Medica with CHI Health Gold Share
Gold · EPO · Medica · Nebraska
At age 40 it costs between $879.21 and $1,004.26 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 | 20305NE0050075 |
|---|---|
| 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
18 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 |
|---|---|---|---|---|---|
| Burt County | $687.96 | $780.83 | $879.21 | $1,228.69 | $1,867.11 |
| Cass County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Johnson County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Nemaha County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Otoe County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Pawnee County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Thayer County | $760.08 | $862.69 | $971.38 | $1,357.50 | $2,062.86 |
| Butler County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Colfax County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Cuming County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Custer County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Dawson County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Greeley County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Howard County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Nance County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Nuckolls County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Sherman County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
| Valley County | $785.81 | $891.89 | $1,004.26 | $1,403.45 | $2,132.68 |
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.