Medica One
Medica is a Minnesota-based nonprofit health organization offering Individual + Family, Medicare, Medicaid, and Employer-Provided health insurance plans across the Midwest, with integrated care coordination spanning medical, behavioral, and pharmacy services.
- Company typePrivate
- Founded-
- HeadquartersMinneapolis, United States
- Headcount11–50
- GTM typeB2B and B2C
- OfferingServices
What Medica One does
Medica is a nonprofit health organization headquartered in Minneapolis, Minnesota, providing health insurance coverage across four core product lines: Individual + Family plans, Medicare plans, Medicaid plans, and Employer-Provided group plans. The company operates primarily in the Midwest, with current operations spanning Minnesota and Missouri, and serves members across multiple personas including individuals, seniors, low-income families, employers, brokers, and healthcare providers.
The underlying technology platform is a health insurance administration system featuring a member-facing portal (for ID card access, premium payments, claims tracking, and provider search), a searchable provider network directory spanning doctors, specialists, clinics, and pharmacies, and integrated care coordination across medical, behavioral health, and pharmacy services. Distribution is multi-channel: direct website sales, employer group sales, an insurance broker network, healthcare provider referrals, and government marketplaces for Medicare and Medicaid enrollment.
Medica generates revenue through recurring monthly health insurance premiums paid by individual members, employer group contributions, Medicare plan premiums, and Medicaid capitation payments from states. The company is currently absorbing UCare members through an active member transition process, materially expanding its Minnesota footprint. A separate affiliated nonprofit, Medica Foundation, channels community health investments in regions served by the health plan.
Medica One firmographics
Firmographics- Name
- Medica One
- Legal name
- Medica
- Website
- https://medicaonehealth.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Medica is a Minnesota-based nonprofit health organization offering Individual + Family, Medicare, Medicaid, and Employer-Provided health insurance plans across the Midwest, with integrated care coordination spanning medical, behavioral, and pharmacy services.
- Ownership category
- akta.pro rank
Medica One industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industries
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ)
Keywords
Where Medica One is headquartered
LocationHeadquarters
- HQ city
- Minneapolis
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Medica One business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Supply Chain
Revenue model
- Health Insurance Premiums: Medica generates revenue primarily through health insurance premiums paid by members. This includes individual and family plan premiums, employer group plan contributions, Medicare plan premiums, and Medicaid capitation payments from states. Premiums are collected on a recurring basis (monthly or annual billing cycles).
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Individual + Family Plans - Personalized coverage for individuals and households |
| Subscription | Monthly | Medicare Plans - Government-approved coverage for ages 65+ or people with disabilities |
| Subscription | Monthly | Medicaid Plans - No-cost state-sponsored coverage |
| Subscription | Monthly | Employer-Provided Plans - Workplace health benefits |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels5 records
Medica One product offering
Product offeringCore offering
Medica is a nonprofit health organization that sells health insurance plans across Individual + Family, Medicare, Medicaid, and Employer-Provided segments. Its coverage spans medical, behavioral health, and pharmacy needs, supplemented by preventive care programs and mental health support. Members access services through an online account portal for premium payments, ID cards, claims tracking, and provider search.
Product overview
Medica is a nonprofit health organization based in Minnesota that offers a portfolio of health insurance plan types including Individual + Family Plans, Medicare Plans, Medicaid Plans, and Employer-Provided Plans. These core products are complemented by integrated wellness services including Mental Health + Well-being Services and Preventive Care programs. The company positions itself as providing coverage that works together across medical, behavioral, and pharmacy needs, emphasizing that members are 'not just covered, you're cared for.'
Differentiator
Problem solved
Functional benefit
Products and services
- Individual + Family Plans Personalized health insurance plans that individuals and families purchase directly and pay for themselves, offering coverage for medical, behavioral, and pharmacy needs.
- Medicare Plans Government-approved health insurance plans for individuals ages 65 and older or people with certain disabilities, providing coverage for medical, hospital, and prescription drug benefits. May include $0 premium options for eligible beneficiaries.
- Medicaid Plans No-cost health insurance plans provided through state programs for individuals and families who meet certain eligibility requirements and income thresholds.
- Employer-Provided Plans Health insurance plans sponsored by employers where employees contribute toward premiums, offering coverage across medical, behavioral, and pharmacy needs through workplace benefits.
- Mental Health + Well-being Services Mental health support, wellness programs, and behavioral health services integrated with medical and pharmacy coverage to provide whole-person care.
- Preventive Care Preventive care services and wellness programs designed to help members maintain health and prevent illness through regular screenings and check-ups.
Companies that use Medica One
Customer profileSegments6 records
Ideal customer profiles6 records
Medica One technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Medica One partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- UCarecoreMedica has initiated a member transition process for UCare members, working to integrate UCare members into the Medica health plan network. This transition affects existing UCare members who will become Medica members, along with associated healthcare providers and insurance brokers.
- Healthcare Providers NetworkcoreMedica works closely with providers across medical, behavioral health, and pharmacy care to coordinate coverage and support for members. The provider network includes doctors, specialists, clinics, and pharmacies.
- Medica FoundationminorMedica Foundation is the company's philanthropic arm that invests in programs helping remove barriers and create opportunities for better health in communities served by Medica. It operates as a separate nonprofit entity focused on community health improvement.
Scale indicators1 record
Recent moves5 records
Expansion highlights4 records
Medica One competitors and assessment
Company assessmentDirect peers
- HealthPartners: Minnesota-based integrated nonprofit health plan offering commercial, Medicare, and Medicaid coverage. Most direct regional peer to Medica, competing head-to-head in the Twin Cities employer and individual markets.
- Molina Healthcare: Medicaid-focused managed care plan with significant Medicare presence, operating in multiple states. Compares to Medica's Medicaid and Medicare product mix and competes for state Medicaid contracts.
- UCare: Minnesota nonprofit health plan specializing in Medicare and Medicaid products — historically a direct competitor to Medica in state Medicaid and Medicare markets, now in the process of transitioning members to Medica.
- Blue Cross and Blue Shield of Minnesota: Dominant regional nonprofit Blue plan serving Minnesota with individual, Medicare, and employer group products. Direct competitor to Medica across virtually every line of business in the home market.
Broad incumbents
- Humana: National health insurer with the largest Medicare Advantage footprint in the U.S. Competes with Medica in the Medicare market across all Medica geographies and sets the competitive bar for MA product economics.
- UnitedHealthcare: Largest U.S. health insurer offering Medicare, Medicaid, individual, and employer plans nationwide. Competes with Medica across every product line and geography where both operate.
- Kaiser Permanente: Nonprofit integrated health plan and care-delivery system. Comparable to Medica on nonprofit structure, integrated medical/behavioral/pharmacy positioning, and member-centered care model — a strategic analogue rather than direct geographic competitor.
- Cigna: National health insurer with strong employer-sponsored and Medicare Advantage books. Competes with Medica for employer group business and in select Medicare markets.
- Aetna (CVS Health): National carrier offering commercial, Medicare, and Medicaid products through employer and individual channels. Overlaps with Medica in employer group and Medicare Advantage markets.
- Anthem (Elevance Health): Multi-state Blue-licensed carrier operating Medicare, Medicaid, individual, and group plans. Competitor in Medica's individual/family and Medicare geographies and a likely counterpart in any M&A scenarios.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
Medica One social profiles
Digital presenceMedica One financial estimates
Financial estimateRevenue estimate
Valuation estimate
Medica One leadership team
Management profileNumber of profiles
Medica One subsidiaries and ownership
Company hierarchySubsidiaries2 records
Medica One funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Medica One M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Medica One
What does Medica One do?
Medica is a nonprofit health organization that sells health insurance plans across Individual + Family, Medicare, Medicaid, and Employer-Provided segments. Its coverage spans medical, behavioral health, and pharmacy needs, supplemented by preventive care programs and mental health support. Members access services through an online account portal for premium payments, ID cards, claims tracking, and provider search.
Is Medica One a public or private company?
Medica One is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Medica One founded?
Medica One was founded in -1. It employs 11 to 50 people.
Where is Medica One based?
Medica One is headquartered in Minneapolis, United States, in the North America region.
How does Medica One make money?
One revenue line is on record: health Insurance Premiums.
Who are Medica One's main competitors?
Direct peers on record are HealthPartners, Molina Healthcare, UCare and Blue Cross and Blue Shield of Minnesota. Broad incumbents are Humana, UnitedHealthcare, Kaiser Permanente, Cigna, Aetna (CVS Health) and Anthem (Elevance Health).
Does Medica One have an API?
No public API is recorded for Medica One.
What industry is Medica One in?
Medica One's product category is Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans. Its NAICS code is 524114 and its SIC code is 6324.