Member Tips

Find important information and answers to many commonly asked questions about:

  • Deductibles, Copayments and Coinsurance: Better understand deductibles, copayments and coinsurance, and find out what out-of-pocket costs you are responsible for under your plan.

  • Flexible Spending Accounts (FSAs): Learn about FSAs, how they work and how they compare to HSAs and HRAs.

  • Health Savings Accounts (HSAs): Learn about HSAs, how they work and how they compare to FSAs and HRAs.

  • Health Reimbursement Accounts (HRAs): Learn about HRAs, how they work and how they compare to FSAs and HSAs.

  • Out-of-Network Care: You get your highest benefits when you see Medica network providers. To see how much you save, check out this side-by-side comparison of costs for care received from an in-network versus an out-of-network provider.

  • Pregnancy Care: Find out what you need to do to get the most out of your benefits during your pregnancy.

  • Preventive Care: Understand what is and isn’t covered under your preventive benefit.

  • Referrals: Read answers to many questions regarding referrals, including how they work and when you need one (applies to Medica Elect and Medica Essential members only).

  • Saving With Generics: Learn how much you could save by comparing commonly prescribed brand-name drugs with their less expensive generic alternatives.

  • When and Where to Get Care: Find out how to decide when to seek care and what type of provider (convenience care, doctor's office, urgent care center or emergency room) to visit.


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