Medicare Advantage members

Learn about your Medica Advantage® plan

St. Louis area

Plan details

New member welcome guide (PDF)
Summary of benefits (PDF)

Medica Advantage with SSM Value (HMO-POS)

Annual Notice of Changes (PDF) updated 10/1/2024
Evidence of Coverage (PDF) updated 10/1/2024

Medica Advantage Salute (HMO-POS)

MA-Only Annual Notice of Changes (PDF) updated 10/1/2024
Evidence of Coverage (PDF) updated 10/1/2024

Using your benefits

Drug list/formulary

Medica Advantage enrollment guide (PDF) updated 10/1/24
Additional benefits

Pharmacy benefits
Account sign in
Grievance and appeal rights
Member paid claim form
View wellness programs
Medical management

Network directories

Keeping you healthy

Learn about diabetes and care management benefits

Diabetes care

If you have diabetes, you have special needs. We understand those needs, and our Medicare Advantage plans offer specific benefits for you.

Learn about diabetes care

Care management

Our care management team provides a registered nurse or social worker as your resource when health care seems complex and confusing.

Learn about care management

Other plan details

Learn about appeals, grievances, and national coverage determination updates

Grievance + appeal rights

Learn about your plan’s coverage decisions, appeals, and complaints processes. View the appointed representative form.

See the government Medicare website for information about filing a complaint.

Learn about grievances + appeals

National coverage determination updates

Get updates on your Medicare coverage.

More about coverage determinations

Get Medicare automatic penalty withdrawal form

View our star ratings

Questions? We can help.

Members

Talk with Member Services at 1-877-301-3326 (TTY: 711)

8 a.m. to 8 p.m. weekdays (year-round) and weekends (Oct. 1 – March 31).

Medica Central Health Plan
1277 Deming Way
Madison, WI 53717