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Medica Choice HSA


Medica Choice HSA

National network.

This health savings account (HSA) plan allows you to save money in a bank account for current or future medical expenses while enjoying access to a large national network.

Plan Highlights

  • Nationwide network
  • Save money in health savings account (HSA) for current and future medical expenses
  • No referrals needed when you see network providers

Compare Plans

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

Compare Plans

Benefit Summary for Medica Choice HSA

In-network Benefits
Annual Deductible $1,500 Single/$3,000 Family
Preventive Care 100% Coverage
Physician Care** Deductible/90%
Convenience Care Deductible/90%
Urgent Care Deductible/90%
Emergency Room Deductible/90%
Lab Deductible/90%
MRI/CT Scan Deductible/90%
Hospital Deductible/90%
Annual Out-of-Pocket Limits $3,000 Single/$6,000 Family
Must Select Primary Care Clinic No
Self-referral to Network Specialists Yes

How it Works

Choose from any doctor, clinic or facility in the large Medica Choice Passport network. While you don’t need a referral to see a specialist in the network, it’s a good idea to work closely with your primary care doctor to coordinate your health care needs.

» View the Summary of Benefits and Coverage for this plan.

» Find a physician or facility in the Medica Choice HSA network.

» Compare plans

**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
» Wellbeing program
» Pharmacy benefits


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