Harmony by Medica Gold $0 Copay PCP Visits
Gold · PPO · Medica · Oklahoma
At age 40 it costs between $606.93 and $856.78 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 | 21333OK0010045 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | PPO |
| 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 1-800-676-3777 |
Where it is sold, and what it costs there
25 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 |
|---|---|---|---|---|---|
| Creek County | $474.90 | $539.02 | $606.93 | $848.18 | $1,288.89 |
| Osage County | $474.90 | $539.02 | $606.93 | $848.18 | $1,288.89 |
| Rogers County | $474.90 | $539.02 | $606.93 | $848.18 | $1,288.89 |
| Tulsa County | $474.90 | $539.02 | $606.93 | $848.18 | $1,288.89 |
| Wagoner County | $474.90 | $539.02 | $606.93 | $848.18 | $1,288.89 |
| Adair County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Atoka County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Beckham County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Cherokee County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Cotton County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Delaware County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Garfield County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Greer County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Jackson County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Jefferson County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Nowata County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Ottawa County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Pittsburg County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Pottawatomie County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Stephens County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Washington County | $521.37 | $591.76 | $666.31 | $931.17 | $1,415 |
| Comanche County | $538.99 | $611.76 | $688.84 | $962.64 | $1,462.83 |
| Cleveland County | $670.41 | $760.91 | $856.78 | $1,197.34 | $1,819.48 |
| Grady County | $670.41 | $760.91 | $856.78 | $1,197.34 | $1,819.48 |
| McClain County | $670.41 | $760.91 | $856.78 | $1,197.34 | $1,819.48 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.