Medicare Advantage members

Learn about your Medica Advantage plan

St. Louis area

See 2024 New Member Guide

Summary of Benefits

Medica Advantage with SSM Value (HMO-POS)

Annual Notice of Changes (updated 10/1/2023)
Evidence of Coverage (updated 10/1/2023)

Medica Advantage Salute (HMO-POS)

MA-Only Annual Notice of Changes (updated 10/1/2023)
Evidence of Coverage (updated 10/1/2023)

Central Illinois

See 2024 New Member Guide

Summary of Benefits

OSF with Medica Advantage Value (HMO)

Evidence of Coverage (updated 10/1/2023)

OSF with Medica Advantage Select (HMO-POS)

Evidence of Coverage (updated 10/1/2023)

OSF with Medica Advantage Preferred (HMO-POS)

Evidence of Coverage (updated 10/1/2023)

Medica Advantage Salute (HMO-POS)

MA-Only Evidence of Coverage (updated 10/1/2023)

Integrity (HMO-POS)

2023 - updated 2/24/23

FlexSpend (HMO-POS)

2023 - updated 2/24/23

Evidence of coverage

Harmony (HMO-POS MA-only)

2023 - updated 2/24/23

Using your benefits

Drug list/formulary

2024 Medica Advantage with SSM Enrollment Guide - updated 10/1/23

2024 OSF with Medicare Advantage Enrollment Guide - updated 10/1/23

2023 Enrollment Guide & Summary of Benefits - updated 10/1/23

Additional benefits – 2024

Additional benefits – 2023

Pharmacy benefits

Account login

Grievance & appeal rights

Member paid claim form

View wellness programs

Network directories

Keeping you healthy

Diabetes care

If you have diabetes, you have special needs. We understand those needs, and our Medicare Advantage plans offer specific benefits for you.

Learn about diabetes care

Care management

Our care management team provides a registered nurse or social worker as your resource when health care seems complex and confusing.

Learn about care management

Other plan details

Grievance + appeal rights

Learn about your plan’s coverage decisions, appeals, and complaints processes. View the appointed representative form.

See the government Medicare website for information about filing a complaint.

Learn about grievances + appeals

National coverage determination updates

Get updates on your Medicare coverage.

More about coverage determinations

Get Medicare automatic penalty withdrawal form

View our star ratings

Questions? We can help.

Members

Talk with our Customer Care Center at 877-301-3326 (TTY: 711)

8 a.m. to 8 p.m. weekdays (year-round) and weekends (Oct. 1 – March 31).

Medica Central Health Plan
1277 Deming Way
Madison, WI 53717

Medicare Advantage members

Learn about your Medica Advantage plan

St. Louis area

Central Illinois

Integrity (HMO-POS)

FlexSpend (HMO-POS)

Harmony (HMO-POS MA-only)

Using your benefits

Network directories

Find a provider

Find a clinic, hospital

Find a pharmacy

Find a dentist

Keeping you healthy

Diabetes care

Care management

Other plan details

Grievance + appeal rights

National coverage determination updates

Questions? We can help.

Members