Reputation grade
D
Peer-relative, A–F
Insurer profile · NAIC + CMS
Medica Insurance Company
Medica Insurance Company's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- D
- Reputation grade
- 25.4%
- Claims denied
- 5
- States (CMS data)
The verdict
Medica Insurance Company earns a D reputation grade - a worse-than-average record versus peers, according to CMS Transparency in Coverage filings, 25.4% of its marketplace claims were denied across 5 states.
- D
- reputation grade
- 25.4%
- claims denied (CMS)
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
25.4%
CMS, 5 states
Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.
How we calculated this grade →Medica Insurance Company - claim denial rate by state
- OK
OK: 29.0% denied (129,285 of 445,895 claims)
29 % of claims denied
- KS
KS: 28.2% denied (17,004 of 60,305 claims)
28 % of claims denied
- IA
IA: 27.6% denied (127,452 of 461,507 claims)
28 % of claims denied
- MO
MO: 25.5% denied (107,624 of 422,314 claims)
26 % of claims denied
- NE
NE: 23.3% denied (319,019 of 1,367,373 claims)
23 % of claims denied
What this shows Denial rates vary by state plan and network. Across 5 reporting states, Medica Insurance Company denied 25.4% of marketplace claims on average.
Among states with enough reported claims to compare, Medica Insurance Company's highest marketplace denial rates in this dataset are in Oklahoma (29.0%), Kansas (28.2%), and Iowa (27.6%). State-level rates reflect the specific plans Medica Insurance Company offers there and how each state's regulators and utilization-review rules apply, not necessarily the carrier's national practice.
CMS marketplace filing
Reported appeal outcomes for Medica Insurance Company
1,294
appeals filed
657
overturned (reported outcomes)
50.8%
of appeals with a reported outcome
The largest state samples are Nebraska (720 filed, 355 overturned), Missouri (208 filed, 100 overturned), and Iowa (195 filed, 98 overturned); 5 states contribute to the profile total.
CMS reports an overturn outcome for 1,294 of these 1,294 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗
What the data shows for Medica Insurance Company
Medica Insurance Company carries a D reputation grade in PlainInsurer's dataset, with a composite score of 27.0 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.
On the claims side, CMS Transparency-in-Coverage filings show Medica Insurance Company denied 25.4% of marketplace claims across 5 reporting states - an elevated rate that warrants checking the plan's appeal-success record before enrolling.
See where Medica Insurance Company sits against every reporting carrier in the claim-denial rate ranking.
Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.
Aggregates only, not advice. Full terms on the disclaimer.
Other D-graded carriers in PlainInsurer's dataset include Globe Life and Primerica Life Insurance, and the closest overall composite score to Medica Insurance Company's 27.0 belongs to BlueCross BlueShield of Tennessee (26.5), each rescaled across the measures that carrier reports.
Other D-graded insurers
Carriers with the same peer-relative reputation grade
| Insurer | Grade |
|---|---|
| Globe Life | D |
| Primerica Life Insurance | D |
| Liberty Mutual Homeowners | D |
| GEICO | D |
| Farmers Insurance | D |
Closest composite score to Medica Insurance Company
Carriers with the nearest overall composite score (27.0)
| Insurer | Composite score |
|---|---|
| BlueCross BlueShield of Tennessee | 26.5 |
| Molina Healthcare of Michigan, Inc. | 27.6 |
| UnitedHealthcare of Wisconsin, Inc. | 28.1 |
| UnitedHealthcare of Mississippi, Inc. | 25.9 |
| Hawaii Medical Service Association | 25.4 |
Questions about Medica Insurance Company
What does Medica Insurance Company's grade mean?
Medica Insurance Company received a grade of D, indicating a worse-than-average record versus peers.
How many complaints does Medica Insurance Company have?
NAIC's public bulk data does not include a complaint-volume estimate for Medica Insurance Company - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against Medica Insurance Company?
File against Medica Insurance Company through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Medica Insurance Company a good insurance company?
PlainInsurer's D grade for Medica Insurance Company reflects a worse-than-average record versus peers relative to peers on published complaint and denial data.
What types of insurance does Medica Insurance Company offer?
Detailed line-of-business data isn't currently available for Medica Insurance Company. The carrier is licensed in 0 states.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Medica Insurance Company · 2024
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The full PlainInsurer extract, covering every insurer including Medica Insurance Company, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.
Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.
Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.