Elevate by Medica Gold Share
Gold · EPO · Medica · Nebraska
At age 40 it costs between $820.42 and $937.11 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 20305NE0030025 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $2,500 |
| Deductible (family) | $5,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,900 |
| Family maximum | $11,800 |
| Primary care visit | $30 |
| Specialist visit | $90 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $80 |
| Specialty drugs | 60% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-592-8211 · TTY 1-800-833-7352 |
Where it is sold, and what it costs there
16 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Dodge County | $641.96 | $728.62 | $820.42 | $1,146.54 | $1,742.28 |
| Douglas County | $641.96 | $728.62 | $820.42 | $1,146.54 | $1,742.28 |
| Sarpy County | $641.96 | $728.62 | $820.42 | $1,146.54 | $1,742.28 |
| Saunders County | $641.96 | $728.62 | $820.42 | $1,146.54 | $1,742.28 |
| Washington County | $641.96 | $728.62 | $820.42 | $1,146.54 | $1,742.28 |
| Fillmore County | $709.26 | $805.01 | $906.43 | $1,266.74 | $1,924.93 |
| Lancaster County | $709.26 | $805.01 | $906.43 | $1,266.74 | $1,924.93 |
| Saline County | $709.26 | $805.01 | $906.43 | $1,266.74 | $1,924.93 |
| Seward County | $709.26 | $805.01 | $906.43 | $1,266.74 | $1,924.93 |
| York County | $709.26 | $805.01 | $906.43 | $1,266.74 | $1,924.93 |
| Adams County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
| Buffalo County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
| Clay County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
| Hall County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
| Hamilton County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
| Kearney County | $733.27 | $832.26 | $937.11 | $1,309.61 | $1,990.09 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.