountable care organization network.

The accountable care organization (ACO) plan offers unique networks of providers in your area. In an ACO, Medica and the provider network work together to deliver a new level of service: seamless health care, coverage, information and support.

Plan Highlights

  • Choice of unique network of providers in your area
  • National network coverage when you travel
  • Doctors, nurses and other health care providers work together with your health plan to provide coordinated care
  • No referrals needed when you visit a provider in your ACO network

Compare Plans

You can compare this plan side-by-side with up to two other plans to see the differences between their benefits.

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Benefit Summary for Accountable Care Organization (ACO) Plan

In-network Benefits
Annual Deductible $100 Single/$200 Family
Preventive Care 100% Coverage
Physician Care** $20 Primary/$30 Specialty Copay
Convenience Care $15 Copay
Urgent Care $20 Copay
Emergency Room $100 Copay
Lab Deductible/100%
MRI/CT Scan $40 Copay
Hospital Deductible/100%
Annual Out-of-Pocket Limits $2,500 Single/$4,000 Family
Must Select Primary Care Clinic No
Self-referral to Network Specialists Yes; in ACO plan, specialist must be in your selected ACO network

How it works

This plan has a deductible for specific services and a copay for other services.  The deductible applies to lab services, inpatient and outpatient services. 

With the ACO plan, you pick your ACO network. To be eligible for the ACO, you must live in the county where the network is offered. 

Learn more about the ACO network options:
  » Altru & You with Medica.
  » Essentia Choice Care with Medica.
  » Fairview and North Memorial Vantage with Medica.
  » Inspiration Health by HealthEast with Medica.
  » Medica with Mayo Clinic Health System.
  » Park Nicollet First with Medica.
  » Ridgeview Community Network powered by Medica.

**Note: Primary Care includes Family Medicine, Internal Medicine, Obstetrics/Gynecology, and Pediatrics. The primary care copay also applies to Chiropractic, Acupuncture, Physical, Occupational, and Speech Therapy, and Mental Health/Substance Abuse. Specialty Care Provider includes all other providers.



UPlan Resources

Find more information about your UPlan benefits:
» Employee benefits
» Wellness program
» Pharmacy benefits

mymedica.com

Mymedica.com is your one-stop resource to find out what’s covered on your plan, track claims, find a provider and more. Once your plan starts, register on mymedica.com to manage your health plan.

Visit mymedica.com