Medica Choice Passport


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

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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 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.

With Medica Choice Passport, there are two provider networks available. Ask your employer which network your plan offers:
» Find a physician or facility in Medica Choice® with UnitedHealthcare Choice Plus.
» Find a physician or facility in Medica Choice® with UnitedHealthcare Options PPO.

Sample Certificate of Coverage

You can view a sample 2018 coverage document (called a Certificate of Coverage), which shows examples of what a Passport plan may cover for fully insured members. To view this sample, choose the state your employer is based in, then choose “Small groups” if your company has 50 or fewer employees, or “Large groups” if your employer has 51 or more employees.

• Small groups: 2018 
• Large groups: 2018 
Large groups (Medica Health Plans HMO policy): 2018

• Small groups: 2018 
• Large groups: 2018 

• Small groups: 2018 
• Large groups: 2018 

• Small groups: 2018 
• Large groups: 2018 

NOTE: This is not your actual certificate of coverage. This is only an example of what services may be covered. For information about specific benefits or levels of coverage (such as copay, coinsurance or deductible amounts), please contact your employer.

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