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Business Profile

Health Insurance

Medica

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

This profile includes complaints for Medica's headquarters and its corporate-owned locations. To view all corporate locations, see

Find a Location

Medica has 3 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

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    • Medica

      401 Carlson Pkwy Minnetonka, MN 55305-5359

    • Medica

      PO Box 9310 Minneapolis, MN 55440-9310

    • Medica

      120 Cheshire Lane #100 Minnetonka, MN 55305

    Customer Complaints Summary

    • 34 total complaints in the last 3 years.
    • 8 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:03/31/2025

      Type:Service or Repair Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Medica advertises on the Government Healthcare Market Place that (Heartland Health Medical Clinic) is an in-service network provider. After making payments to them for 3 months our bill was denied coverage stating that the clinic was not an in-service provider. I talked to customer service about this issue and they verfied that yes it is listed as ********** on the Market Place but that they are indeed not an in-service provider. My choice on Insurance Provider was based on the Clinic being in-service, therefore I believe Medica has made a fraudulent claim by listing them as in-service. They would do nothing about the fraudulent listing nor about the charges which were denied. I believe they should reimburse the 3 months of premiumns they collected of $930 plis the denied charge of $140 to the clinic.

      Business Response

      Date: 04/09/2025

      I am unable to provide any details regarding this complaint to you as there is no authorization form from the member. I will respond to the member directly.

       

      Thank you,

      **** O

    • Initial Complaint

      Date:04/26/2024

      Type:Billing Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Medica insurance is wrongfully charging people for an annual wellness exam. They say they are reviewing but after talking with the doctor for an hour it still is on my bill after several months of complaining!

      Business Response

      Date: 05/07/2024

      Without authorization Medica is unable to publicly respond. Medica has outreached to this member to review their concern.

      Customer Answer

      Date: 05/07/2024

       I am rejecting this response because:
      They sent another paper bill and have not removed the charge from my account.  This was a charge from almost 5 months ago!

      Business Response

      Date: 05/08/2024

      Without authorization Medica is unable to publicly respond. Medica has outreached to this member to review their concern.

      Customer Answer

      Date: 07/03/2024

       I am rejecting this response because:

       

      This still has not been resolved. I paid the bill as what I calculated as appropriate with discount and services and after deductible.  Their customer service will not call me back to resolve!  Now they are stating the balance is overdue and will most likely send to collections.  SSM health billing needs to be audited!!!  Please help.  Thank you, *******************




      Business Response

      Date: 07/05/2024

      Without authorization Medica is unable to publicly respond. Medica has outreached to this member to review their concern.

    • Initial Complaint

      Date:06/14/2023

      Type:Service or Repair Issues
      Status:
      Answered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Medica ************** plan's doctors do not respond and provide commentary on procedures and tests in a reasonable amount of time which costs me more time and money.....as well as delays my ability to get healed.I have a medically need MRI that my chiropractor (in network) is trying to order because my primary care doctor through north memorial would not. My chiropractor already had to order an xray of my mid back because my north memorial doc ignored me when I said the pain starts in the mid back. I handed him everything in writing so it would be clear what is happing to me. That mid back xray showed a scoliosis in my spine.............THAT WAS IMPORTANT THAT HE MISSED.So now my chiropractor wants me to get an mri of my back. Medica is telling me this will take 2 weeks to approve because its out of network.Meanwhile.....I make a living with my hands and I can't feel them. In 2.5 weeks I've gone from being a professional piano player to not being able to tie my own shoes. I CAN'T WORK WITH OUT MY HANDS WHILE YOUR DOCTORS ARE NOT DOING THEIR JOB!!!!!!!!!!!!!!!!!

      Business Response

      Date: 06/23/2023

      Good morning,

       

      HIPAA requirements are not met with this case, so the response will go to the member directly. 

       

      Thank you,

      **********

      Customer Answer

      Date: 06/23/2023

       I am rejecting this response because:  I asked for a phone call and instead they sent me a long, long letter of c*** to read.  This proves the essence of my complaint...they do not care about me and my medical needs or else they would have called.


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