IFB 2021 Iowa Health Plans Portfolio

BROAD PROVIDER NETWORK OPTION This network is tiered with access to a large number of providers.

Medica Insure SM (Insure Tiered Network)

AVAILABILITY For individuals and families living throughout Iowa. Available in all counties.

NETWORK DETAILS Access to doctors, clinics and hospitals at many health care systems. The network includes: Tier 1 - preferred providers 8,290+ Primary and specialty care providers 133+ Hospitals Tier 2 - standard providers 8,136+ Primary and specialty care providers 1 42+ Hospitals

WHERE CAN YOU GET CARE Iowa, Nebraska and parts of bordering states.

Tier 1 health care systems: Avera Health Boys Town Bryan Health CHI Health Children’s Hospital & Medical Center

Children’s Physicians Genesis Health System Great River Health System Mary Lanning Health Care Mercy Iowa City PHO Methodist Health System Nebraska Medicine UnityPoint Health University of Iowa Health Care SEARCH THE NETWORK

YOUR PROVIDER FOR COMPLEX CARE Access to the Complex Specialty Care Program* with complex care at Mayo Clinic. So you can receive care for transplants, certain rare cancers and other complex specialty care at Mayo Clinic.

To view what health care systems and other providers are in the Insure Tiered Network, use the online search tool at Medica.com/SearchInsure .

*Before you use the program, you need a referral from your network doctor and approval from Medica.

MEDICA INSURE TIP With a copay plan, your benefits will vary depending on the provider you visit. You receive your highest level of benefits and typically the lowest out-of-pocket costs when you see Tier 1 – preferred providers. With a share, HSA-compatible or catastrophic plan, your benefits are the same for network (tier 1 and 2) providers.

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