Harmony by Medica Gold Standard
Gold · PPO · Medica · Oklahoma
At age 40 it costs between $664.10 and $937.49 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 | 21333OK0010055 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $519.64 | $589.79 | $664.10 | $928.08 | $1,410.31 |
| Osage County | $519.64 | $589.79 | $664.10 | $928.08 | $1,410.31 |
| Rogers County | $519.64 | $589.79 | $664.10 | $928.08 | $1,410.31 |
| Tulsa County | $519.64 | $589.79 | $664.10 | $928.08 | $1,410.31 |
| Wagoner County | $519.64 | $589.79 | $664.10 | $928.08 | $1,410.31 |
| Adair County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Atoka County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Beckham County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Cherokee County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Cotton County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Delaware County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Garfield County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Greer County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Jackson County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Jefferson County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Nowata County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Ottawa County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Pittsburg County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Pottawatomie County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Stephens County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Washington County | $570.49 | $647.50 | $729.08 | $1,018.89 | $1,548.30 |
| Comanche County | $589.77 | $669.39 | $753.73 | $1,053.33 | $1,600.64 |
| Cleveland County | $733.56 | $832.59 | $937.49 | $1,310.14 | $1,990.88 |
| Grady County | $733.56 | $832.59 | $937.49 | $1,310.14 | $1,990.88 |
| McClain County | $733.56 | $832.59 | $937.49 | $1,310.14 | $1,990.88 |
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.