Employee Medica News

4members March email newsletter


My Health Rewards by Medica: New rewards option in 2022

My Health Rewards by Medica® inspires employees to build healthy habits – and rewards them for doing so. The
20-day triple tracker is a new earning opportunity for 2022. It rewards My Health Rewards Standard and Results members with an additional $5 per month (up to $60 per year) when they meet steps and activity tracking goals. My Health Rewards Invest members are not eligible for this additional reward.

Members need to track any combination of the following activities on 20 or more days in a calendar month to earn the $5 bonus monthly reward ($60 per year): 

  • 7,000 steps a day and/or
  • 15 active minutes a day and/or
  • 15 workout minutes a day

Members must connect their fitness tracker to their My Health Rewards account. Manual tracking of steps and active/workout minutes will not count toward earning the monthly reward.

In 2022, My Health Rewards Standard and Results members can earn up to $220 in rewards annually through our points-based program and the 20-day triple tracker. Rewards can be redeemed for e-gift cards, donations to a cause or charity, and for purchasing health and fitness products.

Get Healthy Your Way

You’ll get secure, 24/7 access to:

·    An Omada health coach to keep you on track

·    Devices you need like a scale and/or glucose meter

·    A personalized dashboard to guide your journey

·    An online community tailored to your interests

 Reach your health goals, one step at a time.

·    We’ll create a personalized path to help you get there.

Lose weight

·    Ongoing one-on-one health coaching

·    Connected scale to monitor progress

·    Nutrition tips, ideas, and recipes

Stay on top of diabetes

·    Specialized coaching from a certified diabetes specialist

·    Connected devices you need to monitor your glucose

·    Immediate feedback on glucose readings

Improve your overall health

·    Strategies to sleep better and manage stress

·    Interactive lessons to build healthy habits 

·    Techniques to overcome challenges

It only takes a few minutes to get started.

Get started: omadahealth.com/mhc


Yours in health,

The Minnesota Health Consortium Team and Medica


Medica Health Rewards and COVID-19 Testing Coverage

Medica Health Rewards User Guide

Over-the-counter (OTC) COVID-19 testing coverage

The federal government recently released FAQ #51 on coverage for COVID-19 testing by private health insurers and group health plans. The guidance clarifies how members in group or individual health plans can seek reimbursement for over-the-counter (OTC) COVID antigen diagnostic home tests. 

Effective Jan. 15, 2022, and for the duration of the national public health emergency, Medica members enrolled in individual plans and commercial fully and self-funded plans have coverage for OTC FDA-authorized COVID-19 antigen tests without a prescription from a qualified health professional.

  • Coverage includes up to eight FDA-approved OTC COVID-19 antigen home tests for each member per month covered under a subscriber’s plan.
  • Tests can be obtained through a network pharmacy at no cost.* 
  • Tests obtained at an out-of-network pharmacy or retailer are eligible for reimbursement at $12 per OTC test. Members will be required to submit a claim form to process reimbursement.
  • OTC tests purchased prior to Jan. 15, 2022 are not eligible for reimbursement.
  • Tests purchased to fulfill employer-directed testing requirements are not eligible for reimbursement. 

*If the network pharmacy is unable to directly submit the claim for the member’s OTC antigen tests, they can complete and submit a Pharmacy Claim Submission form. Completed forms and receipt(s) should be mailed to the following address for reimbursement:

Express Scripts
ATTN: Commercial Claims
P.O. Box. 14711
Lexington, KY 40512-4711 

Or members can fax their claim form and receipt(s) to 1 (608) 741-5475.

A listing of FDA-approved Emergency Use Authorization (EUA) COVID-19 antigen tests can be found on the FDA’s website.

Medica Resources

Medica Customer Service

When employees have questions about their health plan benefits, we’re here to help. Employees can call Customer Service to get answers to their questions:

  • Is my doctor in the network?
  • Do I have a copay? A deductible? Coinsurance?
  • Has my claim been paid?
  • How much will my prescription cost?
  • What health and wellness programs are available?

Call Customer Service at 1-877-347-0282 (TTY: 711). We’re available 7 a.m.- 8 p.m. Monday – Friday and 9 a.m.-3 p.m. on Saturdays

 Medica CallLink for 24/7 nurse support

Medica CallLink connects employees with trusted advisors and nurses to get the health answers they need—at no extra cost.

  • Learn more about a diagnosis.
  • Decide what care will meet your needs.
  • Understand symptoms and treatment options.
  • Find a doctor or hospital and make an appointment.

Talk with an advisor or nurse, 24/7 at 1 (800) 962-9497 (TTY: 711).

Medica member website

The Medica member website is employees’ one-stop resource for all kinds of information to help them manage their health plan benefits and improve their health:

  • Order ID cards.
  • Find out what their plan covers.
  • Track claims.
  • Find a health care provider.
  • See what drugs are covered.
  • Learn about health and wellness programs.

It only takes a few minutes to register. Employees can go to Medica.com/SignIn and follow the instructions to create their account and access their plan information.

My Health Rewards by Medica® support

Have questions about the My Health Rewards by Medica program? Get help with registration, sync your fitness tracker & apps, and more. Call Virgin Pulse Member Services at 1 (833) 450-4074. We’re available 7 a.m.-8 p.m. CST Monday-Friday. Or email Medica.Support@VirginPulse.com.




Medica Info and Wellness Program

Wellness Programs

Medica Call Link – 24/7 Support

Omada Prevention

Ovia Health – Digital tools for modern parenthood

Health Club Reimbursement

Sanvello – On Demand help for stress, anxiety and depression

My Health Rewards

Healthy Savings

Health Insurance Member ID Cards Arriving in the Mail

MEDICA Member ID Cards are arriving in the mail.  Watch for your new cards.

A new member website is coming your way soon! Signup January 1, 2022 – www.Medica.com/Signin

Updated navigation and new features
Members will be able to download their member ID card, access benefits, check on claims, find providers, explore wellness resources, and much more. 

Member topic of the month: Out-of-network care

The topic this month is out-of-network care. See how much more it costs to visit providers outside a plan’s network.

View out-of-network care tip sheet.

Pharmacy Crossover with Further will be discontinued January 1, 2022. 

Here is a link to a recording explaining the change in a 4.5 minute video.

As of 1-1-22, pharmacy reimbursement at Further will change. Starting 1-1-22 prescription(s) will need to be paid in full at the time of purchase (POS – point of sale). Your out-of-pocket expense will automatically “crossover” to Further and no claim reimbursement request will be needed. Reimbursement will be made in 5 business days via a check in the US Mail to your home address. Alternatively, and preferred, if you have elected direct deposit, your reimbursement will be made directly to your bank account on file at Further. This change only affects Pharmacy purchases. 

 It is the recommendation of the Service Cooperative and the Minnesota Healthcare Consortium to move away from crossover prior to 1-1-22 and elect a VISA debit card, at no cost, to avoid out-of-pocket expenses at the POS for pharmacy purchases. The debit card method means you will not need to pay out-of-pocket and wait for reimbursement…. nor do you need to a file claim. The debit card will be tied directly to your account(s) at Further and is accepted by pharmacies, providers, dentist offices, vision stores, and all medical merchants that accept VISA . The debit card number can be written directly on medical invoices and returned to the provider. Debit cards are also available for medical dependents at no additional cost. **It is recommended that members keep their transaction receipts in the event further claim substantiation is needed. 

Please see the attached debit card request form that can be completed and send directly to Further. If you prefer to keep the crossover system, and would like a direct deposit as opposed to a paper check in the mail, complete the direct deposit form attached and return to Further. If you have access to the Further portal, either election can be made electronically. (steps for electronic requests are listed below.) To obtain ID’s and passwords if unknown, employees can contact Further’s customer service at 800-859-2144. 

  Setting up Direct Deposit  

  1. Sign in at www.hellofurther.com.               
  2. Click My Profile.  
  3. Choose Payment and Bankingfrom the menu. 
  4. On the Payments & Bankingpage, click Bank Accounts. 
  5. If you do not have a bank account set up, click Add Bank Account
  6. Enter the banking information for the account you wish to set up with Direct Deposit. 

Request a Debit card online 

To request a debit card from www.hellofurther.com

  1. Sign in at www.hellofurther.com
  2. Click the My Profilemenu. 
  3. Choose Payment & Bankingfrom the menu. 
  4. Click Add Card

Fill out the form to start the debit card request process