Medica with CHI Health Gold Share + Adult Eye Exam
Gold · EPO · Medica · Nebraska
At age 40 it costs between $884.48 and $1,010.29 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 | 20305NE0100004 |
|---|---|
| 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 | 99.40% |
| 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
13 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 | $692.08 | $785.52 | $884.48 | $1,236.06 | $1,878.32 |
| Douglas County | $692.08 | $785.52 | $884.48 | $1,236.06 | $1,878.32 |
| Sarpy County | $692.08 | $785.52 | $884.48 | $1,236.06 | $1,878.32 |
| Saunders County | $692.08 | $785.52 | $884.48 | $1,236.06 | $1,878.32 |
| Washington County | $692.08 | $785.52 | $884.48 | $1,236.06 | $1,878.32 |
| Fillmore County | $764.64 | $867.87 | $977.21 | $1,365.65 | $2,075.23 |
| Lancaster County | $764.64 | $867.87 | $977.21 | $1,365.65 | $2,075.23 |
| Saline County | $764.64 | $867.87 | $977.21 | $1,365.65 | $2,075.23 |
| Seward County | $764.64 | $867.87 | $977.21 | $1,365.65 | $2,075.23 |
| Buffalo County | $790.52 | $897.24 | $1,010.29 | $1,411.87 | $2,145.47 |
| Hall County | $790.52 | $897.24 | $1,010.29 | $1,411.87 | $2,145.47 |
| Hamilton County | $790.52 | $897.24 | $1,010.29 | $1,411.87 | $2,145.47 |
| Kearney County | $790.52 | $897.24 | $1,010.29 | $1,411.87 | $2,145.47 |
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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When this plan’s price or benefits change.
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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.