Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Medica Prime Solution Basic w/Rx, 2027

H2450Contract016Plan

Cost · 21 counties in Minnesota

Run by Medica Insurance Company (contract H2450), sold as Medica, owned by Medica Holding Company

Renews for 2027

2026 star rating, contract H2450: 3.5 of 5

Medica Prime Solution Basic w/Rx (H2450-016) costs $242.10 a month in 2027, up $35.40 from 2026, with an in-network out-of-pocket limit of $5,900 ($3,400 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Monthly premium	$206.70	$242.10	up $35.40
In-network out-of-pocket limit	$3,400	$5,900	up $2,500
Drug deductible	$615	$600	down $15
Specialist visit	$15 copay	$25 copay	up $10
Emergency room	$100 copay	$130 copay	up $30
Hospital stay, in network	$200 a stay	$200 a day for days 1–5, then $0 a day for days 6–90	up $800for a 5-day stay
Ground ambulance, in network	$100 copay	$200 copay	up $100
Eyewear, yearly limit	$150 a year	$100 a year	down $50
Over-the-counter items, yearly	$100 a year	$70 a year	down $30
Drug tier 2, generic	$8	$6	down $2
Drug tier 3, preferred brand	16% of the cost	13% of the cost	down 3 points
Drug tier 4, non-preferred drug	50% of the cost	25% of the cost	down 25 points
9 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Skilled nursing facility, in network	$0 a day for days 1–20, then $100 a day for days 21–100	$0 a day for days 1–20, then $100 a day for days 21–100	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Counties served	21	21	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$8	$6
Tier 3	Preferred Brand	16% of the cost	13% of the cost
Tier 4	Non-Preferred Drug	50% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 23 plans open to everyone are sold for 2027, this one included. Against the others, 9 plans have a lower out-of-pocket limit, 2 the same, 11 a higher one. On the premium, 17 plans have a lower premium, 3 a higher one.

Out-of-pocket limits of the 23 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0005 plans

$4,000 to under $6,000 (this plan)7 plans

$6,000 to under $8,00010 plans

$8,000 to $10,0001 plan

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 21 counties: $242.10 a month and $5,900.

Minnesota

Aitkin Carlton Cook Goodhue Itasca Kanabec Koochiching Lake Le Sueur McLeod Meeker Mille Lacs Pine Pipestone Rice Rock Sibley St. Louis Stevens Traverse Yellow Medicine

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H2450-016
Legal name of the contract: Medica Insurance Company
Sold as: Medica
Parent company: Medica Holding Company
Plan type: Cost
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 4,630
Plan website, as filed with CMS: medica.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in St. Louis, MNWhere most of its members live; premiums and limits side by side
Every Medica plan for 2027Its contracts, counties and plans that end
The other 14 plans of contract H2450Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.