You may be able to get extra
help to pay for your
prescription drug premiums
and costs. See our
Medica Prime Solution
Summary Table for
potential rates. To learn
more, contact:
- 1-800-MEDICARE
(1-800-633-4227) 24
hours a day, seven days
a week. TTY/TDD users
should call
1-877-486-2048;
- The Social Security
Administration at
1-800-772-1213 between 7
a.m. and 7 p.m, Monday
through Friday. TTY/TDD
users should call
1-800-325-0778; or
- Your State Medicaid
Office
Complete the Medica Prime
Solution Application Form
and any chosen Rider
application. Attached above
and mail or fax to
Medica. How to Contact Us.
Please review the summary of
benefits before enrolling.
Call 1-877-800-7340 for
assistance.
For a complete copy of your
medical policy, including
coverage terms, exclusions,
contract termination,
members' rights and
responsibilities, and other
information, please refer to
the - 2008 Evidence of
Coverage - coming soon!
CMS File #H2409, H2410,
H2450, H2458, H7526_1427
(10/2007)