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11/8/2018

Medica is offering a new individual and family (IFB) health plan product in addition to the three current IFB products in Nebraska and Iowa that will be in effect January 1, 2019.

Elevate by Medica is a care system product being offered in the individual and family business (IFB) market in select counties in Nebraska and Iowa. The network features Methodist Health System and Nebraska Medicine doctors plus others in southwestern Iowa and southeastern to central Nebraska. No referral is needed to see in-network specialists. This product is available to individuals in Mills and Pottawattamie counties in Iowa and Douglas and Sarpy counties in Nebraska. To verify which providers are included in this product's network, see the provider directory on Medica.com. Claims for this product should be submitted directly to Medica using payer ID 12422.

             Identification Card Example - (effective starting with 1/1/19 dates of service)

In addition to Elevate by Medica, Medica will continue to offer the following IFB health plan products for 2019:

  • Medica Insure
    • Available to IFB member in all counties in Nebraska and Iowa
    • Features a tiered network
      • Tier 1 - Preferred Providers, includes the following healthcare systems and other providers
        • Avera Health
        • Boys Town
        • Bryan Health
        • CHI Health
        • Mary Lanning Health Care
        • Methodist Health System
        • Nebraska Medicine
        • UnityPoint Health
        • University of Iowa
      • Tier 2 - Standard Providers - All other Midlands Choice providers practicing in Nebraska and Iowa
  • Inspire by Medica
    • Features access to UnityPoint Health doctors plus others across Iowa
    • Available to IFB member in the following Iowa counties: Benton, Black Hawk, Boone, Bremer, Buchanan, Butler, Cedar, Clayton, Dallas, Delaware, Dubuque, Fayette, Greene, Grundy, Iowa, Jackson, Jones, Linn, Marshall, Muscatine, Polk, Scott, Tama, Warren and Woodbury
  • Medica with CHI Health
    • Features access to CHI Health doctors plus others throughout southwestern Iowa and southeastern to central Nebraska
    • Available to IFB members in Harrison and Pottawattamie counties in Iowa and in the following counties in Nebraska: Buffalo, Burt, Butler, Cass, Colfax, Cuming, Dodge, Douglas, Filmore, Hall, Johnson, Lancaster, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Saline, Sarpy, Saunders, Seward, Thayer and Washington