Medica Prime Solution Focus (Cost) (2027)

Medicare Advantage plan without drug coverage from Medica, plan ID H2450-038-000. Sold in 16 counties in Wisconsin.

★★★★★3.0

2027 costs

Monthly premium$169
Medical deductible$0
Out-of-pocket maximum (in network)$4,450
Plan typeMedicare Advantage plan without drug coverage, Cost
Referral needed to see a specialistNo
Plan IDH2450-038-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0
Specialist visit$30
Preventive care$0
Urgent care$25
Emergency room$130
Hospital stay$400/day
Outpatient surgery$0–$300
Lab tests$0–$30
X-rays and scans$175
Mental health visit$30
Physical therapy$30
Medical equipment20%
TelehealthNot covered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalNot covered
VisionCovered — up to $100/yr allowance
HearingCovered — $549–$1299 copay per aid
Over-the-counter itemsCovered — up to $35 every 6 mo allowance
FitnessCovered
Rides to appointmentsNot covered

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.