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$2,500 Park Nicollet First Plan


$2,500 Park Nicollet First Plan

Accountable Care Organization network

Park Nicollet First is an innovative collaboration between Park Nicollet and Medica that is pioneering new ways of delivering care to provide you with a better experience. When you choose Park Nicollet First, you have easy access to care for all your day-to-day health care needs. If you’re away from home and get sick or hurt, we’ve got you covered! When you travel outside the Medica service area (Minnesota, North Dakota, South Dakota and western Wisconsin) you can get network coverage by visiting a provider in the Travel Program Network. This nationwide network is one of the largest in the country. If you have children attending college outside the service area, they can use this network.

Plan Highlights

  • Access to any Park Nicollet primary or specialty care provider without a referral
  • Urgent care locations open seven days a week 
  • 24/7 nurse line
  • 24/7 online diagnosis and treatment for 60 common medical conditions with virtuwell™ 
  • SmartCare offers care on your terms — at the clinic, on your phone or online
  • CareWire™ text messaging for clinic appointments

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 $2,500 Park Nicollet First Plan

Friendly reminder: coinsurance is your share of the costs of a covered health care service, calculated as a percentage. Coinsurance applies after you've met your deductible.
Network Benefits
Overall deductible $2,500 per person/ $3,500 per family in-network and $3,000 per person/ $5,500 per family for out-of-network services.
Out-of-pocket limit $3,500 per person/ $3,500 per family in-network. $5,000 per person/ $7,000 per family for out-of-network services.
If you visit a health care provider's office or clinic
Primary care visit 20% coinsurance
Chiropractic visit 20% coinsurance
Convenience care visit 20% coinsurance
Specialist visit 20% coinsurance
Preventive care/screening/immunization No charge. Deductible does not apply.
If you have a test
Diagnostic test - lab 20% coinsurance
Diagnostic test - x-ray 20% coinsurance
Imaging (CT/PET scans, MRI) 20% coinsurance
If you need drugs to treat your illness or condition
Generic drugs Retail: $10/ prescription Deductible does not apply. Mail order: $20/ prescription Deductible does not apply.
Preferred brand drugs Retail: $35/ prescription Deductible does not apply. Mail order: $70/ prescription Deductible does not apply.
Non-preferred brand drugs Retail: $50/ prescription Deductible does not apply. Mail order: $100/ prescription Deductible does not apply.
Specialty drugs Preferred: 20% coinsurance. No more than $200 copay/ prescription. Deductible does not apply. Non-Preferred: 30% coinsurance. Deductible does not apply.
If you have outpatient surgery
Facility fee (e.g., ambulatory surgery center) 20% coinsurance
Physician/surgeon fees 20% coinsurance
If you need immediate medical attention
Emergency room care 20% coinsurance
Emergency medical transportation 20% coinsurance
Urgent care 20% coinsurance
If you have a hospital stay
Facility fee (e.g., hospital room) 20% coinsurance
Physician/surgeon fees 20% coinsurance
Network information
Network type Accountable Care Organization network
Network area Twin Cities metro area
Special features Direct access to Park Nicollet's specialty centers; 24/7 online diagnosis and treatment with virtuwell; CareWire text messaging for clinic appointments.
Referrals needed No referrals needed if you see a Park Nicollet First network provider.

How it Works

Park Nicollet First with Medica is an accountable care organization (ACO). In an ACO, groups of doctors, nurses and other health care providers work together with your health plan to provide coordinated care. You don’t need a referral when you see a provider in the Park Nicollet First network.

Please note: The Park Nicollet First network includes hundreds of doctors at more than 20 neighborhood Park Nicollet clinics and eight specialty centers. The network does NOT include the HealthPartners clinics.

» View the Summary of Benefits and Coverage for the $2,500 Park Nicollet First Plan.

» Find a physician or facility in Park Nicollet First with Medica.
» See a map of provider locations in Park Nicollet First with Medica.

More about Park Nicollet First

Park Nicollet First with Medica is built on the strength of one of the nation's largest multispecialty clinics. Park Nicollet's integrated health care system includes more than 20 neighborhood clinics, and features primary care, urgent care and more than 55 medical specialties. Members have direct access to Park Nicollet Methodist Hospital and Park Nicollet’s specialty centers, including Bariatric Surgery Center, Frauenshuh Cancer Center, Heart and Vascular Center, International Diabetes Center, Jane Brattain Breast Center, Melrose Center (for eating disorders), Struthers Parkinson’s Center, Child & Family Behavioral Health (formerly Alexander Center), Joint Replacement Institute, Family Birth Center, Women’s Center and TRIA Orthopaedic Center.

Whether you want to stay healthy for the people you love or the things you love to do, Park Nicollet provides the care you need to live your healthiest and happiest life. Park Nicollet First with Medica provides coordinated care throughout the Park Nicollet provider network, so you can see a specialist without a referral. Our 20 neighborhood clinics are the heart of our integrated health care system and offer convenient same-day appointments, plus evening and weekend hours. And when you need expert care fast, Park Nicollet’s eight Urgent Care locations are open late, seven days a week. You’ll find wait times for Urgent Care locations and Methodist Hospital Emergency Center on parknicollet.com.

Watch for Your New Medica ID Card

Your Medica plan will start on Jan. 1, 2018. You’ll receive your new Medica ID card in the mail by the end of December. Remember to show your new ID card to your doctor and pharmacy after Jan. 1.

Additional Benefits from the City of Saint Paul

The City of Saint Paul offers a variety of non-medical employee benefits.

» Learn more about non-medical employee benefits.