Medica Choice Passport

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Medica Choice Passport

National network

Medica Choice Passport® is an easy-to-use plan with a large network. You can visit any doctor, clinic or facility in the network without a referral.

Plan Highlights

  • One of the largest networks in the nation
  • No referrals needed when you see network providers 
  • Nationwide network coverage when you travel

Compare Plans

You can compare this plan side-by-side with up to two other plans to see the differences between their benefits.

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Benefit Summary for Medica Choice Passport

Network Benefits
Overall deductible [insert benefit]
Out-of-pocket limit [insert benefit]
If you visit a health care provider's office or clinic
Primary care visit [insert benefit]
Chiropractic visit [insert benefit]
Convenience care visit [insert benefit]
Specialist visit [insert benefit]
Preventive care/screening/immunization No charge.
If you have a test
Diagnostic test - lab [insert benefit]
Diagnostic test - x-ray [insert benefit]
Imaging (CT/PET scans, MRI) [insert benefit]
If you need drugs to treat your illness or condition
Generic drugs [insert benefit]
Preferred brand drugs [insert benefit]
Non-preferred brand drugs [insert benefit]
If you have outpatient surgery
Facility fee (e.g., ambulatory surgery center) [insert benefit]
Physician/surgeon fees [insert benefit]
If you need immediate medical attention
Emergency room care [insert benefit]
Emergency medical transportation [insert benefit]
Urgent care [insert benefit]
If you have a hospital stay
Facility fee (e.g., hospital room) [insert benefit]
Physician/surgeon fees [insert benefit]
Network information
Network type National network
Network area Nationwide
Special features Largest network of providers.
Referrals needed No referrals needed if you see a Medica Choice Passport network provider.

How it Works

Choose from any doctor, clinic or facility in the large Medica Choice Passport network. While you don’t need a referral to see a specialist in the network, it’s a good idea to work closely with your primary care doctor to coordinate your health care needs.

» View Summary of Benefits and Coverage for Medica Choice Passport [custom link].
» Find a physician or facility in Medica Choice Passport.

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