Medica Prime Solution Standard w/Rx (Cost) CY2027
Offered by Medica Holding Company (company name as listed by CMS) · Plan ID H2450-049-000 · Medicare Cost plan with drug coverage
Available in 2027 in: 21 counties in Minnesota; 49 counties in North Dakota; 39 counties in South Dakota. See full service area
2027 Overall Star Rating: 3 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- Not listed
- Most you pay in-network in a year (MOOP)
- $7,150
- Drug deductible
- $500
- Part B giveback
- Not listed
- Over-the-counter or benefit card
- OTC allowance: $25 every 6 months
- Extra benefits listed
- OTC
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
Compared with 2026
Compared with Medica Prime Solution Standard w/Rx (Cost) (H2450-049-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | Not applicable | Not applicable |
| Most you pay in-network (MOOP) | $5,900 | $7,150 |
| Drug deductible | $250 | $500 |
| Overall star rating | 3.5 out of 5 | 3 out of 5 |
Service area
Minnesota (21)
Aitkin County, Carlton County, Cook County, Goodhue County, Itasca County, Kanabec County, Koochiching County, Lake County, Le Sueur County, McLeod County, Meeker County, Mille Lacs County, Pine County, Pipestone County, Rice County, Rock County, Sibley County, St. Louis County, Stevens County, Traverse County, Yellow Medicine County
North Dakota (49)
Adams County, Barnes County, Benson County, Billings County, Bottineau County, Bowman County, Burke County, Cass County, Cavalier County, Dickey County, Divide County, Dunn County, Eddy County, Emmons County, Foster County, Golden Valley County, Grant County, Griggs County, Hettinger County, Kidder County, LaMoure County, Logan County, McHenry County, McIntosh County, McKenzie County, McLean County, Mercer County, Mountrail County, Nelson County, Oliver County, Pembina County, Pierce County, Ramsey County, Ransom County, Renville County, Richland County, Rolette County, Sargent County, Sheridan County, Sioux County, Slope County, Stark County, Steele County, Towner County, Traill County, Walsh County, Ward County, Wells County, Williams County
South Dakota (39)
Aurora County, Beadle County, Bennett County, Bon Homme County, Brown County, Brule County, Buffalo County, Charles Mix County, Clay County, Douglas County, Edmunds County, Faulk County, Grant County, Gregory County, Hand County, Hanson County, Hughes County, Hutchinson County, Hyde County, Jerauld County, Jones County, Lake County, Lincoln County, Lyman County, McCook County, McPherson County, Mellette County, Miner County, Minnehaha County, Moody County, Oglala Lakota County, Potter County, Stanley County, Sully County, Todd County, Tripp County, Turner County, Union County, Yankton County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages