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Medicare Advantage · 1876 Cost · 2027

Medica Prime Solution Premier (Cost)

Medica H2450-0433.0 CMS rating for 2027
Is it offered where you live?

No referral needed to see a specialist

At a glance: $216 monthly premium and $0 primary care visits.

This plan does not include Part D drug coverage. Before enrolling, confirm how your prescriptions will be covered. Read before you enroll

Monthly premium
$216
Part B premium separate
Yearly limit
$4,450
Most you’d pay for in-network care
Hearing
$549–$1,299
Copay per hearing aid
Doctor visits
$0
Primary care · specialists $0

Check this plan for you

Add your doctors to see if they’re in this plan’s network.

Your doctors
Not checked yetSee if they’re in this plan’s network
Your prescriptionsReview
No drug coverage with this planCheck whether your current drug coverage is creditable
Extra benefits
5 includedHearing · Vision · OTC allowance · Dental · Fitness

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Talk with a licensed advisor

A licensed agent can review this plan and other plans in your area that fit your needs.

TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST

Before you enroll

Prescription coverage and who this plan may fit

This plan does not include Part D drug coverage

Before enrolling, confirm how your prescriptions will be covered. You can add a separate Part D plan to this plan. A gap in creditable drug coverage may lead to a Part D late enrollment penalty later.

Part D late enrollment penalty

If you go 63 days or more in a row after your Part D initial enrollment period without Part D or other creditable prescription drug coverage, you may owe a penalty if you join Part D later. The penalty is 1% of the national base beneficiary premium ($38.99 in 2026) for each full uncovered month. It is added to your monthly Part D premium for as long as you have Part D, and the base premium can change each year.

Who this type of plan may fit

MA-Only plans are generally considered by people who already have creditable prescription drug coverage, such as coverage from the VA, TRICARE, or a current or former employer or union. Your coverage provider (not this page) must tell you whether your current drug coverage is creditable.

Before you enroll

  • Find your current plan's annual Notice of Creditable Coverage or ask its benefits administrator.
  • Do not drop existing drug coverage until you understand how the change affects both coverages.
Review the creditable coverage checklist

Costs and copays

Deductible, yearly limit, visits, hospital stays and drug coverage
Medical deductiblePer year
$0
Drug coveragePart D
Not included
Yearly limitIn-network care, not counting drugs
$4,450
Primary doctorPer visit
$0
SpecialistPer visit · no referral needed
$0
Hospital stayNo limit on covered hospital days
Days 1-5: $200/day, Days 6-90: $0/day
Inpatient mental healthHospital stay
Days 1-5: $200/day, Days 6-90: $0/day
Outpatient surgeryPer procedure
$200
Emergency roomPer visit
$130
Urgent carePer visit
$0

Our take

Where this plan shines, and what to know

Where this plan shines

  • This plan’s out-of-pocket maximum is below the national median.
  • See your primary doctor for $0.
  • The specialist copay ($0) is among the more affordable options.
  • No separate medical deductible.

Things to know before you enroll

  • Limited coverage while traveling outside the plan’s service area.
  • Does not include prescription drug coverage. You can add a separate Part D plan to this plan.
  • Late enrollment penalty risk if you go without creditable drug coverage for 63+ days.

Similar plans

Other Medicare Advantage plans offered in Iowa and Nebraska

Common questions

6 answers about this plan

What does Medica Prime Solution Premier (Cost) (1876 Cost) cover?

Medica Prime Solution Premier (Cost) (1876 Cost) is a Medicare Advantage plan that the current plan record identifies as not including Part D prescription drug coverage. The plan record does not identify Part D prescription drug coverage. Published supplemental benefits include dental (Routine dental benefit), vision ($100/yr eyewear allowance), hearing ($549–$1,299 copay per hearing aid), and over-the-counter (OTC) ($50 per 6 months OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Medica Prime Solution Premier (Cost) (1876 Cost) cost in 2027?

The published 2027 monthly plan premium for Medica Prime Solution Premier (Cost) (1876 Cost) is $216. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The in-network medical out-of-pocket maximum is $4,450; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.

Can I use my current doctors with Medica Prime Solution Premier (Cost) (1876 Cost)?

CMS lists Medica Prime Solution Premier (Cost) (1876 Cost) as a 1876 Cost plan. The plan record says specialist referrals are not required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Does Medica Prime Solution Premier (Cost) (1876 Cost) include prescription drug coverage?

Medica Prime Solution Premier (Cost) (1876 Cost) is listed in the current plan record as a Medicare Advantage plan without Part D prescription drug coverage. You can add a separate Part D plan to this plan. Confirm how your prescriptions will be covered before enrolling.

Browse standalone Part D plans

What extra benefits does Medica Prime Solution Premier (Cost) (1876 Cost) offer beyond Original Medicare?

The current plan record for Medica Prime Solution Premier (Cost) (1876 Cost) lists dental (Routine dental benefit), vision ($100/yr eyewear allowance), hearing ($549–$1,299 copay per hearing aid), over-the-counter (OTC) ($50 per 6 months OTC allowance), and fitness ($0 fitness benefit). The current data does not list transportation and meals as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.

When can I enroll in Medica Prime Solution Premier (Cost) (1876 Cost)?

Medica Prime Solution Premier (Cost) (1876 Cost) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

Plan documents

Summary of Benefits and Evidence of Coverage

Talk to a licensed agent

Talk with a licensed advisor

A licensed agent can review this plan and other plans in your area that fit your needs.

TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST

Medica Prime Solution Premier H2450-043 (Cost) — 2027 Costs & Benefits