Medica Prime Solution Basic w/Rx (Cost)
Available to residents of St. Louis County, MN for 2026. Contract H2450, plan 016, segment 0.
Plan details
| Monthly drug premium | $102.70 |
|---|---|
| Drug deductible | $615.00Tier 1 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H2450-016-0 |
| Offered by | Medica |
| Parent organization | Medica Holding Company |
| Formulary drugs | 3,520 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H2450 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $8.00 |
| Tier 3 | 16% |
| Tier 4 | 50% |
| Tier 5 | 25% |
Also available in 20 other MN counties
Plan facts come from the CMS quarterly prescription drug plan public use files.