Medicare Advantage · 1876 Cost
Medica
Plan year 2026

Medica Prime Solution Thrift w/Rx (Cost) H2450-007

3.5 · 2026 Star Rating · source: CMS · Ratings are updated annually
Monthly premium
$92.80
+ your Part B premium
Max out-of-pocket
$6,750
in-network annual cap
Primary care
20%
per visit copay
Specialist
20%
per visit

Your costs at a glanceIn-network, for the 2026 plan year

Medical deductible
$50
Rx deductible
$615
Inpatient hospital
Days 1-5: $350/day, Days 6-90: $0/day
Inpatient mental health
Days 1-5: $350/day, Days 6-90: $0/day
Emergency room
$125
Urgent care
$25

What's included, and what it's actually worth3 benefits included. Tap any card for the detail

Hearing

$549–$1,299copay per hearing aid
Details$549–$1,299 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP20%
In-network20% per visit
Doctor Visits: Specialist20%
In-network20% per visit
Inpatient Hospital$350/day, days 1–5
In-networkDays 1-5: $350/day, Days 6-90: $0/day
Mental HealthDays 1-5: $350/day, Days 6-90: $0/day
Inpatient psychiatricDays 1-5: $350/day, Days 6-90: $0/day
VisionRoutine vision benefit
DetailsRoutine vision benefit
This is a supplemental benefit with plan-specific limits. See plan documents for details.
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Your plan's drug tiers30-day retail · after any applicable deductible

Tier 1
$7
Preferred Generic
Tier 2
$14
Generic
Tier 3
17%
Preferred Brand· after deductible
Tier 4
50%
Non-Pref Brand· after deductible
Tier 5
25%
Specialty· after deductible

Our take

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost)

What does Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) cover?

Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include vision (Routine vision benefit), hearing ($549–$1,299 copay per hearing aid), and meals (Meal benefit). 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 Thrift w/Rx (Cost) (1876 Cost) cost in 2026?

The published 2026 monthly plan premium for Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) is $92.80. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The listed medical deductible is $50. The listed Part D deductible is $615. The in-network medical out-of-pocket maximum is $6,750; it does not include Part D drug spending. Published visit costs include primary care 20% and specialist visits 20%. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost)?

CMS lists Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) as a 1876 Cost plan. 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 Thrift w/Rx (Cost) (1876 Cost) cover my prescriptions?

Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) has 5 published formulary tiers in the current plan record. Published preferred-pharmacy 30-day retail costs include Tier 1 at $7, Tier 2 at $14, Tier 3 at 17%, Tier 4 at 50%, and Tier 5 at 25%. The listed Part D deductible is $615. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.

Check your prescriptions

What dental, vision, and hearing benefits does Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) include?

The current plan record for Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) lists vision (Routine vision benefit) and hearing ($549–$1,299 copay per hearing aid). The current data does not list dental 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 Thrift w/Rx (Cost) (1876 Cost)?

Medica Prime Solution Thrift w/Rx (Cost) (1876 Cost) is a 2026 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

More plan options

Browse the full 2026 Medicare Advantage with drug coverage directory. This plan is offered in Minnesota, North Dakota, South Dakota, and Wisconsin. Plan availability can vary by county.

Helpful next steps