Medica HealthCare Medicare Advantage plans are HMO plans with prescription drug coverage in Miami-Dade and Broward counties. These plans include benefits in addition to those covered under Original Medicare, including an integrated Medicare Part D prescription drug benefit.
Health Maintenance Organization (HMO) plans have a defined network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies. The Medica Healthcare HMO plans require referrals for specialty care.
Medica HealthCare is insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
Coverage options may vary depending upon your location. To learn more about a plan in your service area, go to Medicaplans.com.
To learn more about Medicare Part D prescription drug coverage or to access related forms, please review the Prescription Drug Resources materials available on MedicaPlans.com. This section contains information and forms for direct member reimbursement, medication prior authorization, and the prescription drug transition process.