Payer Overview
Medica Group Market Analysis: Market Share and Coverage by State
Medica Group is a regional health insurer focused on the Upper Midwest with concentrated membership and premium exposure in select states. The payer emphasizes local market depth and provider relationships rather than broad national scale.
Payer Overview
Medica Group operates as a focused regional insurer with a concentrated footprint across the Upper Midwest. The company is the #32 largest US A&H payer by premium and writes $6.36B in the US market, representing a 0.44% US market share across 12 states. The carrier serves an estimated 1.05M members and operates through 8 affiliated subsidiaries, reflecting a compact but deep-market approach in its core states.
Medica Group does not hold a #1 statewide ranking in any state. Its business is concentrated in the Midwest and adjacent Plains states, which supports strong local provider relationships and negotiating leverage in those markets while limiting exposure outside the continental US.
8 rows
| Subsidiary | Domicile |
|---|---|
| Dean Health Insurance Inc | WI |
| Dean Health Plan Inc | WI |
| Medica Central Health Plan | MO |
| Medica Central Insurance Company | MO |
| Medica Community Health Plan | WI |
| Medica Health Plans | MN |
| Medica Insurance Company | MN |
| Medica Regional Insurance Company | NE |
National Market Presence
| State | Market Share | Premium Written | Estimated Members |
|---|---|---|---|
| AZ | 0.05% | $10.7M | 2.39K |
| IA | 0.63% | $101M | 15.2K |
| IL | 0.01% | $4.10M | 0.59K |
| KS | 0.1% | $14.5M | 2.32K |
| MN | 10.88% | $3.09B |
Estimated Member Demographics
| Age Band | Minnesota | Wisconsin | Nebraska | South Dakota | North Dakota | Iowa | Missouri | Oklahoma | Arizona | Kansas | Illinois | Wyoming | National Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Under 6 | 31384 | 19878 | 7290 | 3301 | 3067 | 935 | 814 | 646 | 142 | 154 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.