Elevate by Medica Gold $0 Copay PCP Visits
Gold · EPO · Medica · Nebraska
At age 40 it costs between $796.90 and $910.24 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 | 20305NE0030045 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,500 |
| Deductible (family) | $3,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,800 |
| Family maximum | $17,600 |
| Primary care visit | No Charge |
| Specialist visit | $75 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $75 |
| 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 | $623.55 | $707.73 | $796.90 | $1,113.66 | $1,692.32 |
| Douglas County | $623.55 | $707.73 | $796.90 | $1,113.66 | $1,692.32 |
| Sarpy County | $623.55 | $707.73 | $796.90 | $1,113.66 | $1,692.32 |
| Saunders County | $623.55 | $707.73 | $796.90 | $1,113.66 | $1,692.32 |
| Washington County | $623.55 | $707.73 | $796.90 | $1,113.66 | $1,692.32 |
| Fillmore County | $688.92 | $781.93 | $880.44 | $1,230.41 | $1,869.73 |
| Lancaster County | $688.92 | $781.93 | $880.44 | $1,230.41 | $1,869.73 |
| Saline County | $688.92 | $781.93 | $880.44 | $1,230.41 | $1,869.73 |
| Seward County | $688.92 | $781.93 | $880.44 | $1,230.41 | $1,869.73 |
| York County | $688.92 | $781.93 | $880.44 | $1,230.41 | $1,869.73 |
| Adams County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
| Buffalo County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
| Clay County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
| Hall County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
| Hamilton County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
| Kearney County | $712.24 | $808.39 | $910.24 | $1,272.06 | $1,933.02 |
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.